Department of Health and Human Services Health and Medical Services Support Plan for the Federal Response Acts of Chemical/Biological C/B Terrorism.. Office of Emergency Preparedness OEP
Trang 1©2000 CRC Press LLC
Appendix IMaterial Safety Data Sheet for Mustard Gas (HD)
Trang 2©2000 CRC Press LLC
Trang 3©2000 CRC Press LLC
Trang 4©2000 CRC Press LLC
Trang 5©2000 CRC Press LLC
Trang 6©2000 CRC Press LLC
Trang 7©2000 CRC Press LLC
Trang 8©2000 CRC Press LLC
Trang 9©2000 CRC Press LLC
Trang 10©2000 CRC Press LLC
Appendix IISelected Laws Related to Terrorism
Trang 11©2000 CRC Press LLC
Trang 12©2000 CRC Press LLC
Trang 13©2000 CRC Press LLC
Trang 14©2000 CRC Press LLC
Trang 15©2000 CRC Press LLC
Trang 16©2000 CRC Press LLC
Trang 17©2000 CRC Press LLC
Appendix IIISample Jurisdiction Emergency Operations Plan
Trang 18©2000 CRC Press LLC
Trang 19©2000 CRC Press LLC
Trang 20©2000 CRC Press LLC
Trang 21©2000 CRC Press LLC
Trang 22©2000 CRC Press LLC
Trang 23©2000 CRC Press LLC
Trang 24©2000 CRC Press LLC
Trang 25©2000 CRC Press LLC
Trang 26©2000 CRC Press LLC
Appendix IV
Certificate of Training — Medical Management of Biological Casualties
Trang 27
Source: Certificate of Training, “Medical Management of Biological Casualties,”
U.S Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD
©2000 CRC Press LLC
Trang 28©2000 CRC Press LLC
Bibliography
Building a Systems Approach for Health and Medical Response to Acts of NBC Terrorism Office of Emergency Preparedness (OEP), U.S Department of Health and Human Ser- vices (HHS), 1996.
Chemical Accident Contamination Control Department of the Army Field Manual FM 3-21, 1978.
Chemical/Biological Incident Handbook Director of Central Intelligence, for the Intelligence Committee on Terrorism, and the Community Counterterrorism Board, 1995.
Code of Federal Regulations Title 49-Transportation (Parts 178-199) U.S Government ing Office, Washington, D.C., 1997.
Print-Combating Terrorism (Federal Agencies’ Efforts to Implement National Policy and Strategy) U.S General Accounting Office (GAO/NSIAD-97-254), September, 1997.
Competencies for EMS Personnel Responding to Hazardous Materials Incidents - NFPA 473 National Fire Protection Association, Quincy, MA,1992.
Department of Health and Human Services Health and Medical Services Support Plan for the Federal Response Acts of Chemical/Biological (C/B) Terrorism Office of Emergency Preparedness (OEP), of the Department of Health and Human Services (HHS), undated Franz, D.R., Defense Against Toxin Weapons, U.S Army Medical Research and Materiel Command, Fort Detrick, MD, 1997.
Domestic Preparedness Program in the Defense Against Weapons of Mass Destruction (Department of Defense Report To Congress) 1997.
Emergency Response To Terrorism Self-Study U.S Department of Justice, Office of Justice Programs, and Federal Emergency Management Agency, United States Fire Administra- tion, FEMA/USFA - ERT:SS, 1997.
Field Behavior of NBC Agents Department of the Army Field Manual FM 3-6, 1986 Baker, C.J., The Firefighters Handbook of Hazardous Materials (5th ed.) Maltese Enterprises, Indianapolis, IN, 1990
Stern, K.S., A Force Upon the Plain, Simon & Schuster, New York, 1996.
Health Service Support in a Nuclear, Biological, and Chemical Environment Department of the Army Field Manual FM 8-10-7, 1993.
Lewis, R.J., Sr., Hazardous Chemicals Desk Reference (4th ed.) Van Nostrand Reinhold, a Division of International Thompson Publishing, New York, 1997.
Hazardous Materials Emergency Response Planning Guide The National Response Team of the National Oil and Hazardous Substances Contingency Plan, Washington, D.C., 1987 Hazardous Materials Emergency Response Training Boeing Commercial Airplane Group, Seattle, WA, 1994 (unpublished material)
Borak, J., M Callan, and W Abbott. Hazardous Materials Exposure - Emergency Response and Patient Care. Prentice-Hall, Englewood Cliffs, NJ, 1991
Liquid Splash-Protective Suits for Hazardous Chemical Emergencies - NFPA 1992 National Fire Protection Association, Quincy, MA, 1994.
Sidell, F.R., Management of Chemical Warfare Casualties: a Handbook for Emergency ical Services. HB Publishing, Bel Air, MD, 1995.
Med-Medical Management of Biological Casualties Handbook (2nd ed.) U.S Army Med-Medical Research Institute of Infectious Diseases, Fort Detrick, MD, 1996.
Trang 29©2000 CRC Press LLC
Medical Management of Chemical Casualties Handbook (2nd ed.) Medical Research Institute
of Chemical Defense, Aberdeen Proving Ground, MD, 1995.
Metropolitan Medical Strike Team Operational System Description Metropolitan Washington Council of Governments, and the United States Public Health Service, Office of Emer- gency Preparedness, with the U.S Department of Health and Human Services, Wash- ington, D.C., 1996.
NATO Handbook on the Medical Aspects of NBC Defensive Operations, Part II, Biological AMedP-6(B) Department of the Army Field Manual FM 8-9, 1996.
NATO Handbook on the Medical Aspects of NBC Defensive Operations, Part III, Chemical AMedP-6(B) Department of the Army Field Manual FM 8-9, 1996.
NBC Decontamination Department of the Army Field Manual FM 3-5, 1993.
NBC Field Handbook Department of the Army Field Manual FM 3-7, 1994.
NBC Protection Department of the Army Field Manual FM 3-4, 1992.
NIOSH Pocket Guide To Chemical Hazards U.S Department of Health and Human Services, Public Health Service, Centers for Disease Control, and the National Institute for Occu- pational Health and Safety Superintendent of Documents, U.S Government Printing Office, Washington, D.C., 1997.
2000 North American Emergency Response Guidebook (A Guidebook for First Responders During the Initial Phase of a Hazardous Materials/Dangerous Goods Incident U.S Department of Transportation/Transport Canada/the Secretariat of Communications and Transportation for Mexico, 1999.
Occupational Safety and Health Guidance Manual for Hazardous Waste Site Activities National Institute for Occupational Safety and Health, Occupational and Health Admin- istration, the U.S Coast Guard, and the U.S Environmental Protection Agency Published
by the U.S Department of Health and Human Services, Public Health Service, Centers for Disease Control, and the National Institute for Occupational Safety and Control, 1985 Ronk, R., M.K White, and H Linn Personal Protective Equipment for Hazardous Materials Incidents: a Selection Guide. U.S Department for Health and Human Services, Public Health Service, Centers for Disease Control, and the National Institute for Occupational Safety and Health, Superintendent of Documents, U.S Government Printing Office, Washington, D.C., 1984
Potential Military Chemical/Biological Agents and Compounds Department of the Army Field Manual FM 3-9, 1990.
Proceedings of the Seminar on Responding to the Consequences of Chemical and Biological Terrorism Sponsored by the U.S Public Health Service, Office of Emergency Prepared- ness, July 11–14, 1995.
Professional Competence of Responders to Hazardous Materials Incidents - NFPA 472 National Fire Protection Association, Quincy, MA, 1992.
Protective Clothing for Emergency Medical Operations - NFPA 1999 National Fire Protection Association, Quincy, MA, 1992.
Recommended Practice For Responding To Hazardous Materials Incidents - NFPA 471 National Fire Protection Association, Quincy, MA, 1992.
SALT LAKE TRIBUNE, Salt Lake, UT, January 1, 1998.
Lewis, R.J., Sr., Sax’s Dangerous Properties of Industrial Materials (three volumes) Van Nostrand Reinhold, a Division of International Thompson Publishing, New York, 1995 Support Function Protective Clothing for Hazardous Chemicals Operations - NFPA 1993 National Fire Protection Association, Quincy, MA, 1994.
Technical Bulletin - Assay Techniques For Detection of Exposure To Sulfur Mustard, linesterase Inhibitors, Sarin, Soman, GF, and Cyanide Department of the Army TB MED
Cho-296, 1996
Trang 30U.S Navy Shipboard Chemical-Hazard Assessment Guide (C-HAG) 1990
U.S Policy on Counterterrorism (Presidential Decision Directive 39) 1995.
Vapor - Protective Suits for Hazardous Chemical Emergencies - NFPA 1991 National Fire Protection Association, Quincy, MA, 1994.
Trang 31©2000 CRC Press LLC
Glossary
g/g: Microgram per gram, one part per million (ppm).
g/l : Microgram per liter, one part per billion (ppb).
Absorbent materials: A material designed to pick and hold liquid hazardous
mate-rials to prevent a spread of contamination
Acetylcholinesterase: An enzyme that hydrolyzes the neurotransmitter
acetylcho-line The action of this enzyme is inhibited by nerve agents
Acute: Health effect that occurs over a short term; brief and severe as opposed to
chronic
Acute exposure: A single encounter to toxic concentrations of a hazardous material
or multiple encounters over a short period of time
Adsorption: The attraction and accumulation of one substance on the surface of
another
Aerosol: A fine aerial suspension of liquid (fog or mist) or solid (dust, fume, or
smoke); particles sufficiently small in size to be stable
After action report: A post incident analysis report gathered by a responsible party
or responding agency after termination of a hazardous materials incident,describing actions taken, materials involved, impacts, and similar information
Air monitoring: To observe, record and/or detect pollutants in ambient air Anhydrous: Without water, dry Describes a substance in which no water molecules
are present
Antibiotics: Substances produced by and obtained from living cells, such as bacteria
or molds, capable of destroying or weakening bacteria Examples of antibioticswould include penicillin and streptomycin
Antidote: A remedy to relieve, prevent, or counteract the effects of a poison Antiserum: A serum containing an antibody or antibodies produced from animals
or humans that have survived exposure to an antigen
ANSI:American National Standards Institute, a private organization that is engaged
in creating voluntary standards or characteristics and performance of materials,products, systems, and services
Aquifer: A permeable geologic unit with the ability to store, transmit, and yield
fresh water in usable quantities
Area plan: A plan established for emergency response to a release or threatened
release of a hazardous material
Assessment: To determine the nature and degree of hazard of a hazardous material
or a hazardous materials incident from a safe vantage point
ASTM: American Society for Testing and Materials, a voluntary group in which
members devise consensus standards for materials characterization and use
Atropine: Sometimes used as an antidote for nerve agents It inhibits the action of
acetylcholine by binding to acetylcholine receptors
BAL: British Anti-Lewisite Dimercaprol, a treatment for toxic inhalations that
displaces arsenic bound to enzymes
Trang 32Biological agent: A microorganism that causes disease in people, plants, or animals
or causes the deterioration of material
BLEVE: Boiling Liquid Expanding Vapor Explosion
Blister agents: Substances that cause blistering of the skin Exposure is throughliquid or vapor contact with any exposed tissue
Blood agents: Substances that injure a person by interfering with cell respirationdisrupting the exchange of oxygen and carbon dioxide between blood andtissues
Boiling point: The temperature at which the vapor pressure of a liquid equals theatmospheric pressure so that the liquid becomes a vapor Knowing the boilingpoint, you can estimate the persistence of a chemical agent under a given set
of conditions because the vapor pressure and the evaporating tendency varyinversely with its boiling point Chemical agents with high boiling points tend
to be persistent, while agents with low boiling points are normally tent
non-persis-Boom: A floating physical barrier serving as a continuous obstruction to the spread
of a contaminant
Bootie: A sock-like over-boot protector worn to minimize contamination
Botulism: Poisoning by toxin derived from Clostridium botulinum
Boyles Law: The volume of gas is inversely proportional to its pressure at constanttemperature
Breakthrough time: The elapsed time between initial contact of a hazardous ical with the outside surface of a protective clothing material and the time atwhich the chemical can be detected at the inside surface of the material
chem-Buddy system: The organizing of employees into work groups so that eachemployee in the work group is designated to be observed by at least one otheremployee in the work group
CAER: Community Awareness and Emergency Response: a program developed bythe Chemical Manufacturers Association to provide guidance for chemical plantmanagers to assist them in cooperating with local communities to developintegrated hazardous materials response plans
CAM: Chemical Agent Monitor used by the U.S military; it detects chemical agentvapors and provides a readout of the relative concentration of the vapors present
CAMEO: Computer Aided Management of Emergency Operations a computerdatabase for storage and retrieval of pre-planning data for on-scene use athazardous materials incidents
CANA: Convulsant Antidote for Nerve Agent, also called diazepam
CANUTEC: Canadian Transport Emergency Center: a 24 hour, government sored hot line for chemical emergencies
spon-Carbamates: Organic chemical compounds that can be neurotoxic by competitivelyinhibiting acetylcholinesterase binding to acetylcholine
Trang 33©2000 CRC Press LLC
Carcinogen: A material that has been found to cause cancer in humans or in animals
Cascade system: Several air cylinders attached in series to fill SCBA (self-containedbreathing apparatus) bottles
CAS registration number: Chemical Abstract Service An assigned number used
to identify a chemical CAS numbers identify specific chemicals and areassigned sequentially; the number is a concise, unique means of material iden-tification A product of more than one component will have a specific numberfor each component
Catastrophic incident: An event that significantly exceeds the resources of a diction
juris-CERCLA: Comprehensive Environmental Response, Compensation and LiabilityAct Known as CERCLA, or the Superfund amendment, this federal law dealswith hazardous substances releases to the environment and the cleanup ofhazardous waste sites
CFR: Code of Federal Regulations A collection of federal regulations established
Chemical agent: A chemical substance that is intended for use in military operations
to kill, seriously injure, or incapacitate people through its physiological effects(including blood, nerve, choking, blister, and incapacitating agents) Notincluded in this category are riot control agents, chemical herbicides, or smokeand flame materials
Chemical agent detector paper: (ABC-M8 VGH) M8 detector paper comes inbooklets of 25 sheets; it detects and identifies liquid V or G type nerve agents
or H type blister agents
Chemical agent GA: The chemical Ethyl N, N-dimethylphosphoramidocyanidate(CAS# 77-81-6) also known as tabun, is a nerve agent
Chemical agent GB: The chemical Isopropyl methyl phosphonofluoridate (CAS#107-44-8) also known as sarin, is a nerve agent
Chemical agent GD: The chemical Pinacolyl methyl phosphonofluoridate (CAS#96-64-0) also known as soman, is a nerve agent
Chemical agent H: Levinstein mustard (CAS# 471-03-4) is a mixture of 70% bis(2-chloroethyl) sulfide and 30% sulfur impurities produced by the Levinsteinprocess and is a blister agent
Chemical agent HD: Distilled mustard, or bis (2-chloroethyl) sulfide, (CAS# 60-2) is mustard (H) that has been purified by washing and vacuum distillation
505-to reduce sulfur impurities Agent HD is a blister agent
Chemical agent HT: Agent T is bis [2-(2-chloroethylthio) ethyl] ether (CAS#63918-89-8) and is a sulfur, oxygen, and chlorine compound similar in structure
to HD It is 60% HD and 40% T with a variety of sulfur contaminants andimpurities It is a blister agent
Chemical agent L: (lewisite) Agent L is a blister agent, Dichloro chloroarsine, (CAS# 541-25-3)