Is your community prepared for a biological terrorism incident? While no community is fully equipped or funded for a major attack, it is possible to develop and implement effective local response plans, protocols, and guidelines. This book contains vitally important information to guide local agencies in their efforts to secure and coordinate the influx of state and federal resources before, during, and after an attack. Mandatory reading for emergency response teams, today's school administrators, business leaders, public utilities managers, media professionals, as well as the general public, this resource walks through the fundamental concepts of emergency planning -- that is, the "DNA" of successful emergency management. Subsequent chapters enable readers to immerse themselves thoroughly in specific elements of successful emergency planning, including: passive, active, and medical surveillance; biochemical detection, notification, and diagnosis protocols; agent surety; mass prophylaxis; the national pharmaceutical stockpile program; and more.

Includes index.

Chapter 1Overview of National and International Terrorism 1 -- Types of Terrorists 3 -- Terrorist Targets 5 -- Recognizing Terrorist Events 5 -- An Overview of International Terrorism 6 -- A Brief History of Terrorism 15 -- Response Overview, Strategies, and Tactics 18 -- Emerging Response Planning and Controversial Issues 19 -- Chapter 2 DNA of Emergency Management Planning: The Basic Concepts of Emergency Management 21 -- Emergency Management Agencies 22 -- Fire Service Involvement 23 -- Factors that Affect Emergency Management 24 -- Threats Facing the United States 25 -- Types of Threats 26 -- Ranking of Threats 26 -- Potential Hazards 27 -- Changing Context: A Window of Opportunity 28 -- Emergency Manager 29 -- IEMS Overview 32 -- IEMS Concept 33 -- IEMS Process 34 -- Starting the Real World Planning Process 36 -- Hazard (Risk) Analysis 37 -- Planning Process 38 -- Cascade Effect 38 -- Capability Assessment 40 -- Setting Goals 43 -- Getting Organized 43 -- Multi-hazard, All-Hazard, Functional Planning 44 -- History of Incident Command System 44 -- Summary Exercising 46 -- Chapter 3 Basics of Emergency Management: Putting It All Together 49 -- Your Role as the Emergency Manager 50 -- Job Title and Organizational Chart 51 -- Hazard Identification and Planning 51 -- Staffing Issues 51 -- Office and Professional Duties 52 -- Resource Lists 52 -- Management 53 -- Information 53 -- Leadership 53 -- Professional Training 53 -- Non-Emergency Management-Related Duties 54 -- Responsibilities to Employer or Organization 54 -- Planning 54 -- Why plan? 55 -- Case for Planning 55 -- Planning Guidelines 55 -- Writing the Plan 56 -- Planning vs. Improvisation 57 -- Plan Components 57 -- Technical Writing 57 -- What Your Local Emergency Operations Plan Should Include 58 -- Emergency Support Functions (ESFs) 59 -- Terrorism Consequence Management Plan 59 -- Chapter 4 System Implications 65 -- Interoperability and Self-Sufficiency 66 -- Responder Casualties 67 -- Treatment Roles and Responsibilities 67 -- Chapter 5 Event Management 69 -- Incident Operations 70 -- Emergency Operations Center Operations 72 -- Metropolitan Medical Response System (MMRS) 73 -- Integration with Federal Government 73 -- Integration with State and Local Government 77 -- Medical Management 77 -- Medical Facilities 79 -- MMRS Organizational Chart 80 -- Hospital Emergency Incident Command System (HEICS) 80 -- Chapter 6 Local Plans and Resources 89 -- Local Emergency Operations Plan 90 -- Local Hazards Analysis 90 -- Vulnerability Analysis 91 -- Functional Annexes 91 -- Local Resources and Special Teams 93 -- Community Emergency Response Teams (CERTs) 94 -- Disaster Community Health Assistance Teams (DCHATs) 98 -- Chapter 7 Federal Medical Resources 101 -- Federal Response Plan Assumptions 102 -- Plan's Concept of Operations 104 -- National Disaster Medical Service 117 -- Historical Development of The NDMS 121 -- Recent Experiences of the NDMS 124 -- Other Resources from the Public Health Service 129 -- Federal Urban Search and Rescue Resources (US&R, USAR) 129 -- Task Force Leader 130 -- Search Team 130 -- Rescue Team 130 -- Medical Team 131 -- Technical Team 132 -- Chapter 8 Medical Consequences 137 -- B-NICE 138 -- Patient Care Mainstays 139 -- Physiological Effects of Terrorist Weapons 143 -- Nervous System 144 -- Blood, The Mediator of Inflammation 154 -- Mass Patient Decontamination 159 -- Chapter 9 General Biological Terrorism Concepts 163 -- Biological Response 164 -- Integrating Federal, State, County, and Local Responses 165 -- Concept of Operational Management Issues 170 -- Emergency Operations Center 170 -- Crisis Management 170 -- Situation and Threat Background 171 -- Incident Types: Package, Covert Release, Threat 171 -- Threatened Use 172 -- Confirmed Presence 173 -- Actual Release 173 -- Agents 173 -- Planning Strategies 174 -- Administration 175 -- Plan Maintenance 175 -- Outline of Biological Response Operations 176 -- Conduct Internal Notification 176 -- Determine the Course of Action 176 -- Action Planning 176 -- Conduct Public Notifications 179 -- End Event 179 -- Stages of Severity 179 -- Strategies and Actions 180 -- Decision Factors 180 -- Specific Treatment Models 181 -- Biological Terrorism Operations 182 -- Suspicious Outbreak of Disease Notifications 182 -- In the Event of an Alert 183 -- In the Event of a Warning 183 -- In the Event of an Actual Incident (Response) 185 -- Threatened Use 185 -- Confirmed Presence 186 -- MMRS Biological Agents 186 -- Historical Biological Agent Scenarios as a Baseline 186 -- Treatment vs. Prophylaxis 188 -- Discovery of Agent Prior to Release 188 -- Actual Release 190 -- Initial Response Concerns 194 -- Suspicious Outbreak of Disease 195 -- Synopsis of BW Agent Characteristics 197 -- BW First Responder Concerns 198 -- BW Agent Dissemination 198 -- Weather Effects 199 -- Decontamination (Decon) Considerations 199 -- Recovery Concerns 200 -- Site Decontamination and Restoration 201 -- Oversight 201 -- Investigation 201 -- Chapter 10 Planning and Action Guidelines 203 -- Passive Surveillance 204 -- Active Surveillance (Epidemiological Services) 204 -- Biological Terrorism Stakeholders Group 206 -- Detection 207 -- Agent Surety 208 -- Notification 214 -- Diagnosis 214 -- Mass Prophylaxis 216 -- Medical Response Expansion Program 225 -- Logistics for the National Pharmaceutical Stockpile Program 227 -- EMS Resources 235 -- Hospital Plan 235 -- Emergency Support Function #8 (ESF#8), Health and Medical 236 -- Mass Fatality Management Implementation 237 -- Medical Examiner Expansion Program 238 -- Environmental Clean Up 240 -- Bioplan References 243 -- Appendix A Check List for Agencies 245 -- Appendix B Public Safety Precautions/Actions 249 -- Appendix C Public Health Anthrax Threat Advisory 259 -- Appendix D Complete Agent Descriptions 263 -- Appendix E Area Hospital Listings 271 -- Appendix F County Public Health Clinics/Centers 273 -- Appendix G An Anthrax Threat Field Guide 275 -- Appendix H Pharmaceutical Needs for the Five Types of Biological Agents 277 -- Appendix I Pharmaceutical Push Package Contents 283 -- Appendix J Biological Agent Signs and Symptoms 285 -- Appendix K Israel's Fixed Hospital Decontamination System 287 -- Appendix L Sample Domestic Preparedness Training Courses: Public Health Focus 295 -- Appendix M Biological Incident Preparedness Training 297 -- Appendix N Sample School Emergency Plan 311 -- Appendix O Internet Resources for Terrorism/Disaster Planning 321.