Biodefense and the Global War on Terror

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Adapting Lethality to the Realities of the Global War on Terrorism National Defense Industrial Association Adapting Lethality to Homeland Defense and Security Biodefense and the Global War on Terror Brendan McCluskey Homeland Defense Liaison University of Medicine and Dentistry of New Jersey 15-June June-2005

Today's problems cannot be solved with the same thinking that created them. - Albert Einstein

UMDNJ Largest independent academic institution of its kind 20,000+ students, faculty, staff, and other personnel Recognized leader in health care delivery, biomedical research, medical and health education, and community service

UMDNJ Statewide institution 4 major campuses plus satellite campus Integrated hospital (Newark) Network of behavioral health centers Affiliations with many health care and educational institutions

CIA: Al Qaeda Ready to Use WMD Al Qaeda s goal is the use of chemical, biological, radiological or nuclear weapons to cause mass casualties Mega Terrorism June 3, 2003 Source: Washington Times

Research Basic Research Blood detection assays Human genetics of susceptibility Plume modeling Effects of pharmaceuticals on radiation detectors Applied Research Tissue digestion cassette Bioinformatics Broad application respirators

Preparedness Standardized (off the shelf) HazMat Emergency Response WMD/Domestic Preparedness Incident Command System Forensic Epidemiology Novel (custom designed) EMS Response to the Large Scale Incident 40-hour Terrorism Program (Public Health) Case-based Training Institute Graduate concentration in biodefense

Current Projects Research Host Response to Select Agents Preparedness Case-based Training

Progress occurs when courageous, skillful leaders seize the opportunity to change things for the better. - Harry S. Truman

Biodefense research at UMDNJ HOST RESPONSE Can infection-specific signatures be detected?

Transcriptional Profiling Transcriptional profiling: gene expression in infected cells Detect host response to infection Infect human blood cells with agents Perform DNA microarrays Determine which genes are up-regulated or downregulated Identify signature profiles of gene expression for each infection

Transcriptional Profiling

Transcriptional Profiling Bacillus anthracis (anthrax) Burkholderia mallei (glanders) Yersinia pestis (plague)

Transcriptional Profiling A four-color, single-well multiplex assay to detect select pathogens Anthrax Glanders Tularemia Plague Detects 50 molecules

Transcriptional Profiling Transcriptional profiles may reflect particular infection anthrax plague influenza

The three great essentials to achieving anything worthwhile are: first, hard work, second, stick-to to-it-iveness,, and third, common sense. - Thomas Edison

History of Case-Based Training CDC Epidemic Intelligence Service Military War Colleges (Naval War College) Harvard Business School Medical Schools

Case-based Training Vicarious experience Learn what to do AND how to do it Learn multiple roles More effective at triggering memory Know what to expect when event occurs

Case-based Training A role play of an event that actually happened Based on historical events or simulated scenarios Similar to a table-top exercise Subjects: Foodborne illness, chem/rad events, investigating infectious disease outbreaks

The HD/HS Effort at UMDNJ Multidisciplinary approach - First responders, public health, scientists and clinicians Microbiology/immunology/genetics/ molecular biology In vitro and in vivo models Training, planning, and exercising

Homeland Defense/Security Team Research Nancy Connell Grant Gallagher David Alland Liz Raveche Jerry Ellner Kevin Fennelly Steve Schutzer Nick Megjugorac Jessica Mann Rebeka Pestoff Carolina Sofer Catina Crismale Preparedness Jason Emmel Andrea Marcus James Smith Tim Phelan Nikiesha Nicholas Kathy Wioland Mary Paczkowski Jamie Steiger Dennis Boos Henry Cortacans Nancy Hamstra William Halperin

Thank You Brendan McCluskey Homeland Defense Liaison University of Medicine and Dentistry of New Jersey 30 Bergen Street ADMC 1422 P.O. Box 1709 Newark, New Jersey 07101-1709 USA 973-972-6144 office 973-972-6104 fax brendan.mccluskey@umdnj.edu email