Secondary Threat From Suicide Bombing...

WOW! This is something I never thought about before! What a scary world we
live in :-(
BBC
Thursday, 25 July, 2002, 01:15 GMT 02:15 UK
Suicide bombers' lasting legacy
Suicide bombers may not just cause carnage when they blow themselves up -
they may also spread disease from beyond the grave. Israeli doctors have
analysed bits of bone embedded in a bomb survivor, and found that they
tested positive for the liver infection hepatitis B.
The team believe this is the first recorded instance of human fragments
acting as foreign bodies in a blast injury.
New Scientist magazine reports a team of emergency staff at the Hillel Yaffe
Medical Centre in Hadera headed by Dr Itzhak Braverman treated 32 victims of
one blast.
They used CT scans to check for metal fragments in the survivors.
In one 31-year-old woman, the scan revealed dense fragments in her neck,
breast and groin.
Further analysis revealed they were not bits of metal but shards of bone
from the suicide bomber.
Dr Braverman sent a fragment to the Institute of Forensic Medcine in Tel
Aviv to be tested. It came back positive for hepatitis B.
No-one had considered this danger before.
Dr Braverman said: "As a result of that case, all survivors of these attacks
in Israel are now vaccinated for hepatitis B."
Other diseases
He said it might also be wise to test for other diseases that could
potentially be spread in the same way.
These include four kinds of hepatitis, dengue fever, syphilis, CJD and
possibly malaria.
Doctors are most concerned about the potential for spreading HIV.
Dr Braverman said HIV tests on the bone fragment taken from the woman tested
negative.
However, he added: "These test kits are designed for blood. It is very hard
to test bone."
Only 50 cases of HIV/Aids have been reported in the West Bank and Gaza.
However, the true extent of infection is difficult to assess.
Dr Mary Ramsey, a consultant in public health medicine at the UK Public
Health Laboratory Service, said there was a risk of infection from hepatitis
B whenever the virus came into contact with an open wound.
"This is why health workers in the UK are generally vaccinated against the
disease," she said.
"The good news is that we can vaccinate after exposure to the virus."