Reopening public facilities after a biological attack [electronic resource] : a decision making framework / Committee on Standards and Policies for Decontaminating Public Facilities Affected by Exposure to Harmful Biological Agents: How Clean is Safe?.

Introduction
2001 attacks and cleanup
Context of the study and charge to the Committee
Content and structure
Infectious disease threats
Ability of microorganisms to infect people
Infectious disease as a weapon
Agents of concern to national security and public health
Biological agents considered in this report
Policy precedents in decontamination
Microbial decontamination in food and water supplies
Biosafety in microbiological and biomedical laboratories
Environmental infection control in health care facilities
Decontamination of U.S. Army Biological Warfare laboratories
Development of Superfund and remediation plans
Remediation experiences in the U.S. nuclear weapons complex
Anthrax decontamination after the 2001 attacks: social and political context
Uncertain science, certain social division
Case study selection
Framework for event management
Hazard identification and assessment
Identification of the agent
Evaluating the state of the agent
Evaluating the state of the contaminated building
Factors influencing exposure to harmful biological agents in indoor environments
Exposure
Sources
Building design and operations
Heating, ventilating, and air conditioning systems
Transport and fate of harmful biological agents
Deposition
Resuspension
Preparing and operating buildings for a bioterrorism attack and subsequent operation
Analyzing health risks
Assessment of risks posed by a biological hazard
Dose-response: principles and uncertainties
Sampling strategies and technologies
Sampling and identification
General sampling plan for quantifying the extent of cleanup
Decontamination practices and principles
Processes for decontamination of harmful biological agents and other response options
Decontamination of harmful biological agents by chemical and physical methods
Examples of decontamination: Hart Senate Office Building and American Media International Building

Safe reoccupation of a facility
Planning for biological agent attack
Buildings declared contaminated
Harmful biological agents in a public facility: the airport scenario
Planning can make a major difference
All findings and recommendations
Other relevant case studies
Were the 2001 anthrax exposures consistent with dose-response: the case of the AMI building.