Nationwide Response Issues After an Improvised Nuclear Device Attack Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary (2014) / Chapter Skim
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4 Local, State, and Regional Perspectives and Programs
4 Local, State, and Regional Perspectives and Programs
Pages 27-34
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From page 27... ...
Speaker Mitch Stripling, director of emergency planning for the New York City Department of Health and Mental Hygiene, described this problem as one of translation, i.e., turning federal guidance into concrete state and local policies. He offered three strategies to facilitate translation: 27
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The modeling postulates are described in Box 4-1. Velasquez continued to describe the postulated scenario, saying that secondary casualties would be expected from the brilliant flash of light associated with detonation.
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In the next stage of planning, Velasquez expects to develop detailed and concrete plans to focus on core capabilities, including operational communications, public information and warning, mass care services,
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EFFORTS IN A LARGE METROPOLITAN REGION Alonzo Plough, the director of emergency preparedness and response in Los Angeles County, spoke about the planning activities for that county, which serves a population of 11 million across 88 cities, multiple school districts, and several fire departments. Los Angeles County, he said, is more like a region than a county in terms of its size and complexity.
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From page 31... ...
EFFORTS IN AN OUTLYING COMMUNITY Ventura County, California, is one of the few outlying communities to have developed a full-fledged disaster plan for responding to an IND detonation in a nearby city, which in this case would be Los Angeles. Ventura County has infrastructure that supports 832,000 residents.
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From page 32... ...
In subsequent months, the county produced reports addressing a nuclear explosion classroom disaster plan, a curriculum for teachers, frequently asked questions, and talking points for parent-teacher association leadership. NEW YORK CITY EMERGENCY MEDICAL SERVICES The New York City region, the nation's largest metropolitan area, has 67 emergency medical services (EMS)
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From page 33... ...
If the region as a whole does not have the resources needed, which would likely occur in the event of an IND incident, New York City has the option of drawing on the National Ambulance Contract, which was used for Hurricane Sandy. The National Ambulance Contract, which can provide 300 ambulances, 25 air ambulances, and paratransit for 3,500 people to support mass evacuations, has been activated several times since its inception in 2007, supplementing emergency medical transport resources during hurricanes Dean, Gustav, Ike, and Irene and the presidential inauguration in 2009 (AMR, 2011)
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From page 34... ...
Knowing that the National Ambulance Contract is available to cities in need of augmented emergency transport is encouraging, but with the effects of an IND attack rippling beyond one or two communities, it is important for localities to plan together as regions and to understand the limitations of federal resources. Los Angeles County, after learning specific lessons concerning the importance of strong public communications, the need for specialized firefighter training, and the value of school and hospital partnerships, realized that IND attack planning can be applied to any "all-hazards" planning and that it falls into the continuum of overall preparedness for any incident.
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