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Improving Civilian Medical Response to Chemical or Biological Terrorist Incidents: Interim Report on Current Capabilities
training 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), and 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 into the manuals, SOPs, textbooks,andreference libraries of first responders, emergency departments, andpoisoncontrol centers. User-friendly online or CD-ROM databases are especiallyimportant. Professional societies and journal publishers should berecruitedto help in this effort.
Recommendation 8: Intensify Public Health Service efforts to organizeandequip Metropolitan Medical Strike Teams (MMST) in high-risk citiesthroughout the country. Although MMSTs are designed to cope withchemical and biological terrorism, because they use local personnelandresources, they increase the community's general ability to cope withindustrial accidents and other mass-casualty events.