Leadership Journal

January 16, 2008

Building an Effective Bio-Defense Capability

Photomicrograph of Bacillus anthracis bacteria (anthrax)using Gram stain technique. (NIH) Over the next year, members of our Department will be increasingly talking about the need for Americans to resist complacency in the face of terrorism. There is no question that in some areas of the United States, the sense of urgency to do what is necessary to protect our country from terrorism has begun to wane in the six years since 9/11. Evidence of this can be found in the recent calls to delay new identification requirements to cross our borders; demands to relax current restrictions on liquids in carry-on baggage at our airports; and attempts to put off – or even eliminate – new measures designed to create secure driver’s licenses across our country.

Complacency can be a normal, healthy response to an immense tragedy like 9/11. No one wants to live in a perpetual state of fear or anxiety. But as a nation, it would be irresponsible to pretend the terrorist threat has subsided or that our enemies are no longer interested in waging war on our country. Our job at DHS is to resist complacency. We have not forgotten the need for constant vigilance against the terrorist threat and every day we work diligently to stay ahead of those who would harm us.

One area in particular where we have accelerated our efforts is developing an effective national bio-defense capability to guard against the release of a biological agent that could kill or severely injure tens of thousands to hundred thousands of Americans. Many of these biological agents are not difficult to grow or disseminate over a wide urban area causing thousands of people to become severely ill or potentially die.

Our approach to bio-defense is well defined in Presidential Directives issued by President Bush over the last several years. Our goal is to understand and increase our awareness of such an attack while the perpetrators are still abroad, and thereby prevent an attack from happening. To this end, we have deployed detection systems that monitor the environment for biological agents to provide the early warning necessary to prevent large numbers of causalities and deaths. We are also standing up a robust capability to monitor the status of animal health, human health, food, water, and the environment.

Working closely with the Department of Health and Human Services and other partners, we are creating a nimble and robust response structure to have medicines that can be distributed to people in the event of an attack.

With our colleagues at the Environmental Protection Agency and local environmental health agencies, we must be able to achieve environmental recovery from biological agents that can contaminate cities, buildings, homes, and the environment for years.

These are all complex challenges that require significant planning across all levels of government, multi-year investments in research and technology, and a comprehensive strategy that recognizes the individual needs of cities and states. Moreover, we must set national priorities so that our investments give us a level of national coverage, meet operational needs, and allow us to stay ahead of evolving threats.

We understand that a large-scale biological attack could be far more devastating than even the attacks on 9/11. As that tragedy moves further into the distance, we must remember that our enemy is patient and willing to wait years or decades to strike us when we are most vulnerable. We become more vulnerable as our sense of urgency and vigilance wanes. I can assure you that the committed public servants in our Department will not lose focus as time passes and we will continue to do what is necessary to protect the American people from the full range of threats we face.

Jeffrey W. Runge, M.D.
Assistant Secretary for Health Affairs and Chief Medical Officer

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