Author Archive

A New Standard of Care for Crisis Incidents

Most medium-sized or larger U.S. hospitals can handle multi-casualty incidents efficiently and effectively under normal circumstances. However, during major incidents such as earthquakes, hurricanes, or terrorist attacks, those same hospitals often require additional resources. Through interagency cooperation, new standards of care have been published to help better prepare for future

An Exercise in Utility: The Role of Public Health

The federal funding streams that improved U.S. preparedness capabilities, at all levels of government, so significantly in the first decade after the 9/11 attacks have already declined, and additional reductions are just over the horizon. But a lack of funds can be overcome, at least in part, by careful planning,

Funding Realities & Emergency Preparedness: A Grim Outlook

Most U.S. states and major cities, and the nation as a whole, are now better prepared to cope with terrorist attacks and natural disasters than they were prior to 9/11. But the gains made over the past decade will need a steady stream of continued funding, both to maintain the

MCM Dispensing: The Public Health Point of View

To plan for and defeat the frequently changing threats posed by pandemics (both natural and terrorist-related) requires advance planning, comprehensive training, and stockpiling mountains of supplies, including medications needed to protect literally millions of citizens. But these efforts involve numerous complexities.

The Next Pandemic: Understanding the Public Health Role

In coping with pandemics, public health authorities play one of the most important roles in the overall process of planning, preparedness, response, and recovery. Although the term “pandemic” refers to a wide range of infectious diseases – e.g., human immunodeficiency virus (HIV), plague, smallpox, and tuberculosis – the current focus

The Public Health Role During Mass-Fatality Incidents

Many major disasters start without warning, continue for periods ranging from mere seconds to weeks or months, and leave behind a chaotic mass of useless rubble and ruined lives. The work of public health agencies necessarily starts well before the first tremor, continues through the entire response/recovery/resilience process, and ends

Public Health: Assessing the Hazards & Vulnerabilities

The first priority of would-be “problem solvers” should be to find out, in as much detail as possible, exactly what the problem is. That is particularly true, it says here, in dealing with major and extremely complicated problems involving, and quite possibly jeopardizing, the continued good health of thousands of

Tailoring an Emergency Operations Plan

The old tailor’s maxim – “Measure twice; cut once” – is also a suitable approach to the writing of an all-hazards Emergency Operations Plan for a health department. Here is a comprehensive and easy-to-follow guide to the planning, writing, reviewing, and approval processes necessary to the drafting, development, and dissemination

Health/Medical Factors Critical in Pre-Planned Events

FEMA, the FBI, and the Secret Service have primary jurisdiction, appropriately, for the safety of National Special Security Events. But the literally life-or-death responsibilities of local medical and healthcare facilities and personnel mandates that they also are fully included in the long-range planning sessions preceding such events.

The Reality of On-Scene Medical Control Physicians

The Emergency Medical Services (EMS) system in the United States functions primarily under the philosophy that EMS should – as efficiently as possible – assess, treat, and then quickly transport a patient to the appropriate hospital for definitive treatment by physicians. If needed, Medical Control (MC) is supplied off-line in


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Article Out Loud – Protecting Infrastructure – Cyber, Physical, and EMP Attacks

  Full article by David Winks, an Article Out Loud from Domestic Preparedness, February 21, 2024. In this featured article, a cyber defense expert describes the complexities of protecting the power grid from cyber, physical, and electromagnetic pulse attacks. Like a giant spider web, the grid connects power companies and

Article Out Loud – Repeated Intelligence Failures – Not Connecting the Dots

  Full article by Robert Leverone and Darren E. Price, an Article Out Loud from Domestic Preparedness, February 14, 2024. In this featured article, two homeland security experts discuss how combating potential threats and avoiding intelligence failures involves identifying the signals and warnings in available information and connecting the dots.

Article Out Loud – Needed: More Imagination for Countering Domestic Risks

Full article by Jeanne Benincasa Thorpe, an Article Out Loud from the Domestic Preparedness Journal, February 7, 2023.From “Lord of the Flies” to the terrorist attacks of 9/11, significant consequences have been blamed on failures of imagination. In this featured article, a national security and resiliency expert encourages leaders to

Article Out Loud – Unleashing Community Resilience Through Collaborative Leadership

Full Article By Michael R. Valiente, an Article Out Loud from Domestic Preparedness, January 31, 2024. Elected officials and emergency response personnel form the nucleus of community leadership, a driving force for collaborative relationships with local stakeholders. Find out how community leaders who adopt the tenets of transformational leaders can

Article Out Loud – Commercial Facilities Sector Perspectives

Full Article By Kole (KC) Campbell, an Article Out Loud from Domestic Preparedness, January 31, 2024. Commercial facilities dominate the U.S. economy, contributing trillions of dollars to the U.S. gross domestic product while employing and supporting millions of jobs. Learn more about this critical infrastructure sector and its interdependencies. Listen

Article Out Loud – Rising Above the Flood: A Decision Tool for Structural Safety

Full Article By Cedric Ling, Debashish Kar, Nur Yazdani, Eyosias Beneberu, Maria Koliou, and Yong Yoo, an Article Out Loud from Domestic Preparedness, January 24, 2024.When homeowners choose to elevate their homes above flood levels, they may compromise the structural integrity of the building if the elevation method does not


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