SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Strategies & Market Trends : Trend Setters and Range Riders -- Ignore unavailable to you. Want to Upgrade?


To: kendall harmon who wrote (2985)9/23/2001 6:34:32 PM
From: Susan G  Read Replies (1) | Respond to of 26752
 
THE BIOLOGICAL THREAT
Defense May Be Inadequate for Germ or Toxic Attacks

September 23, 2001

By WILLIAM J. BROAD and MELODY PETERSEN


Minutes after two jets slammed into the World Trade Center, an elite team of 22 soldiers was ordered from its base in Scotia, N.Y., to the scene of the disaster, the world's worst terror attack.

By 8:30 that night, the unit had deployed special gear in New York City and was quietly sampling the air, making sure the terrorists had released no deadly germs or toxic chemicals, which in theory could cause widespread illness and death.

No such dangers were found. But despite the fast start, experts say civil defenses across the nation are a rudimentary patchwork that could prove inadequate for what might lie ahead, especially lethal germs, which are considered some of the most dangerous weapons of mass destruction. Many experts approve of President Bush's decision to appoint a cabinet secretary for Homeland Security, calling it an important step toward protecting civilians against terrorist arms.

The emergency teams "did very well in dealing with this attack," Tara O'Toole, a physician at the Center for Civilian Biodefense Studies at Johns Hopkins University, said in an interview. "But we've never really had a test of the hospital system where people in large numbers required sophisticated medical care."

Moreover, there are no measures to routinely check for biological attack. Instead, the authorities rely on reports from doctors that people are seeking medical attention for unusual symptoms. That is why the Centers for Disease Control and Prevention in Atlanta issued a national alert on Sept. 11 calling on public health officials to "initiate heightened surveillance for any unusual disease occurrence or increased numbers of illnesses that might be associated with today's events."

The alert is still in effect. "We haven't heard a thing," one federal official, who spoke on condition of anonymity, said of any reports of unusual disease patterns.

But medical experts often fault this approach as inadequate, especially because symptoms of serious illness often appear days and weeks after an infection has begun to spread and when life-saving treatments are no longer effective.

The nation is "woefully unprepared to deal with bioterrorism," Jerome M. Hauer, former head of emergency management for New York City, told Congress two months ago.

How serious is the threat? Today it is considered low. Experts say that biological weapons, with few exceptions, are hard to make and use. In the early 1990's, Aum Shinriko, a Japanese cult, launched germ attacks in and around Tokyo that were meant to kill millions. The strikes produced no known injuries or deaths.

But the chances that some rogue state or terrorist group will successfully deploy germ weapons are seen as rising, as knowledge of how to make deadly weapons spreads, along with the necessary technology.

"There's a greater risk of dying on the highway than from exposure to anthrax," said Jonathan B. Tucker, a germ-weapons expert in the Washington, D.C., office of the Monterey Institute of International Studies.

But Dr. Tucker cautioned that the attacks on New York and near Washington were unusual in showing a high degree of care and preparation, suggesting that terrorists "may be able to overcome the technical hurdles" to mass destruction, especially if aided by rogue states or scientists.

George J. Tenet, director of central intelligence, warned Congress last year that terrorists were exploring how "rapidly evolving and spreading technologies might enhance the lethality of their operations." A number of groups, he said, are seeking germ, chemical, radiological or nuclear arms.

Mr. Tenet added that operatives of Osama bin Laden, the renegade Saudi millionaire suspected in the Sept. 11 attacks, "have trained to conduct attacks with toxic chemicals or biological toxins."

Military experts say germ weapons can be cheaper, stealthier and potentially more devastating than nuclear arms, though hard for terrorists to acquire and use without hurting themselves.

Shock waves from the recent suicide attacks, experts agree, could help forge a consensus to erect better defenses against unconventional weapons, reversing decades of neglect of civil defense. Many government reports and private experts have criticized recent efforts as wasteful, poorly coordinated among some 40 federal agencies and ill suited for dealing with a wide spectrum of possible threats.

The Clinton administration, rocked by terrorist attacks on Americans at home and abroad, embarked on a wide but sporadic campaign to build civil defenses. Among other things, the campaign established a national stockpile of drugs and vaccines and on Sept. 11, Tommy G. Thompson, secretary of the Department of Health and Human Services, authorized the first shipments from it, sending truckloads of emergency drugs, bandages, dressings and other medical supplies to New York City.

Even so, Dr. O'Toole of the Johns Hopkins center said, the nation has vaccines or drugs to combat only about a dozen of the 50 pathogens thought to be the likeliest threats.

As part of the stockpile push, the disease control centers last year awarded a $343 million contract for making 40 million doses of smallpox vaccine, the first of which is due in 2004. The disease is a contagious killer of high fevers and open sores.

Though smallpox was eliminated from human populations in the late 1970's, stocks of the virus still exist and making vaccine has become a priority as worries over bioterrorism have grown.

The United States has on hand roughly 7.5 million vaccine doses, said Dr. Tucker in "Scourge," a new book on smallpox. That amount, he added, is "inadequate to cope with even a medium-sized outbreak that might result from a bioterrorist attack."

This year, federal and private officials met to act out how the government would cope with a smallpox outbreak. The exercise, code named Dark Winter, ended in chaos when the spreading disease overwhelmed all attempts at containment.

"Most state and local governments have not begun to address the issues that Dark Winter presented," Mr. Hauer told a House Government Reform subcommittee in July. "An incident using biological agents will likely go unnoticed for days, and the typical response of the first responders will have little impact. It is not a `lights and sirens' type of incident."

In the last few years, New York City has quietly undertaken many efforts to counter attacks with deadly chemicals or germs.

One program, the kind that the disease control centers called for nationally on Sept. 11, monitors patterns of emergency hospitalizations. Another trains city police officers and firefighters to handle such emergencies, including the decontamination of materials and people.

Stephen S. Morse, a biologist at Columbia University who directs its Center for Public Health Preparedness, which is part of a new national network of such groups run by the disease control centers, recently helped the city set up a program for training school nurses as well.

"Their main role would be sheltering people and ministering in the shelters," Mr. Morse said. "You hope for the best, and prepare for the worst."

The Defense Department, meanwhile, is continuing a wide effort, begun in the Clinton administration, to have university scientists and biotech companies come up with innovative ways to combat a variety of disease agents.

nytimes.com



To: kendall harmon who wrote (2985)9/24/2001 2:39:20 AM
From: Susan G  Read Replies (1) | Respond to of 26752
 
THE CHILDREN
Anguish for Vast Toll of Children Left Behind

By AMY WALDMAN
September 23, 2001

From the Cantor Fitzgerald bond-trading firm alone, the estimate is staggering: 1,500. Not the number of victims.

The children they left behind.


No list of children who lost a father or mother at the World Trade Center or the Pentagon, or on the four planes that terrorists took to fiery ends, has been compiled. But the number of bereft youngsters will probably stretch into the thousands.

As families finally lay hope aside like a useless weapon, accepting that those missing are gone, communities face an enormous challenge: how to comfort, and raise, all the children who lost a parent — in some cases their only parent — in an event of epic dimension.

"We've never been faced with anything of this magnitude simultaneously," said Ruth Kreitzman, a clinical social worker who counsels bereaved children for the Jewish Board of Family and Children's Services, one of the country's largest nonprofit mental health agencies.

"Even people who have dealt with bereaved kids a lot are struggling to understand now how this will be interpreted by children."

Already, families are refiguring caretaking, and in some cases undertaking delicate custody negotiations. At the same time, relatives are struggling with how, and when, to explain to children that parents are no longer missing, but dead. And they are trying to teach young children what death means.

The Rev. Jim Cunningham, a Roman Catholic priest, watched Tara Stackpole tell her five children that the body of their father, Capt. Timothy Stackpole of the Fire Department, had been found. "They look at that as a gift," Father Cunningham said, "because so many people don't have that."

The task is complicated by postwar social trends — from high divorce rates to single motherhood — that had already fragmented many of the families. And it is colored by the demographics of those lost. Thousands were in their 20's, 30's or 40's, and had begun to bring a new generation into the world.

It is a generation in its infancy, with possibly thousands of children under 12. Many are so young they will have no memory of their parents, let alone how they died.

The death notices in New York newspapers hint at the scale of loss. "Loving father of Brian, Claire and Elizabeth." "Devoted father of Meryl, Kara, Alex and Jason." "Beloved father of Kevin, Kaitlyn, Brian, Brendan and Terence."

From the Fire Department to the bond-trading floor, many of the men lost came from close-knit Irish Catholic communities that have traditionally produced large families. They have left large broods fatherless. Some of the almost 350 firefighters who died had five or more children apiece. Two brothers in Westchester who worked at Cantor Fitzgerald left seven children, from 7 months to 14 years in age, between them.

As if their husbands had gone off to war, not work, vast numbers of young widows are faced with raising children alone. For some fathers left behind, it will mean learning to make school lunches or reaching for female relatives to handle a daughter's first period. And just as the attacks created thousands of single parents, they took many single mothers, leaving some children essentially orphaned.

Even seasoned grief counselors say they have no sense of how these children will cope with their loss and upended lives. While the AIDS epidemic, for example, stole thousands of parents prematurely, it took years to do it. This time, in one day, often in one neighborhood, scores of children are suddenly missing parents.

And their bodies may never be recovered. As a result, said Luis Espinoza, whose wife, Fanny, 29, has not been found, his 11-year-old son is still hoping. Christian tells his father that he is trying to concentrate in school but cannot stop thinking about the twin towers. He asks Mr. Espinoza questions like, "Why didn't those buildings have parachutes?" Or: "Why didn't you tell her to quit? She wanted to quit before."

"I said I didn't know this was going to happen," said Mr. Espinoza, a long-haul truck driver who lives in Teaneck, N.J. "Nobody knew this was going to happen."

Mr. Espinoza says his children — he also has a 9-year-old daughter — are all that keep him holding on. "Sometimes you want to commit suicide," he said. "The reason I'm not doing it is my kids."

It appears that many more men than women were lost. New widows like Minerva Mentor-Portillo are just beginning to grapple with how they will raise children alone. Mrs. Mentor-Portillo has two sons, 5 and 7, and has been working toward a graduate degree in social psychology. She is now solely responsible for everything from the family's financial future to child care.

Stay-at-home moms, meanwhile, may face going to work or selling the family home when benefits run out, knowing that such changes may deepen their children's trauma.

Single mothers were also lost.

Among them were Rosa Julia Gonzalez, 32, who used her last phone call from the World Trade Center to ask her sister to care for her 12-year-old daughter, and Elizabeth Darling, 28, whose 2-year-old son, Michael, will go live with his father. Yamel Merino, 24, had said she wanted her 8- year-old son, Kevin, to live with his grandmother if anything happened to her, said a family friend, Maureen Niciu. But now his father may try to get custody, Ms. Niciu said, and added, "I just hope they'll respect the mom's wishes." It fell to her to tell Kevin his mother had died. "His face just dropped like his whole world had ended," she said.

Hector Tirado Jr., a firefighter, left five children, ranging in age from 6 to 11.

"Their sense of loss is palpable," said Mr. Tirado's uncle Robert Tirado. "You can just be with them and they're all sad. We try to make them play with each other and other kids, like normal kids, but you can't avoid it." Hector Tirado had separated from his wife three years ago. With his death, "that's losing their father twice," his uncle said.

Gene Springer had raised his stepdaughter, Samantha Fishman, as his own; she generally saw her father every other weekend. But her mother, Lucy Fishman, 36, died in the World Trade Center. And so in a week, 11-year-old Samantha will leave her home, school and friends in Brooklyn and move to Long Island to live with her father and his wife. She will leave behind her 3-year-old half- brother, Jason Springer, who will stay in Brooklyn with his father.

"That day is going to be horrible," said Mr. Springer, 33, who had been a stay-at-home dad while his wife worked as an executive secretary at the Aon Corporation. "Half my family is gone." Jason, meanwhile, has not asked once for his mother, Mr. Springer said, although he was very close to her. Instead, he clings to his father. Mr. Springer said that perhaps he is lucky that his son is so small. "At this age he's `Winnie the Pooh' and `Blue's Clues.' He's fortunate. Ignorance is bliss."

The older the child, the less ignorant. Eighteen-year-old Zachary Zion, a senior at Greenwich High School in Connecticut who lost his father, is trying to be there as much for his mother as she is there for him. "I need to rewrite my essays for college and I need to take into account more than just myself," he said. "I need to reconsider where everyone would be best off. It will not be the easiest thing to adjust to going away from home and leaving Mom. I do hope to study business and follow in my dad's footsteps, though. It was something he always inspired in me."

Recognizing that how children understand death depends on their age, many schools, religious institutions and counseling centers are scrambling to prepare for huge numbers of bereaved students.

At Willard Elementary School in Ridgewood, N.J., six children from three families lost their fathers in the attack. Teachers coached other students on how to approach grieving peers. Expressing sorrow and offering help were acceptable, the students were told; asking "pointed, specific questions," like whether a body had been recovered, was not.

For the most part, said Marianne Williams, the principal, children with lost parents have been making it through the school day. "I think fragile is probably the best word" to describe their state of mind, she said.

School officials and counselors know that signs of trauma and mourning may take months to manifest, and then may not look like mourning at all. Children may start struggling academically, or pick fights. And counselors believe that the rescue operation's protracted nature will complicate the grieving of young children, who already cannot comprehend death's finality. The idea that their parents were "missing," that there was hope that they would be found, may make it harder to grasp that they will not return.

Grief counselors do not yet know whether the usual methods for working with bereaved children will apply. Ordinarily, for example, children do not like to talk about the loss of a parent because it makes them feel different from their peers. But the widespread nature of this trauma and its graphic documentation may change that, Ms. Kreitzman said. "There are hundreds and hundreds and hundreds. Does that create a collective identity for children, knowing there are others? Or does it make it harder, because it is so collective, and in some ways anonymous?"

Some surviving parents say they are so grief-stricken they can barely function around their children. And they have no way of explaining "why" to their children, since they cannot explain it to themselves.

And then there is the question of what comes next. The counseling of bereft children usually focuses on normalizing lives, restoring routines. It is hard to do that when fear and anger are in the air, and the country seems on the edge of war.

nytimes.com