Mahdi Abdollahi-Karizno - MD student, Birjand university of medical science, student research Committee, Birjand, Iran.
Forugh Pursalehi - MD student, Birjand university of medical science, student research Committee, Birjand, Iran.
Maryam Mirzaei - MD student, Birjand university of medical science, student research Committee, Birjand, Iran.
Fateme Salmany - Social Determinants of Health Research Center, Faculty of Health, Birjand University of Medical Sciences, Birjand, IR Iran
Majid Zare-Bidaki - Infectious Disease Research Center, Department of Medical Microbiology, Faculty of Paramedical Sciences, Birjand University of Medical Sciences, Birjand, Iran

Introduction: During recent years, the occurrence of terroristic attacks throughout the Middle East and occasionally in Iran has proposed that bioterrorists have the ability to disseminate biologic agents in the region and cause widespread social panic. Medical, health, and laboratory personnel have a serious responsibility towards their public community in terms of the prevention, detection, and treatment of potential bioterrorism attacks. To fulfill their responsibilities, they need to be trained by taking part in the relevant courses during their undergraduate education. In case of potential bioterrorism attacks, an appropriate level of knowledge and preparedness is essential for medical, health, and laboratory personnel to ensure a proper medical response to such outbreaks. This study aimed to evaluate the level of knowledge, preparedness, and attitude of medical, dentistry, nursing, and laboratory science technology students in Birjand University of medical sciences, Birjand, Iran on a potential bioterrorism attack. Methods: This study is a cross-sectional analytical study. A total of ۱۸۲ students of Birjand University of Medical Sciences in medicine (Med), nursing (Nurse), laboratory science technology (Lst), and dentistry (Dent) who had just passed their microbiology courses took part in this study, in ۲۰۱۷. Students who were not willing to complete the questionnaire were excluded from the study. A non-probabilistic sampling method was used. Data were collected using a licensed questionnaire. The data were extracted from the questionnaires, corrected, and analyzed in SPSS software (version ۲۴). All data were analyzed by the Kruskal-Wallis and Mann-Whitney Tests. P-value less than ۰.۰۵ was considered statistically significant. Results: The result of the study showed that the mean scores (out of ۱۰۰) of knowledge and preparedness of medicine, dental, laboratory science technology, and nursing students were obtained as ۴۵.۵±۱۵.۹ and ۶۳.۲±۱۳.۸, ۴۱.۳±۶.۵ and ۶۶±۱۲.۵, ۳۵.۷±۱۲.۸ and ۵۷.۵±۱۱.۶, and ۳۶.۳±۶.۵ and ۶۱.۵±۷.۵, respectively. The knowledge score between Med and laboratory science technology students was significantly different (P=۰.۰۰۳). The same significant difference was also found between medicine and nursing students (P=۰.۰۰۷). Moreover, there was a statistically significant difference between dental and laboratory science technology students in terms of preparedness scores (P=۰.۰۰۲). However, no significant difference between dental and medicine students neither on their knowledge nor on their preparedness scores was observed (P=۰.۳۷۶, P=۰.۲۵۷). Conclusions: It can be concluded that the level of knowledge and preparedness of medical, health, and medical laboratory science students regarding bioterrorism is relatively low. Therefore, enclosing educational programs about bioterrorism in the curriculum of all academic disciplines of medical sciences is suggested.

Bioterrorism, Education, Knowledge, Preparedness, Students