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Protecting Civilian Emergency Responders Against Anthrax

There is general agreement that the best way to protect emergency responders against anthrax would be to immunize them prior to an attack. But, despite the fact that millions of “expired” doses of anthrax vaccine are routinely destroyed each year, many civilian responders still are not provided pre-event vaccinations. This

Breaking the Rules to Save Lives

No two emergency scenarios are identical and some may call for “creative” solutions – for example, overriding triage strategies for victims of a weapon of mass destruction or substituting medications for scarce countermeasures. Understanding the rules and how far they can “bend” in a crisis situation may help save not

Nontraditional Partnerships Advance Medical Countermeasure Dispensing

The U.S. Centers for Disease Control & Prevention (CDC) is changing the dynamics of public-private partnerships as they relate to medical countermeasures for public health threats. By using nontraditional partnerships, CDC is not only providing easier access but also reducing the time needed to dispense large quantities of antiviral drugs,

Hospital Response to a 10-Kiloton Nuclear Detonation

Article Out Loud For many years, federal, state, and local authorities throughout the United States have planned and trained for the notional possibility of a 10-kiloton improvised nuclear device being detonated within a major metropolitan area. If that were to occur, the hundreds of thousands of fatalities and life-threatening injuries

Public Health Response & Severe Weather Emergencies

Public health professionals are constantly building the capacity and capabilities needed to respond to a variety of possible emergencies such as biological events, pandemic influenza, emerging diseases, manmade disasters, and a host of other dangers.

Hospitals Must Prepare Now for Future Contingencies

Considering the financial constraints already in place, and the likelihood that there will be continuing reductions in federal grant funds for preparedness, the challenge facing U.S. hospitals and other healthcare facilities to do more with less has perhaps never been greater. More specifically, in preparedness planning and operations, very few

Radiation Contamination of Emergency Equipment

In 1945, Nagasaki became the second Japanese city destroyed by an atomic bomb in the closing days of World War II. The nuclear explosion caused immediate damage and killed tens of thousands of people, but the radiological contamination that remained took many additional lives. A crisis at a nuclear power

Countermeasures to Cope With Radioactive Exposure

The threat posed by an intentional manmade explosion from a radiation dispersal device, a nuclear detonation, or an accidental failure of a nuclear power plant persists. Recent events have brought these threats into focus over the past couple years – e.g., the Iranian plans for nuclear development and the earthquake/tsunami/nuclear

DPJ Book Review: Centerline

“Everybody who goes to war gets shot,” one soldier says. “Some in the body. Some in the head. Some in the heart.” The National Center for Veterans Analysis and Statistics (NCVAS) estimates that, as of 30 September 2011, the nation’s veteran population is more than 22.2 million. Although the journey

Radiation Resources for First Responders

There is no room for error during a radiological event. For that reason, information must be readily available and as accurate as possible. Listen to subject matter experts from the Association of State and Territorial Health Officials, and the Centers for Disease Control and Prevention, as they discuss the types

Building/Improving Community Health Resilience

In the immediate aftermath of a disaster, reporters show images of communities that are faced with destruction and a need to rebuild. However, there is often an even greater devastation with even harder pieces to pick up – the mental and physical health effects. Both types of recovery are required

The Fallacy of Disaster Resilience

Doctors, nurses, and other highly visible professionals get the greatest credit, deservedly, in most public-health incidents and events. Playing increasingly important roles, though – before, during, and after such incidents – are the nation’s unsung and much less publicized sanitarians whose special expertise in numerous operational scenarios is finally being

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