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Brian Vastag

JAMA. 2002;287:308.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

On September 12, the National Institutes of Health (NIH) in Bethesda, Md, changed from a relaxed, open campus to what the Washington Post described as a "fortress." Visitor traffic arriving at the 300-acre complex via a dozen entrances is now funneled into two checkpoints, where security staff poke long-handled mirrors under cars and trucks, searching for bombs. For the first time, employees are required to display identification tags.

While these measures changed the landscape considerably, Acting Director Ruth Kirschstein, MD, said that planning for a stronger "perimeter defense" is under way. "Life at NIH will never be the same," she said at a December meeting of the Advisory Committee to the Director. "We are an attractive target."

However, Kirschstein mentioned several obstacles to a completely closed campus. Local walking and biking routes transect the complex, serving nearby neighborhoods. A Washington Metrorail stop and bus transit hub serves the . . . [Full Text of this Article]

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