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Research Article| Volume 21, ISSUE 3, P593-606, September 2001

Toxins as Weapons of Mass Destruction: A Comparison and Contrast With Biological-Warfare and Chemical-Warfare Agents

  • Ltc James M. Madsen
    Correspondence
    Address reprint requests to LTC James M. Madsen, MD, MPH, MC-FS, USA, PMB, Room A-1040A, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814-4799.
    Affiliations
    From the Departments of Preventive Medicine and Biometrics, Pathology, and Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences; and National Capital Consortium Residency in Occupational and Environmental Medicine, Bethesda, Maryland
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      Toxins are at times considered to be biological warfare agents and are sometimes grouped with chemical warfare agents. In reality, they exhibit important similarities and also differences relative to each group. The fact that toxins occupy this ill-defined no-man’s land between chemical warfare and biological warfare agents has important conceptual implications for planners, policy makers, educators, and clinicians. This article examines toxins in general, toxins that might be used as weapons of mass destruction against either military or civilian targets, and the relationship of toxins to biological warfare and chemical warfare agents.
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