Local Planning for Terror and Disaster

Dr. Leonard Cole is an adjunct professor of political science at Rutgers University-Newark, NJ, and director of the Program on Terror Medicine and Security at UMDNJ's Center for BioDefense.  He has published widely on terrorism-related subjects including chapters in two recent Wiley volumes: Suicide Terror and Bacillus Anthracis and Anthrax.  His most recent books are The Anthrax Letters (revised edition, 2009) and Essentials of Terror Medicine (co-editor, 2009). A full list of works by Dr. Cole is available on his website www.leonardcole.com. Dr. Nancy Connell is professor of infectious disease at the Medical School of the University of Medicine and Dentistry of New Jersey.  She is director of UMDNJ's Center for BioDefense, has authored numerous scientific articles, and has served on national and regional panels concerning biosecurity.  Currently, she is a member of the National Academy of Sciences committee on the "Review of the Scientific Approaches Used by the FBI During Its Investigation of the 2001 Anthrax Mailings."

• CONTRIBUTORS viiPROLOGUE xiACKNOWLEDGMENTS xiiiPART I INTRODUCTION: THE KNOWN AND THE UNKNOWN1 Preparedness, Uncertainty, and Terror Medicine 3Leonard A. Cole2 Bioterrorism and the Communication of Uncertainty 17Leonard A. Cole, Laura H. Kahn, and Peter M. Sandman3 Responding to Disaster and Terrorism: The Central Role of Communication 29Steven M. BeckerPART II HEALTHCARE PROFESSIONALS4 The Role of the Emergency Physician 47Emily G. Kidd, Donald H. Jenkins, and Craig A. Manifold5 The Role of the Nurse 61Dian Dowling Evans, Samuel E. Shartar, and James W. Gordon6 The Role of the Dentist 71David L. Glotzer7 The Role of the Emergency Medical Technician 83Brendan McCluskey and Henry P. Cortacans8 The Role of the Mental Health Professional 95Ann E. Norwood, Lisa M. Brown, and Gerard A. JacobsPART III INSTITUTIONAL MANAGEMENT9 The Role of the Manager of Mass Casualty and Disaster Events 111Shmuel C. Shapira and Limor Aharonson-Daniel10 The Role of Public Health 123Henry Falk and Isaac Ashkenazi11 The Role of the Hospital Receiver 139Mark A. Merlin12 Managing Traumatic Stress 153Steven M. CrimandoPART IV SUPPORT AND SECURITY13 The Role of the On-Scene Bystander and Survivor 165Bruria Adini14 The Role of the Trained Volunteer 177Brenda D. Phillips, Njoki Mwarumba, and Debra Wagner15 Bioterrorism, Biosecurity, and the Laboratory 189Nancy D. Connell and James Netterwald16 The Role of the Law Enforcement Officer 201Graeme R. Newman and Ronald V. Clarke17 A Model Case of Counterterrorism: Thwarting a Subway Bombing 215Joshua Sinai18 The Newest Security Threat: Cyber-Conflict 227Panayotis A. YannakogeorgosPART V CONCLUSION19 Preparedness, Black Swans, and Salient Themes 241Nancy D. Connell and Leonard A. ColeIndex 249

“In summary, this book is an excellent read and the way the various incidents and subsequent responses are recounted, one cannot help but to reevaluate how to plan for disasters and emergencies to be better prepared for not only realistic worst case events but also for the Black Swan.”  (Journal of Chemical Health & Safety, 1 April 2013)“Local Planning for Terror and Disaster: From Bioterrorism to Earthquakes, is required reading for anyone involved in responding to Mass Casualty Events which means all of us, because we could all become first responders.”—Nancy Hartevelt Kobrin, PhD, familysecuritymatters.org "'Local Planning' may be among the most important books published this year. . . ."—Warren Boroson, newjerseynewsroom.com "Leonard Cole and Nancy Connell have produced an essential book, not just for counterterrorism and disaster preparedness professionals, but for each and every American. We can’t prevent disasters but we can mitigate them, and the key to mitigation is preparedness.  I know of no better place to look for that key than in the pages of this book."—Clark Ervin, Former Inspector General, US Department of Homeland Security"A great read. At a time when funding for local preparedness efforts is waning, this book is a clarion call for reversing that trend.  Leading experts and practitioners from across the preparedness spectrum provide vivid case studies and give valuable judgments about what matters most in responding to disasters and terrorism.   Read it and be reminded how much depends on local response when catastrophe strikes." —Thomas Inglesby, MD, Director of the Center for Biosecurity of UPMC “This text is an excellent addition to the discipline of disaster management.  It includes realistic case studies to introduce the diverse range of disaster and terror situations that medical, security, or other professionals should be prepared to address.  Any disaster professional would benefit greatly from heeding its lessons.” —Jane Bullock, Former Chief of Staff, Federal Emergency Management Agency"This book provides a unique approach to the true interdisciplinary requirements for responses to terrorist and disaster events as it translates findings from case studies into actions needed for preparedness. Thus, it provides much needed information for the disciplines that comprise disaster medicine, including administration and security. It is an important read that will enhance our levels of preparedness." —Marvin Birnbaum, MD, PhD, Chair, Board of Directors, World Association for Disaster and Emergency Medicine