Assessing Medical Preparedness To Respond To A Terrorist Nuclear Event
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Institute of Medicine,Board on Health Sciences Policy,Committee on Medical Preparedness for a Terrorist Nuclear Event
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Medical Preparedness for a Terrorist Nuclear Event Publisher : National Academies Press Page : 189 pages File Size : 55,7 Mb Release : 2009-08-19 Category : Medical ISBN : 9780309143967
Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event by Institute of Medicine,Board on Health Sciences Policy,Committee on Medical Preparedness for a Terrorist Nuclear Event Pdf
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.
Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events
Author : Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events Publisher : National Academies Press Page : 257 pages File Size : 54,6 Mb Release : 2014-01-26 Category : Medical ISBN : 9780309286015
Nationwide Response Issues After an Improvised Nuclear Device Attack by Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events Pdf
Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands to hundreds of thousands of victims and would overwhelm public health, emergency response, and health care systems, not to mention creating unprecedented social and economic challenges. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack. In 2009, the Institute of Medicine published the proceedings of a workshop assessing the health and medical preparedness for responding to an IND detonation. Since that time, multiple federal and other publications have added layers of detail to this conceptual framework, resulting in a significant body of literature and guidance. However, there has been only limited planning effort at the local level as much of the federal guidance has not been translated into action for states, cities and counties. According to an informal survey of community preparedness by the National Association of City and County Health Officials (NACCHO), planning for a radiation incident ranked lowest in priority among other hazards by 2,800 local health departments. The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows: - Understand the differences between types of radiation incidents and implications of an IND attack on outlying communities. -Highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans. -Examine gaps in planning efforts and possible challenges and solutions. -Identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled. -Discuss the possibilities and benefits of integration of disaster transport systems. -Explore roles of regional health care coalitions in coordination of health care response.
Forum on Medical and Public Health Preparedness for Catastrophic Events
Author : Forum on Medical and Public Health Preparedness for Catastrophic Events Publisher : Unknown Page : 128 pages File Size : 53,7 Mb Release : 2013 Category : Electronic ISBN : OCLC:882578979
Nationwide Response Issues After an Improvised Nuclear Device Attack by Forum on Medical and Public Health Preparedness for Catastrophic Events Pdf
Annotation. Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands to hundreds of thousands of victims and would overwhelm public health, emergency response, and health care systems, not to mention creating unprecedented social and economic challenges. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack. In 2009, the Institute of Medicine published the proceedings of a workshop assessing the health and medical preparedness for responding to an IND detonation. Since that time, multiple federal and other publications have added layers of detail to this conceptual framework, resulting in a significant body of literature and guidance. However, there has been only limited planning effort at the local level as much of the federal guidance has not been translated into action for states, cities and counties. According to an informal survey of community preparedness by the National Association of City and County Health Officials (NACCHO), planning for a radiation incident ranked lowest in priority among other hazards by 2,800 local health departments. The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows:- Understand the differences between types of radiation incidents and implications of an IND attack on outlying communities.-Highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans.-Examine gaps in planning efforts and possible challenges and solutions.-Identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled.-Discuss the possibilities and benefits of integration of disaster transport systems.-Explore roles of regional health care coalitions in coordination of health care response.
Individual Preparedness and Response to Chemical, Radiological, Nuclear, and Biological Terrorist Attacks by Lynn E. Davis,Karyn Model,C. Peter Rydell,James Chiesa Pdf
Individuals may have to rely on themselves to protect their own health and safety--perhaps even their own lives--in the event of a terrorist attack. Even those who know how to take care of themselves in the event of a fire, tornado, or earthquake might not know what to do in case of a chemical, radiological, nuclear, or biological attack. This quick guide attempts to fill in some of these gaps by offering specific actions to take during each of these situations, as well as preparations that can be taken. These actions are appropriate regardless of the likelihood of an attack, its scale, or the current government alert level; are designed to be sensitive to potential variations; and have been defined in terms of simple rules that should be easy to follow. A reference card included at the back of the guide encapsulates the key points and can be removed for display in a prominent place.
Institute of Medicine,Board on Health Sciences Policy,Committee on Evaluation of the Metropolitan Medical Response System Program
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Evaluation of the Metropolitan Medical Response System Program Publisher : National Academies Press Page : 336 pages File Size : 44,8 Mb Release : 2002-08-11 Category : Political Science ISBN : 0309084288
Preparing for Terrorism by Institute of Medicine,Board on Health Sciences Policy,Committee on Evaluation of the Metropolitan Medical Response System Program Pdf
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.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies Publisher : National Academies Press Page : 211 pages File Size : 52,5 Mb Release : 2019-06-05 Category : Medical ISBN : 9780309489171
Exploring Medical and Public Health Preparedness for a Nuclear Incident by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies Pdf
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.
Institute of Medicine,Board on Neuroscience and Behavioral Health,Committee on Responding to the Psychological Consequences of Terrorism
Author : Institute of Medicine,Board on Neuroscience and Behavioral Health,Committee on Responding to the Psychological Consequences of Terrorism Publisher : National Academies Press Page : 184 pages File Size : 41,5 Mb Release : 2003-08-26 Category : Political Science ISBN : 9780309167925
Preparing for the Psychological Consequences of Terrorism by Institute of Medicine,Board on Neuroscience and Behavioral Health,Committee on Responding to the Psychological Consequences of Terrorism Pdf
The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies Publisher : National Academies Press Page : 211 pages File Size : 44,7 Mb Release : 2019-07-05 Category : Medical ISBN : 9780309489140
Exploring Medical and Public Health Preparedness for a Nuclear Incident by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies Pdf
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.
Method for Developing Arrangements for Response to a Nuclear Or Radiological Emergency by International Atomic Energy Agency. Radiation Safety Section Pdf
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.
National Research Council,Division on Engineering and Physical Sciences,Alan Shaw
Author : National Research Council,Division on Engineering and Physical Sciences,Alan Shaw Publisher : National Academies Press Page : 30 pages File Size : 55,6 Mb Release : 2004-05-10 Category : Political Science ISBN : 9780309166096
University Research Centers of Excellence for Homeland Security by National Research Council,Division on Engineering and Physical Sciences,Alan Shaw Pdf
In establishing the Department of Homeland Security (DHS), the Administration and Congress determined that science and technology should play a key role in the nation's efforts to counter terrorism. Congress included an S&T directorate prominently in the DHS. Within that directorate, is the Office of University Programs, which is responsible for sponsoring a number of homeland security centers of excellence in the nation's universities. These centers are to work on a spectrum of short- and long-range R&D and carry out crosscutting, multidisciplinary work on a variety of threats. To assist it in planning for these centers, TSA asked the NRC to hold a workshop to generate a broad range of ideas to draw on to help define the centers. This report presents the results of that workshop including the major ideas that emerged from the discussions.
Medical Consequences of Radiological and Nuclear Weapons by Defense Department Pdf
NOTE: NO FURTHER DISCOUNT FOR THIS PRINT PRODUCT-- OVERSTOCK SALE -- Significantly reduced list price An updated version of the 1989 TMM, this volume addresses nuclear events and their consequences for the medical community. Topics covered include acute radiation syndrome, triage and treatment of radiation and combined-injury mass casualties, treatment of internal radionuclide contamination, behavioral and neurophysiological consequences of radiation exposure, cytogenetic biodosimetry, and more. Textbooks of Military Medicine (TMM). Senior Editor, Anthony B. Mickelson.
Mental Health and Social Issues Following a Nuclear Accident by Jun Shigemura,Rethy Kieth Chhem Pdf
This book focuses on mental health issues arising in the wake of the Fukushima nuclear disaster. Three years after the 11 March 2011 Great East Japan Earthquake, tsunamis, and Fukushima Daiichi nuclear accident, roughly 130,000 individuals continue to face enormous burdens as a result of mandatory evacuation. Many evacuees still live in temporary housing, and returning home remains a distant dream as they wait for the decontamination of the danger zone to be completed. However, the plant recovery process is still evolving, and the complete cleanup will take decades. Beyond all of these hardships, many evacuees are also mourning the loss of their loved ones. The compound disaster with its many uncertainties poses and will continue to pose serious emotional and social challenges. People affected by the nuclear disaster have been facing serious psychological challenges from ongoing fear of radiation exposure. Furthermore, there is continuing debate between various stakeholders on the options for disaster responses. This situation in turn produces adverse public responses, such as discrimination and stigmatization of the evacuees and scapegoating of the authorities and nuclear plant workers. Mental Health and Social Issues Following a Nuclear Accident addresses these issues and their impacts, pursuing both evidence-based and narrative-based approaches. It also contrasts the Fukushima findings with those of other nuclear disasters, namely, Three Mile Island and Cher nobyl.
Public Health Emergencies by Tanya Telfair LeBlanc, PhD, MS,Robert J. Kim-Farley, MD Pdf
"This is a clearly written, easy-to-read first edition on a necessary subject in an ever-changing world of disaster and humanitarian crisis...Not only theoretical, this book is also extremely practical and can be utilized by the various stakeholders involved in public health and emergency response. This book should sit on the shelf of every public health department and be made available for frontline workers and policymakers alike." --Doody's Review Service, 3 stars Public Health Emergencies provides a current overview of public health emergency preparedness and response principles with case studies highlighting lessons learned from recent natural and man-made disasters and emergencies. Designed for graduate and advanced undergraduate public health students, this book utilizes the 10 essential services of public health as performance standards and foundational competencies from the Council on Education for Public Health to assess public health systems. It emphasizes the roles and responsibilities of public health careers in state and local health departments as well as other institutions and clarifies their importance during health-related emergencies in the community. Written by prominent experts, including health professionals and leaders on the frontlines, this textbook provides the framework and lessons for understanding the public health implications of disasters, emergencies, and other catastrophic events, stressing applied understanding for students interested in pursuing public health preparedness roles. Practical in its approach, Part One begins with an introduction to the fundamentals of public health emergency preparedness with chapters on community readiness, all-hazards preparedness design, disaster risk assessments, and emergency operation plans. Part Two covers a range of public health emergency events, including hurricanes, tornadoes, earthquakes, disease outbreaks and pandemics, accidents and chemical contamination, nuclear and radiological hazards, extreme heat events, and water supply hazards. The final part addresses special considerations, such as how the law serves as a foundation to public health actions; preparedness considerations for persons with disabilities, access, and functional needs; children and disasters; and a chapter evaluating emerging and evolving threats. Throughout, chapters convey the roles of front-line, supervisory, and leadership personnel of the many stakeholders involved in preparedness, response, and recovery efforts to demonstrate decision-making in action. Key Features: Provides the fundamentals of public health emergency preparedness and response with detailed case studies of recent natural and man-made disasters Explains the roles of administrators, planners, first responders, and other stakeholders involved in emergency response Covers major disaster planning and preparedness topics such as weather-related emergencies, bioterrorism, infectious disease outbreaks including COVID-19, wildfires, radiological and nuclear exposure, and many more Crosswalks the 10 essential public health services and foundational public health competencies illustrated in case examples Purchase includes digital access for use on most mobile devices or computers
Institute of Medicine,Board on the Health of Select Populations,Committee on Evaluation of the Lovell Federal Health Care Center Merger
Author : Institute of Medicine,Board on the Health of Select Populations,Committee on Evaluation of the Lovell Federal Health Care Center Merger Publisher : National Academies Press Page : 284 pages File Size : 49,5 Mb Release : 2012-12-28 Category : Medical ISBN : 9780309262828
Evaluation of the Lovell Federal Health Care Center Merger by Institute of Medicine,Board on the Health of Select Populations,Committee on Evaluation of the Lovell Federal Health Care Center Merger Pdf
The 2010 opening of the Captain James A. Lovell Federal Health Care Center (FHCC) created a joint entity between the Department of Defense (DoD) and the Department of Veterans Affairs (VA) that replaced two separate centers in North Chicago. VA and DoD leaders envisioned a state-of-the-art facility that would deliver health care to both DoD and VA beneficiaries from northern Illinois to southern Wisconsin, providing service members and veterans seamless access to an expanded array of medical services. Unprecedented for the military and the VA, the Lovell FHCC would integrate clinical and administrative services under a single line of authority. The DoD asked the IOM to evaluate whether the Lovell FHCC has improved health care access, quality, and cost for the DoD and the VA, compared with operating separate facilities, and to examine whether patients and health care providers are satisfied with joint VA/DoD delivery of health care. Evaluation of the Lovell Federal Health Care Center Merger: Findings, conclusions, and Recommendations finds that initial implementation of the Lovell FHCC has provided important lessons about how to integrate VA and DoD health care services and has identified remaining obstacles that the departments could overcome to make such mergers more effective and less costly to implement. The IOM recommends that the VA and the DoD develop a comprehensive evaluation plan to objectively judge its success or failure, with measurable criteria, that would provide essential knowledge for both the Lovell FHCC and future endeavors.
