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Exploring Medical and Public Health Preparedness for a Nuclear Incident
Proceedings of a Workshop
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Forum on Medical and Public Health Preparedness for Disasters and Emergencies; Editors: Scott Wollek, Rapporteur, Benjamin Kahn, Rapporteur, and Leslie Pray, Rapporteur.
Washington (DC): National Academies Press (US); 2019 Mar 26.
ISBN-13: 978-0-309-48914-0ISBN-10: 0-309-48914-8
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.
Contents
- The National Academies of SCIENCES • ENGINEERING • MEDICINE
- PLANNING COMMITTEE ON EXPLORING MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR A NUCLEAR INCIDENT
- FORUM ON MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR DISASTERS AND EMERGENCIES
- Reviewers
- Acronyms and Abbreviations
- Dedication
- 1. Introduction
- 2. Federal Planning for Nuclear Incidents
- SETTING THE STAGE: NUCLEAR DETONATION RESPONSE PLANNING
- UPDATED MODELING: NUCLEAR BLASTS AND FALLOUT IN AN URBAN ENVIRONMENT
- EXPLORING MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR A NUCLEAR INCIDENT: FROM THE PERSPECTIVE OF THE OFFICE OF THE ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE
- RESOURCES AND CAPABILITIES AVAILABLE AT THE FEDERAL LEVEL
- DISCUSSION
- 3. Current State of Nuclear Preparedness
- CURRENT STATE OF MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR A NUCLEAR INCIDENT
- EMERGENCE OF STATE ACTOR THREATS: HAS IT CHANGED PREPAREDNESS PLANNING? HAS IT CHANGED WHO IS AT THE TABLE?
- WORKFORCE TURNOVER: A MAJOR CHALLENGE TO PREPAREDNESS
- COMPLACENCY: AN OBSTACLE TO NUCLEAR PREPAREDNESS
- DISCUSSION WITH THE AUDIENCE
- 4. Updating Planning Assumptions of Nuclear Preparedness
- 5. Implications of Communication, Education, and Information Challenges
- NUCLEAR EVENTS: COMMUNICATION, EDUCATION, AND INFORMATION CHALLENGES
- WIRELESS EMERGENCY ALERTS
- RISK COMMUNICATION IN NUCLEAR INCIDENT MANAGEMENT
- A UNIQUE, VIDEO-BASED PUBLIC INFORMATION CAMPAIGN: VENTURA COUNTY, CALIFORNIA
- NUCLEAR INCIDENT PUBLIC COMMUNICATION: TOOLS AND TEACHABLE MOMENTS
- DISCUSSION WITH THE AUDIENCE
- 6. Challenges for Building Capacity Within the Health Care System
- 7. Capability-Building Challenges and Opportunities: Building Response Capability
- LARGE-SCALE TESTING FOR ACUTE RADIATION SICKNESS AFTER A NUCLEAR INCIDENT
- USE OF THE STRATEGIC NATIONAL STOCKPILE IN A NUCLEAR SCENARIO
- USE OF VOLUNTEERS DURING A NUCLEAR INCIDENT
- ROLE OF THE U.S. DEPARTMENT OF VETERANS AFFAIRS IN A NUCLEAR INCIDENT
- COMMUNITY RESPONSE FOLLOWING A NUCLEAR EVENT: THE CAPACITY OF A PREPARED CITIZENRY
- NUCLEAR/RADIOLOGICAL INCIDENT ANNEX OF FEMA
- DISCUSSION
- 8. Capability-Building Challenges and Opportunities: Ensuring Workforce Readiness and Response Capacitys
- HEALTH WORKERS' WILLINGNESS TO RESPOND TO NUCLEAR EVENTS
- A PENNSYLVANIA HEALTH CARE SYSTEM PERSPECTIVE
- A U.S. PUBLIC HEALTH SERVICE NURSE PERSPECTIVE
- NATIONAL DISASTER MEDICAL SYSTEM
- PROVIDER KNOWLEDGE OF DISASTER PREPAREDNESS
- NURSE WORKFORCE READINESS FOR RADIATION EMERGENCIES AND NUCLEAR EVENTS
- MODERATOR'S SUMMARY OF OVERARCHING TOPICS
- GAPS IN WORKFORCE READINESS AND WAYS TO CLOSE THOSE GAPS
- 9. Building Preparedness and Response Capability: Looking to the Future
- 10. Reflections on the Workshop and Opportunities for Moving Forward
- References
- A. Workshop Agenda
- B. Workshop Speaker Biographies
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.
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.
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.
Printed in the United States of America
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