The focus of this book is on key response requirements faced by public health and health care systems in response to an Improvised Nuclear Device (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.


Brief Contents
1 Introduction
2 Public Health and Logistical Considerations
3 Federal Programs and Perspectives
4 Local, State, and Regional Perspectives and Programs
5 Challenges to Command and Control
6 Risk Communication and Education
7 Monitoring and Mass Care in Outlying Communities
8 Reorienting and Augmenting Professional Approaches
9 Roles of Regional Health Care Coalitions in Planning and Response
A: References
B: Abbreviations and Acronyms
C: Workshop Agenda
D: Biographical Sketches of Speakers and Panelists
E: Resource List
F: List of Speakers and Registered Attendees
G: Day 30: The Impact of Mass Evacuations on Host Communities Following Nuclear Terrorism
H: Implications of an Improvised Nuclear Device Detonation on Command and Control for Surrounding Regions at the Local, State, and Federal Levels
I: Role of Regional Healthcare Coalitions in Managing and Coordinating Disaster Response

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