Readers
Digest
Are
We Safer Since 9/11?
A Special Report
Investigates
By Marcus Stern & Adam Piore
November 10, 2008
Seven years after
9/11, a deadly anthrax attack, and billions of dollars spent on homeland
security, experts say we may be more vulnerable than ever to bioterrorism.
A special report.
Leroy Richmond still can't believe
his luck. In 2001 the postal worker and volunteer safety captain at the
U.S. Postal Service's Brentwood facility in Washington, D.C., was among
the first to see the bulletin from the Centers for Disease Control and
Prevention informing the office that two anthrax-dusted letters had passed
through his workplace on their way to senators Tom Daschle and Patrick
Leahy.
But even as the 56-year-old father
of three hastened around the cavernous building near the Capitol warning
coworkers to keep an eye out for suspicious white powder, he never considered
that the deadly bacterium might already be germinating in his lungs. "I
was keeping everyone on high alert," recalls Richmond, a lanky retiree
with a pencil-thin mustache. "Some people looked at me and said, 'Are you
all right? You look like you have a cold.' "
When Richmond's wife, Susan, drove
him to a local clinic about a week later, he was so weak, she had to help
him out of the car. By then, he was struggling to breathe and couldn't
even tell the doctor his name. After finding no obvious cause, Richmond's
internist almost sent him home with some aspirin. At the last minute, though,
the doctor reconsidered and sent him to the hospital, a decision that saved
Richmond's life. Even there, it took two sets of X-rays and several examinations
before the doctors suspected the truth: Richmond was infected by anthrax.
"When you look at it, there was so much confusion," Richmond says. "The
biggest reason I'm alive: an act of God."
Now, seven years after the attack,
the idea that a heinous act such as this one-which sickened Richmond and
16 others, killed five, and terrorized a nation wholly unprepared and without
defense—could go undetected for weeks seems impossible to him. Most Americans
would make this assumption. Were such an attack to occur today, Richmond
asserts from his home in suburban Virginia, "it would be totally different."
The tainted letters would be detected quickly, he believes. Doctors would
immediately recognize the symptoms of anthrax infection. If the attack
were on a massive scale, rescuers would rush to the scene and decontaminate
it. Fatalities would be unlikely.
BIO-INSECURITY
But a special report for Reader's
Digest by ProPublica, an independent, nonprofit newsroom that produces
investigative journalism in the public interest, suggests otherwise. Despite
some $48 billion in federal spending on biodefense—including a new nationwide
network of research labs and a $1 billion detection system called BioWatch
operating in more than 30 cities-the nation may be just as vulnerable to
an attack today as it ever was. Indeed, some biodefense experts warn, we
may be less safe.
In recent months, government auditors,
public health experts, and outside watchdog groups have unearthed a litany
of failures and mistakes in the nation's vast and burgeoning bio-defense
program. In September, the Partnership for a Secure America, a bipartisan
group of leading national-security experts, issued a report stating that
the United States remains "dangerously vulnerable" to nuclear, chemical,
and biological attacks.
Margaret Hamburg, MD, a former
New York City health commissioner and a former assistant secretary at the
U.S. Department of Health and Human Services, warns that another anthrax
attack would likely still be met with "chaos, uncertainty, and delayed
and missed diagnoses."
While higher-risk areas such as
New York City tend to be further along, in many parts of the country, emergency
plans to prepare hospitals for an influx of bioterrorism victims are still
in early stages. "Individual hospitals have gotten more prepared," says
Tara O'Toole, MD, director of the Center for Biosecurity at the University
of Pittsburgh Medical Center, who is completing a study on the subject
commissioned by Health and Human Services. "But we still aren't able to
care for large or sustained increases in patient demand such as you would
see during a bioterror attack. We don't have rapid diagnostic tests that
say you have anthrax or flu … even though the technology exists."
Frustrated weapons-proliferation
experts complain that biodefense programs are haphazard and disorganized,
spread across the Department of Homeland Security and at least 11 other
departments and agencies, with no single person in charge. Critics point
out that BioWatch can't detect pathogens released indoors, underground,
on planes and buses, or in most subways. Others worry that the system is
not capable of providing real-time information to first responders, potentially
a fatal flaw.
But these troubling findings seem
like mere side notes when compared with the main concern of some scientists:
that government programs have heightened the level of danger by vastly
increasing the number of researchers and labs authorized to handle deadly
substances.
When the government released its
case last summer against the man they believe engineered the 2001 anthrax
attack, the possibility of an insider abusing the system to deadly effect
became very real. While antiterrorist programs focused on international
terrorism, this suspect was homegrown: He was a longtime research scientist
named Bruce Ivins who worked in a government lab.
A similar incident, or one much
worse, could happen again. In its efforts to protect Americans, the government
has vastly increased the number of researchers with access to deadly agents.
But, say critics, it has failed to implement sufficient oversight and stringent
security procedures to screen them. Any terrorist looking to infiltrate
a lab today has hundreds more targets to choose from than he did seven
years ago. Brian Finlay, a senior associate at the Henry L. Stimson Center,
a nonpartisan think tank, puts it bluntly: "There's no question that the
proliferation of bioresearch is leaving us less secure by the day."
FROM TERROR TO ERROR
With its quaint brick buildings,
wooded parks, and weekend tailgate parties, the campus of Texas A&M
University hardly looks like a front in the war on terror. But teams of
researchers there have long been part of the government's growing army
of scientific soldiers.
Recently they have also become
something else: poster children for the dangers inherent in the willy-nilly
expansion of the nation's bioresearch program.
It all started when a private
watchdog organization, the Sunshine Project, uncovered problems at one
of the university's Biosafety Level-3 labs, which can handle "select agents"-dangerous
pathogens, such as anthrax and tularemia, that can be aerosolized and used
in terrorist attacks and for which a treatment or vaccine may exist. (BSL-4
labs handle select agents with no vaccine or cure, including Ebola and
Lassa fever, as well as smallpox, which does have a vaccine.)
Last year, the CDC temporarily
halted research on select agents at A&M when it found the school had
allowed unauthorized access to contagious pathogens, misplaced vials of
hazardous agents, and kept poor records on who entered the labs. Several
employees showed signs of exposure to contagious and potentially fatal
bacteria. The university, however, failed to report the cases.
In one troubling incident, on
February 9, 2006, a PhD lab worker with no training in handling the highly
infectious brucella bacteria, and no authorization to do so, was enlisted
to clean out a chamber that aerosolizes pathogens. An investigation concluded
that she wore ill-fitting protective goggles, a mistake that may have allowed
the bacteria to enter her body through her eyes.
It was six weeks before the worker
came down with flulike symptoms. It took 62 days to confirm the diagnosis
of brucella infection. During much of that time, she "had resumed her normal
activities, interacting with many people," the Government Accountability
Office later wrote in its report. "It was fortunate that transmission beyond
the initial exposed individual was difficult and that there was no risk
of spreading the disease to the community," the GAO noted. "Many agents
cause diseases that are easily transferred from human to human through
coughing or fluid."
Nor is the A&M facility the
only federally funded lab where shocking allegations have emerged. The
institution's state rival, the University of Texas at Austin, now has two
BSL-3 labs. Last June, Harold Davis, the associate vice president overseeing
security compliance, resigned, accusing the university of resisting federal
security guidelines. The university says it is in full compliance with
federal regulations.
In September, a GAO report singled
out security problems in two of the nation's BSL-4 labs. According to news
reports, a lab at the Southwest Foundation for Biomedical Research in San
Antonio, Texas, had an outside window looking directly into the room where
dangerous materials were handled, and the only vehicle barrier was a gate
arm that swung across the road. The other lab, at Georgia State University
in Atlanta, lacked complete security barriers and monitored cameras.
Even the CDC is not impervious
to mishaps. At one lab a recent lightning storm caused a power outage,
and the lab's backup generators shut down. Although no pathogens were on
the site at the time, electricity to a critical safety system was cut off.
In another case at the same $214 million facility, staffers duct-taped
a door leading to a containment area when its lock broke. Even when the
lock was repaired, the duct tape stayed on for a year as an "enhancement."
To some public health experts,
the growing list of careless accidents and potential disasters illustrates
fundamental flaws in a system that was built too fast, has become too big,
and still operates with too little oversight. In the wake of 9/11 and the
deadly anthrax attack that followed, the government made tens of billions
of federal dollars available for bioterror research. And the National Institutes
of Health was encouraging labs to expand into this kind of research. Thousands
of microbiologists turned to this rewarding new field.
The result was that hundreds of
new labs began storing and handling pathogens. "Suddenly there were swarms
of people wanting to work on this issue," says Dr. Hamburg, who now serves
as senior scientist at the Nuclear Threat Initiative. She recalls the frenetic
atmosphere when the spending surge began in 2002: "There was lots of money-it
was just a frenzy at the feeding trough."
All told, over the last seven
years, the number of labs that possess select agents multiplied more than
twentyfold, estimates Richard H. Ebright of the Waksman Institute of Microbiology
at Rutgers University. Over 1,350 public and private BSL-3 labs and 15
BSL-4 labs-and some 15,000 scientists-have been authorized to handle these
types of disease-causing and often fatal agents.
Many experts defend the proliferation
of labs, including Dr. O'Toole of the Center for Biosecurity, who engaged
in biological warfare games in the '90s that helped galvanize biodefense.
"We can fight about the right number of labs," she says, "but the more
researchers you have working on this, the more likely you're going to get
effective medicine and vaccines against these threats."
Nevertheless, years after the
anthrax attack, federal oversight of many labs still relies on self-policing,
according to a 2007 GAO study. The "limited federal oversight that does
exist for high-containment labs is fragmented among different federal agencies,"
the report stated. It went on to say that "no agency is responsible for
determining the aggregate risks associated with the expansion of these
labs."
All BSL-4 labs and the BSL-3 labs
that handle select agents are required to register with the Department
of Agriculture or the CDC. But, experts say, more unregistered BSL-3 facilities
working with pathogens that are not considered select agents but are still
dangerous, such as tuberculosis, HIV, and typhoid, are operating under
the radar, increasing the likelihood of accidents and other problems.
It's not even the potential for
sloppy lab procedures that worries some scientists the most. It's the lack
of effective mechanisms to screen those working in them. For instance,
researchers handling select agents are required to undergo checks by the
Department of Justice. Among the factors that would disqualify a subject:
previous commitment to a mental institution, a federal crime, or association
with terrorist groups. But the investigations are nowhere near as stringent
as those used for new FBI or CIA hires. It wouldn't be hard, say critics,
to slip in through the cracks.
"The simplest, most likely path"
for terrorists looking to acquire bioweapons capability "is to obtain bioweapons
agents and training by penetrating a U.S. research project," says Rutgers's
Ebright. "One well-placed graduate student, postdoctoral fellow, or technician
… it's only a matter of time."
The case of Ivins-who committed
suicide shortly after the FBI identified him as the 2001 anthrax killer-is
a powerful indictment of the system of background checks. Ivins reportedly
battled mental health problems and told a therapist earlier this year that
he'd experienced homicidal thoughts as far back as graduate school.
DETECTING THE DANGER
Another concern is the government's
effort to set up a system to detect and respond to bioterror attacks. A
key component of that initiative is BioWatch, in which technicians have
deployed a system of sensors in more than 30 undisclosed cities to detect
some airborne biological threats, including anthrax, plague, and smallpox.
In theory, BioWatch would set
off early-warning systems in the Department of Homeland Security, which
also oversees the National Biosurveillance Integration Center, charged
with integrating and analyzing data from 12 different agencies to ensure
the earliest possible detection of a biological attack. It's a comforting
idea. There's only one problem: It takes as long as 34 hours for threats
to register with BioWatch, according to the GAO, because the air samples
are manually collected and taken for analysis in labs. By the time results
are analyzed, individuals exposed to the contaminants would likely have
scattered, limiting the ability of first responders to contain the outbreak.
Efforts are under way to develop
new technologies. But most experts agree the system is a long way from
providing real-time detection or even registering the full arsenal of biological
threats facing the United States. As Dr. Hamburg says, 9/11 led to a "lot
of wishful thinking that new technologies might be the answer. There were
a lot of investments made—some that made sense, some that didn't."
LOOKING FOR LEADERSHIP
How best to address the wasteful
funding and bad planning in our biodefense programs? Milton Leitenberg,
a University of Maryland researcher who authored a 2005 report on biodefense
published by the Army War College, argues that a careful review and assessment
of the various terrorist threats the country faces is essential, to be
quickly followed by the designation of a person, or at the very least one
agency, empowered to make changes. When biodefense programs were implemented
after 9/11, he says, "there was really no significant public figure saying
'Just a minute—let's do an assessment first.' "
Dr. Hamburg hopes that the government's
misconceptions about and mistakes in its biosecurity efforts will be faced
squarely by the next Congress and especially by the incoming president
and his national-security team. The new administration is going to have
to "make some hard decisions about what programs just haven't fulfilled
their promise or never made sense in the beginning, and which programs
have value but need to be strengthened or extended," she says.
Whatever happens, Leroy Richmond
will be watching. Seven years after the attack, tossing a football around
with his 13-year-old son or vacuuming around the house is enough to exhaust
him. Unable to return to work because of his health, he sometimes loses
his train of thought midconversation—"senior moments," he insists, that
are unrelated to his age. But he trusts the government he worked for all
those decades to get it right. He believes it's only a matter of time.
--ProPublica's Marcus Stern
received a Pulitzer Prize in 2006 for his role in breaking the story of
former Rep. Randy "Duke" Cunningham's political corruption. Adam Piore
is a former editor at Newsweek. For more on this story, including links
and resources, go to propublica.org.
COMING
TO A TOWN NEAR YOU?
-- By Carol Kaufmann
Biosafety Level-4
labs, which handle the most deadly pathogens, like Ebola, have tripled
since 9/11. The number of Level-3 labs handling dangerous germs like anthrax
has swelled to more than 1,350-too many to map below.
THE WAR AT HOME
Six years after the creation
of the Department of Homeland Security, we asked Secretary Michael Chertoff
about the bioterror threat.
Q: The federal government has
spent more than $48 billion to combat bioterrorism, resulting in more labs
and scientists handling these pathogens. Are we more vulnerable?
A: No. I think the stuff we have
experimented with is very tightly secured, both against release as well
as any possible attack. The problem is that the ingredients for a biological
weapon can be found in nature.
Q: Where in the U.S. are we vulnerable
now?
A: Traditionally, the threats
have been focused on big cities. As we increase our security in the cities,
the possibility remains [that terrorists] will shift their focus to other
locations. In this country and other countries, some plotting has occurred
and been carried out in middle-size communities.
Q: The FBI was investigating an
insider for the 2001 anthrax attack. Is the country protected from its
own employees?
A: Since that case, we've taken
a hard look at security procedures. We have good security measures at high-threat
labs. We do thorough background checks. With the BioWatch program, we have
the capability to detect biological agents in the air and to collect clinical
data that would indicate something is going on.
Q: How can BioWatch be fine-tuned?
A: The next generation that we're
working on will give us more of a real-time composition of air with only
a number of hours' delay, greatly reducing the wait time.
Q: Is Al Qaeda less of a threat
than pre-9/11?
A: Yes, because of where we now
are in Afghanistan. [Al Qaeda doesn't] have a full country in which they
can operate with impunity, building laboratories in which to experiment
with chemical and biological weapons, training openly, having the support
of the leadership in that country.
Q: Thomas Kean, chairman of the
9/11 commission, has said "the weakest part of our homeland security is
the citizen." What's your advice about disaster preparation?
A: People are very good about
reporting stuff that they see is suspicious. The area where I think Kean
is right is in the response to a disaster. A lot of people shy away from
making minimal preparations. We have a site, ready.gov, that will tell
you the basic things [you need] to be prepared for any kind of emergency.`1
Q: Do you sleep well at night?
A: I do. Terrorism shouldn't
be an abiding preoccupation. If [everyone were] talking about homeland
security 90 percent of the time, we wouldn't have done our job right. Still,
we shouldn't become complacent.
INSIDE BIODEFENSE
Number of U.S. scientists authorized
to work with deadly pathogens: 15,000
Federal agencies that fund, operate,
or work with Biosafety Level-3 or Level-4 labs: 12
Federal agencies charged with
tracking the number and assessing the risks of all Level-3 and Level-4
labs: 0 |