It makes a series of 13 recommendations for the incoming administration, which includes conducting a comprehensive review of domestic stocks of deadly pathogens and tightening security at those biological labs and research facilities.
While security has been known to be inadequate at bioresearch facilities overseas, especially in the former Soviet Union, the report makes mention of a recent GAO study that found that security at several of the United States' top biological laboratories containing the world's deadliest diseases and viruses was inadequate.
The report also recommends that the United States should bolster rapid response ability and pharmaceutical stocks to mitigate mass casualties and should advance bioforensic capabilities.
Other recommendations include for the United States to push internationally for countries to address the issue of biosecurity, enhance disease surveillance networks and push for the adherence of the Biological Weapons Convention, which countries are to review in 2011.
On the issue of nuclear security, the report recommends that the United States needs to strengthen the current nuclear nonproliferation treaties and seek a "restructuring" of the US-Russian relationship.
Concerning Iran and North Korea, the commission recommends that "As a top priority, the next administration must stop the Iranian and North Korean nuclear weapons programs. In the case of Iran, this requires the permanent cessation of all of Iran's nuclear weapons–related efforts. In the case of North Korea, this requires the complete abandonment and dismantlement of all nuclear weapons and existing nuclear programs."
The study was conducted over six months, and included more than 250 interviews with government officials. Overseas site visits ranged from the U.S. national laboratories to Moscow. The commission was to travel to Pakistan, but the trip was cut short after the September bombing of the Marriott hotel in Islamabad. The commission notes in the report that it came within hours of staying at the hotel.