Early Warning Infectious Disease Surveillance (EWIDS) Project: Guidance to Assist the Mexican Border States and the Mexican Secretariat of Health in Preparing Proposals to Enhance and Upgrade Surveillance and Epidemiology Capabilities for Infectious Diseases Along the U.S.-Mexico Border [open pdf - 267KB]
"Terrorism is an ever-present threat in our times. Bioterrorism is of special concern because its human consequences can be so devastating, its weapons relatively easy to obtain and disseminate, and its effects often not detectable for days or even weeks. The ability of a bioterrorist attack to create massive numbers of casualties (on a scale that overshadows other forms of terrorism) makes bioterrorism today's most dangerous threat. For this reason, the U.S. Government has assigned the highest priority to developing nation-wide domestic capabilities to prepare for and respond to bioterrorism and other outbreaks of infectious diseases. A terrorist-triggered outbreak of a dangerous and highly communicable disease such as smallpox would require a concerted response by the public health emergency response system to prevent catastrophic mortality and morbidity. Because pathogens do not recognize or respect geopolitical boundaries and travelers who cross the border into Mexico from the United States (and vice versa) can spread a contagious disease rapidly, early warning surveillance and prompt sharing of findings of concern among the six Mexican and four U.S. states along the U.S.-Mexico border and beyond is a public health and national security imperative."
Arizona Department of Health Services, Office of Border Health: http://www.azdhs.gov/phs/borderhealth/