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VIRAL HEMORRHAGIC FEVERS

JAMA published a consensus article covering viral hemorrhagic fevers as a biological weapon.  The pdf file is available here: VHF
  • Hemorrhagic Fever refers to an illness associated with fever and a bleeding disorder caused by a virus belonging to the Filoviridae, Arenaviridae, Bunyaviridae, or Flavaviridae families.  The HFV’s are transmitted by contact with infected animals or arthropods
  • Dengue is excluded as a BT weapon because it is not transmitted by small particle aerosol.
  • Crimean-Congo Hemorrhagic Fever and other Hemorrhagic Fevers with Renal Syndrome viruses are excluded because they do not readily replicate in cell cultures making them too difficult to convert to weapons.
  • The US weaponized yellow fever and rift valley fever prior to dismantling the program.
With the exception of Rift Valley Fever and the flavaviruses (yellow fever) humans can transmit the disease to others.
  • Filovirdiae (Ebola and Marburg): Incubation: Ebola 2-21, Marburg 2-14.  Most cases from direct contact with blood, secretions, or tissues.  Virus is found in skin and sweat glands.  Tranmissibility of Ebola increases with duration of disease so contact with a patient late in the disease adds risk.  Transmission of Ebola and Marburg rarely occurs before onset of signs and symptoms.
  • Arenaviridiae (Lassa):  Incubation 5-16. Transmission is mostly direct contact with infectious blood or body fluids.  Airborne transmission is possible but the mechanism is unknown.  Lassa virus can be detected in semen 3 months after infection.  Inhalation of aerosols from rodent urine and feces, ingestion of contaminated food or direct contact of rodent excreta through abraded skin are the likely ways humans are infected.
  • Bunyaviridae (Rift Valley Fever):  Incubation 2-6.  Rift Valley Fever is acquired from a mosquito bite, direct contact with an infected animal or aerosols from infected animal carcasses.  No reports of human-to-human transmission.  Large numbers of animals will be infected after a terrorist release. 
  • Flaviviridiae (Yellow Fever):  Incubation 3-6.  Humans get yellow fever from mosquitoes and Omsk Fever/Kyasanur Fever are from a tick bite.

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