Botulinum toxin poses a credible biological threat because of its extreme potency and lethality, ease of production, and ability to cause significant human morbidity and mortality. An intentional event involving this toxin could cause significant casualties in military or civilian settings, and disrupt political, economic, and social infrastructures in the United States (U.S.). The purpose of this Botulinum Food Contamination Playbook is to provide guidance to the Secretary and the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services’ (HHS) decision making processes in response to a terrorist food attack with botulinum toxin in a single metropolitan area.
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