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Nationwide Response Issues After an Improvised Nuclear Device Attack - Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary (Paperback, New)
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Nationwide Response Issues After an Improvised Nuclear Device Attack - Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary (Paperback, New)
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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.
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