WEAPONS OF MASS DESTRUCTION (WMD) QUICK REFERENCE GUIDE

BIOLOGICAL AGENTS

BACTERIA
AGENT INCUBATION SYMPTOMS TRANSMISSION
ANTHRAX (INHALATIONAL)(CUTANEOUS) 1-6 DAYS Fever/chills, malaise, fatigue, cough LATE: Severe respiratory distress, shock, rash, fluid-filled vesicle, dead tissue AEROSOL, DIRECT
BRUCELLOSIS 1-2 MONTHS Fever/chills, headache, malaise, joint pain, muscle pain AEROSOL
PLAGUE (INHALATIONAL) 2 – 3 DAYS Fever/chills, headache, coughing blood, toxemia. LATE: Respiratory failure, shock DIC AEROSOL PERSON-TOPERSON TRANSMISSION
TULAREMIA(INHALATIONAL) 3 – 5 DAYS Fever/chills, headache, malaise AEROSOL
Q FEVER 2 – 40 DAYS Fever/chills, cough, pleuritic chest pain, GI symptoms AEROSOL
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VIRUSES
AGENT INCUBATION SYMPTOMS TRANSMISSION
SMALLPOX 10-12 DAYS Fever/chills, headache, malaise, backache AEROSOL PERSON-TOPERSON TRANSMISSION
VIRAL HEMORRHAGIC FEVERS 4-21 DAYS Fever/chills, headache, malaise, muscle pain
LATE: Bleeding, petechiae, hypotension, shock
AEROSOL PERSON-TOPERSON TRANSMISSION, DIRECT
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TOXINS
AGENT INCUBATION SYMPTOMS TRANSMISSION
BOTULINUM(INHALATIONAL) S/S BEGINS
12-72 HOURS
Drupping eyelids, progressive descending bulbar, muscular and respiratory weakness;
LATE: Respiratory failure
AEROSOL, PO
STAPHYLOCOCCAL ENTEROTOXIN B(AEROSOL) S/S BEGINS
3-12 HOURS
Fever/chills, headache, myalgia, cough AEROSOL, PO
RICIN(INHALATIONAL) S/S BEGINS
4-8 HOURS
Fever/chills, cough, malaise, dyspnea
LATE: Pulmonary Edema, respiratory failure
AEROSOL
TRICOTHECENE MYCOTOXINS (T2) S/S BEGINS
2-4 HOURS
Necrosis and sloughing of affected tissues
LATE: Prostration, collapse, shock
AEROSOL, PO, DERMAL, EYE
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CHEMICAL AGENTS

NERVE AGENTS
AGENT SYMPTOMS DECONTAMINATION
TABUN (GA) Salivation Lacrimation (tearing)
Urination
Defecation
Gastric disturbances
Emesis (vomiting)

ONSET:
Vapor: seconds Liquid: minutes – hours
LATE: Remove and isolate contaminated clothing

Flush patients with soap and water solution

Flush objects with large amounts of 10 percent bleach solution
SARIN (GB)
SOMAN (GD)
V AGENTS (VX)
VESICANTS (BLISTER AGENTS)
AGENT SYMPTOMS DECONTAMINATION
SULFUR MUSTARD (H) Acts first as a cell irritant, then as a cell poison

Conjunctivitis, reddened skin, blisters, nasal irritation, inflammation of throat and lungs
Remove and isolate contaminated clothing

Flush patients with soap and water solution

Flush objects with large amounts of 10 percent bleach solution

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DISTILLED MUSTARD (HD)
NITROGEN MUSTARD (HN 1, 3)
MUSTARGEN (HN 2)
LEWISITE (L) Immediate pain with blisters
PHOSGENE OXIME (CX) Immediate pain with blisters later–necrosis equivalent to second- and third-degree burns
CHEMICAL ASPHYXIANTS (BLOOD AGENTS)
AGENT SYMPTOMS DECONTAMINATION
HYDROGEN CYANIDE (AC) -30 percent cyanosis

Patients may appear to be gasping for air

Seizures prior to death

Effect is similar to asphyxiation, but is more sudden
Remove and isolate contaminated clothing

Flush patients with soap and water solution

Flush objects with large amounts of 10 percent bleach solution

CYANOGEN CHLORIDE (CK)
ARSINE (SA)
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