Botulinum Toxin -- Biological Weapon
Botulinum toxin is the most poisonous substance known to man. Even a small amount is lethal. Bacteria in the Clostridium genus produce it. A number of countries that support terrorism are developing or have the toxin as a germ-warfare weapon. As a weapon, the toxin might be released in the air or placed in the food supply. The toxin causes the disease botulism. In tiny doses, the toxin is injected as a treatment for medical conditions, such as eyelid muscle spasms and migraine headaches.
Botulinum toxin poses a great threat. It is easy to produce and transport. Only one gram of the toxin evenly released and inhaled could kill one million people. However, it is hard to keep stable for release in the air.
Some experts believe it would not work in stopping a military enemy. US troops receive a botulinum toxoid vaccine to prevent the disease if exposed to the toxin. However, release of the toxin in a civilian population would present serious results.
Botulinum toxin is colorless and odorless. The toxin cannot be passed from one person to another.
Inhaled Toxin Pathway in Body Copyright © Nucleus Medical Media, Inc.
Botulinum toxin is the most poisonous substance known to man. Even a small amount is lethal. Bacteria in the
genus produce it. A number of countries that support terrorism are developing or have the toxin as a germ-warfare weapon. As a weapon, the toxin might be released in the air or placed in the food supply. The toxin causes the disease botulism.
In tiny doses, the toxin is injected as a
for medical conditions, such as eyelid muscle spasms and migraine headaches.
The doctor will ask about your symptoms, medical history, and possible source of exposure. A physical exam will be done. Expect to answer questions about where you have been and what you have eaten. Samples of questionable food may be tested. Other cases in the area may alert healthcare workers to the possibility of a bioterrorism attack. Special tests to confirm a diagnosis take days to complete.
Your bodily fluids, tissues, and waste will be tested. This can be done with:
- Blood tests
- Stool tests
- Stomach content testing
- Spinal fluid analysis
Images may be taken of your bodily structures. This can be done with
Your nerves may be tested. This can be done with electromyogram and
nerve conduction tests.
Antitoxin could be given after a known release of the toxin. However, there are limited supplies of antitoxin. In the event of a terrorism attack, the antitoxin likely would be given to patients at the first signs of illness.
Laboratory workers and military personnel can receive a toxoid vaccine to prevent the disease by building immunity. As stated in the
Journal of the American Medical Association, the botulinum antitoxin is available from the Centers of Disease Control and Prevention (CDC) through state and local health departments.
There would be no warning systems to alert authorities that the toxin has been released. The success of an attack would depend on its secrecy, the size of the toxin particle, and weather conditions at the time of release. If aware of an attack, covering your mouth and nose with clothing or a towel might offer some protection. Experts predict some of the released toxin could live in dry, cool air for up to two days.
Botulinum toxin in food or drink can be inactivated by heating to 85 degrees Celsius (185 degrees Fahrenheit) for at least five minutes.
Botulinum toxin is also degraded under general environmental conditions. Exposed objects can be decontaminated by washing them with a 0.5% sodium hypochlorite solution also known as bleach.
Factors that increase your risk of botulism include:
- Exposure to the toxin after its release during a biological terrorism attack
- Rarely, accidental exposure to the toxin may occur as a result of food contamination, especially if the contaminated food was not packaged or heated properly
Experts predict symptoms from an airborne bioterrorism attack would begin 12-72 hours after exposure. Symptoms from a food attack could start within two hours or as long as eight days after eating food with the toxin. Severity and speed of onset might vary depending on the amount of toxin absorbed.
- Double or blurred vision
- Trouble swallowing
- Difficulty speaking
- Weakness in clenching jaw
- Droopy eyelids
- Loss of head control
- Weakness, on both sides, starting at the head and working down the body
Early therapy with an antitoxin is essential to decrease resulting nerve damage. Treatment should start before test results are available.