TY - JOUR
T1 - Public health and medical preparedness for a nuclear detonation
T2 - The nuclear incident medical enterprise
AU - Coleman, C. Norman
AU - Sullivan, Julie M.
AU - Bader, Judith L.
AU - Murrain-Hill, Paula
AU - Koerner, John F.
AU - Garrett, Andrew L.
AU - Weinstock, David M.
AU - Case, Cullen
AU - Hrdina, Chad
AU - Adams, Steven A.
AU - Whitcomb, Robert C.
AU - Graeden, Ellie
AU - Shankman, Robert
AU - Lant, Timothy
AU - Maidment, Bert W.
AU - Hatchett, Richard C.
N1 - Publisher Copyright:
© 2014 Health Physics Society.
PY - 2015/2/13
Y1 - 2015/2/13
N2 - Resilience and the ability to mitigate the consequences of a nuclear incident are enhanced by (1) effective planning, preparation and training; (2) ongoing interaction, formal exercises, and evaluation among the sectors involved; (3) effective and timely response and communication; and (4) continuous improvements based on new science, technology, experience, and ideas. Public health and medical planning require a complex, multi-faceted systematic approach involving federal, state, local, tribal, and territorial governments; private sector organizations; academia; industry; international partners; and individual experts and volunteers. The approach developed by the U.S. Department of Health and Human Services Nuclear Incident Medical Enterprise (NIME) is the result of efforts from government and nongovernment experts. It is a "bottom-up" systematic approach built on the available and emerging science that considers physical infrastructure damage, the spectrum of injuries, a scarce resources setting, the need for decision making in the face of a rapidly evolving situation with limited information early on, timely communication, and the need for tools and just-in-time information for responders who will likely be unfamiliar with radiation medicine and uncertain and overwhelmed in the face of the large number of casualties and the presence of radioactivity. The components of NIME can be used to support planning for, response to, and recovery from the effects of a nuclear incident. Recognizing that it is a continuous work-in-progress, the current status of the public health and medical preparedness and response for a nuclear incident is provided.
AB - Resilience and the ability to mitigate the consequences of a nuclear incident are enhanced by (1) effective planning, preparation and training; (2) ongoing interaction, formal exercises, and evaluation among the sectors involved; (3) effective and timely response and communication; and (4) continuous improvements based on new science, technology, experience, and ideas. Public health and medical planning require a complex, multi-faceted systematic approach involving federal, state, local, tribal, and territorial governments; private sector organizations; academia; industry; international partners; and individual experts and volunteers. The approach developed by the U.S. Department of Health and Human Services Nuclear Incident Medical Enterprise (NIME) is the result of efforts from government and nongovernment experts. It is a "bottom-up" systematic approach built on the available and emerging science that considers physical infrastructure damage, the spectrum of injuries, a scarce resources setting, the need for decision making in the face of a rapidly evolving situation with limited information early on, timely communication, and the need for tools and just-in-time information for responders who will likely be unfamiliar with radiation medicine and uncertain and overwhelmed in the face of the large number of casualties and the presence of radioactivity. The components of NIME can be used to support planning for, response to, and recovery from the effects of a nuclear incident. Recognizing that it is a continuous work-in-progress, the current status of the public health and medical preparedness and response for a nuclear incident is provided.
KW - NationalCouncil onRadiation Protection andMeasurements
KW - emergency planning
KW - nuclear war
KW - radiological terrorism
UR - http://www.scopus.com/inward/record.url?scp=84920728435&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84920728435&partnerID=8YFLogxK
U2 - 10.1097/HP.0000000000000249
DO - 10.1097/HP.0000000000000249
M3 - Article
C2 - 25551496
AN - SCOPUS:84920728435
SN - 0017-9078
VL - 108
SP - 149
EP - 160
JO - Health physics
JF - Health physics
IS - 2
ER -