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Click on the plus sign beside the resource title for a description.

Telehealth Ontario detection of gastrointestinal illness: an early warning system for bioterrorism

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Hicks CM, Denny CJ, Bandiera GW.
Sunnybrook Health Sciences Centre, Toronto, ON

Description: Prompt detection of bioterrorism and rapid introduction of mitigation strategies is a primary concern for public health, emergency and security management organizations. Traditional surveillance methods rely on astute clinical detection and reporting of disease or laboratory confirmation of a pathogen. Although effective these methods are slow, dependent on physician compliance and delay timely effective intervention. To address these issues, syndromic surveillance programs have been integrated into the health care system at the earliest points of access; in Ontario these points are primary care providers, emergency departments and Telehealth Ontario. This study explores the role of Telehealth Ontario, a telephone helpline, as an early warning system for detection of gastrointestinal illness.

Keywords: Telehealth, syndromic surveillance, bioterrorism

Haz Mat for Healthcare [-]

Description: well organised site with many HAZMAT resources for downloading. The categories of resources are easily located by running your cursor over the toolbar near the top of the page. Of interest to all and particularly EMS/first responders.

Key words: CBRN Chemical, Radiological, Biological, Nuclear, terrorism HAZMAT, chemical contamination

CBRNE resource page of the US National Bioterrorism Hospital Preparedness Program [-]

Description: this is a page with many excellent links to documents dealing with CBRNE. It is a good starting point for searches on the topic. Do not be fooled by the title, it is not just BIO terror.

Key words: CBRN, Chemical, Radiological, Biological, Nuclear, terrorism

The National Memorial Institute for the Prevention of Terrorism [-]

Description: this is a good resource page for first responders. MIPT have specifically decided to support police officers, firefighters, emergency medical technicians and all of the others who are first on the scene in the aftermath of terrorist activity. They sponsor research to discover equipment, training and procedures that might assist them in preventing terrorism and responding to it. The site has links to an extensive library that may take a bit of time to wade through until you find what you want but it has many good resources. Worth a visit, particularly for EMS.

Appeals to physicians, nurses EMS.

Medical Management of Radiological Casualties Handbook [-]

Description: PDF from the Military Medical Operations Office Armed Forces Radiobiology Research Institute that outlines the management of radiation casualties. Comprehensive and well organised. Written in 1999 Appeals to physicians Categories CBRN Tactical violence

Key words: radiation CBRN, Tactical violence, terrorism

Department of Homeland Security Working Group on Radiological Dispersal Device (RDD) Preparedness Medical Preparedness and Response Sub-Group 5/1/03 Version [-]

Description - everything you wanted and needed to know if you were going to manage a "dirty bomb" scenario including prehospital and medical management

Key words radiation CBRN, Tactical violence, terrorism Of interest to EMS, Physicians, public health

Emergency Preparedness and Counterterrorism Resource Center

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Description - American Society of Health-System Pharmacists page. There is a good resource centre (on the left of the page) with the goal of providing Pharmacists practicing in the various settings of health systems with information and guidance on public and private preparedness and response activities. There is a selection of pharmacy and general articles available

Key words: hospital readiness, public health, community response, general planning, bioterrorism

Center for Infectious Diseases Research and Policy, University of Minnesota - bioterrorism preparedness page

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Biological Threats and Terrorism: Assessing the Science and Response Capabilities: Workshop Summary (2002) - Institute of Medicine, National Academy of Sciences

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Civilian Emergency Response to Chemical or Biological Weapons Incident - 1997, National Academy of Sciences.

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Harrison's Online: Bioterrorism Watch - selected chapters from Harrison's Online are provided free of charge.

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Texas Department of Health - Bioterrorism information page

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Hospital Preparedness: Most Urban Hospitals Have Emergency Plans but Lack Certain Capacities for Bioterrorism Response

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Description - Highlights of GAO report from a survey of over 2,000 urban hospitals where about 73 percent provided responses addressing emergency preparedness. The survey collected information on hospital preparedness for bioterrorism, such as data on planning activities, staff training, and capacity for response.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Ready or Not? Protecting the Public's Health in the Age of Bioterrorism, The Trust for America's Health

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Description - This report illustrates the changes in the American public health system including areas of progress, areas where improvements need to be made and explains how to understand the difference in capabilities among the states, which must be able to work together in times of emergency. The analysis considers an "all-hazards" assessment of the states' abilities to respond to the full spectrum of possible public health emergencies, as most of the same resources and capabilities would be necessary to respond to terrorist threats, accidents or threats posed by nature.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Regionalization of Bioterrorism Preparedness and Response Summary - Agency for Healthcare Research and Quality - PDF

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Treatment of Biological Warfare Agent Casualties

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Description - July 2000 document from the Headquarters Departments of The Army, The Navy, and the Air Force, and Commandant, Marine Corps. Very complete including field management and other aspects of care

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Medical Aspects of Chemical and Biological Warfare

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Description - Excerpted from theTextbook of Military Medicine, 1997, published by the Office of the Surgeon General, Department of the Army, United States of America. This is a well organised review of all chemical, toxin and biological hazards facing the military and - by extension - terror targets in civilian populations.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease,chemical

The Agency for Healthcare Research and Quality (AHRQ) National Guideline Clearinghouse

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Description - A public resource for evidence-based clinical practice guidelines. This site has links to guidelines for bioterrorism agents. Search for the specific agent.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Centers for Disease Control Bioterrorism Preparedness and Response information page.

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

California Medical Association - Bioterrorism Resource Center

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Michigan State Medical Society - Biodefense Resource Center

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Texas Medical Association - Bioterrorism Resource Center

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Description - this site has in it a resource toolkit for physicians. Produced by the TMA Bioterrorism Task Force, the toolkit includes physician protocols on the diagnosis, reporting, etiology, and management of anthrax, botulism, smallpox, and plague, and one-page reproducible patient handouts on each of those diseases. Also included is the American Medical Association's "Quick Reference Guide to Biological Warfare."

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

American Academy of Family Physicians - btresponse.org

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Description - Bioterrorism resources for medical professionals.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

American College of Physicians-American Society of Internal Medicine - Bioterrorism Information Center

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

American Society for Microbiology - Biological Weapons Resources Center

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Association for Professionals in Infection Control and Epidemiology - Bioterrorism Resources

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

National Academy of Sciences - Responding First to Bioterrorism

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Description - A bibliography of web resources for "first responders" on bioterrorism and public safety.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Virginia Department of Health - BioTerrorism Preparedness

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Description - This site provides a series of quick links to FAQs posed by first responders as well as the public. Despite the fact that much of the material is specific to Virginia the site is useful because of the topics it lists and some of the material is generaliseable. If anyone wants to put together a Canadian version of the public information here (and in other similar sites) please contact the CEEP webmaster for support.

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease

Centers for Disease Control - Public Health Emergency Preparedness and Response page

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Description - General resources for dealing with Bio-events

Key words: CBRN, biological, terrorism, tactical violence, hospital readiness, public health, community response, general planning, bioterrorism, epidemic, pandemic, infectious disease


General Info

Bioterrorism and the People - Vaccinate a City

Foodborne Illness

Implications of Pandemic Influenza for Bioterrorism Response

Nat Disaster Med System

National Disaster Medical System Website

Preventing Use Bio Weapons - Improving Response Should Prevention Fail


Public Health Reports - National Disaster Medical System

Redefining Readiness Study - Terrorism Planning


Recognition of Illness Associated with the Intentional Release of a Biologic Agent


Medical HAZMAT Response Plans

ABC's of Bioterrorism - Bioterrorism Patient Care

Acute Radiation Syndrome: A Fact Sheet for Physicians

Ambulances to Nowhere-Shortfall in Medical Preparedness for Terrorism

An Approach to Terrorism Preparedness: Parkland Health and Hospital System

Are you prepared to respond to bioterrorism?

Biological Agents as Weapons-Medical Implications-Countermeasures & Decontamination

Biological Warfare and its Cutaneous Manifestations

Bioterrorism Questionnaire - Bioterrorism Emergency Planning and
Preparedness Questionnaire for Healthcare Facilities


Bioterrrorism Readiness Plan: Template Healthcare Facilities

Case Definitions for Infectious Conditions Under Public Health Surveillance

Case Definitions for Public Health Surveillance

CBRNE - Evaluation of a Biological Warfare Victim

Chemical Terrorism Event Specimen Collection

Chemical Weapons

Collaboration Between Public Health and Law Enforcements-New
Paradigms and Partnerships for Bioterrorism Planning and Response


Community-Based Mass Prophylaxis - Planning Guide for Public Health Preparedness

Coordinating a Multiple Casualty Critical Incident Within a Hospital

Critical Linkages Between Influenza Preparedness and Bioterrorism Preparedness

Decontamination of People Exposed to Chem Bio Radio Nuclear Substances

Defense Against Toxin Weapons

Dose Estimates and Other Compendia

Drug Preparedness and Response to Bioterrorism

Elements of Effective Bioterrorism Preparedness

Emergency Department Management

EMS Guidelines-Patient Restraint

Epidemiology of Bioterrorism

Facts About DPTA

Facts About Neupogen

Guidance for Protective Actions Following a Radiological Terrorist Event

Guidance for Radiation Accident Management

Guidelines Hospital Response to Mass Casualties from a Radiological Incident

HAZMAT for Health Care: Management of the Contaminated Patient

Health Care Planning for Chemical and Biological Terrorism

HEICS Hospital Emergency Incident Command System Vol I

HEICS Hospital Emergency Incident Command System Vol II

Hometown Hospitals-The Weakest Link-Bioterrorism Readiness in America's Rural Hospitals

Hospital Communications in a Mass Casualty Event

Hospital Triage in the First 24 Hours after a Nuclear or Radiological Disaster

[The] Madrid Bombings- A Firsthand Account


Managing Hazardous Materials Incidents Volume I

Managing a Suspected Biological Incident

Mass Casualty Decontamination

Mass Casualty Disaster Plan Checklist - Template for Healthcare Facilities

Mass Casualty Prediction By the Numbers

Medical Aspects of Chemical and Biological Warfare

Medical Guidelines Ionizing Radiation & Terrorist Incidents-Points for the Patient & You

Neurological Aspects of Biological and Chemical T errorism


Nuclear Terrorism & Health Effects

Performance Criteria for Public Health Reporting Systems 24/7

Physical Protocols & Patient Info on Bio agents

Possible Health Effects of Radiation Exposure on Unborn Babies


Potassium Iodide (KI)

Prenatal Radiation Exposure: A Fact Sheet for Physicians

Preparing for a Terrorist Attack: Mass Casualty Management

Protecting the Public's Health in the Age of Bioterrorism

Prussian Blue

Public Health in the Time of Bioterrorism

Public health response to biological and chemical weapons-WHO guidance (2004)

Radiation and Health Effects

Radiological Medical Countermeasures


Rapid Access Mass Decontamination Protocol

Rapid Contingency Plans for Responding to Victims of a Chemical Attack


Risks and Prevention of Nosocomial Transmission of Rare Zoonotic Diseases


Shipping Samples from People Exposed to Chemical Terrorism Agents

USAMRIID's Medical Mgmt Bio Casualties Blue Book


Weapons of Mass Destruction Events with Contaminated Casualties


Who You Gonna Call? Medical Emergency Strategic National Stockpile

Bioterrorism: Family Assistance
Compensation Protocol-A Guide to Responding to Mass-Casualty-Incidents


FEMA Family Disaster Plan


Bioterrorist Agents Charts

Bioterrorist Agents Chart I

Bioterrorist Agents Chart II

Chemical Terrorism Agents and Syndromes Chart

WMD Agent Quick Reference Guide

FIRE-HAZMAT-DISASTER

ATSDR-2003 CERCLA Priority List of Hazardous Substances

ATSDR's role in the response to terrorism

ATSDR A Citizen's Guide to Risk Assessments and Public Health Assessments

ATSDR-Hazardous Substances Emergency Events Surveillance (HSEES)


ATSDR HazMat Emergency Preparedness Training and Tools for Responders


ATSDR Interaction Profiles for Toxic Substances

ATSDR Managing Hazardous Material Incidents

ATSDR Medical Management Guidelines (MMGs) for Acute Chemical Exposures

ATSDR-Minimal risk Levels for Hazardous Substances (MRLS)

ATSDR Public Health Statements (PHSs)

ATSDR ToxFAQs Hazardous Substance Fact Sheets


ATSDR Toxicological Profile Information Sheet

Quarantine

Large-Scale Quarantine Following Biological Terrorism in the United States


Quarantine & Isolation: Lessons Learned from SARS.

Abrin

Abrin Emergency Response Card [NIOSH]

Ammonia

Chemical Terrorism - Irritants Ammonia


Anthrax

Anthrax

Anthrax - A Possible Case History

Anthrax as a Biological Weapon


Anthrax Summary - Types of Clinical Anthrax


Applying Lessons Learned from Anthrax Case History to Other Scenarios


Bacillus anthracis

Bioterrorism Pub Health Response to Anthrax Incidents 2001

Boiling and Bacillus Spores

Clinical and Epidemiologic Principles of Anthrax


Clinical Presentation of Inhalational Anthrax Following Bioterrorism
Exposure - Report of 2 Surviving Patients


Death due to Bioterrorism-Related Inhalational Anthrax Report of 2 Patients 2001


Emergency response to anthrax attack


Human Anthrax Associated with an Epizootic Among Livestock - North Dakota 2000

Inactivation of Bacillus anthracis Spores


Investigation of Bioterrorism-Related Anthrax, United States, Epidemiologic Findings

Modeling the optimum duration of antibiotic prophylaxis in an anthrax attack


NIOSH Procedures for Collecting Environmental Samples for Culturing Bacillus anthracis

Notice to Readers-Occupational Health Guidelines for Remediation Workers

Novel Sample Preparation Method for Safe and Rapid Detection of
Bacillus anthracis Spores in Environmental Powders and Nasal Swabs


Ounce of Prevention-Mass Antibiotic Prophylaxis for Anthrax NYC 2001

Protecting Investigators Performing Environmental Sampling for
Bacillus anthracis-Personal Protective Equipment


PCR Assay To Detect Bacillus anthracis Spores in Heat-Treated Specimens


Susceptibility of Bacillus anthracis to eleven antimicrobial agents

Arsenicals

CBRNE - Vesicants, Organic Arsenicals: L, ED, MD, PD, HL

Arsines

Chemical Terrorism - Blood Agents Arsines

Botulism

Botulinum Neurotoxins Summary


Botulinum Toxin as a Biological Weapon

Botulinum Toxin Fact Sheet

Botulism

Botulism as a Bioterrorism Agent

Botulism Fact Sheet

Botulism in the United States 1899-1996

Facts about Botulism

Sentinel Lab Guidelines - Botulism Toxin

Brucellosis

Brucellosis

Chlorine

Chemical Terrorism - Chlorine


Cyanides

Chemical Terrorism - Blood Agents Cyanides

Cyanogen Chloride Emergency Response Card [Niosh]

Hydrogen Cyanide Emergency Response Card [NIOSH]


Potassium Cyanide

Sodium Cyanide Emergency Response Card [NIOSH]


Ebola

Ebola Fact Sheet

Fluorine

Chemical Terrorism - Pulmonary Irritants Fluorine & Hydrogen Fluoride

Hydrogen Sulfide

Chemical Terrorism - Blood Gas Agents Hydrogen Sulfide


Lewisite

Blister Agents: Lewisite (L) and Mustard-Lewisite Mixture (HL)


Chemical Terrorism - Vesicants/Blistering Agents Dichloroarsine Compounds Lewisite

Facts About Lewisite

Methyl Isocynate

Chemical Terrorism - Methyl Isocyanate

Mustard

CBRNE - Vesicants, Mustard: Hd, Hn1-3, H

Chemical Terrorism - Vesicants (Blistering Agents) Mustard Agents

Facts About Nitrogen Mustards

Facts About Sulfur Mustard

HN1 Nitrogen Mustard Emergency Response Card (NIOSH)

HN2 Nitrogen Mustard Emergency Response Card (NIOSH)


HN3 Nitrogen Mustard

Mustard

Toxicological Profile for Sulfur Mustard


Phosgene

Chemical Terrorism - Lung Irritants Phosgene

Chemical Terrorism - Vesicants/Blistering Agents
Halogenated Oxime Agents Phosgene Oxime


Phosphine

Chemical Terrorism - Pulmonary Irritants Phosphine

Plague

CIDRAP Plague: Current, comprehensive information on pathogenesis,
microbiology, epidemiology, diagnosis, and treatment


Epidemiologic Determinants for Modeling Pneumonic Plague Outbreaks

Level A Laboratory Procedures for Identification of Yersinia pestis

Plague as a Biological Weapon

Plague (Summary)

Ricin

Facts About Ricin

Ricin

Ricin Fact Sheet

Ricin: Technical Background

Sarin

Sarin

Sarin Fact Sheet

Smallpox

DoD Individuals Briefing-Smallpox Vaccination Program

Emergency response to a smallpox attack case of mass vaccination

Evaluating Patients for Smallpox

Expected Adverse Events in a Mass Smallpox Vaccination Campaign

Facts About Smallpox

CDC/DoD Smallpox Workshop

Modeling Potential Responses to Smallpox as a Bioterrorist Weapon

Recent Events & Observations - Smallpox Virus Destruction in 2002

Risk Communication Health Care Facilities Smallpox Vaccinations


Smallpox

Smallpox - An Attack Scenario

Smallpox as a Biological Weapon Medical and Public Health Management

Smallpox-Clinical and Epidemiologic Features

Smallpox Disease and Immunocompromised Persons - Frequently Asked Questions

Smallpox DoD Health Care Providers Briefing

Smallpox Response Plan and Guidelines

Smallpox Vaccination in 2003: Key Information for Clinicians

The Threat of Smallpox: Eradicated but Not Erased

Who's Being Vaccinated Against Smallpox?


Sulfur Dioxide

Chemical Terrorism - Pulmonary Irritants Sulfur Dioxide



Tularemia

Frequently Asked Questions About Tularemia

Tularemia as a Biological Weapon Medical and Public Health Management


Tularemia Fact Sheet


Viral Hemorrhagic Fever

Hemorrhagic Fever Viruses as Biological Weapons

Viral Hemorrhagic Fevers

Viral Hemorrhagic Fevers Summary

Viral Hemorrhagic Fevers (VHFs): Hazard Recognition


VX

VX Emergency Response Card (NIOSH)

TERRORISM: RADIOLOGY

Casualty Management After a Deliberate Release of Radioactive Material

Casualty Management After Detonation of a Nuclear Weapon in an Urban Area

CDC's Roles in the Event of a Radiological Terrorist Event

Chemical, Biological, Radiological Incident Handbook

Dirty Bombs

Federal Radiological Emergency Response Plan (FRERP)-Operational Plan

FEMA: Federal Radiological Emergency Response Plan

Frequently Asked Questions About a Nuclear Blast


Frequently Asked Questions (FAQs) About a Radiation Emergency

Glossary of Radiological Terms

Guidance Radiological Terrorist Incident

Guidelines for Hospital Response to Mass Casualties from a Radiological Incident

Health Protection Guidance in the Event of a Nuclear Weapons Explosion

Protecting Emergency Responders-Lessons Learned from Terrorist Attacks

Protecting Emergency Responders Volume2

Protecting Emergency Responders Volume 3
Radiation Facts

Radioactive Contamination and Radiation Exposure

Radioactive Isotopes

Radiological Dispersion Device (Dirty Bomb)


Radiological Weapons - "Dirty Bombs"

Radiological Weapons - Nuclear Blast/Reaction


Sheltering in Place During a Radiation Emergency


Terrorism Awareness WMD Part III Radiological Weapons


Terrorism Awareness WMD Part IV Explosives


TERRORISM: WATER

Are water systems a terrorist target?

Biological Warfare Agents as Threats to Potable Water

A Chemical & Biological Warfare Threat-USAF Waters Systems at Risk

Countering Terrorism of Drinking Water Supplies

Disinfection of Water

Early Warning Monitoring to Detect Harzardous Events in Water Supplies

Early Warning Systems for Hazardous Biological Agents in Potable Water

EPA Emergency Disinfection of Drinking Water

EPA Emergency Response Plan Guidance for Small & Medium Community Water Systems

EPA Large Water System Emergency Response Plan Outline

EPA Response Protocol Toolbox Overview

EPA Response Protocol Toolbox-Module 1

EPA Response Protocol Toolbox-Module 2

EPA Response Protocol Toolbox-Module 3

EPA Response Protocol Toolbox-Module 4

EPA Response Protocol Toolbox-Module 5


EPA Response Protocol Toolbox-Module 6


EPA-Water Security - Emergency/Incident Planning


EPA-Water Security-Security Enhancements, Research & Technology

EPA-Water Security-Vulnerability Assessments

Guidance for Water Utility Response Recovery & Remediation Actions for Emergencies

Keeping Your Community Informed During Emergencies


A Lesson in Microbiology

Protecting your Community's Assets-Guide for Small Wastewater Systems


Protocol to Secure Vulnerable Assessments

Safety of Our Nation's Water

Security and Emergency Planning


Security-What have we Learned?

U.S. Can Learn from International Utilities' Security Measures


Water Security Products Inventory

Water Security Research & Technical Support Action Plan

Water Systems Should Polish Security Plans