Hantavirus
                                ==========
þ Epidemiology
 - Associated with dried rodent urine -- very sturdy virus, can last for many
   months in dried form.
 - Found probably everywhere, but at low levels.
 - Most rodent carriers are healthy
 - not seen in prarie dogs or pet rodents, at least not yet.
 - Dead-end virus, cannot be transmitted to healthcare workers.  Despite
   massive exposure of healthcare workers to sputum, etc., no transmission.
   However, recent outbreak in Bolivia may have

þ NBC:
 - North Korea working on Hantavirus/Influenza and Hantavirus/Influenze
   combination, using old Soviet scientists.


þ Clinical Features
 - Starts with SOB; in about 6 hour, develops fever, chills, myalgias, sometimes
   nausea, vomiting, diarrhea.
 - Rapidly develops respiratory failure with ARDS-like features.

þ Treatment
 - Supportive care only.  No vaccine, unlikely to ever be one per CDC.
 - Do well if mechanically ventilated for a day or two.
 - Broad spectrum antibiotics until can confirm Hantavirus.
 - May need pressors for support.
 - check http://www.cdc.gov/ncid/ for detailed clinical data.