European Affairs

Today, however, we face a wide variety of new kinds of biological warfare agents. Some may have developed accidentally, because these agents are constantly changing in nature. Unfortunately, they may also be getting a helping hand from some clever scientists who are genetically engineering them to defeat the defenses that we might be trying to put in place.

The science and technology community is essentially developing our defenses independently of what the bad guy might actually use. So we are not threat specific. The bottom line is that technology is part of the solution to countering bioterrorism, and we have a few elements that will contribute significantly.

There is an explosion in the scientific community today; almost every discipline is making tremendous strides compared to the advances made over the last 50 years. Despite this, I am very pessimistic that we will find a silver bullet that will solve all our problems. Instead, we need a balanced approach that combines several stages. We need protection before an event happens, a detection system so that we know very quickly that we have come under attack, and a way to treat people so that we can reduce casualties. Let us look at these different stages.

First, we are trying to improve people’s acquired immunity by using vaccines before a crisis erupts. Once we vaccinate people, they are protected against a particular pathogen for life. We have a variety of new vaccines in the pipeline and I am very optimistic that they will show good promise. In addition, we are going one step further to multi-agent vaccines, such as those routinely used in fighting childhood diseases, which provide cover against a variety of different pathogens. Unfortunately, there is a general reluctance to vaccinate people before an attack, because the risk/benefit ratio is not quite good enough.

Next, let us suppose we are in a heightened threat status and we have intelligence data indicating an attack may be imminent. In this case, we may go to “innate immunity,” which essentially means energizing the immune system that protects you every day. Boosting your immune system may help protect you against several generic pathogens, which may be nonspecific. Whatever the kind of attack, your body will naturally protect itself. We have several very promising developments in this area.

Then, if we do come under attack, how will we know? There may not be an explosion, or a big event that says the attack has occurred, so we are putting a very high premium on detection capability. The classic approach is to put detectors in place, but another possibility might be to use a medical surveillance system, in which every one of us is the detector. If people come down with certain symptoms, they would be reported through the medical system and we would know immediately that an outbreak had occurred in a particular area. That is important because the majority of our treatments are most effective if they are used quickly.

Once it is known that we are under attack, people will be clamoring for help, so administering treatment must be relatively easy. Our current approach is essentially one pathogen, one therapy, or in a commonly used phrase, “one bug, one drug.” The big challenge, however, is to reduce the time between the introduction of a new bug and the development of a countermeasure. Unfortunately, for the foreseeable future, it is unlikely that we will be able to find a countermeasure quickly enough to work in a crisis, so we are pursuing our work on this front in a routine manner, without regard to crises.

There are other developments that are starting to show promise. We are also, for instance, investigating countermeasures against classes of known pathogens. We understand the signatures of those pathogens and we can make comparisons, so that we can develop a countermeasure against an entire class. The ultimate aim is to protect ourselves against any kind of unspecified threat, no matter what it is.

In order to do that, we have to change the way we think about this entire problem. Hitherto, we have tried to understand how each pathogen attacks human beings and prevent it from doing so. Now, however, we are changing the whole paradigm. We are studying the human body to understand all the pathways through which something can get inside, and then trying to build defenses to cut off those pathways. Whatever the pathogen may be, we are simply closing the doors so that it cannot get in.

From a scientific perspective, however, we need a balanced approach to medical countermeasures that includes pretreatments, as well as therapeutics. We are at the dawn of a new age of scientific advances, and it will take time to harness these new developments to work for us. Nevertheless, some very talented people are working hard to find new biological defenses, and there is no doubt that, in the end, technological advances will provide part of the solution to countering bioterrorism.

Dr. Charles Gallaway is Director of the Chemical and Biological Defense Directorate at the Defense Threat Reduction Agency (DTRA) of the U.S. Department of Defense. He was previously Director of Advanced Systems and Concepts Office; Chief of Arms Control Technology Division and Chief of Systems Applications Division at DTRA. Before that, he worked for the Defense Intelligence Agency and the Central Intelligence Agency.


This article was published in European Affairs: Volume number VI, Issue number III in the Summer of 2005.