Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 10, Number 8—August 2004


Detecting Bioterror Attack

Suggested citation for this article

In Reply: As stated and argued throughout our article (1), we conducted a best-case analysis under assumptions that favored blood-donor screening to detect bioterror attacks; if such an analysis fails to justify donor screening, no analysis will. Bicout is concerned about our assumption of exponential infection growth after attack, however, this assumption was one of several we made deliberately as part of our best-case scenario (1).

Bicout’s calculations actually reinforce rather than refute our analysis. By relaxing our assumption of exponential infection growth and using the well-known logistic solution to the basic epidemic model (equation 1 in Bicout’s letter), Bicout shows that more time is required to detect a bioterror attack than when exponential infection growth is assumed (Figure accompanying Bicout’s letter). The number of persons infected over time under the logistic model will be fewer than the number of persons infected if exponential growth is assumed; therefore, screening blood donors to detect a bioterror attack is even less attractive than using our best-case assumptions. The take-home message from our article was and is: It makes little sense to screen blood donors to detect a bioterror attack.

Edward H. Kaplan*Comments to Author  and Lawrence M. Wein†

Author affiliations: *Yale School of Management, New Haven, CT, USA; †Stanford University, Stanford, CA, USA


  1. Kaplan EH, Patton CA, FitzGerald WP, Wein LM. Detecting bioterror attacks by screening blood donors: a best-case analysis. Emerg Infect Dis. 2003;9:90914.PubMed

Suggested citation for this article: Kaplan EH, Wein LM. Bioterror attack: author response [letter]. Emerg Infect Dis [serial on the Internet]. 2004 Aug [date cited]. Available from:

DOI: 10.3201/eid1008.040291

Related Links

Table of Contents – Volume 10, Number 8—August 2004


Please use the form below to submit correspondence to the authors or contact them at the following address:

Edward H. Kaplan, Yale School of Management, 135 Prospect Street, New Haven, CT 06511-3729, USA; fax: 203-432-9995

character(s) remaining.

Comment submitted successfully, thank you for your feedback.