Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event

Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309143969
Category : Medical
Languages : en
Pages : 189

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Book Description
A nuclear attack on a large U.S. city by terrorists-even with a low-yield improvised nuclear device (IND) of 10 kilotons or less-would cause a large number of deaths and severe injuries. The large number of injured from the detonation and radioactive fallout that would follow would be overwhelming for local emergency response and health care systems to rescue and treat, even assuming that these systems and their personnel were not themselves incapacitated by the event. The United States has been struggling for some time to address and plan for the threat of nuclear terrorism and other weapons of mass destruction that terrorists might obtain and use. The Department of Homeland Security recently contracted with the Institute of Medicine to hold a workshop, summarized in this volume, to assess medical preparedness for a nuclear detonation of up to 10 kilotons. This book provides a candid and sobering look at our current state of preparedness for an IND, and identifies several key areas in which we might begin to focus our national efforts in a way that will improve the overall level of preparedness.

Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event

Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309143969
Category : Medical
Languages : en
Pages : 189

Get Book Here

Book Description
A nuclear attack on a large U.S. city by terrorists-even with a low-yield improvised nuclear device (IND) of 10 kilotons or less-would cause a large number of deaths and severe injuries. The large number of injured from the detonation and radioactive fallout that would follow would be overwhelming for local emergency response and health care systems to rescue and treat, even assuming that these systems and their personnel were not themselves incapacitated by the event. The United States has been struggling for some time to address and plan for the threat of nuclear terrorism and other weapons of mass destruction that terrorists might obtain and use. The Department of Homeland Security recently contracted with the Institute of Medicine to hold a workshop, summarized in this volume, to assess medical preparedness for a nuclear detonation of up to 10 kilotons. This book provides a candid and sobering look at our current state of preparedness for an IND, and identifies several key areas in which we might begin to focus our national efforts in a way that will improve the overall level of preparedness.

Exploring Medical and Public Health Preparedness for a Nuclear Incident

Exploring Medical and Public Health Preparedness for a Nuclear Incident PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309489172
Category : Medical
Languages : en
Pages : 211

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Book Description
The National Academies of Sciences, Engineering, and Medicine held a workshop on August 22â€"23, 2018, in Washington, DC, to explore medical and public health preparedness for a nuclear incident. The event brought together experts from government, nongovernmental organizations, academia, and the private sector to explore current assumptions behind the status of medical and public health preparedness for a nuclear incident, examine potential changes in these assumptions in light of increasing concerns about the use of nuclear warfare, and discuss challenges and opportunities for capacity building in the current threat environment. This publication summarizes the presentations and discussions from the workshop.

Preparing for Terrorism

Preparing for Terrorism PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309169364
Category : Political Science
Languages : en
Pages : 330

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Book Description
The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.

Emergency Response to Terrorism

Emergency Response to Terrorism PDF Author:
Publisher: DIANE Publishing
ISBN: 1428981195
Category : Disaster relief
Languages : en
Pages : 103

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Book Description


Method for Developing Arrangements for Response to a Nuclear Or Radiological Emergency

Method for Developing Arrangements for Response to a Nuclear Or Radiological Emergency PDF Author: International Atomic Energy Agency. Radiation Safety Section
Publisher: IAEA
ISBN:
Category : Architecture
Languages : en
Pages : 288

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Book Description
This publication provides a practical resource for emergency planning, and fulfils, in part, functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency. If used effectively, it will help users to develop a capability to adequately respond to a nuclear or radiological emergency.

Evidence-Based Practice for Public Health Emergency Preparedness and Response

Evidence-Based Practice for Public Health Emergency Preparedness and Response PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309670381
Category : Medical
Languages : en
Pages : 501

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Book Description
When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

Individual Preparedness and Response to Chemical, Radiological, Nuclear, and Biological Terrorist Attacks

Individual Preparedness and Response to Chemical, Radiological, Nuclear, and Biological Terrorist Attacks PDF Author: Lynn E. Davis
Publisher: Rand Corporation
ISBN: 0833036084
Category : Political Science
Languages : en
Pages : 193

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Book Description
Individual preparedness is an important element of our nation's strategy for homeland security. This report adopts a scenario-driven approach that provides a rigorous way to identify actions-linked specifically to terrorist attacks-individuals can take to protect their health and safety. The result is an individual's strategy across four types of terrorist attacks-chemical, radiological, nuclear, and biological-consisting of overarching goals and simple and directive response and preparatory actions. The actions are appropriate regardless of likelihood of an attack, scale of attack, or government alert level; designed to be sensitive to potential variations; and defined in terms of simple rules that should be easy for individuals to adopt.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309145481
Category : Medical
Languages : en
Pages : 161

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Book Description
The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise-including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication-to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

Department of Homeland Security Bioterrorism Risk Assessment

Department of Homeland Security Bioterrorism Risk Assessment PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309120284
Category : Political Science
Languages : en
Pages : 172

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Book Description
The mission of Department of Homeland Security Bioterrorism Risk Assessment: A Call for Change, the book published in December 2008, is to independently and scientifically review the methodology that led to the 2006 Department of Homeland Security report, Bioterrorism Risk Assessment (BTRA) and provide a foundation for future updates. This book identifies a number of fundamental concerns with the BTRA of 2006, ranging from mathematical and statistical mistakes that have corrupted results, to unnecessarily complicated probability models and models with fidelity far exceeding existing data, to more basic questions about how terrorist behavior should be modeled. Rather than merely criticizing what was done in the BTRA of 2006, this new NRC book consults outside experts and collects a number of proposed alternatives that could improve DHS's ability to assess potential terrorist behavior as a key element of risk-informed decision making, and it explains these alternatives in the specific context of the BTRA and the bioterrorism threat.

Guide for All-Hazard Emergency Operations Planning

Guide for All-Hazard Emergency Operations Planning PDF Author: Kay C. Goss
Publisher: DIANE Publishing
ISBN: 078814829X
Category :
Languages : en
Pages : 277

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Book Description
Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.