Part I: Introduction
1. Challenges That Terrorism Poses to Public Health
Barry S. Levy and Victor W. Sidel
Box 1-1: Guiding Principles for a Public Health Response to
Terrorism
Box 1-2: Has the Nation's Response to Terrorism Strengthened the
Public Health System?
Susan Allan
2. The Roots of Terrorism
Cheryl E. Easley and Carol Easley Allen
Box 2-1: Addressing Public Opinion in Muslim Communities
Zohra Rasekh and Gregory Pappas
Part II: Public Health Responses to Terrorist Attacks
3. The Public Health Response to the World Trade Center Attack and
Its Aftermath by the New York City Department of Health and Mental
Hygiene
Isaac B. Weisfuse, Trish Marsik, and Robert M. Brackbill
4. Investigating the Health Consequences of the World Trade Center
Attack
Helen H. Lee, Emily C. Milam, Luz Claudio, Philip J. Landrigan, and
Michael A. Crane
5. The Anthrax Attack of 2001
Philip S. Brachman
6. A Global Perspective on Terrorism and Public Health
John Middleton, Patrick Saunders, and Shamil Harron
7. The Mental Health Consequences of Terrorism
Zebulon Taintor
Box 7-1: The Experiences of Two Mental Health Professionals
Charles B. Strozier and Katie Gentile
Box 7-2: Terrorism, Media, and Hate Crimes
Nimmi Kapoor
Part III: Potential Terrorist Weapons and Their Control
8. Small Arms and Light Weapons
Wendy Cukier, Nelson Palacio, and Reefa Mahboob
9. Nuclear and Radiologic Weapons
Patrice M. Sutton and Robert M. Gould
Box 9-1: International Control of Nuclear Weapons
Robert M. Gould and Merav Datan
10. Chemical Weapons
Ernest C. Lee, Philipp C. Bleek, and Stefanos N. Kales
11. Biological Weapons
Victor W. Sidel and Barry S. Levy
Box 11-1: Research on Biological Weapons
Box 11-2: A Community Salmonellosis Outbreak Caused by Intentional
Contamination of Restaurant Salad Bars
Part IV: Preparedness for Terrorist Attacks and Other Public Health
Emergencies
12. Public Health Preparedness in the Los Angeles County Department
of Public Health
Jonathan E. Fielding and Alonzo L. Plough
13. Predicting and Planning for Public Health Emergencies
Nathaniel Hupert
Part V: Adverse Effects of the "War on Terror"
14. Protecting Civil Liberties and Human Rights
H. Jack Geiger and George J. Annas
15. Public Health Consequences of the Wars in Afghanistan and
Iraq
Barry S. Levy and Victor W. Sidel
Box 15-1: A Soldier's View
Garrett Reppenhagen
Box 15-2: A Perspective from Military Families
Elizabeth Frederick
16. Consequences of Torture
Leonard S. Rubenstein
17. The Impact of Anti-terrorism Law and Policy on Civil Society
Organizations in the United States
Mark Sidel
Part VI: Challenges and Opportunities
18. Strengthening the Public Health System
C. William Keck and Marguerite A. Erme
19. Protecting Emergency Response and Recovery Workers
Dori B. Reissman, Renee Funk, John Halpin, John Piacentino,
Margaret M. Kitt, and John Howard
Box 19-1: Integrating Psychological and Behavioral Components into
Organizational Preparedness
20. Promoting Domestic and International Law
Peter Weiss
Appendix: A List of Some Organizations That Promote Peace and
Address Issues Related to Emergency Preparedness and Response
Barry S. Levy, MD, MPH, is an Adjunct Professor of Public Health at
Tufts University School of Medicine and a consultant in
occupational and environmental health. Trained in internal medicine
and preventive medicine, he served as a medical epidemiologist with
the Centers for Disease Control and as a professor at the
University of Massachusetts Medical School. He worked in Kenya for
the Carter Center and the U.S. Agency for International
Development. Dr. Levy served as a program director at Management
Sciences for Health and as Executive Director of the International
Physicians for the Prevention of Nuclear War. Overall, he has
worked in more than 20 countries.
He served as President of APHA.
Victor W. Sidel, MD, is Distinguished University Professor of
Social Medicine at Montefiore Medical Center and Albert Einstein
College of Medicine, and an Adjunct Professor of Public Health at
Weill Cornell Medical College. Trained in internal medicine and
public health, he headed the Community Medicine Unit at
Massachusetts General Hospital and chaired the Department of Social
Medicine at Montefiore and Einstein. Dr. Sidel was a founder of the
Physicians for Social
Responsibility and the International Physicians for the Prevention
of Nuclear War, which was the recipient of the 1985 Nobel Peace
Prize. He has served as President of both organizations, and as
President of APHA and the Public
Health Association of New York City.
"Terrorism and Public Health is a provocative book written for
times that challenge our values in how to respond. It calls for
planning and restraint and a balancing of resources for the overall
health of the public in the response to emergencies caused by
terrorism." -- Journal of the American Medical Association
"This book addresses terrorism as a many-sided phenomenon. There
are no easy answers either technically or politically, although the
public health community has the responsibility to address it in
[its] preventive aspect, politically, morally and from the point of
view of social justice. For combining all of these perspectives,
the editors...should be congratulated." -- Newsletter of the UK
Public Health Association
"...the timely publication of this book is a service to all of us
in public health, and it will be a useful resource for health
professionals, emergency response organizations, and policy makers,
as well as for teaching." -- International Journal of
Epidemiology
"The public anxiety around the possibility of terrorist threats
presents a challenge to all those working in public health, and it
is to the great credit of [this book] that it helps us respond to
this challenge in a sensible and balanced way."-- Medicine,
Conflict and Survival
"This has to be the 'book of the year' so far, in this so important
field of study and deserves the widest possible readership." -- The
Occupational Safety & Health Journal of the Royal Society for the
Prevention of Accidents
"The public anxiety around the possibility of terrorist threats
presents a challenge to all those working in public health, and it
is to the great credit of [this book] that it helps us respond to
this challenge in a sensible and balanced way." -Medicine, Conflict
and Survival, Vol. 19, 2003
"The arrival of the 21st century has brought a greater threat of
international terrorism and a greater appreciation of the role of
public health in protecting the community. Terrorism and Public
Health: A Balanced Approach to Strengthening Systems and Protecting
People provides a comprehensive review of the interdisciplinary
collaboration that is needed to guard against terrorism while
strengthening our public health system."--Diana Bonta,
DHS-Director's Office
"A remarkably timely and comprehensive look at the challenges that
terrorism presents for public health. It thoroghly examines the
issues around strengthening the public health system's response to
terrorism while avoiding inappropriate actions that further shift
vital resources and efforts from other critical public health
needs. This book provides schools of public health and other
academic health institutions with a basic guide for developing
terrorism
preparedness and response training in their curricula."--Patricia
W. Wahl, PhD, Professor of Biostatistics and Dean, School of Public
Health and Community Medicine, University of Washington,
Seattle,
Washington
"...a timely contribution from a distinguished group of public
health professionals. The events also showed how the prompt actions
of courageous and well-trained individuals helped reduce the burden
of suffering. This book is a valuable resource for all those now
mobilizing to prevent or contain the threat to the public's health
of future acts of terrorism, whether from biologic, chemical,
nuclear, or conventional weapons."--Robert S. Lawrence, MD,
Edyth
H. Schoenrich Professor of Preventive Medicine, and Director, John
Hopkins Center for Public Health Preparedness, Bloomberg School of
Public Health, Johns Hopkins University, Baltimore, MD
"...an invaluable book for the same reason that it is profoundly
sad that such a resource is needed at all--the terrorist attacks of
September 11, 2001. The first hand stories provide lessons learned
not available from any other source. Attention to these lessons,
the information on terrorist weapons and pursuing opportunities to
strengthen the public health infrastructure will help us to prepare
for potential future assaults. Perhaps most important,
understanding the roots of terrorism may bring action that lead to
greater world peace."--Faye L. Wong, MPH, RD, Director, "Youth
Media Campaign"
"...an historic reassessment of our chronically underfunded public
health system, and what must be done now to meet the new challenge
of terrorism in our midst. Drawing on the best thinking in public
health, medicine, law and civil liberties, weapons development, and
other fields, Levy and Sidel argue forcefully that the goals of
community-based prevention and terrorism preparedness are
complementary, not competing. It will be an enormously useful guide
to
policymakers, a resource for public health practitioners, and a
message of hope to Americans with basic questions about what we
must do now to prepare to combat these new and emerging
threats.--Senator
Paul Wellstone
"The timing of Terrorism and Public Health could not have been
better. This book serves as a defining statement of where terrorism
must now 'fit' into public health agendas at all levels of
government. The book also illuminates the need for effective
collaboration among health, medical and social scientists. It is
encyclopedic in its coverage and includes a robust list of
references...a spledid book"--Balius Walker, Jr., Ph.D., MPH,
Professor of
Environmental and Occupational Medicine and a past president of the
American Public Health Association.
"The essays by the editors...are superb, both is setting the
context and raising concerns."--Report (Newsletter of the UK Public
Health Association), Winter 2002/3
"The timely publication of this book is a service to all of us in
public health, and it will be a useful resource for health
professionals, emergency response organizations, and policy makers,
as well as for teaching."--International Journal of
Epidemiology
"This has to be the 'book of the year' so far, in this so important
field of study and deserves the widest possible readership."--The
RoSPA Occupational Safety & Health Journal
"Edited by 2 former presidents of the American Public Health
Association, the second edition of Terrorism and Public Health
comprises 20 chapters written by subject matter experts. The book
is divided into 6 sections that include chapters addressing public
health responses to terrorist acts, specific weapons used by
terrorists, and emergency planning. Overall, the book provides a
wide overview of the issues confronting public health agencies
with
respect to their national security role....for those with some
grounding in the subject this book is, as the JAMA review of the
first edition noted, 'a provocative book written for times that
challenge our values in
how to respond'." -- JAMA
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