By Institute of Medicine, Board on Health Sciences Policy, Committee on Medical Preparedness for a Terrorist Nuclear Event, Susan R. McCutchen, Michael McGeary, Georges C. Benjamin
A nuclear assault on a wide U.S. urban via terrorists--even with a low-yield improvised nuclear gadget (IND) of 10 kilotons or less--would reason a lot of deaths and serious accidents. the big variety of injured from the detonation and radioactive fallout that will persist with will be overwhelming for neighborhood emergency reaction and overall healthiness care structures to rescue and deal with, even assuming that those structures and their body of workers weren't themselves incapacitated through the development. the U.S. has been suffering for it slow to handle and plan for the specter of nuclear terrorism and different guns of mass destruction that terrorists may receive and use. the dept of fatherland safeguard lately gotten smaller with the Institute of medication to carry a workshop, summarized during this quantity, to evaluate clinical preparedness for a nuclear detonation of as much as 10 kilotons. This ebook presents a candid and sobering examine our present nation of preparedness for an IND, and identifies numerous key components during which we would start to concentration our nationwide efforts in a manner that may increase the final point of preparedness.
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Additional resources for Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report
0-, and 10-kt nuclear detonations in Tier 1 UASI cities and assess the capacity of current plans to respond to and recover from such effects. DHS assigned the nuclear effects modeling and response and recovery strategy analysis tasks to Lawrence Livermore, Los Alamos, and Sandia National Laboratories and established the Modeling and Analysis Coordination Working Group to oversee the effort. The modeling results were used to identify key drivers in response planning and to assess and refine effective response strategies.
Radiation levels decay rapidly with time. • In the first few days, the primary health hazard is external gamma radiation from fallout on horizontal surfaces. Breathing in fallout dust is of less concern in the first few days and would not be a major contributor to overall exposure or immediate morbidity and mortality. • Radiation has a delayed effect. Although radiation sickness may manifest within a few hours, victims of lethal radiation may not succumb for days or weeks. SOURCE: Adapted from Buddemeier presentation at workshop, June 26, 2008.
That decisions made in the first few hours have the greatest public health and medical impact. The impulse to evacuate might prove to be counterproductive in terms of minimizing radiation exposure and its health impact because, in most cases, the best way to reduce radiation exposure would be to shelter in place initially. Finally, he said there is a lack of scientific consensus on the most appropriate response strategies. , by evaluating the efficacy of shelter and evacuation strategies, the type and distribution of injuries and public health infrastructure, the efficacy of response strategies, and the effects on critical infrastructure such as communications and electrical power systems).
Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report by Institute of Medicine, Board on Health Sciences Policy, Committee on Medical Preparedness for a Terrorist Nuclear Event, Susan R. McCutchen, Michael McGeary, Georges C. Benjamin