1 Unplanned BW Response Hospitals accept

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Unplanned BW Response • Hospitals accept increasing numbers of sick personnel, go on diversion • Hospitals fill available beds; ill and worried-well turned away • Hospitals become non-functional from staff burn out & resource limitations 2

BW Response Strategy • Need integrated community, base, State, Federal response strategy – before the event • Plan for community based response • Prepare for wide range of casualties • Focus on care of casualties and worried-well - Expand from existing medical capabilities - Anticipate need for outside & non-traditional resources - Plan for protracted duration - Pre-arrange lines of communication 4

Continuous Surveillance Public Health Surveillance Unusual Health Event (Y/N) BW Response Template and Key Decisions Medical Diagnosis Expanded Surveillance Epidemiological Investigation Active Investigation Criminal Investigation Key Decisions • Major public health event (Y/N) • Cause & population at risk • Prophylaxis, treatment, isolation • Appropriate emergency response Emergency Response Command Control Hazard Assessment Mitigation & Control Prophylaxis & Immunization Resource & Logistic Support Continuity of Infrastructure Public Information Care of Casualties Fatality Management Control of Affected Area & Population Family Support Services 5

Modular Emergency Medical System (MEMS) Components Triage & Mass Prophylaxis Temporary Wards & Supportive Care (e. g. Neighborhood Emergency Help Centers) (e. g. Acute Care Centers) - Triage - Prophylaxis, immunization Treatment information Tracking, transportation Expanded clinics, other temporary facilities C &C - Triage - Community Outreach - Treatment Supportive care Satellite off of hospitals Temporary facilities such as hotels, office buildings Prophylaxis, immunization Self help at home Communication link 6

Key Findings • Effective BW response possible for wide range of casualties • Preparations applicable to any catastrophic medical emergency • Emergency response software can help with bioterrorism & all emergencies (e. g. , RAMS – Responder Assets Management System) • Best response may reduce death & suffering by 50% - Prevention of terrorist attack needed • Results applicable to military base & community 8

QUESTIONS 9

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