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Executive summary 12Setting the scene 12Regulatory environment 13Major pathogens for BW 14Biodefense funding 15Company profiles 16Future perspectives 17Chapter 1 Setting the scene 20Summary 20Introduction 21The use of biological agents in warfare and terrorism 22Warfare 22Offensive BW programs 23Bioterrorism: Extent and nature of the threat 24Creation 26Bulk manufacture 27Weaponization 27Delivery 27Future threats 29Pre-2001 bioterrorism 292001 - September 11 and the anthrax attacks 30Chapter 2 Regulatory environment 34Summary 34Introduction 35US bodies 36FDA 38Center for Biologics Evaluation and Research (CBER) 38Center for Drug Evaluation and Research (CDER) 40Office of Counterterrorism and Emerging Threats 41National Institutes of Health (NIH) 41The National Institute of Allergy and Infectious Diseases (NIAID) 42Biomedical Advanced Research and Development Authority (BARDA) 43Public Health Emergency Medical Countermeasures Enterprise (PHEMCE) 44Project Bioshield 45Centers for Disease Control and Prevention (CDC) 48US Army Medical Materiel Development Activity (USAMMDA) 49European bodies 49European Commission 50European Council Health Security Committee 51European Centre for Disease Prevention and Control (ECDC) 54The European Medicines Agency (EMEA) 55Economic Commission for Europe 57Joint Commission/Pharmaceutical Industry Task Force 572009-2011 Indicative Program for the Instrument for Stability 58International Agencies 58World Health Organisation (WHO) 58United Nations 59Global Health Security Initiative (GHSI) 59Chapter 3 Major pathogens for BW 62Summary 62Introduction 63Anthrax 64Developmental therapeutics and vaccines 65Plague 68Developmental therapeutics and vaccines 69Tularemia 70Developmental therapeutics and vaccines 70Smallpox 71Developmental therapeutics and vaccines 72Viral Hemorrhagic Fevers - Ebola, Marburg, Crimean-Congo,Hantavirus, Lassa 74Developmental therapeutics and vaccines 75Botulism 77Developmental therapeutics and vaccines 77Ricin 79Developmental therapeutics and vaccines 80Staphylococcal enterotoxins 81Developmental therapeutics and vaccines 81Brucella group 82Developmental therapeutics and vaccines 82Glanders 83Developmental therapeutics and vaccines 83Melioidosis (Whitmores disease) 84Developmental therapeutics and vaccines 84Q fever 85Developmental therapeutics and vaccines 86Conclusion 87Chapter 4 Biodefense funding 90Summary 90US funding 91Department of Health and Human Services (HHS) 93Biomedical Research and Development Authority (BARDA) 94Department of Homeland Security (DHS) 96Other departments 97Grants available for biodefense R&D in the US 97NIH Challenge grants in health & science research 98NIH Cooperative Research & Development Agreement (CRADA) 98Small business awards 99NIH small business biodefense program awards 100Project BioShield awards 101Regional Centers of Excellence for Biodefense and Emerging Infectious Diseases (RCE) 102Defense Threat Reduction Agency (DTRA) 103US Army Medical Research Institute of Infectious Diseases (USAMRIID) 103Technology transfer 103Defense Advanced Research Projects Agency (DARPA) 104European funding 104United Kingdom 105France 106Germany 106EU biodefense programs 107European Defense Agency (EDA) 107EDAs Joint R&D Investment Program 107Bio-Edep 108Bioterrorism Research Resilience Reaction (BIO3R) 108Biodefense industry 108New and Emerging Science and Technology (NEST) 109Health Protection Agency (HPA) 110Defense Science and Technology Laboratory (Dstl) 110Japan 111Chapter 5 Company profiles 114Summary 114Introduction 115US 117Achaogen 117Contracts 118Advanced Life Sciences 118Contracts 119Alnylam Pharmaceuticals 119Contracts 119Cleveland BioLabs 120Contracts 120Dynavax Technologies Inc. 121Contracts 121Dynport Vaccine Company Llc (DVC) 122Contracts 122Elusys Therapeutics 122Contracts 123Emergent BioSolutions 123Contracts 125Ichor Medical Systems 126Contracts 126Nanotherapeutics 127Contracts 127Peregrine Pharmaceuticals, Inc. 127Contracts 128PharmAthene 128Contracts 129SIGA Technologies 130Contracts 131VaxGen 132Contracts 132XOMA 132Contracts 132Canada 133Affinium Pharmaceuticals 133Contracts 133Cangene 133Contracts 135ID Biomedical Corporation 135Contracts 136UK 136Acambis 136Contracts 137Cambridge Biostability (CBL) 137Contracts 138MNLpharma 138Contracts 138Denmark 139Bavarian Nordic 139Contracts 140Australia 141Vaxine Pty 141Contracts 141India 141Panacea Biotec Ltd. 142Contracts 142China 143Sinovac Biotech Ltd. 144Israel 144Medison Pharma 145Conclusion 145Biodefense products: the risks 147Chapter 6 Future perspectives 152Summary 152Introduction 153Assessing future threats 153GM technology 154Synthetic biology 156US funding the reality 157Has the US got value for its £50 billion-worth of funding since 2001? 159Potential biodefense business 159Getting a grant in the US 160Project Bioshield 161Is Europe doing enough? 162Lack of coordination 164US 164EU 165Biodefense at the expense of other research? 166Mismanagement of the stockpile 167Case study: VaxGen 167Problems of biosecurity 169US 169Russia and the FSU 171Fulfilling unmet needs 172viiiConclusion 173Chapter 7 Appendix 176CDC characterization of biological threats 176Glossary 177Index 181List of FiguresFigure 1.1: Bioterrorism incidents 1970-2008 26Figure 2.1: US biodefense funding by department 2001-09 37Figure 3.1: R&D funding pathway for biodefense medical countermeasures 43Figure 4.1: Project BioShield procurement process 46Figure 4.5: US biodefense funding ($m), 2001-12 93Figure 4.6: BARDA funding forecasts ($m), 2009-14 96Figure 5.7: Cleveland BioLabs research spending on Protectan CBL502 for biodefense applications ($m), 2008-09 121Figure 5.8: Emergent BioSolutions operating results ($m), 2008-09 125Figure 5.9: PharmAthene financial results ($m), 2008-09 130Figure 5.10: Cangene financial results ($m), 2004-08 134Figure 5.11: Bavarian Nordic financials (DKKm), 2004-08 140Figure 6.12: US biodefense funding ($m), 2001-09 158Figure 6.13: VaxGen financials ($m), 2005-08 168Figure 6.14: NIH funded biocontainment laboratories 170Figure 7.15: CDC characterization of biological threats 176List of TablesTable 2.1: US biodefense presidential acts 40Table 2.2: US biodefense acts post-2001 48Table 2.3: European Biodefense Legislation 54Table 3.4: Developmental therapeutics and vaccines for anthrax 66Table 3.5: Developmental therapeutics and vaccines for plague 69Table 3.6: Developmental therapeutics and vaccines for tularemia 71Table 3.7: Developmental therapeutics and vaccines for smallpox 73Table 3.8: Developmental therapeutics and vaccines for VHF 76Table 3.9: Developmental therapeutics and vaccines for botulism 78Table 3.10: Developmental therapeutics and vaccines for ricin 80Table 3.11: Developmental therapeutics and vaccines for staphylococcal enterotoxins 81Table 3.12: Developmental therapeutics and vaccines for brucella 82Table 3.13: Developmental therapeutics and vaccines for glanders 84Table 3.14: Developmental therapeutics and vaccines for melioidosis 85Table 3.15: Developmental therapeutics and vaccines for Q fever 86Table 4.16: US biodefense funding by department ($m), 2001-10 92
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