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

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