Public health responses to CBRN terrorism in the Middle East and North Africa

Journal article

Mani, Zakaria, Plummer, Virginia, Kuhn, Lisa, Khorram-Manesh, Amir, Tin, Derrick and Goniewicz, Krzysztof. (2024). Public health responses to CBRN terrorism in the Middle East and North Africa. Disaster Medicine and Public Health Preparedness. 18, p. Article e87. https://doi.org/10.1017/dmp.2024.73

Publication dates
Authors	Mani, Zakaria, Plummer, Virginia, Kuhn, Lisa, Khorram-Manesh, Amir, Tin, Derrick and Goniewicz, Krzysztof
Abstract	Objective: Escalating global challenges (such as disasters, conflict, and climate change) underline the importance of addressing Chemical, Biological, Radiological, and Nuclear (CBRN) terrorism for sustainable public health strategies. This study aims to provide a comprehensive epidemiological analysis of CBRN incidents in the Middle East and North Africa (MENA) region, emphasizing the necessity of sustainable responses to safeguard healthcare infrastructures. Method: Utilizing a retrospective approach, this research analyzes data from the Global Terrorism Database (GTD) covering the period from 2003 to 2020. The study focuses on examining the frequency, characteristics, and consequences of CBRN incidents in the MENA region to identify patterns and trends that pose significant challenges to public health systems. Results: The analysis revealed a significant clustering of CBRN incidents in Iraq and Syria, with a predominant involvement of chemical agents. These findings indicate the extensive impact of CBRN terrorism on healthcare infrastructures, highlighting the challenges in providing immediate health responses and the necessity for long-term recovery strategies. Conclusions: The study underscores the need for improved healthcare preparedness, robust emergency response systems, and the development of sustainable public health policies. Advocating for international collaboration, the research contributes to the strategic adaptation of healthcare systems to mitigate the impacts of CBRN terrorism, ensuring preparedness for future incidents in the MENA region and beyond.
Keywords	CBRN incidents; chemical warfare; healthcare response; international collaboration; terrorism; emergency preparedness; Global Terrorism Database
Year	2024
Journal	Disaster Medicine and Public Health Preparedness
Journal citation	18, p. Article e87
Publisher	Cambridge University Press
ISSN	1935-7893
Digital Object Identifier (DOI)	https://doi.org/10.1017/dmp.2024.73
PubMed ID	38618924
Scopus EID	2-s2.0-85190864335
Page range	1-9
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	15 Apr 2024
Publication process dates
Deposited	28 May 2025
Additional information	© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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