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Nancy Lorraine, Reviewer
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This guide is perfect for those traveling on a budget or those who want to take a "first-class" trip across northern India.
The maps in the book are very useful, as is the information about how not to get ripped off as a tourist. Highly recommended to everyone (of Indian origin or not) if you are contemplating a trip to India.
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The book begins with a historical overview of the use of biological weapons. The next two chapters, respectively, provide detailed information on the biological agents that the CDC considers to be the most dangerous and likely to be weaponized (Category "A" agents), followed by Category "B" and "C" agents - agents which have the potential to be used as weapons. These chapters include terrific consolidated tables that provide a ready reference and overview of pertinent information on each of the biological agents.
The next two chapters are two of the most important in the book for health professionals and bioterrorism planners. First, the book provides an overview of the CDC's Laboratory Response Network and the most important laboratory tests and procedures for identifying biological agents. Once again the book provides consolidated tables that provide quick reference to the tests and clinical specimens required for each agent. Then the book provides a 10 step approach to identifying a biological attack by modifying the Advanced Trauma Life Support model familiar to emergency health care providers (i.e. Primary and Secondary Surveys). This "tool" can easily be adopted into medical bioterrorism plans and procedures.
The book also provides an epidemiological approach to performing triage in a mass casualty, large-scale bioterroism event based on the PICE (Potential Injury/illness Creating Event)stages by expanding the "SIR" model (Susceptible, Infected, Infective, Removal) to include "Exposed" and "Vaccinated Succesfully" populations. This chapter includes an excellent graphic that summarizes this "SEIRV" methodology.
A chapter on creating a basic bioterrosim incident management plan for hospitals outlines the critical issues that the plan must address, as well as some potential solutions to a few of the more difficult bioterrorism management problems.
The book also addresses an area for which there has been little information previously - vulnerable populations such as children, pregnant women, the elderly and immuno-compromised patients. Once again, two consolidated tables provide excellent ready reference for anibiotic therapy for pregnant women and children.
In addition, the book covers mental health issues, state and federal bioterrorism related programs, and future bioterrorism challenges and provides a community perspective on identifying and responding to a bioterrorism event.
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Joseph Bruchac is a very well-known storyteller in the Native American community. Along with his various co-authors in his different books, he combines storytelling with various teaching and family-based activities. I collect his books, because they are both a great reference for Native American mythology and belief, but also because my daughter and I can then turn around and learn together about the great past of the United States.