| Description |
1 online resource (1 PDF file (xv, 240 pages)) : illustrations |
| Physical Medium |
polychrome |
| Description |
text file |
| Note |
Title from PDF title page. |
| Bibliography |
Includes bibliographical references. |
| Summary |
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. |
| Funding |
This activity was supported by contracts between the National Academy of Sciences and the American College of Emergency Physicians; American Hospital Association; American Medical Association; Association of State and Territorial Health Officials; Centers for Disease Control and Prevention (Contract No. 200-2011-38807, TO #3); Department of Defense (Contract No. HT0011-11-P-0186); Department of Defense, Uniformed Services University of the Health Sciences (Contract No. HT9404-12-1-0022); Department of Health and Human Services' National Institutes of Health: National Institute of Allergy and Infectious Diseases, National Institute of Environmental Sciences, National Library of Medicine (Contract No. HHSN26300007 [Under Base 1 #HHSN263201200074I]); Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response (Contract No. HHSO100201000021P); Department of Homeland Security's Federal Emergency Management Agency (Contract No. HSFE20-12-P-0165); Department of Homeland Security, Office of Health Affairs (Contract No. HSHQDC-11-J-002336 [Master Contract # 10000439]); Department of Transportation's National Highway Traffic Safety Administration (Contract No. DTNH22-10-H-00287); Department of Veterans Affairs (Contract No. 101-G09041); Emergency Nurses Association; Food and Drug Administration (Contract No. HHSF22301027T [Under Base Contract DHHS-8598]); Infectious Disease Society of America; Martin, Blanck & Associates; Mayo Clinic; Merck Sharp & Dohme Corp. (Contract No. 2391); National Association of Chain Drug Stores; National Association of County and City Health Officials; National Association of Emergency Medical Technicians; Pharmaceutical Research and Manufactures of America; Target Corporation; Trauma Center Association of America; and United Health Foundation. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity. |
| Contents |
Introduction -- Public health and logistical consideration -- Federal programs and perspectives -- Local, state, and regional perspectives and programs -- Challenges to command and control -- Risk communication and education -- Monitoring and mass care in outlying communities -- Reorienting and augmenting professional approaches -- Roles of regional health care coalitions in planning and response. |
| Local Note |
eBooks on EBSCOhost EBSCO eBook Subscription Academic Collection - North America |
| Subject |
Emergency Medical Services -- organization & administration. |
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Radiation Injuries -- prevention & control. |
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United States. |
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Disaster medicine -- United States.
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Disaster medicine. |
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United States. |
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Terrorism -- Health aspects -- United States.
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Terrorism. |
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Radiation injuries -- United States.
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Radiation injuries. |
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Emergency medical services -- United States.
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Emergency medical services. |
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Emergency management -- United States.
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Emergency management. |
| Genre/Form |
Congress.
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Electronic books.
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Conference papers and proceedings.
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Conference papers and proceedings.
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| Added Author |
Snair, Megan Reeve, author.
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Altevogt, Bruce M., author.
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Institute of Medicine (U.S.). Forum on Medical and Public Health Preparedness for Catastrophic Events, issuing body.
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Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions (Workshop) (2013 : Washington, D.C.)
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| Other Form: |
Print version: Nationwide response issues after an improvised nuclear device attack. Washington, D.C. : National Academy Press, 2014 (OCoLC)869896346 |
| ISBN |
9780309286015 |
|
0309286018 |
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9780309286022 |
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0309286026 |
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