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<div class=3DSection1>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>24 September 2008<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-bidi-font-size:16.0pt;font-family:Arial'>Tularemia Risk
Communication: <o:p></o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-bidi-font-size:16.0pt;font-family:Arial'>CDC&#8217;s &#8220;Co=
mmunicating
in the First Hours&#8221;<o:p></o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-bidi-font-size:16.0pt;font-family:Arial'><o:p>&nbsp;</o:p></sp=
an></b></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>The US Centers for Disease Control and Prevention (CDC) =
has
previously posted on their website a series of risk communication documents
related to major emergency threats including the CDC Category A bioterrorism
candidate agents such as tularemia, anthrax, and pneumonic plague. These
documents, termed &#8220;Communicating in the First Hours&#8221;, can be fo=
und
at <a href=3D"http://www.bt.cdc.gov/firsthours/tularemia">www.bt.cdc.gov/fi=
rsthours/tularemia</a><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>For tularemia a five-page pdf is posted that addresses s=
even
(7) points as part of &#8220;Health and Safety Information&#8221;.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>These points are:<o:p></o:p></span=
></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>1.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What is happening?<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>2.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What is tularemia and can it spread from person to
person?<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>3.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What are symptoms of tularemia?<o:p></o:p></span>=
</p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>4.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What to do if you have symptoms of tularemia and =
were
recently in the xxx area.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>5.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What to do if you are or have been near the xxx a=
rea
and do not have any symptoms of tularemia.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>6.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What to do to protect yourself<o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level1 lfo1;
tab-stops:list .5in'><![if !supportLists]><span style=3D'font-size:9.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>7.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial'>What is being done and how to get more informatio=
n.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:9=
.0pt;
mso-bidi-font-size:14.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>This 5-page pdf, dated <st1:date ls=3D"trans" Month=3D"1=
2"
Day=3D"28" Year=3D"2005" w:st=3D"on">December 28, 2005</st1:date>, can be f=
ound
online at:<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><a
href=3D"http://www.bt.cdc.gov/firsthours/pdf/messages_tularemia.pdf">www.bt=
.cdc.gov/firsthours/pdf/messages_tularemia.pdf</a><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>Daniel R. Lucey, MD, <st1:stockticker w:st=3D"on">MPH</s=
t1:stockticker><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>EROne Institutes, <st1:place w:st=3D"on"><st1:PlaceName =
w:st=3D"on">Washington</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Hospital</st1:PlaceType> <st1:PlaceType w:st=3D=
"on">Center</st1:PlaceType></st1:place><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>Co-Director, M.S. Graduate program in Biohazardous Threat
Agents &amp; Emerging Infectious Diseases<o:p></o:p></span></p>

<p class=3DMsoNormal><st1:place w:st=3D"on"><st1:City w:st=3D"on"><span cla=
ss=3DGramE><span
  style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial'>Geo=
rgetown
  University Medical Center</span></span></st1:City><span class=3DGramE><sp=
an
 style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial'>, <s=
t1:State
 w:st=3D"on">Washington</st1:State></span></span></st1:place><span class=3D=
GramE><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial'>, D.C=
.</span></span><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial'><o:p>=
</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>Website for this posting: <a href=3D"http://www.bepast.o=
rg/">www.BePast.org</a><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial'>e-mail:DRL23@Georgetown.edu<o:p></o:p></span></p>

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