TY - JOUR
T1 - National Health Preparedness and Response Centers
T2 - Revisiting the Increasingly Critical Need to Expand Cooperative Emergency Response Capabilities in the United States
AU - Donahue, Donald A.
AU - Burkle, Frederick M.
AU - Blanck, Ronald R.
N1 - Funding Information:
Conceptualization and creation of JICSTC was coordinated by the medical operations staff at OCAR. This effort was supported by the USARC Surgeon, 2 successive Directors of Domestic Emergency Preparedness - Medical Programs (Military Assistance to Civil Authorities) within Reserve Affairs, the Army Deputy Surgeon General for Mobilization, Readiness and Reserve Affairs, and the Army Surgeon General.
Publisher Copyright:
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.
PY - 2021/6
Y1 - 2021/6
N2 - In 1999, a robust National Health Preparedness and Response Center was conceptualized and piloted, but never fully operationalized. This study revisits the expansive, coordinated efforts invested in this concept, considered an overdue remedy for persistent shortfalls in medical Chemical, Biological, Radiological, Nuclear, and High Yield Explosives training, proficiency, and preparation. The concept defined a robust mission for longstanding, proven programs for prepositioning equipment and associated training of personnel. This study explores the reasons that ended military and governmental support, attendant funding, and operations of the created Joint/Interagency Civil Support Center, which ceased on September 30, 2006. Unfortunately, the concept remains relevant. Major gaps in disaster medical response capabilities have been recognized for decades. Experts from the Institute of Medicine, United States Northern Command, and multiple academic centers and professional organizations have identified these shortcomings, but the national response posture remains disjointed, under-resourced, and based upon obsolete planning premises. Given increasing threats, the authors recommend revisiting the collaboration of military, civilian, academic, and governmental resources that once established the Joint/Interagency Civil Support Center as a multidisciplinary and trans-disciplinary model for a new National Health Preparedness and Response Center coordinated framework for enhanced resilience and operational response capabilities on a national level.
AB - In 1999, a robust National Health Preparedness and Response Center was conceptualized and piloted, but never fully operationalized. This study revisits the expansive, coordinated efforts invested in this concept, considered an overdue remedy for persistent shortfalls in medical Chemical, Biological, Radiological, Nuclear, and High Yield Explosives training, proficiency, and preparation. The concept defined a robust mission for longstanding, proven programs for prepositioning equipment and associated training of personnel. This study explores the reasons that ended military and governmental support, attendant funding, and operations of the created Joint/Interagency Civil Support Center, which ceased on September 30, 2006. Unfortunately, the concept remains relevant. Major gaps in disaster medical response capabilities have been recognized for decades. Experts from the Institute of Medicine, United States Northern Command, and multiple academic centers and professional organizations have identified these shortcomings, but the national response posture remains disjointed, under-resourced, and based upon obsolete planning premises. Given increasing threats, the authors recommend revisiting the collaboration of military, civilian, academic, and governmental resources that once established the Joint/Interagency Civil Support Center as a multidisciplinary and trans-disciplinary model for a new National Health Preparedness and Response Center coordinated framework for enhanced resilience and operational response capabilities on a national level.
KW - biological and radiation disasters
KW - chemical
KW - disaster preparedness
KW - disaster response
KW - multidisciplinary national response
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U2 - 10.1017/dmp.2020.26
DO - 10.1017/dmp.2020.26
M3 - Review article
C2 - 32290890
AN - SCOPUS:85083308872
VL - 15
SP - 358
EP - 366
JO - Disaster Medicine and Public Health Preparedness
JF - Disaster Medicine and Public Health Preparedness
SN - 1935-7893
IS - 3
ER -