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Improving Homeland Security Decisions by Detlof von Winterfeldt, Milind Tambe, Ali E. Abbas

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20 Decision Making for Bioterror Preparedness: Examples from Smallpox Vaccination Policy

Edward H. Kaplan and Lawrence M. Wein

20.1 Introduction

While the possible terrorist use of biological agents against civilian targets was a subject of concern before September 11, 2001 (Alibek, 1999; Miller, Engelberg, & Broad, 2001), the deliberate mailings of anthrax-laden letters and resultant infections, deaths, and panic that ensued in October of that same year provided a bioterror proof of concept. Policy makers in the United States and abroad suddenly found themselves faced with numerous decisions regarding bioterror preparedness, and what to do about smallpox quickly topped the list of concerns. Smallpox vaccination policy provides a very interesting ...

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