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A few concrete issues were proposed by the United States for consideration by the participants of the Fifth Review Conference , and they included the need for states parties to enact strict criminal legislation covering crimes involving the production or use of biological weapons , establish a mechanism for investigating suspicious outbreaks of disease , develop procedures to address compliance concerns , and implement an ethical code of conduct for bioscientists and those who handle pathogenic organisms . Thus , information was prepared by the participants from the Division of Pulmonary and Allergy Drug Products of the FDA ( Appendix E1 ) . The level of participation will be determined collectively by the participants of the seminar . This provision explicitly does not protect fees that in any manner are based on the volume or value of Medicare or Medicaid referrals or business otherwise generated by the participant for the referral service . To the amazement of the audience , some of the answers are given by the participants before the reading of the questions have been completed . He also says that this record was not signed by the participants in the conference .