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The avoidance of biologicalunderstanding of what biological

Chapter 4

Biological Agentsagents requires anagents are, how they

may be used, and what happens to them once they arereleased. Units can then anticipate when and wherebiological agents will be used. They can estimate wherethe hazard is located so avoidance procedures can beinitiated.

Biological agents are divided into two broad categories— pathogens and toxins.

PathogensPathogens are infectious agents that cause disease in

man, animals, or plants. Agents that constituteantipersonnel biological warfare (BW) threats includebacteria, viruses, and rickettsias (see Appendix B).These are commonly referred to as germs. While thevast majority of microorganisms are harmless or evenhelpful, there are about 100 naturally occurringpathogens that could be used as biological warfare (BW)agents. Pathogens cause disease (infection) by enteringthe body through the lungs, digestive tract, through theskin and mucous membranes of body openings.

Once they enter the body, pathogens multiply,overcoming the body’s natural defenses, and producedisease. All bacteria do not require living cells forgrowth. Symptoms most commonly associated withpathogen infection include upper respiratory flu or coldlike symptoms, vomiting, diarrhea, pneumonia or skinlesions (spots or rashes). Some pathogens, causenervous systems damage (headache, paralysis,convulsions, or coma).

BacteriaBacteria are living microorganisms. Unlike viruses

and rickettsias, they are capable of reproduction outsideliving cells. If they enter the body and if the victim isnot properly treated, the microorganism will multiplyand incapacitate the host. Bacteria can be found inalmost any environment. Those few that are potentialBW agents have the ability to rapidly cause illness afterentering the body through the lungs or digestive tract. Atypical bacterial cell is 1-2 microns in diameter and 2-10microns in length (1,000,000 microns = 1 meter).

VirusesViruses constitute a large group of infectious

organisms. Unlike bacteria, they must be inside a cell inorder to multiply. Viruses multiply by taking over thecell, causing it to produce viruses instead of normal cellcomponents. After producing hundreds or even

thousands of virus particles, the cell is often destroyedas these particles are released. Viruses are much smallerthan bacteria, ranging from 0.02 - 0.2 microns in size.Their small size means that a relatively small amount ofagent can infect a large number of personnel across awide area.

RickettsiaeRickettsiae are bacteria that are unable to multiply

unless they are within a living cell. Most are spreadfrom one person to another by means of an insect or tickthat serves as a vector. The rickettsia will be picked upby the vector from one infected person or animal, whichthen transmits the rickettsia when it bites its next victim.Rickettsiae are smaller than most bacteria, but largerthan viruses.

ToxinsToxins are poisonous substances produced as

by-products of microorganisms (the pathogens), plants,and animals. Some toxins can be chemicallysynthesized, and some can be artificially produced withgenetic engineering techniques. Toxins exert their lethalor incapacitating effects by interfering with certain celland tissue functions. Basically, there are toxins thatdisrupt nerve impulses (neurotoxins) and toxins thatdestroy cells by disrupting cell respiration andmetabolism (cytotoxins). There is a vast range of signsand symptoms with both toxin types. These signs andsymptoms can be confused with both chemical andpathogen poisoning.

The neurotoxins tend to be quick acting and producenerve agent-like symptoms in seconds to hours.Symptoms of neurotoxin poisoning range from mentalconfusion, loss of balance, and vision problems to a limpparalysis or convulsive-type seizures leading to coma anddeath.

An example of a neurotoxin is palytoxin, produced bya bacterium in palython soft corals. This is a fast actingtoxin causing muscle paralysis then death within 5minutes.

Cytotoxins tend to be slower acting and producechoking, blistering, or even radiation-like symptoms in aperiod of hours to days. Symptoms range from skinlesions such as blisters, to vomiting, diarrhea, coughing,and choking (the latter three signs may be accompaniedby bloody discharges) to marked weakness, coma, anddeath.

An example of a cytotoxin is trichothecenes (T-2

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toxin) which is a group of about 40 delayed acting.fungal toxins (mycotoxins). These are produced frommolds of infected grain and were reportedly used inSoutheast Asia and Afghanistan in the 1970’s and1980’s. T-2 toxin is often referred to as “yellow rain."

Characteristics ofBW Agents

Delayed EffectsBoth pathogens and some toxins - especially

cytotoxins - can cause delayed effects. These effectsmay take hours to days before the onset of disease.

The effects of pathogens are delayed due to therequired incubation period. This incubation period is thegrowth process of pathogens inside the body prior todisease production and differs among agents.

Toxins, unlike pathogens, are not living organismsThe delayed effects are not caused by an incubationperiod. The delay is caused by the time required to killor inactivate cells. Repeated exposures to small amounts(less than incapacitating or lethal effective doses) canadd up to an incapacitating or lethal effective dose.

Large Area CoverageBiological agents can be disseminated over large

areas. They cart sail with the wind and travel extensivedistances downwind. Pathogens can infect the targetwith as little as 1 to 20 microorganisms. Billions ofpathogenic cells can be packed in 1 gram of agent. Thelight weight and small size allow these pathogens tospread easily to all areas that are not airtight. Similarly.toxins are very potent and are more toxic than nerveagents. They require very low doses to exert theireffects. Toxins, like pathogens can cover large areaswhen disseminated.

ControlSomewhat more control can be achieved in employing

toxins as compared to pathogens and they can coverlarger areas than those covered by chemical aerosols.Compared to the pathogens, they are extremely toxic andlightweight, particularly if employed as art aerosol.However, being chemical by-products rather than livingorganisms, toxins are not infectious, contagious, norcapable of self- reproduction. Thus, area coverage andthe results of the attack are much more predictable andreliable.

Pathogens, however, are difficult to control:especially if they are artifically disseminated. Becausesome pathogens cause contagious diseases, the victimhimself becomes the sourse of agent. Both sick anddead soldiers, and their wastes, can become a hazard to

those around them. The extent of this hazard will varyfrom agent to agent, but it is an important part ofcontrolling and avoiding further casualties. Also, thecoverage patterns of pathogen agent clouds are verysensitive to wind direction and speed. The enemy maydecide to use pathogens in an attack located close to theirown positions. In this case the enemy will be form-xl touse a pathogen for which their troops haveimmunization, or the enemy must be willing to acceptsome casualties.

In general, healthy skin provides an adequate barrieragainst most agents of biological origin. Skin (usually ina tropical environment) that has rashes, scratches, fungalinfections, etc . . . is more susceptible to skin penetrants.

Skin PenetrationSome toxins, due to their small molecular weight,

size, and solubility, may also penetrate the skin. MOPPgear protects the skin from the effects of such toxins andtherefore must be used. For maximum protection andthe lowest risk of incurring casualties, soldiers shouldwear the protective gear for 4 hours after the unit hasbeen attacked or the agent cloud is predicted/known tohave passed through the unit area. During this timeevery effort is made to identify the exact agent includingits characteristics.

Weather Effects onBiological Agents

SunlightMost biological pathogens and some toxins are

affected by ultraviolet rays in sunlight. Most attacks willlikely occur at night, during extended twilight, or duringovercast conditions. To overcome this problem,encapsulation (a natural or man made protective coveringaround the pathogen), or possibly genetic engineeredpathogens, may produce agents that are resistant to directsunlight. Thus. any agent delivered during conditions ofdirect sunlight, or after beginning morning nauticaltwilight (BMNT), should be considered as a sunlightresistant agent.

HumidityThe relative humidity that is the most favorable for the

employment of a biological aerosol attack depends uponwhether the agent is disseminated as a wet or dryaerosol. For a wet aersol, a high relative humidityslows the evaporation of the tiny droplets of agent. Thislowers the rate of decay of the wet agent because dryingmay result in the death of pathogens. On the other hand,a low relative humidity favors the employment of dryagents. The extra moisture present in the air when

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humidity is high may increase the decay rate ofpathogens in a dry aerosol. High humidity may alsopromote a clumping of particles causing them to fall outof the air more rapidly.

WindHigh wind speeds increase the area covered by

biological agents, but lower the casualty percentageswithin an area due to dilution of the agent. Most BWattacks will occur under conditions of moderatewindspeed, the most effective windspeeds for targetcoverage being 12-30 kmph. As the agent cloud travelsdownwind, it gradually loses its effectiveness due todilution caused by agent fallout, dispersal, and death ofthe pathogen agent or neutralization of the toxin.However, because most biological agents are lighter andmore potent (weight to effect basis) than chemicalagents, the downwind hazard areas of biologicalweapons will be much larger than those of chemicalweapons. If delivered directly on target, as with abomblet attack, the wind direction and speed will have amore limited effect on coverage, however, downwindefforts must stall be considered. If dissemination occursfar upwind from the target area in a more elevatedmanner, downwind effects can be even more dramatic.

Temperature GradientTemperature gradients may exert some effects upon

the behavior of a biological aerosol cloud. However,prediction of these effects require specific knowledge ofthe agent and its potential carriers. The effects oftemperature gradient upon biological agents are similarto those upon chemical agents. However, becausebiological agents are effective in lower concentrationsthan chemical agents, the effects of temperature gradientare less upon a biological cloud than a chemical agentcloud. A stable atmosphere (inversion) results in thegreatest effects. Under unstable (lapse) and neutralconditions, more atmospheric mixing occurs leading to acloud of lower concentration, but still sufficient to inflictcasualties. Temperature gradients for biological agentsnormally are listed in Pasquill Stability Classes. Theseclasses are listed in Table 4-1. As stated previously,stable atmospheric conditions produce the best effects forbiological agents. This means Stability Class E or F.The Simplified Biological Downwind Hazard Prediction(SBDWHP) procedures will be used for all temperaturegradients.

Precipitation and TemperaturePrecipitation will tend to wash biological agents out of

the air more rapidly. This will slightly reduce thedownwind hazard. Most pathogens are stable at normaltemperatures, thus, the effects of temperature are

expected to have little or no effect on hazard predictions.With the advent of toxins, bioengineering of pathogensand encapsulation, even arctic or desert conditions aremuch less restrictive to the user of BW. Most toxins aremore stable than pathogens and are less susceptible to theinfluence of temperature, relative humidity, andradiation. As a general rule cool temperatures favor theemployment of wet agents and warm temperatures favorthe employment of dry agents.

Windows of VulnerabilityCoordinate with higher headquarters, intelligence

sources, and medical personnel to determine whatbiological agent is most likely to be employed by theenemy. Determine, based on agent the optimumweather conditions and method of dissemination forgreatest effect for each agent considered.

Coordinate with the Divisional Staff Weather Officer(SWO) to determine when these optimal weatherconditions are projected to exist m the Area of Operaation(AO). These projected times that the optimal weatherconditions exists is called “the wimdow of vulnerability”.This “window” represents the best time, based onweather, for the enemy to employ biological agents.During this “window of vulnerability” if the unit isattacked with something that appears to be a chemicalagent; yet no chemical alarm or detector kit responds tothe agent, submit a Suspected Biological Report andobtain samples.

Persistence ofBiological Agents/hazard

The persistency of a biological agent refers to the

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duration of effectiveness of the agent and varies greatlybetween agents.

The persistency of a biological agent will depend onmany factors. Weather, terrain, ultra violet rays,method of dissemination, and type of agent are just a fewof the factors that contribute to the persistency of abiological hazard. These factors must be consideredwhen determining or initiating unmasking procedures.The persistence of microbes can be enhanced byencapsulating them with a microscopic protective coat.In addition, some microbes will produce a very resistantform called a spore. This is an essentially dormant statewhich can reactivate when the proper conditions exist.Spores will survive heat, drying and even some radiationfor years. The spore can remain on the ground untilconditions become appropriate for the organism tosurvive. In a process called reaerosolization, theorganism will be returned to its aerosol form by someoutside means. The most probable scenario is that heavyvehicle traffic or winds will cause many of the organismsto be suspended in the air. This particle suspension willcause a hazard area of military significance. The threatof casualties due to reaerosolization of the biologicalagent is agent specific, but in most cases it will be below5 percent.

Due to the sheer magnatiude of potential agents,persistency data, or decay rates for biological agents isbeyond the scope of this manual. Two biological agentswith desirable weaponizing characteristics are Bacillus,Anthracis, and Botulinum Toxin. Decay rate orpersistency rate graphs for these two agents are depictedin Appendix B, Figures B-1 through B-4.

Use of Biological AgentsAgainst US Forces

It is possible that pathogens and toxins will be usedagainst U.S. forces. The employment of pathogens andtoxins throughout the entire battle area cannot bediscounted. Possible targets of pathogens include:

Rear area command centers and key facilities.Troop assembly areas.Ports of embarkation or supply points, airfields and

industrial centers prior to the outbreak of hostilities.Possible targets of toxins include —

Forward combat areas and logistical areas.Any area that presents a likely target for a terroist or

insurgent group.The use of biological agents will complement the

effects of other weapon systems. For example, threatforces could use pathogens with incubation periods thatwill cause the outbreak of disease, days or weeks after anuclear attack. This would maximize the effects

radiation has on reducing the body’s immune system.They could also use pathogens before a plannedoffensive maneuver. The maneuver would be timed tocoincide with the incubation period of the pathogen.Troops in a weakened state due to the onset of illnesswill be more susceptible to fatigue, have slower reactiontime, and will have their ability to make decisionshampered. This further reduces our capability to wagewar. Biological agents can be used singularly or incombination with other biological or chemical agents.This causes confusion in diagnosis, delays andcompounds treatment, and magnifies incapacitating orlethal effects.

U.S. forces may also be exposed to immediate andresidual biological hazards as a result of direct attack orby crossing biologically contaminated areas.Contamination avoidance is essential to reduce theimpact of biological hazards. Our ability to survive,fight, and win on a biologically contaminated battlefield,requires the capability for warning and detecting anattack and identifying the agent. Detecting biologicalagent attacks are not easy. A detection/waming devicefor pathogens is under development. An improvedversion of the M256 Detector Kit will be able to detectT2 mycotoxin. Future developmental items may includethe ability to detect biological agents with the on-boardmass-spectrometer for the NBC Recon System (FOX).For those agents that cannot be identified, detection isaccomplished by -Recognizing a pattern of employment to predict anattack.

Using the IPB process with specific PIRs for advancewarning.

Recognizing the signatory symptoms, signsg andeffects of biological agents.

Sampling with air samplers may provide indication ofan attack in progress.

The first two methods of detection are the onlymethods we have of warning troops of an attack before itoccurs. The last method will alert the unit that an attackhas occurred, and therefore allow the unit to takenecessary protection and decon procedures to minimizethe effects. Additionally, this method will help toestablish a pattern of employment and, during futureattacks, it will give notice (or at least high suspicion) thatthe enemy is employing biological agents. At this point,it should be added that when a unit is attacked, the unitcan only suspect a biological attack. This suspicion isbased on dissemination techniques, patterns ofemployment and the “window of vulnerability”.Confirmation of a biological attack occurs only when asample of the unknown agent is obtained and laboratoryanalysis confirms that the unknown substance is

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biological in origin.Prior to this laboratory confirmation, the unit will not

know if the attack was biological or chemical from anunknown source. Mission Oriented Protective Posture(MOPP) will protect the wearer against all knownchemical or biological agents. Therefore, the unit mustassume MOPP Level 4 (full protection) and apply thosetactics, techniques and procedures (TTP) depicted inAppendix A for chemical or biological contaminationavoidance.

Using Intelligence SourcesIntelligence can yield useful information for predicting

biological attacks. Intelligence also can yieldinformation that drives the scope and intensity of thebiological defense program. Combat, technical,medical, and strategic intelligence sources must be used.Strategic intelligence gives the commander an estimateof the threat force’s overall capabilities, limitations, andprobable intentions for the employment of biologicalagents. Combat intelligence gives the commander anestimate of the threat force’s battlefield readiness toemploy biological agents. Technical intelligence enablesevaluation of the effectiveness of enemy biologicalagents, possible dissemination systems and of protectiveequipment. Medical intelligence provides informationabout enemy preventive medicine, medical treatment,types of potential pathogens employed and preparationsin medically related areas that could indicate a possiblebiological attack. See FM 8-10-8 for additionalinformation on medical intelligence.

Recognizing a Pattern of EmploymentUsing the IPB process, windows of vulnerability based

on weather, enemy activity, and movement of likelydissemination systems. help characterize the patterns ofemployment. The time of attack, method ofdissemination, type of munition used, or the stage of theoperation in which the agent is employed may besimilar. Similar situations or patterns will not be definiteproof that a biological agent attack is imminent but earlywarning should be given to all units in the potentialhazard area.

RecognizingDistinguishing Symptoms,

Signs, and EffectsDetecting a biological attack by this method is the

least desirable way. But, due to the lack of detectiondevices, covert dissemination, and delayed effects ofbiological agents, this may be the first indication of abiological agent attack. With common diseases thenumber of personnel affected gradually increases.

Natural food poisoning can be caused by a bacterialtoxin. But in such a case, the casualties would belimited to those personnel that consumed the infectedfood. This can be verified by a medical analysis. Whena biological agent has been used, large numbers ofsoldiers are exposed at or about the same time. Thiscauses “explosive” epidemic numbers of casualties.Criteria (signs, symptoms, and effects) for suspecting abiological attack include:

Epidemic number of casualties occurring withinhours to three days of each other (most within 24 hoursof each other).

Higher death or infection rates than normallyencountered with the disease.

Diseases or increased outbreaks of a particulardisease not normally encountered in a particular regionor country (for example, yellow fever in Europe).

An aerosol dissemination technique is indicated byhigh numbers of respiratory signs—particularly when innature the disease affects the body through a differentportal of entry (such as pulmonary or lung-infectinganthrax versus the much more common form ofskin-infecting anthrax).

Multiple outbreaks of zoonotic disease(s) (diseasesthat are communicable from small animals to man).

Personnel working in a protected environment do notcontract the disease (or vice versa could indicate a covertdissemination of a biological agent).

Casualties occurring downwind, downstream, orwithin a supply line pattern.

Large numbers of sick or dead animals are observed,especially if suffering the same symptoms of the diseasewhich is affecting the human population.

The sudden appearance of large numbers of strangeinsects or ticks that have not been encounteredpreviously in an area of operations. This informationmay be obtained through preventive medicine sections.

Once suspected and reported, medical staff personnelcan conduct epidemiological studies and determine ifthere could be other causes for the outbreak and thusprevent the perpetuation of false NBC reports.

Dissemination Techniquesand Avoidance ProceduresTo avoid a biological agent hazard, first; prevent the

attack and second, combat (limit) the effects onpersonnel and supplies in the event of an attack.

The method of dissemination determines the extentand severity of contamination. However, some agentspecific defenses can be administered before the agent isdisseminated. These defenses may take the form ofimmunizations or prophylaxis, (taking medicine oraly).

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There are three general methods of disseminatingbiological agents. Each helps the agent to get into thebody.

Aerosol dissemination is used when the respiratorysystem is targeted.

Vectors (such as fleas, lice, ticks, and mosquitoes)and some toxins are used to attack through the skin.

Covert (hidden) methods are employed to attack boththe respiratory and digestive systems.

Aerosol Dissemination ProceduresBiological agents may be disseminated by ground or

airbursting munitions, aircraft spray tanks, boat or truckmounted aerosol generators. The attack most likely willoccur in a covert (or hidden) manner. Tactical level arethose directed at specific units or elements on thebattlefield. They are likely to occur at altitudes of 1,000feet or less (100-foot optimum). Estimation of the hazardareas resulting from dissemination at altitudes greaterthan 1,000 feet above ground level requires extensivemeteorological analysis. Toxins can be disseminated asa liquid (such as with “yellow rain”). This makes thetoxin highly visible; but the hazard will generally belimited to the immediate area of the attack.

In a tactical aerosol attack, the aerosol cloud (after

initial formation) will travel downwind at a ratedetermined by wind speed. The cloud will lengthen andwiden as it travels downwind. The length of the agentcloud will equal about one-third of the distance traveled.Units near the release point will encounter a moreconcentrated agent cloud. However, units located farther downwind (even though exposed to a lessconcentrated agent cloud) will be exposed for a longertime, so unprotected personnel will inhale a higher totaldose. Figure 4-1 shows the typical downwind movementand characteristics of a biological agent cloud. The peakdanger area will be located in the area where the cloudstays in tact while at the same time is at its maximumwidth and length. This distance is approximately themaximum downwind hazard prediction for a chemicalagent; therefore, it is vital to determine whether or notthe attack is biological or chemical. The biological agentcloud can cause both immediate or delayed casualties.This is due to the fact that each individual will receive adifferent dose and the time until the onset of symptomswill be dependent on the amount of agent and eachsoldiers physiological makeup. The onset of illness willalso be affected by the soldiers reaction time and anyother forms of protection (i.e inoculation, masking time)that were available against the agent. Biological agent

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casualties can occur in an area as much as two times themaximum downwind hazard distance for a chemicalagent. Traveling farther downwind, the cloud is exposedto environmental elements. It is subjected to dispersaland settling and impaction on terrain features. The agentcloud will lose much of its concentration and the losseswill be such that the majority of unprotected personnelwill not receive an infective (pathogen) or effective(toxin) dose. However, dispersal will not be uniformand casualties may occur as far as four to five times themaximum downwind hazard distance of chemical agents.The following two examples illustrate biological aerosolstrength:

If the infective dose of a particular agent is oneorganism and there is a concentration of just oneorganism per 5 liters of air, the average soldier,breathing at a rate of 15 liters/minute, can breathe inthree times the infective dose in one minute.

It has been calculated that as little as 2 to 3 grams oftularemia bacteria Francisella tularensis (causative agentof rabbit fever) may be sufficient to create a bacterialaerosol 100 meters high and extending over an area 1square kilometer. This can infect humans, breathing at anormal rate, with 100 minimum infective doses perminute.

Knowing biological cloud behavioral characteristics,units may calculate the approximate cloud arrival timeand cloud exposure time. This provides both anestimation of the exposure period as well as the time ofexposure if the point of attack has been identified. Thisinformation is presented later in this chapter.

There are two primary aerosol disseminationtechniques:

Bursting type munitions.Spray tanks/generators.

Bursting type munitionsWhen a biological projectile or bomb bursts on the

ground or in the air, the filling (either a liquid slurry ordry powder), is initially dispersed in all directions.

An effective ground bursting munition, will projectthe majority of the filling into the air to form an aerosolcloud. Air bursting munitions may also form an aerosolcloud that will behave in a similar manner to a sprayattack. The agent may however, also be designed to fallto the ground as a surface contaminant much likepersistent chemical agents.

The dimensions of the aerosol cloud will be influencedby the means of delivery, the weather conditions, andthe terrain.Spray Tanks/Generators

Aircraft/vehicle spray tanks, or aerosol generators,may also be employed to form an aerosol cloud. This

form of attack is likely to take place as covertly aspossible. Tactical attacks (those directed at specific unitsor elements on the battlefield) with biological agents arelikely to occur at altitudes of approximately 300 metersor less. Determining the hazard areas resulting frombiological agent dissemination at altitudes of greater than300 meters will require in-depth meteorological analysisand is therefore beyond the capabilities of most units.The simplified biological downwind hazard prediction(SBDWHP) pertains to aerosol disseminations that occurat or below 300 meters above ground level, Biologicalagents may also be disseminated as a liquid (such as“yellow rain”) and the hazard generated by this means ofdelivery will be limited to the area of attack.

Zones of ContaminationAfter its initial formation, the aerosol cloud will travel

downwind. The agent cloud will lengthen and widen.While it is highly concentrated, it will cause a highnumber of casualties (immediate or delayed) amongunprotected personnel (approaching 100% with someagents). The area in which casualties among unprotectedpersonnel will be high enough to cause significantdisruption, disability, or elimination of unit operations oreffectiveness is defined as Zone I. Priority medicaltreatment may be required for individuals exposed to theZone I hazard. Units in this zone should increase theirprotective postures during the period of greatest hazardor upon alert if near the attack area. Units should beable to calculate this period using the equations for cloudarrival and cloud exposure times.

After traveling downwind, exposure to the elementswill disperse the aerosol cloud to a degree at which themajority of unprotected personnel will not receive aninfective (pathogen)/effective (toxin) dose. However,dispersal will not be uniform, and casualties may occurrelatively far from the point of attack. This area ofreduced, but definable hazard is Zone II. Personnel inthis zone may assume a limited protective posture,including the protective mask, wearing work orprotective gloves, buttoning up the uniform, rollingdown uniform sleeves, and covering or bandaging anyexposed cuts or scratches. Monitoring of personnel inZone II for symptoms/effects of BW agents is required.Zone II includes all areas in which hazards tounprotected personnel are likely to exceed negligible risklevels under an aerosol disseminated attack. This zonemay be very large; under some conditions encompassingthousands of square kilometers. Dividing the hazardareas into zones allows commanders to weigh the tacticalconsiderations against performance degradation ofMOPP with some knowledge of the relative risks. Theend line for Zone I is the 20-30% casualty line and theend line for Zone II is the 1-3% casualty line. Figure 4-2

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shows casualty probability curves for both Zone I and hygiene standards, and rest and nutritional needs of theZone II. It is important to note that the curves will be troops.different for each agent and will depend greatly on the Gain intelligence on threat capabilities and intentions.weather conditions that exist at the time of Seek out, intercept, and destroy enemy weapondissemimtion. systems, production facilities and storage sites.

Aerosol Avoidance ProceduresInstruct troops on the threat and recognition of the

attack and protective measures.Before the attack Train and drill on fitting and putting on protective

Establish and enforce preventive medicine programsto include immunizations, area sanitation and personal

mask and clothing.Set up collective protection systems for personnel,

equipment, and supplies. (NOTE: Field expedient

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collective protection must be airtight.)Identify backup (alternate) food, water, and supply

sources.Establish detection and sampling procedures.Conduct vulnerability analysis.

During the attack:Recognize the attack.Initiate personnel protective measures. Masking is

the first priority, but since the attack may be chemical ortoxin, MOPP 4 is required initially. For maximumprotection and the lowest risk of incurring casualties,soldiers should wear protective clothing and mask for atleast 4 hours after the unit has been attacked or the agentcloud is predicted/known to have passed through the unitarea. Every effort must be made to identify the exactagent, including its characteristics. If the skin iscontaminated, remove contamination immediately withlarge amounts of warm soapy water (if available) anddecontaminate the skin with the M258A1 kit or M291kit. (FM 3-5, Chapter 2, has detailed instructions onskin decon).

Repulse or eliminate delivery vehicle or weapons.Observe for distinguishing signs between biological

and chemical agent attack or a mixture of conventionaland biological attack.

Report the attack utilizing the NBC Warning andReporting System (NBCWRS). (A biological attack thatcan not be immediately identified will be reported as anNBC 1, agent unknown or Suspected Biological Report).After the attack:

Estimate the downwind hazard (significant casualtiesin unprotected personnel can be at least two times themaximum downwind hazard distance for a chemicalagent).

Begin sampling/collection procedures IAW unit SOP.Consume only sealed rations and properly contained

water (outer container surfaces, if exposed, must beproperly decontaminated. See FM 3-5). Call preventivemedicine personnel when safety of unit level watersupplies are questionable. Ensure veterinary personnelinspect food storage depots and supply points. Replenishwater supplies from water purification units.

Separate biological casualties. Use minimumnumber of personnel (to limit exposure) to providesupportive medical care until evacuation.

VectorDissemination ProceduresSome pathogens may be delivered by use of

arthropods and other vectors such as fleas, ticks, lice,and mosquitoes. Bulk container aircraft dissemination or

small cage vector bomblets can be used. The enemymay use vectors to circumvent the protective mask orMOPP gear. Any experienced field soldier oroutdoorsman knows the the tick is capable of crawlingunder even the most constrictive clothing. Some flyinginsects can travel considerable distances againstprevailing winds. This makes dissemination patternshard to determine. Some pathogens can remain withinthe infected vector for the life of the vector, so biologicalhazards can be prolonged (one to two months for somemosquitoes and six to seven months for some fleas). Ifthe enemy decides to use vectors, control is a limitingfactor. Of course, frigid temperatures that may kill thevectors, will also have an effect. This disseminationmethod also limits the enemy because he has no way ofcontrolling the vectors once they have been released.Logistical and production problems can arise in thedelivery of a live pathogen inside a living vector insufficient quantities to be an effective weapon. Theprediction of hazard areas caused by vectordissemination is virtually impossible based on theunpredictability of the vectors.

Vector Avoidance ProceduresBefore the attack:

Apply insect repellant on exposed skin.Gain intelligence on threat capabilities and intentions.

Seek out, intercept, and destroy enemy weaponsystems and production and storage sites.

Instruct troops on the threat, recognition of theattack, and protective measures.

Establish and enforce preventive medicine programsto include immunizations, area sanitation, personalhygiene standards, rest and nutritional needs of thetroops.During the attack:

Recognize and report suspicious indications of thevector attack (the sudden appearance of large numbers orstrange kinds of insects not previously encountered in anoperational area or the finding of vector bomblet cages).

Cover exposed skin. Balance between protection anddegradation of performance. Protective overgarmentswill not totally exclude the determined tick. Blousedtrousers and rolled down and buttoned sleeves withinsect repellant properly applied will probably afford asmuch protection with less degradation.

Apply insect repellant liberally—especially to neck,face, ankle, and wrist areas.

Report the attack.After the attack :

The NBCC should coordinate with the supportingmedical authority for preventive medicine assistance.

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Begin insecticide and other pest control measures asoutlined by preventive medicine personnel. Logisticalsupport for unit-size pest control procedures should be acoordinated effort between the NBCC and the supportingmedical authority. Physically remove body lice, ticks,and fleas by self aid and buddy aid as necessary.

Make hazard estimates. Recon and medical reportsmay help the NBCC in assessing hazard areas.

Convert Dissemination andAvoidance Procedures

Sabotage and terrorist personnel may possess a varietyof aerosol and contamination/poisoning techniques forvarious targets. Aerosol techniques can be fairly largeoperations, using aerosol generators (or foggers) thatproduce large open-air hazard areas. These techniquesalso can be more limited and selective, targeting theenclosed air space of key command and control facilities,aircraft, ships, troop billets, and other similar type areas.Biological agents in liquid, powders, or spray can beplaced directly into food stuffs at harvest, processing,distribution, and preparation points. They can be placedinto the water reservoir/distribution chain.Before the attack:

Maintain OPSEC.Identify covert/sabotage threat force capabilities and

intentions through intelligence.Arrange for security measures to be taken based

upon threat assessment.Identify alternate supply sources for those high-risk

items.Instruct troops to be alert to dissemination devices or

signs of covert tampering as intelligence dictates.Establish and enforce preventive medicine programs

to include immunizations, area sanitation, personalhygiene standards, and rest and nutrition needs of thetroops. (NOTE: Based on intelligence, protection offood and water may prevent successful employment of aspecific biological agent.)During the attack:

Report the observation of an attack, the apprehensionof enemy agent(s) engaged in such activity, or thefinding of signs and indications of covert attacks.

Initiate personnel and collective protection. Formaximum protection and the lowest risk of incurringcasualties, soldiers should maintain this protectiveposture for at least 4 hours.After the attack :

Warn personnel downstream, downwind, and/ordown supply lines. The NBCC will do so based on

at-hand medical and intelligence information and analysisof NBC 1 Reports.

In conjunction with the veterinary and surgeongeneral initiate disposal and replacement of food, water,and other supplies. The NBCC can coordinateinspections and medically approved replenishmentsources. Actions involving disposal of major quantitiesof food must be coordinated with the supportingveterinary personnel. Actions involving disposal of majorquantities of other nonmedical supplies should becoordinated with the NBCC.

Initiate sampling based on knowledge, consent, andspecial sampling requirements of the NBCC. If a BWattack is suspected, wash surfaces with at least a 5%solution of bleach. Bleach is a very effective form ofdecontamination for most BW agents.

Warning and ReportingDetermining that a biological attack has occurred will

pose considerable difficulties for soldiers. There are theusual indicators of CB attack, such as low flying aircraftspraying mists or fogs, munitions with little or noexplosive effect, or ground generators spraying a fog ormist, all during the “windows of vulnerability”. Buteven if fortunate enough to observe the attack, the fieldsoldier will not be able to distinguish a biological attackfrom a chemical attack.

The NBCWRS is used to report biological attacks.However, the number of potential agents, the variousdissemination methods and techniques, and the lack ofautomated detection and identification devices havethwarted an all-encompassing simplified biologicalhazard prediction. So, the use of the NBCWRS will beextremely limited. Until intelligence and priorexperience come into play, it is unlikely that biologicalreports will go past the NBC 3 Report.

Observed attacks will be transmitted (most likely) bythe NBCC as an NBC 1 Chemical Report, agentunknown or NBC 1 Suspected Biological Report. Uponreceipt of the initial NBC 1 Report, the NBCC will sendan NBC 3 Chemical Report.

Reports from units in the immediate attack area willhelp determine the nature of the attack. The observationof two events in the attack may indicate a biologicalrather than a chemical attack. An attack that has noapparent immediate effect on birds, animals, insects, orunprotected personnel could indicate a pathogen attackor delayed action toxin especially if the attack occursduring the “window of vulnerability”. Observation ofimmediate effects coupled with a lack ofdetection/identification of a chemical agent couldindicate a rapid-acting toxin attack. This informationshould be transmitted on a follow-up NBC 1 Report.

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The observations should be reported on line Zulu Bravo.The report is then sent to all units in the division/corpsoperational area as an NBC 3 Suspected BiologicalReport. In order to send an NBC 3 Suspected BiologicalReport, the NBCC will have to analyze the nature of theattack as well as other information available. Presumethat a biological attack has occurred based on thefollowing factors:

Analysis of NBC 1 Chemical Follow-up Reports.Analysis of intelligence data regarding enemy

capabilities, tactics, and activities.If attack occurs during the “window of

vulnerability”.Analysis of preliminary laboratory examinations or

completed reports from past attacks (NOTE: Completeagent identification may take days or longer).

precognition of a pattern of established warfare.Analysis of samplesOnset of symptoms related to biological agentsUnits use NBC 3 Suspected Biological Reports as

battlefield intelligence. With knowledge of thebiological agent aerosol cloud characteristics, units canapproximate the area in relation to the simplifieddownwind hazard prediction of a chemical agent. Figure4-3 and 4-3a depict a flow chart for the agentidentification as it pertains to biological attacks. Figure4-3 represents the role of field units (Bn and below).The process begins with the observation of a suspiciousattack. If the unit is unable to immediately identify theagent they will then generate an NBC 1 Agent UnknownReport (circle A, Figure 4-3). The NBC 1 Report isforwarded to the NBCC (circle A, Figure 4-3a) and anNBC 3 is generated assuming an unknown chemicalattack. This NBC 3 is transmitted back to the field unit(circle D, Figure 4-3a). The unit will receive the NBC 3Report (circle D, Figure 4-3) and take the appropriatedefensive measures. The field unit will continue toattempt to identify the agent and will send an NBC 1follow up Report based on its findings for either a knownor unknown agent (circles B, Figure 4-3). The NBCCwill process the NBC 1 follow up Reports (circle B,Figure 4-3a) and evaluate the data. If a biological attackis suspected the NBCC will issue an NBC 3 SuspectedBiological Report (circle D, Figure 4-3a). The affectedunit will take the appropriate defensive measures (circleD, Figure 4-3a) and plan and conduct samplingoperations IAW unit SOP (circle C, Figure 4-3).Sampling should be conducted by trained personnel,usually chemical infrastructure personnel trained insampling techniques.

After a unit (Bn or lower) receives an NBC 3Suspected Biological Report from higher, they may bedirected to perform a sampling operation. The unit will

report its data in an NBC 4 format with line Hotelspecifying that the agent is unknown. Once the higherheadquarters receives confirmation of the samplescontents they will transmit an NBC 5 based on theprevious data from the submitted NBC 4’s. The finalNBC report is the NBC 6 Biological Report. It is anarrative description of biological attacks that haveoccurred in the reporting units’ area of operation. It iswritten at the battalion level or above. The NBC 6Biological Report contains as much information aspossible about the attacks. It is submitted only whenrequested and is sent hard copy. Figure 4-4 showsexamples of biological reports.

In some cases the NBCWRS may have to be modifiedfor a biological attack. This will occur when:

The “windows of vulnerability” are present for theoptimum weather conditions.

Observation of suspicious activity by the enemy(e.g., low flying aircraft or generators emitting a vaporor powder substance).

Area sampling teams, equipped with air samplers andElisa tickets as outlined in Chapter 5, in pre-plannedpositions obtain a positive sample or test for a biolgicalagent.

When the conditions occur, the area sampling teamwill prepare an NBC 6 Suspected Biological Report andsend the report to the NBCC. The sample is evacuatedfor laboratory analysis. The NBCC will:

Plot the sampling teams position on the situationmap.

Prepare and disseminate an NBC 3 SuspectedBiological Report.

After laboratory analysis confirms that the sampletaken is a biological agent, the NBCC will determine thepattern of deposition and decay rate for the agent. Thismay be accomplished by receiving other samplingreports within the area, developing a pattern based oninformation gathered from medical or intelligencesources, or by the simplified techniques for downwindhazard prediction outlined in this chapter. Once thisarea of deposition is defined by the NBCC, the NBCCwill prepare and disseminate an NBC 5 BiologicalReport.

Principles ofHazard Prediction

When a chemical or biological agent is employed asan aerosol, there will be an initial, lethal concentrationof agent in the area employed. The agent will form acloud that will be carried downwind, spreading at a 30degree angle to either side of the wind direction. The

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wind will then carry the agent and dissipate it. Thelength of the cloud is approximately 1/3 of the totaldistance traveled. As the cloud increases in width andlength, the actual exposure hazard will increase, becausealthough the concentration of the cloud has decreased theexposure time will be greater due to the increased size ofthe cloud. Therefore troops will be exposed to a lowerconcentration of agent, but for a longer period of time.The cloud is expected to produce at least a 20% casualtyrate for exposed, unprotected troops in Zone I. In time,the cloud dissipates (and the agent degrades) to the pointat which it can no longer produce casualties. In Zone II,the casualty rate for exposed, unprotected troops is lessthan 20%, but greater than 1-3%. Beyond Zone II, lessthan 1-2% of exposed troops are expected to becasualties. There are three questions of tacticalimportance to both commanders and troops in the field

1. Will personnel be exposed? A prediction of this isZone I and II areas defined by the SBDWHP.

2. At what time will troops be first exposed to theagent? This can be found from the cloud arrival time(CAT), the time when the aerosol cloud will first reach aunit. CAT is calculated by:CAT = cloud arrivat timeTOA = time of attack

CAT = TOA + Distance (km) from attack areawindspeed (kmph)

3. How long will troops in the area be exposed? This

can be found from the cloud exposure time (CET), thetotal time that a unit will be within the cloud. CET iscalculated by:

CET = cloud exposure time (in hours)CET = distance (km] from attack wee

3 x windspead (kmph)

Simplified DownwindHazard Prediction for

Biological Agents(SBDWHP)

Downwind hazard prediction for biological agents isvery similar to the produre for chemical agents. Theresulting prediction provides a minimum estimate of thedanger zones for biological agents in general. Afteremployment, actual sampling by trained personnel willproduce a better indication of the areas affected.

Indications of a biological attack: You should suspecta biological attack when 1) there are indications of achemical attack, but no effects, and 2) a presumedchemical attack has occurred, but the agent has not beenidentified. In the first case, soldiers would observe suchenemy activities as low flying aircraft or generatorsspraying mists or fogs, or munitions detonating withlittle or no explosive effect. There would be no

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symptoms of a chemical attack, however. In the secondsituation, there would be the effects of a chemical attacksuch as casualties among unprotected troops, but theagent cannot be identified with standard detectionequipment.

In both cases described the unit observing the attackwill submit an NBC 1 Chemical Report, agent unknown,to the NBCC. Soil, liquid, and surface samples shouldbe collected and sent to servicing identificationlaboratories as quickly as possible, when directed by theNBCC.

Upon receipt of the initial NBC 1 Chemical Reports,the NBCC will issue an NBC 3 Chemical Report to alertunits m the immediate downwind hazard area. The NBC3 Chemical Repro-t equates to approximately 50% of theZone I of the Simplified Biological Downwind HazardPrediction (SBDWHP). This warning will be adequatefor the first 1 to 5 hours (dependent on windspeed); theunits in the remainder of Zone I and Zone II of thebiological hazard will need to receive an NBC 3Biological Report for adequate warning.

The hazard area prediction will be less reliable as thedistance and time from the point of attack increases (Ifthe wind changes, follow the same procedures forrecalculation as for chemical hazard prediction.

Units in the downwind hazard area will not be able todetect arrival of the aerosol cloud. Thus, no NBC 4Biological Reports will be generated. Downwind unitsshould collect soil, liquid and surface samples at varioustimes following calculated cloud time arrival, as directedby by NBCC. These samples will be handled throughthe technical intelligence chain. This will allowdetermination as to where the downwind hazards actuallyoccurred.

Due to the infectious nature of pathogens, closeco-operation and coordination between medical andmaneuver units will be required to limit and control theeffects of biological attacks. Biological agents could bereaerosolized by vehicle traffic, etc., in the downwindhazard area, especially Zone I.

Hazard PredictionThree kinds of Biological attacks will be discussed.a. Type A Case a: a point-source attack (ex: aerosol

generator, bomb) or an area attack (as in artillery orbomblet attack). This type of attack is also used fortoxins.

b. Type A Case b: a spray-line.C. Type B: A large liquid drop/ground contaminating

attack.The following information is required:

NBC 1 Chemical (Initial report will indicateunknown chemical)

Chemical Downwind Message

Being Morning Nautical Twilight (BMNT)

Cloud Duration of theGreatest Effects (Zone 1)

Engineered/Hardened PathogensNonherdened Pethogens # of hours from time of

attack to BMNT + 2 hours.Max 8 hours.

Toxine 8 hoursType A Case a (point Source Attack and Toxins)All attacks that occur during daytime and all toxin

attacks will be presumed to have a cloud duration of thegreatest effects of 8 hours. Only for night attack is itnecessary to compute this duration.

The 8 hour maximum for cloud duration is based uponagent decay by environmental conditions, particle fall.and cloud dissipation. The actual effectiveness to miniumhazard levels may extend to as much as 32 hours. [Fourtimes (4X) the cloud duration of greatest effects.]

1. Derive the location of the attack from NBC IChemical Report and plot the” location on a map ortemplate.

2. Draw a 1 km circle around the point of attack.3. Determine the maximum Downwind hazard

(MDWHD)MDWHD = 4 x Windspeed (kmph) X Cloud

Duration* of greatest effects (Zone I)* The cloud duration is a measure of the length of

time a biological agent is likely to remain effective andaerosolized in the environment.

4. Draw a line from the point of attack along therepresentattive downwind direction, equal in length tothe MDWHD (example #4, step 4).

5. Draw a line perpendicular to the representativewind direction, intersecting the point of the MDWHD(example #4, step 4).

6. Extend the line along the representative winddirection for a distance twice the radius of the circlearound the attack area from GZ in the direction behindthe attack area (example #4, step 5).

7. From the rear endpoint of the representative winddirection line, draw two lines that intersect this point,are tangent to the attack area circle, and intersect the lineof MDWHD (example #4, step 6).

8. Erase the area behind the attack area circle. Theremaining area constitutes the Zones I & II hazard area.The points shown on the diagram define the hazard area.Indicate these points on line PA of the NBC 3 Report.

9. Divide the MDWHD by 4. Plot this distance alongthe representative wind direction line. Draw a lineperpendicular to the representative wind direction andwhich intersects both tangent lines at this point. The areawithin this smaller plot is the Zone I hazard area(example #4, completed diagram).

Example of full downwind hazard prediction (see

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diagrams for step by step solution).10. Report the two points at which the Zone I hazard

line intersects the tangent lines on line ZB of the NBC 3Biological Report.

Type A Case a (area attack)1. Derive the location of the attack from NBC 1

Chemical Report and plot it on the map.2. Plot a circle with a radius of 1 Km, unless the

attack area radius is known to be more than 1 Km. Ifthe attack area is known to be greater than 1 Km, thenplot a circle with a radius equal to the radius of theattack area around the center of the attack area. Thecircle must have a minimum radius of 1 Km.

3. All subsequent procedures are exactly as outlinedin Type A Case a point source sample. (See diagramsfor Step by step solution).

Type A Case b (linear spray)1. Derive the location of the attack area from NBC 1

Chemical Report. (A number of reports may need to beevaluated). Plot the attack area or spray line on themap. Draw a line through the attack area from the startpoint to the end point (example #6, step 1).

2. Draw a 1 Km circle around the beginning pointand endpoint of the spray line (example #6, step 2).

3. Determine the MDWHD, as in Case a.4. From each endpoint of the sprayline, draw a line

equal in length to the MD along the representativedownwind direction (example #6, step 3).

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5. Draw a perpendicular line intersecting theMDWHD point on the representative wind direction linedrawn from the attack area endpoint furthest downwind(This is the line of Maximum Downwind Hazard -example #6, step 4).

6. Extend each representative wind direction line 2km behind each endpoint of the spray line (example #6,step 5).

7. Draw a line from each point 2 Km behind theendpoints tangent to the outer side of each circle. until itintersects the MDWHD line. (example #6, step 6).

8. Draw a line tangent to the rear of both attack

circles. Erase any area behind the attack circles. Thisfigure encompasses the Zone II hazard area. Report thepoints delineating this area. (See figure on line PA ofNBC 3 Reports (example #6, step 6).

9. Divide the MDWHD by 4. Plot this distance fromthe attack area endpoint furthest downwind on therepresentative wind direction line. Draw a lineperpendicular to this point which intersects both tangentlines. This smaller figure is the zone I hazard area.Report the point of intersection with the tangent lines asZone I on line ZB of the NBC 3 Biological Reports(example #6, step 6).

Example 6: Time of Attack 0930 (See diagram forstep by step solution).

BMNT: 0700wind speed: 12 Kmphwind direction: 90 deg gridspray length: 10 KmMDWHD=4x12x8=384Km

Type B (Large Liquid Drop/Ground Contamimting Attack)

1. Derive the locaation of& attack area from NBC 1Chemical Report and plot it on the map.

2. Draw a circle with a radius equal to the radius ofthe attack area. This circle should have a minimumradius of 5 Km.

3. Report the hazard area as rhree digits on line PA ofNBC 3 Biological Report.

SamplingSampling aids in the identification of an agent and

enhances determinaion of medical treatment required.Obtain a large amount of agent relatively free ofinterfering rnaterials. Sampling identfies which agentswere used in an attack. Identification can aid in -

Confirming that an attack has taken place.Determining the proper therapy for personnel

exposed to the agent.Estimating the possible number and type of

casualties.Determining the time-to-casualties if time of the

attack is known.Evaluating an enemy’s biological capability.

Sampling should be conducted by trained personnel.(These are chemical infrastructure and NBC reconpersonnel specifically; but by prior coordination in SOPsand OPLANs, intelligence or medical technicalassistance and/or specific advise could be rendered.)Trained personnel ensure uniformity, viability, safety,and accountability in sampling procedures. Sampling isnot done indiscriminately, but only when an attack isindicated. Sampling operations, other than medical

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pathological sampling will be initiated only upon theknowledge and consent of the NBCC. Sample prioritiesare bulk agent and delivery systems, first environmental(contaminated vegetation, soil, water, and clothing),second; and biomedical (patient or autopsy tissue, urine,and sputum) samples, third.

The standard sampling kit is the M34 CBR agentsampling kit. This kit contains material necessary toobtain small liquid and solid samples. Directions for itsuse are contained in TM 3-6665-268-10. Additionalsampling operation guidance is as follows:

If the M34 kit is not available, a field expedient kitcan be assembled from like materials with the help ofsupporting medical units.

Hand-off points, sample couriers, special packagingand handling procedures, chain of custody, anddiagnostic laboratory delivery points should becoordinated and specified in SOPs/OPLANs. Otherwise,the NBCC will have to coordinate and specifyrequirements between medical, intelligence, recon, anddecon units not previously coordinated (along with anyspecial requirements dictated by the situation).

Commanders will ensure priority sample transport todiagnostic laboratories.

Trained medics, intelligence, or chemical personnelshould be utiliized as sample couriers.

A strict chain of custody must be maintained. Thisallows samples to be traced to their origin.

Sample data must accompany the sample.A1l samples will be in double containers to prevent

leakage during transport.Detailed sampling techniques are further described in

FM 3-19, NBC Reconnaissance.

Evacuation of Biological SamplesBiological samples must be evacuated to the

appropriate laboratory facilities for confirmation of abiological attack. Under normal circumstances labs willbe established in the theater of operations to minimizeconfirmation time. CONUS Labs will also be utilized toverify the results of the theater labs. This informationwill then be disseminated to subordinate units to ensurethat adequate protective measures are implemented forprotection of both civilian and military personnel.Confirmation of an enemy biological attack will also bereported to the National Command Authority (NCA) fora decision concerning the appropriate military anddiplomatic response. Figure 4-5 shows the standardchain of custody for the evacuation of biologicalsamples.

Biological sampling and detecting on board shipsfollows the same format as described in this chapterexcept samples will be sent to the Navy ForwardLaboratory for the area concerned.

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