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RESPONSES TO QUESTIONS FROM

THE HONORABLE STEVE BUYER

CHAIRMAN OF THE SUBCOMMITEE ON OVERSIGHT AND INVESTIGATIONS

FROM THE NOVEMBER 14, 2001 HEARING ON “TERROR ON THE HOME FRONT; ARE WE MEDICALLY PREPARED” 

1.  In your testimony, you mentioned that the “management of WMD events occurs at several levels, which include preparation, first response, public health response and individual provider response.”  You went on to assert, “while each level requires a different knowledge base, everyone requires a basic level of understanding.”  What should that basic level of understanding include and how should that information be disseminated throughout the health care community? 

The basic level of understanding required by the public health system and individual healthcare providers includes:  basic knowledge of how to initially manage the effects of common biological agents used for mass destruction, i.e., anthrax, smallpox, tularemia, plague, etc.; knowledge of resources available and whom to contact in case of such an emergency.  This information can be disseminated through Continuing Medical Education courses offered by many organizations and hospitals as well as through the Internet.  In addition, medical schools and other health sciences could incorporate such training into their curricula. 

2.  You spoke about your office’s state of readiness on October 15th.  Would it be beneficial for all medical facilities to inform the Director of Homeland Defense of their readiness capability? 

All medical facilities should be aware of their own organization’s capabilities in responding to a mass casualty event involving weapons of mass destruction.  Rather than informing Director Ridge’s Office of each organization’s readiness state, the Director of Homeland Defense should be consulted to determine appropriate guidelines for defining medical readiness.  Moreover, these guidelines would probably be tailored based on demographics and areas deemed critical for national security. 

3.  In your opinion what will motivate the health care education community to incorporate weapons of mass destruction training into their curricula? 

I believe that the events of 2001 have provided significant motivation for the medical community to incorporate weapons of mass destruction training into their standard curricula.  This motivation, however, must be crystallized and fully implemented if we are to maintain an appropriate level of training within our nation’s medical community.  Sufficient resources from state and local levels will certainly be required to successfully develop and implement such programs.

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