community preparedness for radiation emergencies: how can the mrcs help? medical reserve corp
TRANSCRIPT
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Community preparedness for radiation emergencies: How can
the MRCs help?
Community preparedness for radiation emergencies: How can
the MRCs help?
Medical Reserve CorpMedical Reserve Corp
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IssueIssue
In the event of a radiation emergency that impacts a large population,
we face serious challenges in meeting the radiological health needs of every affected
community.
In the event of a radiation emergency that impacts a large population,
we face serious challenges in meeting the radiological health needs of every affected
community.
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Public Health Issues After Any DisasterPublic Health Issues After Any Disaster
• Assessment of Health and Medical Care Delivery
• Rapid Assessment of Community Health/Medical Needs
• Delivery of Health and Medical Care
• Pharmaceutical Supply• Potable Water, Safe Food,
and Sanitation and Hygiene
• Injury and illness Surveillance
• Vector Control
• Assessment of Health and Medical Care Delivery
• Rapid Assessment of Community Health/Medical Needs
• Delivery of Health and Medical Care
• Pharmaceutical Supply• Potable Water, Safe Food,
and Sanitation and Hygiene
• Injury and illness Surveillance
• Vector Control
• Solid Waste• Hazardous Materials• Registry• Mental Health• Sheltering and Housing• Mass Congregation• Handling of the Deceased
(humans and animals)• Staffing• Rumor Control• Public Service
Announcements/Media
• Solid Waste• Hazardous Materials• Registry• Mental Health• Sheltering and Housing• Mass Congregation• Handling of the Deceased
(humans and animals)• Staffing• Rumor Control• Public Service
Announcements/Media
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In a radiation emergency:In a radiation emergency:
Public PhysicsHealth
Your state radiation control program is a key partner!
Your state radiation control program is a key partner!
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Need for Radiation Professionalsin a large scale radiation emergencyNeed for Radiation Professionalsin a large scale radiation emergency
• Monitoring environment and workplace• Monitoring people • Supporting operations at:
– Hospitals– Public and special needs shelters– Emergency operations centers– Community reception centers– Etc.
• Communications
• Monitoring environment and workplace• Monitoring people • Supporting operations at:
– Hospitals– Public and special needs shelters– Emergency operations centers– Community reception centers– Etc.
• Communications
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Where Does Radiation Expertise Come From?Where Does Radiation Expertise Come From?
• State?
• Federal?
• Mutual Aid?
• Your local community
• State?
• Federal?
• Mutual Aid?
• Your local community
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“Planners should identify radiation protection professionals in their community and encourage them to volunteer and register in any one of the Citizen Corps or similar programs in their community.”
“Planners should identify radiation protection professionals in their community and encourage them to volunteer and register in any one of the Citizen Corps or similar programs in their community.”
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State boundary
MRC Jurisdiction
Radiation Volunteers
General/Public Health/Medical Volunteers
State Volunteer Registry
RadiationControl
MRC 2
MRC 3MRC 1
MRC 4
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Community Preparedness for Radiation Emergencies: How Can the
Medical Reserve Corps Help?
Elizabeth Fitch, MPANational Technical Assistance Coordinator
Office of the Civilian Volunteer Medical Reserve Corps
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• Mission: Engage volunteers to strengthen public health, emergency response and community resiliency
• Key Points:– Organize/utilize locally – Affiliate/integrate with existing programs and
resources – Volunteer management - identify, screen/verify
credentials, train
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MRC Emergency Preparedness and Response Activities
48%
68%71%
63%
43%
51%
13%
87%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Alternate CareFacilities
Shelter Operations SNS/POD Pandemic FluPlanning
CommunityPreparedness
Hospital Surge Mass CasualtyIncidents
Other
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Additional Activities
• Disaster Behavioral Health
• First Aid/Comfort Stations
• First Responder Rehabilitation
• Mass Fatality
• Radiation Response
• Many others, based on local needs and resources
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Volunteer Types
13397
1289 24954193
1876 1552
8441 8429
487
66165
16755
48013
0
10000
20000
30000
40000
50000
60000
70000
Physic
ians
Physic
ian A
ssist
ants
Nurse
Pra
ctitio
ners
Nurse
s
Pharm
acist
s
Dentis
ts
Veter
inaria
ns
Men
tal H
ealth
Pro
fess
ionals
EMS P
rofe
ssion
als
Respir
atory
The
rapis
ts
Other
Pub
lic H
ealth
/Med
ical
Non-P
ublic
Hea
lth/N
on-M
edica
l
# V
olu
nte
ers
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Public Health
Sedgwick County (KS) MRC Health Screening and Education
Upper Merrimack Valley (MA) MRC
Blood pressure screening
Emergency Preparedness and Response
Omaha (NE) MRC Evacuee Shelter
Bergen County (NJ) MRC Dispensing Clinic
MRC Activities
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Why Incorporate MRC?
• Identified, Organized
• Credentialed, Often Incorporated into State ESAR-VHP Databases
• Trained
• Partnering with others, such as CERT
• Familiar with large-scale activities
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MRC’s and Radiation Response
• Florida’s RRVC
• MRC GEM (GA)
• Albany County MRC and Rensselaer County MRC (NY) – Empire ’09 Exercise
• Central Texas MRC
• Onslow County MRC (NC)
• Southern Nevada MRC (NV) – NLE 2010
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Making the Connection
• Educating MRC Units about Radiation Response and Population Monitoring
• Educating professionals about the MRC
• Providing specific training to MRC volunteers
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• MRC Program Office– [email protected] – (301) 443-4951
• MRC website– www.medicalreservecorps.gov
• MRC Regional Coordinators
• MRC State Coordinators
• Contact existing MRC units
For Additional Information
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Contact Information
Elizabeth H. Fitch, MPANational Technical Assistance Coordinator
(301) 443-0920
[email protected] www.medicalreservecorps.gov
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Community Preparedness for Community Preparedness for Radiation Emergencies: How Radiation Emergencies: How
Can the Medical Reserve Corps Can the Medical Reserve Corps Help?Help?
Connect State Radiation Control Connect State Radiation Control Resources with Radiation VolunteersResources with Radiation Volunteers
Ruth E. McBurneyRuth E. McBurneyExecutive DirectorExecutive Director
Conference of Radiation Control Program Conference of Radiation Control Program Directors, Inc.Directors, Inc.
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Responsibilities of State and Local Responsibilities of State and Local Radiation Control ProgramsRadiation Control Programs
License, register and inspect sources of License, register and inspect sources of ionizing radiationionizing radiation Radioactive materialRadioactive material X-ray machines and acceleratorsX-ray machines and accelerators
Register and inspect sources of Register and inspect sources of nonionizing radiationnonionizing radiation LasersLasers Ultraviolet (e.g., tanning salons)Ultraviolet (e.g., tanning salons)
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Responsibilities of State and Local Responsibilities of State and Local Radiation Control ProgramsRadiation Control Programs
Emergency planning and responseEmergency planning and response Offsite accident assessment, monitoring, and Offsite accident assessment, monitoring, and
recommendations for actions for nuclear recommendations for actions for nuclear power plant exercises and emergenciespower plant exercises and emergencies
Accident assessment, monitoring and Accident assessment, monitoring and protective action recommendations for other protective action recommendations for other radiological incidents and accidentsradiological incidents and accidents
Environmental monitoring around nuclear Environmental monitoring around nuclear facilitiesfacilities
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TOPOFF 4TOPOFF 4The initial blast from the detonation of the radiation device The initial blast from the detonation of the radiation device
in Portlandin Portland, , OROR October 2007October 2007
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Potential Victims of an Potential Victims of an RDDRDD
TOPOFF 2007
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Where Can a Radiological Event Where Can a Radiological Event Occur?Occur?
May not occur in a city with state resourcesMay not occur in a city with state resources States without nuclear power plants have less States without nuclear power plants have less
expertise in emergency planning and responseexpertise in emergency planning and response Most state radiation control programs are located in Most state radiation control programs are located in
capital cities, although some have regional staff as capital cities, although some have regional staff as wellwell
Host cities for displaced citizens with Host cities for displaced citizens with contamination will also be impactedcontamination will also be impacted
YOYO (You’re On Your Own) for several hours YOYO (You’re On Your Own) for several hours until other state and federal resources can arriveuntil other state and federal resources can arrive
State radiation control programs will quickly run State radiation control programs will quickly run out of resources for mass population monitoringout of resources for mass population monitoring
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Involvement of Trained VolunteersInvolvement of Trained Volunteers
Registration through Medical Reserve Registration through Medical Reserve CorpsCorps
Establishment of roles and responsibilitiesEstablishment of roles and responsibilities Use of volunteers already trained in Use of volunteers already trained in
radiation safety and contamination radiation safety and contamination monitoring, such as:monitoring, such as: Health physicistsHealth physicists Medical physicistsMedical physicists Nuclear medicine technologistsNuclear medicine technologists
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““Population Monitoring” Population Monitoring” Reception CenterReception Center
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Specialized Training through Specialized Training through Workshops and Web ResourcesWorkshops and Web Resources
National Response Framework, National Response Framework, Nuclear/Radiological Incident AnnexNuclear/Radiological Incident Annex
Population monitoring of large groups of Population monitoring of large groups of peoplepeople Walk-through monitorsWalk-through monitors Hot-line techniquesHot-line techniques
Effective communication to the public on Effective communication to the public on monitoring results and remedial actionsmonitoring results and remedial actions
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SummarySummary
Radiation control programs will need the Radiation control programs will need the assistance of trained volunteers in a mass assistance of trained volunteers in a mass radiological or nuclear emergency.radiological or nuclear emergency.
Trained radiation workers in hospitals, education Trained radiation workers in hospitals, education and industry can be used with a small amount of and industry can be used with a small amount of additional training as volunteer emergency additional training as volunteer emergency personnel, specifically for population monitoring.personnel, specifically for population monitoring.
Although some states have implemented the Although some states have implemented the radiation response volunteer program, more radiation response volunteer program, more states will need to do so in the near future.states will need to do so in the near future.
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Contact InformationContact Information
Ruth E. McBurney, CHPRuth E. McBurney, CHPExecutive Director Executive Director
Conference of Radiation ControlConference of Radiation Control
Program Directors, Inc.Program Directors, Inc.
[email protected]@crcpd.org
www.crcpd.orgwww.crcpd.org
(502) 227-4543(502) 227-4543