While the public health philosophy of the 20th Century – emphasizing prevention – is ideal for addressing natural disease outbreaks, it is not sufficient to confront 21st Century threats where adversaries may use biological weapons agents as part of a long-term campaign of aggression and terror. Health care providers and public health officers are among our first lines of defense. Therefore, we are building on the progress of the past three years to further improve the preparedness of our public health and medical systems to address current and future BW [biological warfare] threats and to respond with greater speed and flexibility to multiple or repetitive attacks.
Homeland Security Presidential Directive 21
Bioterrorism is not ...