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Section 2. Recommendations for Care of Children in Special Circumstances
Biological Terrorism
Some infectious agents have the potential to be used in acts of bioterrorism. The Centers for Disease Control and Prevention (CDC) has designated 3 categories of biological agents to stratify the risk to civilians and guide national public health bioterrorism preparedness and response.
42 The highest-priority agents are designated category A, because they can be disseminated or transmitted person-to-person easily, cause high rates of mortality with potential for major public health effects, could cause public panic and social disruption, and require special action for public health preparedness. Category A agents are transmitted easily and cause high morbidity and mortality rates. Organisms in category A cause anthrax, smallpox, plague, tularemia, botulism, and viral hemorrhagic fevers, including Ebola, Marburg, Lassa, Junin, and other related viruses. Category B agents are moderately easy to disseminate, cause moderate morbidity and low mortality rates, and require enhanced diagnostic capacity and disease surveillance. These agents include Coxiella burnetii (Q fever), Brucella species (brucellosis), Burkholderia mallei (glanders), Burkholderia pseudomallei
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