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Occupational Medicine 2004;54:101-109
Occupational Medicine, Vol. 54 No. 2 © Society of Occupational Medicine 2004; all rights reserved

Chemical, biological, radiological and nuclear terrorism: an introduction for occupational physicians

R. Thornton1, B. Court2, J. Meara3, V. Murray4, I. Palmer5, R. Scott6, M. Wale7 and D. Wright8

1 Headquarters Fourth Division, Steeles Road, Aldershot GU11 2DP, UK
2 HQ Personnel and Training Command, RAF Innsworth, Gloucester GL3 1EZ, UK
3 National Radiological Protection Board, Chilton, Didcot, Oxon OX11 0RQ, UK
4 Chemical Hazards and Poisons Division (London), Health Protection Agency, Guy's and St Thomas' Hospital NHS Trust, Avonley Road, London SE14 5ER, UK
5 Royal Defence Medical College
6 Porton Down
7 CDSC Trent, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK
8 Atos Origin, Medical Services, 4th Floor, 4 Triton Square, Regents Place, London NW1 3HG, UK

Background Chemical, biological, radiological and nuclear terrorism poses considerable threat throughout the world.

Aim To provide occupational physicians with an understanding of this threat and its main forms and what action can be taken to counter this threat.

Methods Presenters at a conference on chemical, biological, radiological and nuclear terrorism were asked to contribute their evidence-based opinions in order to produce a review article.

Results This paper presents a summary of the different forms of chemical, biological, radiological and nuclear terrorism and the effective counter-measures and also provides a review of current scientific literature.

Conclusion The threat of chemical, biological, radiological and nuclear terrorism is present throughout the world and is one that occupational physicians should be aware of, as well as the action that can be taken to counter it.

Keywords      Bioterrorism; chemical, biological, radiological and nuclear terrorism; terrorism

Received       25 November 2002
Revised         27 July 2003
Accepted       19 November 2003

Correspondence to: Colonel Robert Thornton, Headquarters Fourth Division, Steeles Road, Aldershot GU11 2DP, UK. Tel: +44 125 234 7042; fax: +44 125 234 7043; email: comdmed{at}tigercomd.co.uk


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