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Volume 9, Number 5—May 2003

Perspective

Planning against Biological Terrorism: Lessons from Outbreak Investigations

David A. Ashford*Comments to Author , Robyn M. Kaiser*, Michael E. Bales*, Kathleen Shutt*, Amee Patrawalla*, Andre McShan*, Jordan W. Tappero*, Bradley A. Perkins*, and Andrew L. Dannenberg*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA

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Table 4

Number of days from beginning to notification for outbreaks in which bioterrorism or intentional contamination was considered

Report no. Investigation Beginning of outbreak No. of days from first case to problem identification No. of days from problem identification to initial CDC contact
84-93
Large salmonellosis outbreak caused by intentional contamination of restaurant salad bars, Oregon
9/15/84
6
4
97-008
Shigellosis outbreak in hospital laboratory workers, Texas
10/29/96
1
1
98-006
Shigella sonnei outbreak in laboratory workers, New Hampshire
9/20/97
17
3
99-25
Anthrax hoaxes
10/30/98
0
0
99-59
Unexplained critical illness, New Hampshire
3/24/99
26
1
99-094 Encephalitis cluster with paralysis of unknown etiology, New York (West Nile virus) 8/9/99 14 6

aCDC, Centers for Disease Control and Prevention.

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