ing, but not limited to, a smallpox attack) and to avoid requiring duplicate reporting from states.

APPENDIX 5-C ESSENTIAL CAPABILITIES NEEDED FOR PREPAREDNESS

Source: IOM. 2002. Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program. Washington, DC: The National Academies Press, pp. 115-159.

  1. Relationship development

  2. Communication system development

  3. Hazard assessment

  4. Training

  5. Equipment and supplies

  6. Mass immunization and prophylaxis

  7. Addressing the information needs of the public and the news media

  8. First responder protection

  9. Rescue and stabilization of victims

  10. Diagnosis and agent identification

  11. Decontamination of victims

  12. Transportation of victims

  13. Distribution of supplies, equipment, and pharmaceuticals

  14. Shelter and feeding of evacuated and displaced persons

  15. Definitive medical care (includes mass immunization or distribution of drugs or vaccines)

  16. Mental health services for responders, victims, caregivers, and their families

  17. Volunteer utilization and control

  18. Crowd and traffic control

  19. Evacuation and quarantine decisions and operations

  20. Fatality management

  21. Environmental cleanup, physical restoration of facilities, and certification of safety

  22. Follow-up study of responder, caregiver, and victim health

  23. Process for continuous evaluation of needs and resources



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