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R&D Needs

The committee is encouraged by the recent provisions of Presidential Decision Directive 63 that call for establishing a national center to warn owners and operators of critical economic and governmental infrastructures of terrorist threats. We hope that as the details of this center are developed, the medical community will not be overlooked. To enhance communication to and within the national medical community, the following R&D needs have been identified:


Development of a formal communication network between the intelligence community and the medical community that incorporates local emergency management agencies as an important element and thereby creates a mechanism for public health and emergency management officials to gain access to intelligence information. This might best be accomplished by incorporating public health and other health professionals into the intelligence community to monitor and assess biological agents and terrorist threats from the perspective of a health emergency (health intelligence liaisons). Operations research should be done to identify what triggers should initiate the transfer of intelligence information and what medical and intelligence agencies should be involved.


Development of a national mechanism for the distribution of clinical data, including treatment modalities, patient outcomes, efficacy of pharmaceutical agents, best practices, and other medical interventions, to the intelligence and medical communities after an actual event or exercise.

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