Physician On-Line Readiness Guide for Acts of Water Terrorism

TABLE OF CONTENTS

Patricia L. Meinhardt, MD, MPH, MA

Section 1: Purpose of Physician Readiness Guide for Acts of Water Terrorism

• How real is the terrorist threat to U.S. water supplies and public health
• Clinical and diagnostic challenges resulting from the threat of water terrorism
• Physicians and healthcare providers as "frontline responders" to acts of water terrorism
• Physician readiness and education as one defense for acts of waterborne
• Objectives of this physician on-line readiness guide for acts of water terrorism
• Clinician On-Line Resources Guide and Targeted Search Engine Tool
  

Section 2: Understanding the Threat of Water Terrorism

• Understanding the threat of water terrorism in the United States
• Water as a potential terrorist target for dispersal of biological, chemical and radiologic agents
• Potential CBR exposure from water distribution systems and recreational water
• Public health protection and water safety and security countermeasures
• Collaboration with public health authorities and water utility practitioners
  

Section 3: CBR Agent Dispersal and Multiple Exposure Pathways

• Dissemination of chemical, biological, and radiologic agents using multiple exposure pathways
• Modes of dispersal of CBR agents using multiple exposure pathways or portals of entry
• Distinguishing features between chemical, biological, and radiologic exposure events
• Host susceptibility factors and vulnerable population considerations for CBR agent exposure
  

Section 4: Detection and Diagnosis of Waterborne Terrorism

• Environmental detection and monitoring of potential waterborne CBR agents
• Use of diagnostic indicators and epidemiologic patterns to detect CBR agent disease and waterborne exposure
• Completion of an effective exposure history to accurately diagnose intentional waterborne disease
• Use of syndromic surveillance and disease trends to assist in the diagnosis of waterborne terrorism
  

Section 5: Evaluation and Management of Disease Resulting from CBR Agents

• Overview of clinical challenge of waterborne disease resulting from CBR warfare agents
• On-line quick reference guides and rapid response cards for CBR warfare agents
• Collaboration with public health authorities and notifiable disease and case reporting requirements in the event of terrorist activity
• Collaboration with public health authorities and water utility practitioners regarding decontamination wastewater resulting from CBR agent exposure
• Additional on-line clinical resources for evaluation and management of waterborne disease resulting from CBR agent exposure
  
  
• Section 5.1: Clinical approach and medical management of BIOLOGICAL AGENTS
   
  • Clinical challenge of evaluation and management of waterborne biological warfare agents
  • Clinical approach to diagnosing waterborne biological warfare agents
  • Overview of biological warfare agents of public health concern
  • Additional on-line clinical resources for evaluation and management of waterborne BW agents
    
    
• Section 5.2: Clinical approach and medical management of BIOLOGICAL TOXINS
  
   
  • Clinical challenge of evaluation and management of waterborne biological toxins
  • Clinical approach to diagnosing waterborne biological toxins
  • Overview of biological toxin agents of public health concern
  • Additional on-line clinical resources for evaluation and management of waterborne BT agents
    
    
• Section 5.3: Clinical approach and medical management of CHEMICAL AGENTS
  
   
  • Clinical challenge of evaluation and management of waterborne chemical warfare agents
  • Clinical approach to diagnosing waterborne chemical warfare agents
  • Overview of chemical warfare agents of public health concern
  • Industrial and agricultural compounds as potential chemical terrorism agents
  • Additional on-line clinical resources for evaluation and management of waterborne CW Agents
    
    
• Section 5.4: Clinical approach and medical management of RADIOLOGIC AGENTS
  
   
  • Clinical challenge of evaluation and management of waterborne radiologic agents resulting from radiological terrorism
  • Clinical approach to diagnosing waterborne radiologic agents resulting from terrorism
  • Overview of public health threat of waterborne radiologic agents resulting from radiological terrorism
  • Additional on-line clinical resources for evaluation and management of waterborne radiologic warfare agents
    

Section 6: Clinician Role in Risk Communication and Community Readiness

• Physician role in local preparedness and community readiness for acts of water terrorism
• Practicing physicians as risk communicators following a waterborne terrorism event
• Physician readiness training opportunities and on-line educational training options
  

Section 7: Clinician On-Line Resources Guide and Targeted Search Engine Tools

• Clinical on-line resources guide and targeted search engines
• 100 most useful terrorism preparedness websites for clinicians
• Resource guide targeted internal search engines
• Targeted search of 100 most useful physician terrorism preparedness websites by category:
  • Biological Agents
  • Biological Toxins
  • Chemical Agents
  • Radiologic Agents
  • Susceptible Populations
  • Laboratory Diagnostics
  • Infection Control
  • Patient Decontamination
  • Risk Communication
  • Physician Preparedness Training Opportunities
• 100 most useful websites summary content guide
• Resource guide general Internet search engine

Section 8: Glossary of Disaster Preparedness Terms

Section 9: CD-ROM Disaster Tool and PDA Application

• Physician On-Line readiness guide as CD-ROM Disaster Tool and PDA Application
• CD-ROM version of Physician On-Line Readiness Guide
• PDA Version of Physician On-Line Readiness Guide