Bacillary dysentery (Shigella dysenteriae)
Ascites usually not present
Other clinical features may be similar (CDC, 2001).
Diphtheria (Corynebacterium diphtheriae)
Above all takes place in nonimmune children below 15 yr of age
Pharyngeal membrane is a prominent characteristic; ulcerative or necrotic lesions normally not present
Exclusion of pharyngeal membrane frequently reasons bleeding of submucosa (CDC, 2001).
Pharyngeal tularemia (Francisella tularensis)
Neck swelling more often than not lacking
Exudative pharyngitis widespread; ulcerative cuts might take place (CDC, 2001).
From the time since the development of anthrax disease might take place at a rapid pace, the holdup of antibiotic action, even by hours, might considerably affect the odds for endurance. Antibiotic resistance ought to be measured in the event of a terrorist attack, until antibiotic vulnerability of the damage is recognized. Current history has established that violent supportive care and early antibiotic treatment are keys to revival from anthrax (CDC, 2001).
Reporting and working with local, regional and state facilities
Before a disaster
One should review a community's capital to direct bioterrorist attacks;
One should decide and counsel crisis services to place for pediatric gear in shelters, emergency sections, and ambulances;
One should evaluate disaster watchfulness with schools, families, as well as groups, particularly in regions more susceptible to bioterrorist attacks;
One should be aware of obtainable capital given by professional associations and local experts relating to such bioterrorist attacks; and One should partake in disaster drills as the children's supporter (CDC, 2001).
During a disaster
One should be a source of information for patients, as well as families;
One should counsel families acknowledging acute psychosocial troubles;
One should treat wounded children, as well as adolescents; and One should design local public service statements and help institute a society hotline addressing anxieties of parents (CDC, 2001).
After a disaster:
One should educate parents in relation to the range of standard reactions they might expect from their children;
One should distinguish long-drawn-out responses to the trauma and give mental health referrals;
One should assist in evaluating children at school and child care amenities and educate school and child care staff in relation to heightened and usual delayed responses to disasters; and One should lecture to society and religious organizations on the psychological consequences of a disaster for children and adolescents (CDC, 2001).
Patient and family education
One might help the media in scheming public service statements or setting up disaster hotlines. The local media might ask pediatricians to write about or talk about the psychological sequelae of disasters on children, as well as adolescents. As a supporter for children, as well as families, one might also dishearten inappropriate unfair media coverage of the society in which the disaster took place (CDC, 2001).
Community and Religious Groups
Local clergy and other neighborhood influentials might ask other people to assist in their pains to help out children and families who are coping with grief and loss. One might be asked to speak at community organizations in relation to the psychosocial, as well as health effects of disasters on children and adolescents (CDC, 2001).
Bell, D.M., Kozarsky, P.E., Stephens, D.S. (2002). Clinical issues in the Prophylaxis, Diagnosis, and Treatment of Anthrax. Emerging Infectious Diseases, 8(2), 222-225.
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Centers for Disease Control and Prevention. (2001). Notice to Readers: Updated Recommendations for Ant microbial Prophylaxis among Asymptomatic Pregnant Women after Exposure to Bacillus anthracis. Morbidity and Mortality Weekly, 50(43), 960.
Centers for Disease Control and Prevention. (2000). Surveillance for Adverse Events Associated with Anthrax Vaccination - U.S. Department of Defense 1998-2000. Morbidity and Mortality Weekly Report, 49(16), 341-345.
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Centers for Disease Control and Prevention. (2001).Update: Investigation of Bioterrorism-Related Anthrax and Interim Guidelines for Clinical Evaluation of Persons with Possible Anthrax. Morbidity and Mortality Weekly Report, 50(43), 941-948.
Centers for Disease Control and Prevention. (2001). Update: Investigation of bioterrorism-related anthrax and interim guidelines for exposure management and antimicrobial therapy. Morbidity and Mortality Weekly Report, 50(42), 909-919.
Centers for Disease Control and Prevention. (2000). Use of Anthrax Vaccine in the United States. Morbidity and Mortality Weekly Report, 49(RR15), 1-20.
Chin, J. (Ed.). (2000). Control of Communicable Disease Manual: 17th Edition. Washington, DC: APHA.
Cieslak, T.J., & Eitzen, E.M., (1999). Clinical and Epidemiological principles of Anthrax. Emerging Infectious Diseases, 5, 552-555.
Friedlander, A.M., Pittman, P.R., & Parker, G.W. (1999). Anthrax Vaccine: Evidence for Safety and Efficacy Against Inhalational Anthrax. The Journal of the American Medical Association, 282(22), 2104-2106.
Inglesby, T.V., Henderson, D.A., Bartlett, J.G., et al. (1999). Anthrax as a Biological Weapon: Medial and Public Health Management. The Journal of the American Medical Association, 1999; 281: 1735-1745.
Jernigan, J.A., Stephens., D.S., Ashford, D.A., et. al. (2001). Bioterrorism-Related Inhalational Anthrax: the First 10 Cases…