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A Unique Radiological Emergency Contamination Screening Exercise Assessing the interoperability of public health surge capacity response organizations Context The acute need for medical and public health surge capacity identified in light of 9/11 attacks Example surge elements

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a unique radiological emergency contamination screening exercise

A Unique Radiological Emergency Contamination Screening Exercise

Assessing the interoperability of public health surge capacity response organizations

context
Context
  • The acute need for medical and public health surge capacity identified in light of 9/11 attacks
  • Example surge elements
    • Medical Response Groups or Medical Reserve Corps
    • US Public Health Service Inactive Reserve Corps
    • Schools of Public Health
  • Importance of joint exercises to develop understanding of capabilities and to facilitate interoperability
participants
Participants
  • Houston Medical Response Group, Texas State Guard Medical Brigade (known as the “Texas Medical Rangers”) [n = 39]
    • Also included representatives from Galveston
  • US Public Health Service Inactive Reserve Corps [n = 4]
  • University of Texas School of Public Health Student Epidemic Intelligence Society [n = 8]
  • Student volunteers from UT SPH, Houston Community College, and others [n = 110]
drill scenario
Drill Scenario

Drill Scenario video on the web

http://www.uth.tmc.edu/safety/Service.html

equipment supplies
Equipment/Supplies
  • 7 operational CDV 700 radiation monitors
  • Personal protective equipment: gloves, mask, tyvex suits
  • Tarps, plastic bags, markers
  • Tables, chairs, signs
slide8

Layout Design and Flow for Drill Deck

Secondary

Screening Area

Primary Screening Stations

Check in

Check out

slide16

Additional Instruction and Advice

Requested Screening of Pets

scenario screening results
Scenario Screening Results
  • 110 individuals screened
  • 17 detected as emitting radiation
    • 2 indicated recent medical procedures involving radioactive materials, released
    • 13 with surface or skin decontamination, dry and wet deconned, released
    • 2 with suspect intake of contaminants, forwarded for further clinical assessment
  • Of 110 concerned citizens, 2 forwarded to health care facility.
  • In other words, the concerns of 108 individuals addressed without the need to present to an already overwhelmed health care facility
lessons learned
Lessons Learned
  • Feedback from all participants very positive – scenario perceived as very plausible – the need for surge capacity re-enforced
  • Availability of subject matter experts, actual instrumentation, and “just-in-time“ training noted as very valuable
  • Need for streamlined “check in” processes
  • Need for improved risk communications, development of standardized guides
  • Interoperability and understanding amongst key surge groups greatly improved
scenario epilogue
Scenario Epilogue

Drill Epilogue video on the web

http://www.uth.tmc.edu/safety/Service.html

note of appreciation
Note of Appreciation

Special thanks to all of the volunteer participants, both in their roles as service providers and drill participants, for their dedication and service to help improve our collective ability to respond in time of need

Center for Biosecurity and Public Health Preparedness

Inactive Reserve Officer Advisors

Student volunteers

Student volunteers

Drill participants