Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary (2014)
Chapter: Appendix C: Workshop Agenda
Day 1
January 23, 2013
Omni Shoreham Hotel
2500 Calvert Street, NW
Washington, DC 20008
The Blue Room
| 8:00 a.m. | Welcome and Introductions |
| JACK HERRMANN, Workshop Co-Chair | |
| Senior Advisor and Chief, Public Health Preparedness | |
|
National Association of County and City Health Officials (NACCHO) |
|
| Washington, DC | |
|
|
JOHN L. HICK, Workshop Co-Chair |
|
Associate Medical Director for Emergency Medical Services |
|
| Medical Director of Emergency Preparedness | |
| Hennepin County Medical Center | |
| Minneapolis, MN | |
SESSION I: INTRODUCTION OF PUBLIC HEALTH AND LOGISTICAL CONSIDERATIONS AFTER AN IND INCIDENT
Session Objective:
• Understand the differences between types of nuclear incidents and implications of an improvised nuclear device (IND) attack on comprehensive planning and public health morbidity and mortality for neighboring jurisdictions.
| 8:10 a.m. |
Planning and Response Considerations to Optimize Survivability in Neighboring Jurisdictions and Important Response Priority Differences |
|
|
BROOKE BUDDEMEIER |
| Health Physicist | |
| Lawrence Livermore National Laboratory | |
|
Key Response Planning Factors for the Aftermath of Nuclear Terrorism |
|
| 8:45 a.m. |
White Paper Presentation: The Impact of Mass Evacuations on Host Communities Following Nuclear Terrorism |
| IRWIN REDLENER | |
| Director | |
| National Center for Public Health Preparedness | |
| 9:15 a.m. | Discussion with Attendees |
| 9:30 a.m. | BREAK |
SESSION II: FEDERAL PERSPECTIVE AND EXISTING PLANNING EFFORTS FOR PREPARING NEIGHBORING JURISDICTIONS
Session Objectives:
• Discuss what resources and tools already exist at federal level.
• Examine differences and issues for requesting federal assets for neighboring communities.
• Understand barriers to interactions and exchanging of information.
• Discuss what fundamental regional planning has been done at the federal level, and what methods of inclusion were used for communities outside of detonation site.
| 9:45 a.m. |
Panel Discussion: Existing Federal Guidance on INDs and Challenges to Operations in Communities Outside Detonation Site |
| GEORGE KORCH | |
| Deputy Assistant Secretary | |
|
Office of the Assistant Secretary for Preparedness and Response |
|
| Department of Health and Human Services | |
| ROBERT C. WHITCOMB | |
| Lead Physical Scientist | |
| Radiation Studies Branch | |
| Centers for Disease Control and Prevention | |
| ROBERT FARMER | |
| Director, Operations Division | |
| Response Directorate | |
| Federal Emergency Management Agency | |
| JODY WIREMAN, Forum Member | |
| Director | |
| Force Health Protection Division | |
| U.S. Northern Command | |
| 10:45 a.m. | Discussion with Attendees |
| 11:05 a.m. |
Panel Discussion: Planning for an IND Detonation: Local, State, and Regional Perspectives |
| Moderator: | |
| MITCH STRIPLING | |
| Director of Emergency Planning | |
|
New York City Department of Health and Mental Hygiene |
|
| Panelists: | |
| ANDREW VELASQUEZ III | |
| Regional Administrator, Region V | |
| Federal Emergency Management Agency | |
| ALONZO PLOUGH | |
| Director of Emergency Preparedness and Response | |
| Los Angeles County Department of Public Health | |
| ROBERT LEVIN | |
| Medical Director and Health Officer | |
| Ventura County Public Health, California | |
| MORDECHAI GOLDFEDER | |
| Senior Health and Medical Planner | |
| New York City Office of Emergency Management | |
| 12:15 p.m. | Discussion with Attendees |
| 12:30 p.m. | LUNCH |
SESSION III: RESPONSE CHALLENGES FOR NEIGHBORING COMMUNITIES AFTER AN IND DETONATION
Session Objectives:
• Consider responsibilities of agencies and frameworks for command, control, and communications.
• Emphasize continuity of operations planning with spillover to adjacent jurisdictions or states and other actions or supports.
• Explore opportunities to increase collaboration and cooperation between and within states and regions to support affected areas.
• Consider mechanisms of coordinating concise, coherent, and consistent messaging across agencies for the public to follow.
| 1:30 p.m. |
White Paper Presentation: Implications of an Improvised Nuclear Device Detonation on Command and Control for Surrounding Regions at the Local, State, and Federal Levels |
| DAVE PASQUALE | |
| Senior Operations Specialist | |
| RICK HANSEN | |
| Senior Scientist | |
| Counter Terrorism Operations Support | |
|
Center for Radiological/Nuclear Training at the Nevada National Security Site National Security Technologies, LLC |
|
| 2:00 p.m. | Discussion with Attendees |
| 2:20 p.m. |
Panel Discussion: Maintaining Command and Control After an IND Detonation |
| ROBERT FARMER | |
| Director, Operations Division | |
| Response Directorate | |
| Federal Emergency Management Agency | |
| JONATHON MONKEN | |
| Director | |
| Illinois Emergency Management Agency | |
| JOHN F. KOERNER | |
|
Chief, Chemical, Biological, Radiological, Nuclear, or High-Yield Explosives (CBRNE) Branch |
|
| Office of Preparedness and Emergency Operations | |
|
Deputy Assistant Secretary for Preparedness and Response |
|
| 3:00 p.m. | Discussion with Attendees |
| 3:20 p.m. | BREAK |
| 3:35 p.m. |
Panel Discussion: Risk Communication Strategies in the Aftermath of a Nuclear Terrorist Attack; Getting the Public’s Attention |
| CHARLES MILLER | |
| Chief, Radiation Studies Branch | |
| Division of Environmental Hazards and Health Effects | |
| Centers for Disease Control and Prevention | |
| STEVEN M. BECKER | |
|
Professor of Community and Environmental Health College of Health Sciences |
|
| Old Dominion University | |
| BRUCE FOREMAN | |
| Radiation Communication Specialist | |
| CBRNE Branch | |
| Federal Emergency Management Agency | |
| ED MCDONOUGH | |
| Public Information Officer | |
| Maryland Emergency Management Agency | |
| 4:35 p.m. | Discussion with Attendees |
| 5:00 p.m. | ADJOURN |
Day 2
January 24, 2013
Omni Shoreham Hotel
2500 Calvert Street, NW
Washington, DC 20008
The Blue Room
| 8:00 a.m. | Welcome and Introduction |
| JACK HERRMANN, Workshop Co-Chair | |
| Senior Advisor and Chief, Public Health Preparedness | |
| NACCHO, Washington, DC | |
| JOHN L. HICK, Workshop Co-Chair | |
|
Associate Medical Director for Emergency Medical Services |
|
| Medical Director of Emergency Preparedness | |
| Hennepin County Medical Center, Minneapolis, MN | |
SESSION IV: CONSIDERATIONS FOR THE PUBLIC HEALTH SHELTERING AND MASS MANAGEMENT ROLE
Session Objectives:
• Discuss added challenges of sheltering evacuees related to an IND attack compared to routine emergency sheltering.
• Examine roles of Community Reception Centers and Family Assistance Centers in neighboring areas.
• Examine radiological assessment tools being researched and developed for future use.
• Consider the integration and operation of the Radiation Injury Treatment Network, National Disaster Medical System, and emergency medical services into the health care system after an incident.
| 8:10 a.m. | Session Introduction and Objectives |
| ARMIN ANSARI | |
|
Radiation Studies Branch, National Center for Environmental Health |
|
| Centers for Disease Control and Prevention | |
| 8:20 a.m. |
Panel Discussion: Operationalizing Community Reception Centers for Evacuees After a Nuclear Incident at Various Distances from Detonation Site |
| JOHN WILLIAMSON | |
| Administrator, Environmental Radiation Programs | |
| Bureau of Radiation Control | |
| Florida Department of Health | |
| RUTH MCBURNEY | |
| Executive Director | |
| Conference of Radiation Control Program Directors | |
| ONORA LIEN | |
| Health System Planning Manager | |
| Northwest Healthcare Response Network | |
| Public Health–Seattle & King County | |
| RODNEY WALLACE | |
|
Chief, Division of Chemical, Biological, Radiological and Nuclear (CBRN) Medical Countermeasures Diagnostics |
|
| Division of CBRN Countermeasures | |
|
Biomedical Advanced Research and Development Authority |
|
| Office of the Assistant Secretary for Preparedness and Response | |
| U.S. Department of Health and Human Services | |
| 9:20 a.m. | Discussion with Attendees |
| 9:45 a.m. | BREAK |
| 10:00 a.m. |
Panel Discussion: Opportunities for Integration Between Disaster Transport Systems |
| Moderator: | |
| GAMUNU WIJETUNGE, Forum Member | |
| Office of Emergency Medical Services | |
| National Highway Traffic Safety Administration | |
| Panel: | |
| DAN WEISDORF | |
| Executive Committee | |
| Radiation Injury Treatment Network | |
| ANDY GARRETT | |
|
National Disaster Medical System and Joint Patient Assessment & Tracking System |
|
|
Office of the Assistant Secretary for Preparedness and Response |
|
| Department of Health and Human Services | |
| DONALD DONAHUE | |
| Member, American Board of Disaster Medicine | |
| Managing Partner, Diogenec Group, LLP | |
| 11:00 a.m. | Discussion with Attendees |
| 11:30 a.m. | LUNCH |
SESSION V: CONSIDERATIONS FOR HEALTH CARE SYSTEMS IN NEIGHBORING AREAS TO THE INCIDENT
Session Objectives:
• Examine systems available for guidance of reception centers and involvement with the larger radiation injury health care network.
• Discuss immediate needs of patients and victims, including mental health and ongoing patient tracking.
• Discuss best practices for adapting guidance to the public health field and managing mass medical centers and incidents.
• Explore issues of health care workforce protection after an IND incident.
| 12:30 p.m. |
Panel Discussion: Challenges and Guidance Associated with Hospitals/Mass Medical Care Sites in Neighboring Jurisdictions |
| NORM COLEMAN | |
| Senior Medical Advisor and Chief, CBRN Team | |
|
Office of Assistant Secretary for Preparedness and Response |
|
| ANN NORWOOD | |
| Senior Associate | |
| UPMC Center for Health Security | |
| THOMAS LANGER | |
| Director, Bureau of Environmental Health | |
| Kansas Department of Health and Environment | |
| CAPT. JIM SPAHR | |
| Associate Director | |
| National Institute for Occupational Safety and Health | |
| Office for Emergency Preparedness and Response | |
| Centers for Disease Control and Prevention | |
| 1:30 p.m. | Discussion with Attendees |
SESSION VI: NEXT STEPS—THE ROLE OF REGIONAL HEALTH CARE COALITIONS IN RESPONSE
Session Objectives:
• Discuss benefits of regional health care coalitions and their potential to coordinate clinical care guidance and triage decisions.
• Understand the special needs of exposed or irradiated patients presenting at hospitals.
| 2:00 p.m. | Session Introduction |
| DAVID MARCOZZI, Forum Member | |
| Director, National Healthcare Preparedness Programs | |
| Assistant Secretary of Preparedness and Response | |
| Department of Health and Human Services | |
| 2:10 p.m. |
White Paper Presentation: Role of Regional Healthcare Coalitions in Managing and Coordinating Disaster Response |
| DAN HANFLING, Forum Member | |
| Special Advisor | |
| Emergency Preparedness and Response | |
| Inova Health Systems | |
| 2:40 p.m. | Discussion with Attendees |
| 3:00 p.m. | BREAK |
| 3:15 p.m. |
Panel Presentation: Roles and Potential for Health Care Coalitions |
| ERIC TONER, Forum Member | |
| Senior Associate | |
| UPMC Center for Health Security | |
| DAVID WEINSTOCK | |
| Medical Advisor | |
| Radiation Injury Treatment Network | |
| JENNY ATAS | |
| Medical Director | |
| Region 2 South Healthcare Coalition, Michigan | |
| 4:00 p.m. | Discussion with Attendees |
