Bioterrorism: challenges and opportunities for local health departments.

The emerging threat of bioterrorism will significantly impact local health departments. If a bioterrorism attack occurs, local medical and public health personnel will have the primary role of recognition and response. Federal assistance and training to deal with bioterrorism have been directed to 120 of our largest cities. Despite progress, much needs to be done. The public health approach to bioterrorism must begin with the development of local and state plans developed by public health, emergency response, and law enforcement communities, which must work together closely if an epidemic is to be detected in a timely manner.