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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

Exploring Medical and Public Health
Preparedness for a Nuclear Incident

PROCEEDINGS OF A WORKSHOP

Leslie Pray, Benjamin Kahn, and Scott Wollek, Rapporteurs

Forum on Medical and Public Health Preparedness for
Disasters and Emergencies

Board on Health Sciences Policy

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was jointly supported by contracts between the National Academy of Sciences and the American Burn Association; American College of Emergency Physicians; American College of Surgeons’ Committee on Trauma; American Hospital Association; American Red Cross; Association of Public Health Laboratories; Association of State and Territorial Health Officials; Council of State and Territorial Epidemiologists; East West Protection; Emergency Nurses Association; GlaxoSmithKline; Healthcare Ready; Infectious Diseases Society of America; National Association of Chain Drug Stores; National Association of County & City Health Officials; National Association of Emergency Medical Technicians; Robert Wood Johnson Foundation; Sequirus; Trauma Center Association of America; U.S. Department of Defense (Contract No. HHSP233201400020B/HHSP23337014); U.S. Department of Defense, Uniformed Services University of the Health Sciences (Contract No. HU0001-16-1-0022); U.S. Department of Health and Human Services, Administration for Children and Families (Contract No. HHSP23320140020B/HHSP23337065); U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (Contract No. 200-2011-38807, TO #54); U.S. Department of Health and Human Services, Food and Drug Administration (Contract No. 1R13FD005495-01); U.S. Department of Health and Human Services, National Institutes of Health (Contract No. HHSN26300084); U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response (Contract No. HHSO100201550005A); and U.S. Department of Transportation, National Highway Traffic Safety Administration (Contract No. DTNH22-14-H-00468). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-48914-0
International Standard Book Number-10: 0-309-48914-8
Digital Object Identifier: https://doi.org/10.17226/25372

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2019 by the National Academy of Sciences. All rights reserved.

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. Exploring medical and public health preparedness for a nuclear incident: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25372.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

Image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

PLANNING COMMITTEE ON EXPLORING MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR A NUCLEAR INCIDENT1

JAMES BLUMENSTOCK (Co-Chair), Chief, Health Security, Association of State and Territorial Health Officials

TENER VEENEMA (Co-Chair), Professor of Nursing and Public Health, Johns Hopkins University School of Nursing and Johns Hopkins Bloomberg School of Public Health

STEVEN M. BECKER, Professor, Community and Environmental Health, Old Dominion University

JOHN BENITEZ, Medical Director, Emergency Preparedness, Tennessee Department of Health

STEPHEN BROOMELL, Assistant Professor, Social and Decision Sciences, Carnegie Mellon University

CHAM DALLAS, University Professor of Health Policy and Management, Director, Institute for Disaster Management, University of Georgia

DAVID EISENMAN, Associate Professor, David Geffen School of Medicine and Fielding School of Public Health, University of California, Los Angeles

BRUCE EVANS, Fire Chief, Upper Pine River Fire Protection District

CHAD HRDINA, Director, Division of Requirements, U.S. Department of Health and Human Services

ANN KNEBEL, Deputy Scientific Director, Division of Pre-Clinical Innovation, National Center for Advancing Translational Sciences, National Institutes of Health

JOHN KOERNER, Senior Special Adviser, Chemical, Biological, Radiological, Nuclear, High-Yield Explosive (CBRNE) Science and Operations, Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services

ROBERTA LAVIN, Executive Associate Dean of Academic Affairs and Professor, University of Tennessee College of Nursing

MARTHA LINET, Senior Investigator, Radiation Epidemiology Branch, National Cancer Institute, National Institutes of Health

MATTHEW K. WYNIA, Director, Center for Bioethics and Humanities, University of Colorado Denver

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

Health and Medicine Division Staff

SCOTT WOLLEK, Senior Program Officer

BEN KAHN, Associate Program Officer

REBECCA RAY, Senior Program Assistant (until December 2018)

ANDREW M. POPE, Director, Board on Health Sciences Policy

Consultant

LESLIE PRAY, Science Writer

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

FORUM ON MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR DISASTERS AND EMERGENCIES1

DAN HANFLING (Co-Chair), Contributing Scholar, Center for Health Security, Johns Hopkins Bloomberg School of Public Health

SUZET M. McKINNEY (Co-Chair), Executive Director and Chief Executive Officer, Illinois Medical District

STACEY J. ARNESEN, Branch Chief, Disaster Information Management Research Center, National Library of Medicine, National Institutes of Health

ERIC BLANK, Senior Director, Public Health Programs and Systems, Association of Public Health Laboratories

DUANCE C. CANEVA, Chief Medical Officer, U.S. Department of Homeland Security

MARY CASEY-LOCKYER, Senior Associate, Disaster Health Program Development, American Red Cross

BROOKE COURTNEY, Senior Regulatory Counsel, Office of Counterterrorism and Emerging Threats, Food and Drug Administration

JOHN J. DREYZEHNER, Commissioner, Tennessee Department of Health

DAVID EISENMAN, Associate Professor, David Geffen School of Medicine and Fielding School of Public Health, University of California, Los Angeles

BRUCE EVANS, Fire Chief, Upper Pine River Fire Protection District

JAMES R. FICKE, Robert A. Robinson Professor and Director, Department of Orthopaedic Surgery, Johns Hopkins Medicine

LORI GRUBSTEIN, Program Officer, Health Care Group, Robert Wood Johnson Foundation

JOHN L. HICK, Associate Medical Director for EMS and Medical Director of Emergency Medicine, Hennepin County Medical Center

ROBERT KADLEC, Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services

CLAUDIA M. KELLY, Senior Director, Value Access and Policy, Seqirus

THOMAS KIRSCH, Professor of Military and Emergency Medicine, Director, National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences

NICOLETTE A. LOUISSAINT, Executive Director, Healthcare Ready

FREDA GAIL LYON, Vice President, Emergency Services, WellStar Health System

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

PHILLIP MAYTUBBY, Director, Public Health Protection, Oklahoma City-County Health Department

CAROLYN BRADY MEIER, Acting Director, Office of Human Services Emergency Preparedness Response, Administration for Children and Families, U.S. Department of Health and Human Services

AUBREY K. MILLER, Senior Medical Adviser, Office of the Director, National Institute of Environmental Health Sciences, National Institutes of Health

BARBARA MULACH, Director, Office of Science Coordination and Program Operations, National Institute of Allergy and Infectious Diseases, National Institutes of Health

IRA NEMETH, Chair, Disaster Medicine Section, American College of Emergency Physicians

JOHN OSBORN, Operations Manager and Assistant Professor of Health Care Systems Engineering, Department of Surgery, Mayo Clinic College of Medicine

TARA O’TOOLE, Senior Fellow and Executive Vice President, In-Q-Tel

ANDREW T. PAVIA, George and Esther Gross Presidential Professor, Division of Pediatric Infectious Diseases, The University of Utah School of Medicine

TERRY RAUCH, Acting Deputy Assistant Secretary of Defense for Health Readiness Policy and Oversight, Office of the Assistant Secretary of Defense for Health Affairs, U.S. Department of Defense

STEPHEN C. REDD, Director, Center for Preparedness and Response, Centers for Disease Control and Prevention

SARA ROSZAK, Director of Research, National Association of Chain Drug Stores

COLLEEN RYAN, Professor of Surgery, Harvard Medical School

ROSLYNE SCHULMAN, Director, Policy Development, American Hospital Association

RICHARD SERINO, Distinguished Visiting Fellow, National Preparedness Leadership Initiative, Harvard T.H. Chan School of Public Health

ALAN SINISCALCHI, Surveillance Coordinator for Influenza, Bioterrorism, and Public Health Preparedness, Connecticut Department of Public Health

W. CRAIG VANDERWAGEN, Co-Founder and Director, East West Protection

TENER VEENEMA, Professor of Nursing and Public Health, Johns Hopkins University School of Nursing and Johns Hopkins Bloomberg School of Public Health

JENNIFER WARD, President, Trauma Center Association of America

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

GAMUNU WIJETUNGE, EMS Specialist, Office of Emergency Medical Services, National Highway Traffic Safety Administration, U.S. Department of Transportation

MATTHEW K. WYNIA, Director, Center for Bioethics and Humanities, University of Colorado Denver

Forum Staff

SCOTT WOLLEK, Forum Director

LISA BROWN, Senior Program Officer

BEN KAHN, Associate Program Officer

KIMBERLY SUTTON, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

AMANDA BETTENCOURT, University of Pennsylvania School of Nursing

MARTHA LINET, National Cancer Institute, National Institutes of Health

PHILLIP MAYTUBBY, Oklahoma City-County Health Department

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by HELLEN GELBAND, independent consultant. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Page xvii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Acronyms and Abbreviations

AACN American Association of Colleges of Nursing
ABA American Burn Association
ACS American College of Surgeons
ALC absolute lymphocyte count
AMS Aerial Monitoring System
AO alert originator
AP advanced practice
ARC American Red Cross
ARS acute radiation sickness
ASPR Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services
ASTHO Association of State and Territorial Health Officials
A-Team Advisory Team for Environment, Food, and Health
BARDA Biomedical Advanced Research and Development Authority
BMT bone marrow transport
CBC complete blood count
CBRN chemical, biological, radiological, and nuclear
CDC Centers for Disease Control and Prevention
CEMP Comprehensive Emergency Management Program, U.S. Department of Veterans Affairs
Page xviii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×
CIP Healthcare and Public Health Sector Critical Infrastructure Protection Program, Critical Infrastructure Protection, Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services
CIR critical information requirement
CMRT Consequence Management Response Team
CMS Centers for Medicare & Medicaid Services
CONOPS continuity of operations
CRC community reception center
DHS U.S. Department of Homeland Security
DoD U.S. Department of Defense
DoE U.S. Department of Energy
DSNS Division of Strategic National Stockpile
EMAC Emergency Management Assistance Compact
EMP electromagnetic pulse
EMS emergency medical services
EOC emergency operations center
EPA Environmental Protection Agency
ESF#15 Emergency Support Function #15
FCC Federal Communications Commission
FDA Food and Drug Administration
FEMA Federal Emergency Management Agency
FRMAC Federal Radiological Monitoring and Assessment Center
GAO Government Accountability Office
HAP The Hospital + Healthsystem Association of Pennsylvania
HHS U.S. Department of Health and Human Services
HPP Hospital Preparedness Program
ICBM intercontinental ballistic missile
ICU intensive care unit
IND improvised nuclear device
IRB institutional review board
kt kiloton
MDP Mobile Device Project
MERRT Medical Emergency Radiological Response Team
MRC Medical Reserve Corps
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×
Mt megaton
NACCHO National Association of County & City Health Officials
NARAC National Atmospheric Release Advisory Center, U.S. Department of Energy
NARR National Alliance for Radiation Readiness
NCDMPH National Center for Disaster Medicine and Public Health
NDMS National Disaster Medical System
NEST Nuclear Emergency Support Team, U.S. Department of Energy
NHSS National Health Security Strategy
NIH National Institutes of Health
NRF National Response Framework
NRIA Nuclear/Radiological Incident Annex
NRITF Nuclear/Radiological Incident Task Force
NYC New York City
OADN Organization for Associate Degree Nursing
PA physician assistant
PAHPA Pandemic and All-Hazards Preparedness Act
PEMDP Pre-Event Message Development Project
PHEP public health emergency preparedness
PHIT Public Health Infrastructure Training
PSA public service announcement
PSI pounds per square inch
RADM rear admiral
RAP Radiological Assistance Program
RCAC Risk Communication Advisory Committee
RDD radiological dispersal device
RDHRS Regional Disaster Health Response System
REAC/TS Radiation Emergency Assistance Center/Training Site
RED radiation exposure device
RITN Radiation Injury Treatment Network
RN registered nurse
RSL Remote Sensing Laboratory
SMS short message service
SMS-CB short message service-cellular broadcast
SNS Strategic National Stockpile
START Study on Terrorism and Responses to Terrorism
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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TNT trinitrotoluene
USPHS U.S. Public Health Service
VA U.S. Department of Veterans Affairs
WEA wireless emergency alert
WHO World Health Organization
WMD weapon of mass destruction
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
×

Dedication

This Proceedings of a Workshop is dedicated to our science writer Leslie Pray (1964–2018).
Leslie worked for many years as a science writer with the National Academies, and our staff will always remember her kind nature, skillful writing, and sharp intellect.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25372.
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The National Academies of Sciences, Engineering, and Medicine held a workshop on August 22–23, 2018, in Washington, DC, to explore medical and public health preparedness for a nuclear incident. The event brought together experts from government, nongovernmental organizations, academia, and the private sector to explore current assumptions behind the status of medical and public health preparedness for a nuclear incident, examine potential changes in these assumptions in light of increasing concerns about the use of nuclear warfare, and discuss challenges and opportunities for capacity building in the current threat environment. This publication summarizes the presentations and discussions from the workshop.

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