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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1 Introduction
1 Introduction
Pages 1-8
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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. Although 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.
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x Examine gaps in planning efforts and possible challenges and solutions. x Identify considerations for public health reception centers: o How will public health and health care interface with func tions and staffing?
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x Opportunities to integrate the Radiation Injury Treatment Network with the National Disaster Medical System and the national health care "system" so as to be able to provide care to tens or hundreds of thousands. x Discuss re-entry and recovery considerations related to potential con tamination concerns, including the necessary public health monitor ing, that will inform what medical and public health assets and critical infrastructure will be available.
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are the same ones that will allow communities to successfully support victims of an IND event. However, specific guidance and the education of key personnel are critical to assure that responders are able to provide assessments and care required by
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However, these communities will experience an unparalleled number of evacuees who will need emergency medical care for blast, burn, and radiation injuries; screening for contamination and acute radiation syndrome; and provision of radiation countermeasures, shelter resources, and mental health and material support. Yet, most outlying communities have not considered the potential burden they may experience and so have not undertaken planning for an IND detonation in a nearby city, making them drastically underprepared.
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x An ever-present issue, time, remains a factor because most pub lic health officials are struggling to meet their current public health responsibilities and therefore are unable to prioritize the complex and multidisciplinary planning required to respond to an IND detonation when they may not even be the direct target. ORGANIZATION OF THE REPORT The report that follows summarizes the presentations by expert panelists and open discussions that took place during the workshop.
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INTRODUCTION 7 ing and health care services that would be provided in outlying communities, including community reception centers, triaging, and addressing the mental and physical health of responders and volunteers, are discussed in Chapters 7 and 8.
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