. "3 Conclusions and Recommendations." Improving Civilian Medical Response to Chemical or Biological Terrorist Incidents: Interim Report on Current Capabilities. Washington, DC: The National Academies Press, 1998.
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Improving Civilian Medical Response to Chemical or Biological Terrorist Incidents: Interim Report on Current Capabilities
Recommendation 2: Survey major metropolitan hospitals on suppliesofantidotes, drugs, ventilators, personal protective equipment,decontamination capacity, mass-casualty planning and training, isolationrooms for infectious disease, and familiarity of staff with the effectsandtreatment of chemical and biological weapons.
Recommendation 3: Encourage the CDC to share with the states itsdatabase on the location and owners of dangerous biological materials.Statehealth departments in turn should be encouraged, perhaps by educationortraining on the effects of the agents and medical responses required,to addinfections by these materials to their lists of reportable diseases.
Recommendation 4: Provide additional support for the Army's efforts totest commercial (i.e., OSHA/NIOSH/NFPA-approved) personal protectiveequipment for protection against nerve agents and vesicants.
Recommendation 5: Convene discussions with FDA on the use ofinvestigational products in mass-casualty situations and on acceptableproofof efficacy for products where clinical trials are not ethical orare otherwiseimpossible.
Recommendation 6: Develop incentives for hospitals to be ambulance-receiving hospitals, to stockpile nerve-agent antidotes and selectedantitoxinsand put them in the hands of first responders (this may require changestoexisting laws or regulations in some states), to purchase appropriatepersonal protective equipment and expandable decontamination facilitiesand train emergency department personnel in their use.
Recommendation 7: Supplement existing state and federal traininginitiatives with a program to incorporate existing information onpossiblechemical or biological terror agents and their treatment into themanuals,SOPs, and reference libraries of first responders, emergency departments,and poison control centers. Professional societies and journal publishersshould be recruited to help in this effort.
Recommendation 8: Intensify Public Health Service efforts to organizeandequip Metropolitan Medical Strike Teams in high-risk cities throughoutthecountry. Although MMSTs are designed to cope with terrorism, becausethey use local personnel and resources, they also increase the community'sgeneral ability to cope with industrial accidents and other mass-casualtyevents.