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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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Suggested Citation:"Appendix D: Biographical Sketches of Speakers and Panelists." Institute of Medicine. 2014. Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18347.
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D Biographical Sketches of Speakers and Panelists Armin Ansari, Ph.D., C.H.P., is a health physicist at the Centers for Disease Control and Prevention (CDC), serving as subject matter expert in CDC’s radiation emergency preparedness and response activities. He has worked with local and state agencies on matters related to nuclear and radiological emergency preparedness, conducts training workshops, and lectures extensively on this topic to technical and nontechnical audiences throughout the country. Dr. Ansari is the lead author of the CDC guide for state and local public health planners on population monitoring and is now leading an interagency working group to develop guidance for operation of public shelters after a large-scale radiation emergency. He previously served on a Homeland Security Council interagency committee for preparedness and response to radiological and nuclear threats and was a contributing author to the federal planning guidance for response to a nuclear detonation. He is also an adjunct associate professor of nuclear and radiological engineering at Georgia Institute of Technology and author of the textbook Radiation Threats and Your Safety: A Guide to Preparation and Response for Professionals and Community. Dr. Ansari earned his B.S. and Ph.D. degrees in radiation biophysics from the University of Kansas, starting his career as a radiation biologist, and completed his postdoctoral research on molecular mechanisms of radiation-induced mutagenesis at Oak Ridge and Los Alamos National Laboratories. He is certified in comprehensive practice by the American Board of Health Physics and is a diplomate of the American Academy of Health Physics. Dr. Ansari previously served as a director and now serves as president of the Health Physics Society. 115

116 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK Jenny G. Atas, M.D., F.A.C.E.P., is associate professor of emergency medicine at Wayne State University and the disaster coordinator for the Detroit Medical Center. Dr. Atas also serves as the medical director for the Detroit East Medical Control Authority and is the medical director of Detroit Emergency Medical Services. In addition, he serves as the medical director of Region 2 South Healthcare Coalition (R2S), which consists of the southeast counties of Wayne, Washtenaw, and Monroe— the area of largest population density in Michigan. R2S is composed of four public health departments and 37 hospitals and health systems in addition to 267 agencies, including the American Red Cross, 85 emergency medical service (EMS) organizations, fire departments, police departments, institutes of higher learning, state and local governments, nonprofit organizations, and businesses. In addition, R2S has formed strategic partnerships with hospitals, EMS agencies, and government officials in Canada and Ohio. R2S is funded by the U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response Cooperative Agreement, Hospital Preparedness Program. In 2012, the coalition conducted a 2-phase disaster exercise to prepare 37 coalition hospitals to collaboratively manage a National Planning Scenario #1 terrorist incident—a ground- burst detonation of a 10-kiloton improvised nuclear device (IND). The exercise was named Operation Shared Burden 2012. Phase 1, a combined educational seminar/table-top exercise, was conducted on June 7. Phase 2, a full-scale exercise, was conducted on October 4. A primary purpose of the exercise was to increase understanding of the threat (i.e., an IND detonation is not a full-scale nuclear war) and appropriate protective actions (e.g., early, adequate sheltering in place followed by informed, delayed evacuation) to reduce potential hospital casualties. Federal, state, and local government agencies joined with the coalition in designing, planning, conducting, and evaluating the exercise. Thirty-seven (37) hospitals, 4 medical control authorities, 13 government agencies, and more than 12,000 individuals participated in the exercise. The exercise met all the requirements of the Homeland Security Exercise and Evaluation Program. The coalition and its planning partners are now working on the preparedness, response, and recovery issues that require further development or improvement as specified by the exercise evaluation team. Dr. Atas has received numerous honors and awards, the most recent of which are the City of Detroit Testimonial Resolution, American Heart Association Heart Saver Award, and the 2007 Home-

APPENDIX D 117 town Healthcare Hero from Michigan’s Department of Community Health. Steven M. Becker, Ph.D., is professor of community and environmental health in the College of Health Sciences at Old Dominion University in Norfolk, Virginia. He is a leading international expert on community responses to unconventional disasters, public health preparedness, and response, risk communication, and emergency messaging for chemical, biological, radiological, and nuclear issues. Dr. Becker served as a principal investigator in the Centers for Disease Control and Prevention– Association of Schools of Public Health Pre-Event Message Develop- ment Project, one of the most extensive peer-reviewed studies ever con- ducted of people’s concerns and communication needs in situations involving unconventional health threats. More recently, he has served as principal investigator for a multiyear Department of Homeland Security study of the communication and information challenges posed by radiological threats and incidents. In addition to his scholarly research, Dr. Becker has extensive field experience at the sites of major incidents around the world. This includes cases such as a major drinking water contamination incident in Great Britain, the 1999 nuclear criticality accident in Tokaimura, Japan, and the 2001 foot-and-mouth disease outbreak in the United Kingdom. He has also done follow-up work in Ukraine and Belarus on the community impacts of the Chernobyl disaster. In 2011, Dr. Becker was a member of a three-person radiological emergency assistance team invited to Japan in response to the earthquake/tsunami disaster and the accident at Fukushima Dai-ichi nuclear plant. While on the ground, the team carried out a rapid site assessment in affected areas, exchanged information with Japanese disaster response organizations, and provided training to more than 1,100 Japanese physicians, nurses, and other health care providers and emergency responders. In 2005, Dr. Becker was elected by his scientific peers to serve on the National Council on Radiation Protection and Measurements, and his work on emergency management and risk communication has been recognized by scientific organizations such as the Health Physics Society and Oak Ridge Associated Universities. He has also been a visiting fellow at the Japan Emergency Medicine Foundation and the National Hospital Tokyo Disaster Medical Center. For more than a decade, Dr. Becker has been an invited faculty member for Harvard School of Public Health’s course on radiological emergency planning. Early in 2012, he was named to the Thought Leader Advisory

118 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK Council of the National Public Health Information Coalition. In September 2012, Dr. Becker was appointed by President Barack Obama to the U.S. Nuclear Waste Technical Review Board. Brooke Buddemeier, M.S., is a certified health physicist (radiation safety specialist) in the global security directorate of Lawrence Livermore National Laboratory (LLNL). He supports the Risk and Consequence Management Division in its efforts to evaluate the potential risks and consequences of radiological and nuclear terrorism. LLNL does this by providing expert technical information in nuclear threat assessment, nuclear incident response, and forensics and attribution. Mr. Buddemeier is a council member of the National Council on Radiation Protection and Measurements (NCRP) and serves on the scientific committees that developed Commentary No. 19—Key Elements of Preparing Emergency Responders for Nuclear and Radiological Terrorism (2005) and NCRP Report #165—Responding to a Radiological or Nuclear Terrorism Incident: A Guide for Decision Makers (2010). Mr. Buddemeier is an active member of the Health Physics Society (HPS) and a member of the HPS Homeland Security Committee. From 2003 through 2007, Mr. Buddemeier was on assignment with the Department of Homeland Security (DHS) as the program manager for the weapons of mass destruction emergency response and consequence management program under Science and Technology Directorate’s emergency preparedness and response portfolio. He supported the Federal Emergency Management Agency and the Homeland Security Operations Center as a radiological emergency response subject matter expert. He also facilitated the department’s research, development, test, and evaluation process to improve emergency response through better capabilities, protocols, and standards. Before moving to DHS, he was part of LLNL’s Nuclear Counterterrorism Program and coordinated LLNL’s involvement in the National Nuclear Security Administration’s Radiological Assistance Program (RAP) for California, Hawaii, and Nevada. RAP is a national emergency response resource to assist federal, state, and local authorities in the event of a radiological incident. As part of RAP’s outreach efforts, Mr. Buddemeier has provided radiological responder training and instrumentation workshops to police, firefighters, and members of other agencies throughout the nation. He has also trained radiological emergency responders on the use of specialized radiological response equipment throughout the United States and in Kazakhstan. Mr. Buddemeier has also provided operational health physics support for

APPENDIX D 119 various radio-chemistry, plutonium handling, accelerator, and dosimetry operations at LLNL for more than 15 years and has been working on emergency response issues for more than 10 years. He has participated in radiological emergency responses and exercises throughout the world. Norm Coleman, M.D., received his B.A. in mathematics, summa cum laude, from the University of Vermont in 1966 and his M.D. from Yale University in 1970. He is board-certified in three specialties—internal medicine from the University of California, San Francisco, medical oncology from the National Cancer Institute (NCI) and radiation oncology from Stanford University. He served in the U.S. Public Health Service at the National Institutes of Health. He was an assistant and tenured associate professor of radiation and medical oncology at Stanford and from 1985 to 1999 was professor and chairman of the Harvard Medical School Joint Center for Radiation Therapy. Since 1999, he has been associate director, Radiation Research Program, and senior investigator with a molecular radiation therapeutics laboratory in the Radiation Oncology Branch of NCI. Since 2004, he has also been a senior medical advisor in the Office of the Assistant Secretary for Preparedness and Response in the Department of Health and Human Services. His focus is on radiological and nuclear preparedness and planning, but the programs apply to all hazards. This includes the Scarce Resources for a Nuclear Detonation project and participation at the U.S. Embassy in Tokyo during the Japanese disaster in March 2011. Among Dr. Coleman’s honors are the gold medal from the American Society for Radiation Oncology and the 2011 Samuel J. Heyman Service to America Homeland Security Medal. Donald A. Donahue, D.H.Ed., M.B.A., F.A.C.H.E., is president and CEO of Diogenec Group, a Washington, DC, health care professional services firm. He previously served as the director of health policy and preparedness programs at the Potomac Institute for Policy Studies, vice president with Jefferson Consulting Group, senior marketing manager for Merit Behavioral Care, emergency department administrator and consultant for New York City Health and Hospitals Corporation, and deputy surgeon for plans and fiscal administration for the Army Reserve. Dr. Donahue is a fellow of the American College of Healthcare Executives and the University of Pittsburgh Center for National Preparedness. An adjunct assistant professor with University of Maryland, University College, and the University of Maryland, Baltimore County, he holds a B.S. in

120 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK sociology and political science and an M.B.A. and doctorate in health education. His other activities include board membership in the American Academy of Disaster Medicine/American Board of Disaster medicine, work as a peer reviewer for the Health Resources and Services Administration, medical response director for Firestorm Solutions, and Chairman of the Board of Directors for Melwood, an AbilityOne services agency. Robert A. Farmer, M.S., was appointed as director, operations division, in the Federal Emergency Management Agency’s (FEMA’s) Response Directorate in December 2011. A career member of the Senior Executive Service, Mr. Farmer is responsible for providing the management and coordination of the core federal disaster response teams, resources, and programs needed to support FEMA’s regions; interagency partners; state, local, territorial, and tribal governments; voluntary agencies; and disaster survivors. Mr. Farmer joined FEMA in April 2007 in the program analysis and evaluation division. He was selected as a career member of the Senior Executive Service and appointed as the director of the program analysis and evaluation division for FEMA in August 2008. He served as the acting deputy chief financial officer for FEMA from June 2008 through November 2008 and as acting director of the Office of Policy and Program Analysis (OPPA) from March 2009 through August 2009. He was the deputy director for OPPA from July 2009 to December 2011. Prior to joining FEMA, Mr. Farmer served for 26 years as an officer in the U.S. Coast Guard, where he gained extensive incident management and emergency response experience. His operational tours included serving as an operations officer, executive officer, and com- manding officer of Coast Guard vessels. His shore assignments included serving as commanding officer of Coast Guard Headquarters Support Command and assignments within the Coast Guard’s strategic planning, financial management, strategic analysis, and planning and performance offices. Mr. Farmer earned a B.S. in physical science from the U.S. Coast Guard Academy, holds an M.S. in operations research from the Naval Postgraduate School, and graduated from the National War College with an M.S. in national security strategy. Mr. Farmer received the Admin- istrator’s Outstanding Individual Award, and his military awards include two Legion of Merit awards, the Defense Meritorious Service Medal, three Meritorious Service medals, the Coast Guard Commendation Medal, and four Coast Guard Achievement medals.

APPENDIX D 121 Bruce Foreman, M.S., is currently the radiation communications specialist within the Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) branch of the Response Directorate, Federal Emer- gency Management Agency (FEMA). Prior to joining FEMA in March 2012, Bruce served for 27 years in the U.S. Army as Chemical Bio- logical, Radiological and Nuclear (CBRN) officer. Mr. Foreman has served in multiple tactical, operational, and strategic positions within the Department of Defense’s CBRN Enterprise, including as Chief of Protection, Multi-National Corps Iraq, and First Corps Chemical Officer (2007–2011). Andrew Garrett, M.D., M.P.H., is the director of the National Disaster Medical System (NDMS) at the Department of Health and Human Services (HHS). NDMS is located in the Office of the Assistant Secretary for Preparedness and Response (ASPR) and serves as a federally coordinated system that augments the civilian emergency medical response capabilities of the United States. NDMS consists of more than 8,000 intermittent federal employees organized into response teams such as Disaster Medical Assistance Teams, Disaster Mortuary Response Teams, and the National Veterinary Response Team. Prior to this position, Dr. Garrett was the deputy chief medical officer for NDMS for more than 2 years, and he recently served in the role of interim director for the Emergency Care Coordination Center, a division of ASPR that was established to explore and address some of the critical gaps in the U.S. emergency care system. Dr. Garrett is board-certified in pediatrics and has broad experience as a medical director for fire, emergency medical services (EMS), and law enforcement agencies. He completed a 2-year medical fellowship in EMS and disaster medicine and received an M.P.H. degree from the University of Massachusetts in 2006. He has an adjunct appointment at the Uniformed Services University of Health Sciences as an assistant professor of preventive medicine and biometrics. Prior to starting at HHS, Dr. Garrett was in a senior leader- ship position at Columbia University’s Mailman School of Public Health, National Center for Disaster Preparedness. He maintains his role as an advisor on pediatrics, disaster medicine, and EMS for HHS. His past clinical experience includes serving as an attending physician in pediatric emergency medicine in Worcester, Massachusetts, and 3 years as a pediatric transport medicine attending physician in Los Angeles. His disaster fieldwork includes deployment to the 2010 Haiti earthquake as the chief medical officer to the HHS Incident Response Coordination

122 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK Team, the Joplin Tornado in 2011, the Deepwater Horizon environmental disaster in 2010, Hurricane Katrina, the 2006 Nias Island earthquake in Indonesia, and several others. His publications include Children and Megadisasters: Lessons Learned in the New Millennium, Public Health Disaster Research: Surveying the Field, Defining Its Future, and Mitigating Absenteeism in Hospital Workers During a Pandemic. Mordechai “Mordy” Goldfeder, M.P.A., is the senior health and medical Planner at the New York City (NYC) Office of Emergency Management (OEM), responsible for the ongoing development of the health and medical components to citywide response plans. During Hurricane Irene, he established and directed the operations at the Healthcare Evacuation Center (HEC), which coordinated the movement of more than 9,000 vulnerable people from hospitals, nursing homes, and adult care facilities pre-storm. During Hurricane Sandy, he opened and directed the HEC to coordinate the post-storm evacuation of more than 6,000 vulnerable people from hospitals, nursing homes, and adult care facilities heavily damaged by the storm. Before joining NYC OEM, Mr. Goldfeder worked for the NYC Fire Department. During his 19-year tenure, he worked in many different capacities, starting as paramedic, becoming an instructor in the EMS academy, and later becoming a lieutenant, in which role he led the response to many incidents, including a 2006 steam pipe explosion and a 2008 crane collapse. In addition, he was assigned to the New York City Fire Department’s (FDNY’s) com- munications center, where he was certified as a communications specialist. Prior to his work in the FDNY, he was a volunteer for the American Red Cross, where he taught CPR and first aid and was a disaster relief worker recognized by then-Mayor David Dinkins for his efforts in running a shelter for displaced families during the floods of the 1993 Nor’Easter. In addition, he is an active first-response paramedic for a volunteer ambulance service on Long Island. Mr. Goldfeder holds a B.A. in fire and emergency management as well as an M.P.A. in investigation and operational inspection from John Jay College of Criminal Justice. He is a frequent guest speaker at his alma mater and has been part of several nationally recognized conferences relating to emer- gency management specific to health care issues. Dan Hanfling, M.D., is special advisor to the Inova Health System in Falls Church, Virginia, on matters related to emergency preparedness and disaster response. He is a board-certified emergency physician

APPENDIX D 123 practicing at Inova Fairfax Hospital, Northern Virginia’s Level I trauma center. He serves as an operational medical director for air medical services and has responsibilities as a medical team manager for Virginia Task Force One, a Federal Emergency Management Agency– and United States Agency for International Development–sanctioned international urban search-and-rescue team. Dr. Hanfling was involved in the response to the Izmit, Turkey, earthquake in 1999, the Pentagon attack in September 2001, and Hurricanes Rita and Katrina in 2005 and Gustav and Ike in 2008. Most recently, he participated in the response to the devastating earthquake affecting Port au Prince, Haiti. He was integrally involved in the management of the response to the anthrax bioterrorism mailings in fall 2001, when two cases of inhalational anthrax were successfully diagnosed and managed at Inova Fairfax Hospital. Dr. Hanfling is a founding member of the Northern Virginia Hospital Alliance. He has testified before Congress on the issues of disaster preparedness and lectures nationally and internationally on prehospital-, hospital-, and disaster-related subjects. He currently serves as the vice chair of the Institute of Medicine Committee on Establishing Standards of Care in Disaster Events. Dr. Hanfling received an A.B. in political science from Duke University and was awarded his medical degree from Brown University. He completed an internship in internal medicine at the Miriam Hospital in Providence, Rhode Island and an emergency medicine residency at George Washington/Georgetown University Hospitals. He is clinical professor of emergency medicine at George Washington University, a contributing scholar at the University of Pittsburgh Medical Center Center for BioSecurity, and an adjunct distinguished senior fellow at the George Mason University School of Public Policy. Richard Hansen, B.S., is a resident scientist for the CTOS/Center for Rad/Nuc Training Research, Analysis, and Development Department and team leader for the development of the Department of Homeland Security (DHS)/Federal Emergency Management Agency (FEMA) training program Key Leader Training: Incident Commander Response to an IND. Prior to this position, he was the technical subject matter expert, course director, lead course developer, and lead instructor for DHS/FEMA courses for civilian emergency responders and National Guard Civil Support Teams courses for prevention and response to radiological/nuclear weapons of mass destruction incidents. Mr. Hansen is also a former team member of U.S. Department of Energy radiological/ nuclear emergency response team and previously developed detection

124 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK instruments, isotope identification instruments, analysis software, operational procedures, and training courses for this team. Jack Herrmann, M.S.Ed., N.C.C., L.M.H.C., is the senior advisor for Public Health Preparedness at the National Association of County and City Health Officials (NACCHO), an association that represents approximately 3,000 local public health departments across the country. In this role, he oversees the organization’s preparedness portfolio, which consists of five federally funded programs aimed at enhancing and strengthening the preparedness and response capacity of local health departments. He is responsible for establishing priorities for public health preparedness within the organization and also serves as the organ- ization’s liaison to local, state, and federal partner agencies. Prior to joining NACCHO, Mr. Herrmann was an assistant professor of psychiatry and director of the Program in Disaster Mental Health at the University of Rochester Medical Center. As the former founder and director of Strong EAP, he specialized in developing critical response teams for local police, fire, and health care organizations. Mr. Herrmann has also been a long-time volunteer with the American Red Cross. Since 1993, he has responded to numerous disasters, including the New York City attacks of September 11, 2001; Hurricanes Katrina and Rita in Louisiana; the Northridge California earthquake; the explosion of TWA Flight 800; and the crash of Comair Flight 5191 in Lexington, Kentucky. Prior to relocating to Washington, DC, he was the American Red Cross disaster mental health consultant for the northeastern region of the United States (including Puerto Rico and the Virgin Islands) and a member of the Red Cross National Critical Response Team. He co- authored the training curricula Foundations of Disaster Mental Health and Psychological First Aid, the nationally recognized and required training for all Red Cross disaster mental health volunteers. In 2006, he adapted Psychological First Aid: A Field Guide, developed by the National Center for PTSD and the National Child Traumatic Stress Network, for the National Medical Reserve Corps. Mr. Herrmann earned a master’s degree in education from the University of Rochester, is certified by the National Board of Certified Counselors, and is a licensed mental health counselor in the state of New York. John Hick, M.D., is a faculty emergency physician at Hennepin County Medical Center (HCMC) and an associate professor of emergency medicine at the University of Minnesota. He serves as the associate med-

APPENDIX D 125 ical director for Hennepin County emergency medical services and medical director for emergency preparedness at HCMC. He is medical advisor to the Minneapolis/St. Paul Metropolitan Medical Response System. He also serves the Minnesota Department of Health as the medical director for the Office of Emergency Preparedness and medical director for Hospital Bioterrorism Preparedness. He is the founder and past chair of the Minneapolis/St. Paul Metropolitan Hospital Compact, a 29-hospital mutual aid and planning group active since 2002. He is involved at many levels of planning for surge capacity and adjusted standards of care and traveled to Greece to assist in health care system preparations for the 2004 Summer Olympics as part of a 15-member team from the Centers for Disease Control and Prevention and the Department of Health and Human Services. He is a national speaker on hospital preparedness issues and has published numerous papers dealing with hospital preparedness for contaminated casualties, personal protec- tive equipment, and surge capacity. John F. Koerner, M.P.H., C.I.H., is the Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) branch chief in the Office of Preparedness and Emergency Operations for the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services. The work of the CBRNE branch is to provide CBRNE subject matter expertise and lead the development of innovative, evidence-based interventions to support the nation’s medical and public health response to catastrophic disasters and terrorist incidents. Mr. Koerner also serves as senior public health advisor and triage chief for a charitable organization that conducts primary care clinics in remote Caribbean locales. Mr. Koerner worked previously at the U.S. Department of Labor headquarters, where he was twice awarded the Secretary’s Exceptional Achievement Award for his work developing protective guidance for anthrax and pandemic influenza. Prior to that Mr. Koerner was principal of a consulting firm specializing in health care, environmental microbiology, biodefense, and emergency response. Mr. Koerner served in the U.S. Army Reserve as a Medical Service Corps officer assigned to a civil affairs battalion (airborne) and deployed to Afghanistan, where he served as public health officer and medical section chief. George Korch, Ph.D., is the senior science advisor to the Assistant Secretary for Preparedness and Response, Department of Health and

126 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK Human Services, and is a visiting professor in the department of molecular microbiology and immunology, Johns Hopkins Bloomberg School of Public Health. Dr. Korch retired from the U.S. Army Medical Department in 2008, where he had served in a number of leadership roles, including as commander of the U.S. Army Medical Research Institute of Infectious Diseases and director of the Department of Defense Medical Chemical and Biological Defense Research Program. He also served as one of the first directors of the National Biodefense Analysis and Countermeasure Center, Department of Homeland Security. His area of expertise is in viral and rickettsial zoonotic diseases and in medical countermeasure development (vaccines, therapies, and diagnostics) for biodefense needs. He serves or has served on committees such as the Institute of Medicine’s Forum on Microbial Threats, the state of Maryland’s Life Sciences Advisory Board, and the Standards Development Committee for the American Type Cell Culture. Thomas Langer, M.P.A., is director of the Bureau of Environmental Health for the Kansas Department of Health and Environment. Mr. Langer is the Emergency Support Function-10 radiation response lead for the Kansas emergency response team and served as the state policy spokesman during the 2012 Amber Waves radiological incident response activities, during which Kansas successfully demonstrated response capacities that included mass population reception, monitoring, decontamination, and dose assessment. The Kansas response also included reception and decontamination of service animals and pets. Mr. Langer is a member of the National Alliance for Radiation Readiness (NARR) board representing the Association of State and Territorial Health Officials (ASTHO) and serves on the NARR website development committee. Mr. Langer also serves on the ASTHO Environmental Health Policy Committee and contributed to the 2011 Fukushima accident after-action report. He holds an M.P.A. from the University of Kansas as well as a B.A. in social sciences from Washburn University of Topeka. He is a member of the Environmental Health Association and past president of the Kansas Chapter, American Society of Public Administration. He is a graduate of the Kansas Public Health Leadership Institute Program and is a certified adult educator. Robert Levin, M.D., is the health officer/medical director for Ventura County, Califronia, Department of Public Health. He has served in that capacity for the past 14 years. Most recently, Dr. Levin has worked on

APPENDIX D 127 nuclear preparedness, including a written nuclear plan that delineates Ventura County’s response to a nuclear explosion. He is currently preparing to launch a public information campaign to educate his county on nuclear explosion preparedness. Dr. Levin received his medical degree from the University of Missouri in Columbia. He completed his pediatric residency at San Francisco General Hospital and the University of California, San Francisco. He is board-certified in pediatrics and pediatric infectious diseases. He served as chairman of pediatrics at Natividad Medical Center in Salinas, California. In 1987 he moved his family to Chicago, Illinois, to become program director for the pediatric residency training program at Christ Hospital in Oak Lawn, Illinois, and then became chairman of the department of pediatrics at Mount Sinai Hospital, Chicago. He moved to Ventura County in 1998 to assume his current position as Ventura County’s public health officer. As health officer, Dr. Levin has been the chief medical officer overseeing all Ventura County terrorism-related activities and threats. In October 2007, on behalf of Ventura County, he published the “Ventura County Nuclear Explosion Response Plan,” which was was revised and updated in 2011. In February 2010, he spoke on the topic of nuclear detonation response at the National Association of County and City Health Officials conference in Atlanta and at the National Center for Disaster Preparedness, Columbia University. Onora Lien, M.A., is planning manager with the Northwest Healthcare Response Network (formerly King County Healthcare Coalition) at Public Health–Seattle & King County. In this capacity, she leads regional health care planning related to health, medical, and mortuary response capabilities in coordination with health care organizations, local health departments, and other emergency response and community partners across two counties in the greater Seattle metropolitan area. Examples of Ms. Lien’s current project areas include hospital and nursing home evacuation, patient movement, patient tracking, medical surge and crisis standards of care, health care situational awareness and information sharing, disaster behavioral health, and fatality management. Since 2008, Ms. Lien has been a lead project planner with the Puget Sound Regional Catastrophic Preparedness Grant Program, including projects related to Family Assistance Center operations and family reunification during large-scale mass fatality incidents and, most recently, forward movement of patients and evacuation in catastrophic events. Ms. Lien has worked for more than 11 years on issues related to emergency preparedness and

128 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK response. Prior to joining the Northwest Healthcare Response Network and Public Health–Seattle & King County in 2006, Ms. Lien worked as a research and policy analyst in the metropolitan Washington, DC, region, on issues related to public health preparedness and homeland security with the Johns Hopkins Center for Civilian Biodefense Strategies and the University of Pittsburgh Center for Biosecurity. She completed her master’s in sociology at Johns Hopkins University, where her work focused on the social and behavioral aspects of public health emer- gencies and disaster response. David “Marco” Marcozzi, M.D., M.H.S.-C.L., serves as the director of the newly-established Emergency Care Coordination Center (ECCC) within the Office of the Assistant Secretary of Preparedness and Response (ASPR) at the Department of Health and Human Services. ECCC’s function is to coordinate and address issues that involve the delivery of the nation’s daily emergency care—from emergency medical services (EMS) dispatch to disposition from the emergency department. Examining and focusing on operational, research, and policy issues, the ECCC will address concerns such as ambulance diversion, region- alization, and emergency department overcrowding. In 2006, Dr. Marcozzi completed a congressional fellowship during which he worked with the Subcommittee on Bioterrorism and Public Health Preparedness in the Senate. While there, he assisted with drafting the Pandemic and All-Hazards Preparedness Act. This statute codified the roles and respon- sibilities of ASPR, which included an important role in promoting EMS. Until recently, Dr. Marcozzi held the position of assistant professor of emergency medicine and director of disaster preparedness at Duke University Medical Center. He is now a faculty member at Georgetown University, continuing to practice emergency medicine at Washington Hospital Center in Washington, DC. Previously a North Carolina volunteer firefighter and member of the National Disaster Medical System, in which capacity he responded to New York City on 9/11, Dr. Marcozzi currently serves as a major in the U.S. Army Reserves. He has been mobilized twice since 2001, once as part of Operation Iraqi Freedom and again during Hurricane Katrina. He is the recipient of military and civilian awards including the Military Outstanding Volunteer Service Medal, the Army Commendation Medal, the Duke University Health System Strength, Hope and Caring Award, and the Duke Emergency Medicine Distinguished Faculty Award. A graduate of Boston College and St. George’s University School of Medicine, Dr.

APPENDIX D 129 Marcozzi completed his emergency medicine residency at Brown University. Recently, he also completed a master’s degree in health sciences in clinical leadership from Duke University School of Medicine. Ruth McBurney, M.S., C.H.P., is the executive director of the Conference of Radiation Control Program Directors. In that position, she manages and directs the administrative office for the organization. Prior to taking that position in January 2007, she was the manager of the Radiation Safety Licensing Branch at the Texas Department of State Health Services, culminating 25 years of service in the Texas Radiation Control Program, most of which involved licensing and standards development. Ms. McBurney has served on the Nuclear Regulatory Commission’s Advisory Committee on the Medical Use of Isotopes and the U.S. Food and Drug Administration’s National Mammography Quality Assurance Advisory Committee and is currently serving on the National Council on Radiation Protection and Measurements. She served as a consultant to the International Atomic Energy Agency in the categorization of radiation sources and recently served on a committee of the National Academy of Sciences regarding replacement technologies for high-risk radiation sources. She is a former president of the Health Physics Society and has been a U.S. delegate to the International Radiation Protection Association’s 10th, 11th, and 12th Congresses. Ms. McBurney holds a B.S. in biology from Henderson State University in Arkansas and an M.S. in radiation sciences from the University of Arkansas for Medical Sciences. She is also certified in comprehensive health physics by the American Board of Health Physics. Edward J. McDonough became public information officer for the Maryland Emergency Management Agency (MEMA) in Reisterstown, Maryland, in 2003. He had served as public information officer for the Maryland Department of Housing and Community Development in Crownsville from 1998 through 2003. Prior to state service, Mr. McDonough spent 15 years as a journalist at a variety of newspapers and newsletters, including the Baltimore Sun and the Carroll County Times in Westminster. Mr. McDonough is a 1980 graduate of Northeastern University in Boston, where he received a B.S. in arts and sciences (journalism). As the lead state public information officer for the Chemical Stockpile Emergency Preparedness Program at MEMA, he served on three integrated process teams—the Aberdeen community, national public affairs, and national closeout—before the stockpile at

130 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK Aberdeen was fully neutralized in March 2005. He has completed the Public Affairs and Information Technology course at the Oak Ridge (Tennessee) Institute for Science and Education, the Advanced Public Information Officer course taught by the Federal Emergency Manage- ment Agency’s (FEMA’s) Emergency Management Institute (EMI) in Emmitsburg, Maryland, and a variety of National Incident Management System courses taught by EMI. Mr. McDonough is an instructor for FEMA’s Basic Public Information and Introduction to Joint Information System/Joint Information Center courses. He also was on a team that helped develop the Master-Level Public Information Officer Course and curriculum for various training classes for FEMA External Affairs staff (full-time and reserve) at EMI. He is a member of the senior policy group for the National Capital Region Emergency Support Function-15 group, is active with the National Emergency Management Association’s Public Information Subcommittee, and regularly attends and presents at meetings hosted by the Maryland Public Information Network, Public Information Leaders of Tomorrow (Southern Maryland), and the Baltimore Public Relations Council. He has given numerous presentations on operating a Joint Information Center and using social media in emergencies. He lives with his family in Taneytown, Maryland. Charles Miller, Ph.D., is currently chief of the Radiation Studies Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health. In this position, he provides leadership for the agency’s radiological emergency response and consequence management efforts. Dr. Miller joined the Centers for Disease Control and Prevention in January 1992. Previously, he worked with the Illinois Department of Nuclear Safety, Oak Ridge National Laboratory, and Anderson (Indiana) University. His primary area of expertise is the transport and dose assessment of radionuclides released to the atmosphere and other facets of environmental radiological dose assessment. He has authored or co-authored more than 100 journal articles, laboratory reports, and meeting papers. Dr. Miller is a member of the National Council on Radiation Protection and Measurements and a fellow of the Health Physics Society. Dr. Miller holds a B.S. in physics/mathematics from Ball State University, an M.S. in meteorology from the University of Michigan, and a Ph.D. in bionucleonics (Health Physics) from Purdue University.

APPENDIX D 131 Jonathon Monken, M.B.A., was appointed by Governor Pat Quinn as Director of the Illinois Emergency Management Agency (IEMA) in 2011. As director, Mr. Monken oversees Illinois’s disaster preparedness and response, nuclear safety, and homeland security programs, as well as more than 245 employees and a budget of more than $618 million. In this capacity, he also serves as the Illinois homeland security advisor to the governor. At IEMA, Mr. Monken has directed the response and recovery effort to 91 Illinois counties declared state disaster areas, which included the statewide response to the 2011 blizzard, the record Midwest 2011 floods that impacted multiple regions in the state, and the devastating tornado that struck Harrisburg and Ridgeway in southern Illinois. Mr. Monken is chairman of the Central United States Earthquake Consortium, a partnership of the eight states affected by the New Madrid Seismic Zone. He was most recently appointed the vice-chair of the National Emergency Management Association (NEMA) Homeland Security Committee and elected the NEMA vice-president to FEMA Region V. Mr. Monken is also a member of the Governor’s Homeland Security Advisors Council. Prior to becoming IEMA director, Monken served for 2 years as acting director of the Illinois State Police, an agency with a staff of 3,400 sworn and civilian personnel and an annual budget of approximately $428 million. Mr. Monkem also possesses a distinguished military career, having served one tour of duty in Kosovo and two combat tours in Iraq between January 2003 and December 2006. While serving with the U.S. Army, Mr. Monken was awarded the Bronze Star Medal and the Army Commendation Medal with the “V” device for valor in combat. Mr. Monken graduated from the U.S. Military Academy at West Point, where his military class rank placed him in the top 1 percent of his class. He also holds an M.B.A. from Northwestern University’s Kellogg School of Management. Mr. Monken enjoys being active in his community and is a proud member of American Legion Post #1922 and Springfield Mid-Town Club of Rotary International. He lives in Springfield with his wife, Jennifer, and their two sons, Jack and Luke. Ann Norwood, M.D., a retired Army colonel, obtained her medical degree from the Uniformed Services University of the Health Sciences, where she later served as a billeted faculty member for 15 years, ultimately serving as associate chair of psychiatry. She joined the Office of Public Health Emergency Preparedness (now the Office of the Assistant Secretary for Preparedness and Response) at the Department of Health and Human Services (HHS) as senior advisor for public health

132 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK risk communication in April 2003. In 2007, Dr. Norwood left HHS and joined the Center for Biosecurity of the University of Pittsburgh Medical Center as a senior associate. Dr. Norwood has written and spoken extensively on the psychological, behavioral, and social effects of trauma and violence (with a special focus on chemical, biological, radiological, and nuclear areas), communication, and military issues. She has co- edited two volumes for Cambridge University Press and one for the American Psychiatric Association on psychological trauma and disasters. She served as chair of the American Psychiatric Association’s disaster committee during 2001 and helped shape its response to the terrorist attacks. David Pasquale has 38 years of fire service experience in New Mexico and New York. Twenty-six of those years were spent as a chief officer involved in all aspects of emergency response, including deployments to many large-scale incidents such as the Cerro Grande Fire, the 2007 California fires, and numerous other type 1 and type 2, hazmat, and natural disasters and homeland security operations. As chief in Raton, New Mexico, he managed all functions of the department as well as the emergency medical services and the Office of Emergency Management. Chief Pasquale commanded an National Incident Management System Type 1 Hazmat/Chemical, Biological, Radiological, Nuclear, and Explosives team that provided regional response for the state of New Mexico to an area of more than 16,000 square miles. In 2005, he was asked by the state to serve as a member of the Department of Homeland Security Domestic Nuclear Detection Office, Stakeholders Committee. Working with the New Mexico Department of Homeland Security, Mr. Pasquale organized the first Type 1 Preventative Radiation and Nuclear Detection (PRND) team, which serves as New Mexico’s only PRND team providing mission support throughout the state. As chief, he also organized New Mexico’s first regional PRND effort, which included law enforcement agencies from Colorado and New Mexico. Mr. Pasquale has served as an adjunct instructor for the New Mexico Fire Academy and the New Mexico Law Enforcement Academy, providing classes in command, hazmat, rescue, and fire operations, to law enforcement, fire, emergency medical services, and military personnel. He was appointed to the New Mexico State Emergency Response Commission by Governor Richardson. He holds numerous certifications in fire/arson investigation and hazardous materials, and is an all-hazard incident commander, operations section chief, and safety officer. He served four

APPENDIX D 133 terms as the president of the New Mexico Fire Chiefs Association, and as an executive board member of the New Mexico PRND Committee, the New Mexico Fire Academy Advisory Committee, the New Mexico Mu- nicipal Leagues Board of Directors, and the Domestic Nuclear Detection Office Interior Focus Group and Training Advisory Committee. Mr. Pasquale currently works with National Security Technologies, LLC, CTOS-Center for Radiological/Nuclear Training at the Nevada National Security Site, where he serves as a subject matter expert providing guidance on emergency response, the National Incident Management System, operations management, and response to weapons of mass destruction. Alonzo Plough, Ph.D., M.P.H., joined the Los Angeles County Department of Public Health in January 2009. As director of emergency preparedness and response, he is responsible for the leadership and management of the public health preparedness activities to protect the 11 million residents of Los Angeles County from natural disasters and threats related to emerging infections and bioterrorist events. Dr. Plough co- ordinates activities in emergency operations, infectious disease control, risk communication, planning, and community engagement. Prior to this appointment, Dr. Plough served as vice president of strategy, planning, and evaluation for The California Endowment (TCE), 2005–2009. In this position, he was responsible for the leadership, management, and overall direction of TCE’s strategic planning and development, evaluation, research, and organizational learning. Dr. Plough served 10 years as director and health officer for the Seattle and King County Department of Public Health. He continues his appointment as professor of health services at the University of Washington School of Public Health in Seattle. Prior to that, Plough served for 8 years as director of public health for the Boston Department of Health and Hospitals. During his many years in Boston, he held academic appointments at the Harvard University School of Public Health, Tufts University Department of Community Medicine, and Boston University School of Management. Plough’s career includes many awards recognizing exemplary public service and leadership, service on numerous boards of directors of nonprofit organizations, an extensive body of scholarly articles and book chapters. Irwin Redlener, M.D., is president and co-founder, along with singer- songwriter Paul Simon, of the Children’s Health Fund (CHF), a

134 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK philanthropic initiative created to develop health care programs in some of the nation’s most medically underserved communities. CHF programs are now active in 25 urban and rural disadvantaged communities around the United States providing high-quality comprehensive medical care to more than 75,000 children each year. In his role as pediatrician–child advocate, Dr. Redlener has published, spoken, and testified extensively on the subjects of health care for homeless and indigent children and national health policy. Dr. Redlener is also the director of the National Center for Disaster Preparedness at the Columbia University Mailman School of Public Health, which works to understand and improve the nation’s capacity to prepare for, respond to, and recover from disasters. He is a nationally recognized expert on disaster preparedness policies, pandemic influenza, the threat of terrorism in the United States, the impact and consequences of major natural disasters, and related issues. Dr. Redlener has worked extensively in the Gulf region following Hurricane Katrina, where he helped establish ongoing medical and public health programs. He also organized medical response teams in the immediate aftermath of the World Trade Center attacks on 9/11 and has disaster management leadership experience internationally and nationally. He is the author of Americans at Risk: Why We Are Not Prepared for Megadisasters and What We Can Do Now, published in August 2006 by Alfred A. Knopf. In his various professional capacities, Dr. Redlener has assisted relief efforts in Honduras, Guatemala, Ethiopia, and numerous parts of the United States. From 1971 to 1973 he directed a rural, VISTA-run health center in East Arkansas. Dr. Redlener has also served as director of grants and medical director of USA for Africa and Hands Across America. The nationally acclaimed New York Children’s Health Project, one of the country’s largest health care programs for homeless children and their families, was developed in 1987 by Dr. Redlener. In 1993, Dr. Redlener served as a member of the White House Task Force on Health Reform under President Clinton. From 1997 through 2003, Dr. Redlener also had a lead role in the development of the Children’s Hospital at Montefiore, where he served as president and chief spokesperson. This hospital remains one of the most advanced and innovative facilities of its kind in the world. From 2008 to 2010, Dr Redlener served as 1 of 10 members on the congressionally established National Commission on Children and Disasters. In 2012, he was appointed to the U.S. National Commission for the United Nations Educational, Scientific, and Cultural Orga- nization. Dr. Redlener received his M.D. from the University of Miami

APPENDIX D 135 School of Medicine and his pediatric training at Babies Hospital of the Columbia-Presbyterian Medical Center in New York City, the University of Colorado Medical Center, and the University of Miami-Jackson Memorial Hospital in Miami. He holds an honorary doctor of science degree from Hunter College of the City University of New York and an honorary doctor of humane letters degree from Hofstra University, among numerous other awards and honors. Capt. James S. Spahr, M.P.H., R.S., D.A.A.S., is a commissioned officer in the U.S. Public Health Service (USPHS), serving as a safety and occupational health specialist at the National Institute for Occupational Safety and Health (NIOSH), in Atlanta, Georgia. Capt. Spahr is the associate director of NIOSH’s Office for Emergency Preparedness and Response, where he coordinates the institute’s response to emergency events and preparedness policy. Capt. Spahr will complete 30 years of service as a commissioned officer in the USPHS this fall. Prior to his current position, he was in the division of safety research, where he conducted research related to human factors and occupational safety and health. Capt. Spahr has also served as an institutional environmental health specialist for the Health Resources and Services Administration’s Hansen’s Disease Center, Carville, Louisiana, and for the Indian Health Service in Alaska, Arizona, and New Mexico. Prior to his federal career, Capt. Spahr worked for the Ohio Department of Health, Project HOPE in St. Lucia, West Indies, and as a Peace Corps volunteer in Micronesia. Mitch Stripling, M.P.A., is director of emergency planning for the New York City Department of Health and Mental Hygiene. In this capacity, he oversees the department’s emergency planning efforts, including (for example) the plans for pandemic flu and biological incidents and the development of the agency’s Incident Command System. He coordinated citywide planning for the 2009 H1N1 Pandemic and is currently part of the Coordinating Group for Citywide Healthcare Facility Evacuation that developed after Hurricane Irene. His unit has developed nationally- recognized Threat Response Guides for 21 of the highest-risk scenarios that could impact New York City, a data-/consensus-driven risk assessment methodology, a principal scientific advisor model for public health Incident Command System, and a strategic planning directive model for civilian use. Prior to working in New York City, Mr. Stripling worked for the Florida Department of Health. There, he helped plan and

136 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK implement the responses to six federally declared disasters, including the 2004 record-breaking hurricane season and Florida’s response in southern Mississippi after Hurricane Katrina. During that time, he developed, rostered, and trained environmental health and other public health strike teams, built national training standards in collaboration with the Centers for Disease Control and Prevention, and focused on making communities more resilient in the face of environmental threats. Before working in public health, he spent several years providing strategic consulting for Fortune 500 companies and government agencies. He began his career working at the United Nations Global Teaching and Learning Project on human rights issues. Mr. Stripling holds an M.PA. from Florida State University in emergency management and received his B.A. from Williams College in Massachusetts. Eric S. Toner, M.D., M.P.H., is a senior associate with the Center for Biosecurity of the University of Pittsburgh Medical Center. He is an internist and emergency physician. His primary areas of interest are health care preparedness for catastrophic events, pandemic influenza response, and medical response to bioterrorism. He is a managing editor of the Clinicians’ Biosecurity News, which provides clinical biosecurity reports to thousands of clinicians across the country and around the world. He is an associate editor of the journal Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, the leading peer-reviewed journal in this field. Dr. Toner has authored numerous scholarly papers, commentaries, and editorials on hospital and pandemic preparedness, and he has organized several meetings of national leaders on the topics of hospital preparedness, pandemic influenza, mass casualty disasters, biosecurity, biosurveillance, and nuclear preparedness. He has spoken at numerous national and international conferences on a range of biosecurity topics and appeared on a number of high-profile national television and news features on pandemic flu and bioterrorism preparedness. He was the principal investigator of a multiyear project to evaluate the achievements of the Department of Health and Human Services (HHS) Hospital Preparedness Program and to propose a vision and strategy for health care preparedness for the future. He also led a project for HHS to improve health care situational awareness. Dr. Toner is a member of the Institute of Medicine’s Forum on Medical and Public Health Preparedness for Catastrophic Events. Dr. Toner has been involved in hospital disaster planning since the mid-1980s. Prior to joining the center, Dr. Toner was the medical director of disaster

APPENDIX D 137 preparedness at St. Joseph Medical Center in Towson, Maryland, where he practiced emergency medicine for 23 years. During this time, he also headed a large emergency medicine group practice, founded and directed one of the first chest-pain centers in Maryland, and cofounded and managed a large primary care group practice and an independent urgent care center. In 2003, he spearheaded the creation of a coalition of disaster preparedness personnel from the five Baltimore County hospitals, the health department, and the Office of Emergency Management. Dr. Toner received his B.A. and M.D. degrees from the University of Virginia. He trained in internal medicine at the Medical College of Virginia. Andrew Velasquez III, M.S., M.B.A., is administrator for Federal Emergency Management Agency (FEMA) Region V. He coordinates preparedness, response, recovery, and mitigation activities for the states of Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin. Appointed by President Obama in 2010, Mr. Velasquez brings to FEMA extensive experience in emergency management and homeland security at both the state and local levels. In addition to directing the delivery of federal disaster assistance for numerous presidentially declared disasters and emergencies, Mr. Velasquez has implemented a number of key initiatives. These initiatives have focused on enhancing the region’s readiness posture with an emphasis on leveraging technology to improve response and recovery operations, individual and community prepared- ness, and planning for all types of threats and hazards. Recognizing the importance of planning for catastrophic incidents, Mr. Velasquez initiated and exercised leadership over the development of a compre- hensive operational plan to address the effects of an improvised nuclear device detonation in a large metropolitan area. This integrated planning effort includes FEMA Region V, the states of Illinois, Indiana, and Wisconsin, the City of Chicago and surrounding counties, and various private-sector entities. Before his appointment as FEMA regional administrator, Mr. Velasquez served as a member of the governor’s cabinet, both as director of the Illinois Emergency Management Agency (IEMA) and homeland security advisor. In these positions, Mr. Velasquez oversaw Illinois’s disaster preparedness, response, nuclear safety, and homeland security programs. As the IEMA director, he directed the response and recovery efforts for numerous large-scale disasters and served as the state coordinating officer and governor’s authorized representative for nine presidentially declared disasters. Prior to serving as IEMA director, Mr. Velasquez was executive director of

138 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK Chicago’s Office of Emergency Management and Communications (OEMC). As a member of the mayor’s cabinet, he directed the city’s homeland security, emergency management, 9-1-1 police and fire emergency dispatch operations, and traffic management services. Before his appointment as OEMC executive director, Mr. Velasquez served the Chicago Police Department in various capacities for more than 10 years, most recently as the director of the criminal Identification and Records Services Division, overseeing the criminal identification of arrested persons, latent fingerprint processing, criminal warrants, offender extradition, and subpoena processing. Mr. Velasquez has also served as an adjunct faculty member at the University of Chicago, teaching in the university’s graduate program in threat and response management. He continues to serve the university as a guest lecturer on a variety of emergency management and homeland security subjects, including the integration of technology to support homeland security and emergency management operations. A native of Chicago, Mr. Velasquez was a member of the U.S. Army Reserve for 6 years. He holds a B.A. and an M.S. in criminal justice from Illinois State University and received an M.B.A. in management from Saint Xavier University. He also completed the Executive Leadership Program at the Naval Post Graduate School’s Center for Homeland Defense and Security. Rodney Wallace, B.S., holds the position of branch chief, Chemical, Biological, Radiological, and Nuclear (CBRN) Diagnostics, within the CBRN Division of the Biomedical Advanced Research and Development Authority (BARDA). BARDA is part of the office of the Assistant Secretary for Preparedness and Response in the Department of Health and Human Services. Mr. Wallace joined BARDA in 2009 as part of the forming diagnostics function within the CBRN division. The CBRN Diagnostics Branch funds development of diagnostics for radiation/ nuclear threats, biological agent threats, and chemical agent threats. Prior to joining BARDA, Mr. Wallace held executive positions with medical and biotech diagnostics companies, which include Digene (Qiagen) and NimbleGen Systems (Roche). His other diagnostics industry experience includes approximately 10 years with the diagnostics division of Abbott Laboratories. In addition, Mr. Wallace has experience developing electro- optical equipment for industrial, aviation, and military applications. David Weinstock, M.D., is assistant professor at the Dana-Farber Cancer Institute and Harvard Medical School. He serves as the medical

APPENDIX D 139 advisor for the Radiation Injury Treatment Network, a voluntary consortium of academic medical centers, blood donor centers, and umbilical cord blood banks across the United States that is organized to provide guidance and surge capacity after a radiologic event. He received his medical degree from George Washington University School of Medicine. He completed medical training at New York Hospital/Cornell and fellowship training in Medical Oncology and Infectious Diseases at Memorial Sloan-Kettering Cancer Center. Dan Weisdorf, M.D., is professor of medicine and director of the University of Minnesota Blood and Marrow Transplant Program and associate chair for clinical research in the department of medicine. He previously served as president of the American Society for Blood and Marrow Transplantation and scientific director of the National Marrow Donor Program and is currently senior research advisor for the Center for International Bone Marrow Transplant Research and scientific director for its Acute Leukemia Committee. He is the university principal investigator on the National Institutes of Health–sponsored Blood and Marrow Transplantation Clinical Trial’s Network and past chair of the Network Steering Committee. His clinical and research interests are in application of blood and marrow transplant therapies for hematologic malignancies as well as extensive study of the clinical complications of transplantation, including opportunistic infections and graft versus host disease. Robert C. Whitcomb, Ph.D., is a lead physical scientist with the National Center for Environmental Health at the Centers for Disease Control and Prevention (CDC). He serves as a radiation subject matter expert and CDC spokesperson for technical and public health issues related to environmental radiation and nuclear/radiological emergency response. He has more than 25 years of health physics experience in emergency response/planning, environmental monitoring, and environ- mental dose reconstruction in collaboration with international, federal, state, and local partners. Dr. Whitcomb has an M.A. and a Ph.D. in health physics from the University of Florida and a B.S. in biology from Florida Southern College. He is certified with the American Board of Health Physicists (Certified Health Physicist 1994–2014), served on the board of directors of the Health Physics Society (2004–2007), and is a member of the National Council on Radiation Protection and Measure- ments. He has published multiple articles in peer-reviewed publications

140 NATIONWIDE RESPONSE ISSUES AFTER AN IND ATTACK and has lectured nationally and internationally about the public health response in nuclear/radiological emergencies. Gamunu Wijetunge, M.P.M., N.R.E.M.T.-P., currently serves as the lead staff member for preparedness and workforce issues in the National Highway Traffic Safety Administration’s (NHTSA’s) Office of Emer- gency Medical Services. Mr. Wijetunge came to NHTSA in November 2001 after working as a paramedic in Bethesda, Maryland. Mr. Wijetunge’s responsibilities at NHTSA involve a broad range of preparedness issues, including pandemic influenza and integration of preparedness into the day-to-day emergency medical services (EMS) system. His work in- volves close coordination with a number of federal agency partners through the Federal Interagency Committee on EMS. Mr. Wijetunge holds a master’s degree in public management from the University of Maryland’s School of Public Policy and is a member of the public administration academic honor society Pi Alpha Alpha. He also holds a B.S. in emergency health services from the University of Maryland, Baltimore County. He has volunteered with the Wheaton Volunteer Rescue Squad since 1995, where he holds the rank of lieutenant and practices as a paramedic/firefighter. John Williamson, M.S., is currently administrator of the Florida Bureau of Radiation Control Environmental Radiation Programs, including emergency response and training. He is a member of the Conference of Radiation Control Program Directors, serving on the Homeland Security Emerging Issues Committee, the Nuclear Sector Coordinating Council, and the Homeland Security Emergency Response Committee, and he is the co-chair of Florida’s Preventative Radiological/Nuclear Detection Committee. He has worked closely with the Centers for Disease Control and Prevention in developing the Florida Radiation Response Volunteer Corps to assist with manning Community Reception Centers to provide monitoring of the public following a radiological or nuclear event. Mr. Williamson holds an M.S. in chemistry from the University of South Carolina. Jody R. Wireman, Ph.D., M.S.P.H., M.P.A., C.I.H., is the director, Force Health Protection (FHP) Division, at the North American Aero- space Defense Command and U.S. Northern Command (NORTHCOM) at the Department of Defense. In this position, Dr. Wireman provides leadership, management, and expertise in occupational, environmental,

APPENDIX D 141 and chemical, biological, radiological, and nuclear force health protec- tion for homeland defense and civil support missions. He directly sup- ports development of deliberate and crisis action plans for NORTHCOM Area of Responsibility, including determining resource requirements and developing viable solutions to meet those requirements. Prior to this position, Dr. Wireman was the deputy division chief of the FHP division at NORTHCOM. He received his Ph.D. in environmental toxicology from Texas Tech University, his M.P.A. from the Harvard University Kennedy School of Government, and his M.S.P.H. from the University of Alabama at Birmingham.

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Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands to hundreds of thousands of victims and would overwhelm public health, emergency response, and health care systems, not to mention creating unprecedented social and economic challenges. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack.

In 2009, the Institute of Medicine published the proceedings of a workshop assessing the health and medical preparedness for responding to an IND detonation. Since that time, multiple federal and other publications have added layers of detail to this conceptual framework, resulting in a significant body of literature and guidance. However, there has been only limited planning effort at the local level as much of the federal guidance has not been translated into action for states, cities and counties. According to an informal survey of community preparedness by the National Association of City and County Health Officials (NACCHO), planning for a radiation incident ranked lowest in priority among other hazards by 2,800 local health departments.

The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows:

- Understand the differences between types of radiation incidents and implications of an IND attack on outlying communities.

-Highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans.

-Examine gaps in planning efforts and possible challenges and solutions.

-Identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled.

-Discuss the possibilities and benefits of integration of disaster transport systems.

-Explore roles of regional health care coalitions in coordination of health care response.

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