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E-raamat: Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop

  • Formaat: 210 pages
  • Ilmumisaeg: 05-Jun-2019
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309489157
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  • Formaat: 210 pages
  • Ilmumisaeg: 05-Jun-2019
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309489157
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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.

Table of Contents



Front Matter 1 Introduction 2 Federal Planning for Nuclear Incidents 3 Current State of Nuclear Preparedness 4 Updating Planning Assumptions of Nuclear Preparedness 5 Implications of Communication, Education, and Information Challenges 6 Challenges for Building Capacity Within the Health Care System 7 Capability-Building Challenges and Opportunities: Building Response Capability 8 Capability-Building Challenges and Opportunities: Ensuring Workforce Readiness and Response Capacity 9 Building Preparedness and Response Capability: Looking to the Future 10 Reflections on the Workshop and Opportunities for Moving Forward References Appendix A: Workshop Agenda Appendix B: Workshop Speaker Biographies
Acronyms and Abbreviations xvii
1 Introduction
1(4)
Organization of the Proceedings
4(1)
2 Federal Planning for Nuclear Incidents
5(30)
Setting the Stage: Nuclear Detonation Response Planning
6(4)
Updated Modeling: Nuclear Blasts and Fallout in an Urban Environment
10(10)
Exploring Medical and Public Health Preparedness for a Nuclear Incident: From the Perspective of the Office of the Assistant Secretary for Preparedness and Response
20(5)
Resources and Capabilities Available at the Federal Level
25(7)
Discussion
32(3)
3 Current State of Nuclear Preparedness
35(12)
Current State of Medical and Public Health Preparedness for a Nuclear Incident
36(3)
Emergence of State Actor Threats: Has It Changed Preparedness Planning? Has It Changed Who Is at the Table?
39(2)
Workforce Turnover: A Major Challenge to Preparedness
41(2)
Complacency: An Obstacle to Nuclear Preparedness
43(1)
Discussion with the Audience
43(4)
4 Updating Planning Assumptions of Nuclear Preparedness
47(14)
Magnitude of Emerging Nuclear Threats
48(6)
A State-Level Perspective: North Carolina
54(2)
Regional Response: Opportunities and Challenges
56(1)
Role of the Private Sector in Preparedness Planning
57(2)
Fear of Radiation: Implications for Planning
59(2)
5 Implications of Communication, Education, and Information Challenges
61(32)
Nuclear Events: Communication, Education, and Information Challenges
62(7)
Wireless Emergency Alerts
69(5)
Risk Communication in Nuclear Incident Management
74(4)
A Unique, Video-Based Public Information Campaign: Ventura County, California
78(4)
Nuclear Incident Public Communication: Tools and Teachable Moments
82(5)
Discussion with the Audience
87(6)
6 Challenges for Building Capacity Within the Health Care System
93(18)
Priorities for Response Capabilities
95(13)
Discussion: Shortage of Burn Expertise
108(3)
7 Capability-Building Challenges and Opportunities: Building Response Capability
111(10)
Large-Scale Testing for Acute Radiation Sickness After a Nuclear Incident
112(1)
Use of the Strategic National Stockpile in a Nuclear Scenario
113(1)
Use of Volunteers During a Nuclear Incident
114(1)
Role of the U.S. Department of Veterans Affairs in a Nuclear Incident
115(2)
Community Response Following a Nuclear Event: The Capacity of a Prepared Citizenry
117(1)
Nuclear/Radiological Incident Annex of FEMA
118(1)
Discussion
119(2)
8 Capability-Building Challenges and Opportunities: Ensuring Workforce Readiness and Response Capacity
121(18)
Health Workers' Willingness to Respond to Nuclear Events
122(2)
A Pennsylvania Health Care System Perspective
124(3)
A U.S. Public Health Service Nurse Perspective
127(1)
National Disaster Medical System
128(1)
Provider Knowledge of Disaster Preparedness
129(5)
Nurse Workforce Readiness for Radiation Emergencies and Nuclear Events
134(3)
Moderator's Summary of Overarching Topics
137(1)
Gaps in Workforce Readiness and Ways to Close Those Gaps
138(1)
9 Building Preparedness and Response Capability: Looking to the Future
139(8)
ASPR's Office of Critical Infrastructure Protection
139(1)
Moving Forward: Priorities Identified by Individuals on the Reaction Panel
140(4)
Additional Topics Identified by the Audience
144(3)
10 Reflections on the Workshop and Opportunities for Moving Forward
147(14)
Blumenstock's Key Messages
147(4)
ASPR's Closing Remarks: Call for an Action Plan
151(4)
References
155(6)
APPENDIXES
A Workshop Agenda
161(10)
B Workshop Speaker Biographies
171