Reopening Public Facilities After a Biological Attack
eBook - PDF

Reopening Public Facilities After a Biological Attack

A Decision Making Framework

,
  1. 225 pages
  2. English
  3. PDF
  4. Available on iOS & Android
eBook - PDF

Reopening Public Facilities After a Biological Attack

A Decision Making Framework

,

About this book

The anthrax attacks in fall 2001 spurred an extensive and costly decontamination effort where many decisions had to be made about which sites required cleanup, what method to use, how to determine the effectiveness of the cleanup, and how "e;clean"e; the building had to be for reoccupation. As part of a project funded by the U.S. Department of Homeland Security (DHS), and managed by Lawrence Livermore National Laboratory, the National Research Council was asked to consider the criteria that must be met for a cleanup to be declared successful, allowing the reoccupation of a facility. The report finds that efficiently sampling and characterizing a pathogen is critical for choosing the best remediation strategy. However, there should be no universal standard for deciding when a building is safe to re-enter because varying pathogen amounts and characteristics could require different strategies. The report offers a flowchart for decision-makers that includes questions about the characteristics of the pathogen; how far it has spread; whether it is transmissible between humans; and how long it will survive to pose a threat. The report also recommends that a risk-assessment approach be adopted as part of a strategy for achieving a "e;socially acceptable"e; standard for cleanup.

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Table of contents

  1. FrontMatter
  2. Preface
  3. Acknowledgments
  4. Contents
  5. Executive Summary
  6. 1 Introduction
  7. 2 Infectious Disease Threats
  8. 3 Policy Precedents in Decontamination
  9. 4 Anthrax Decontamination After the 2001 Attacks: Social and Political Context
  10. 5 Framework for Event Management
  11. 6 Hazard Identification and Assessment
  12. 7 Factors Influencing Exposure to Harmful Biological Agents in Indoor Environments
  13. 8 Analyzing Health Risks
  14. 9 Sampling Strategies and Technologies
  15. 10 Decontamination Practices and Principles
  16. 11 Safe Reoccupation of a Facility
  17. 12 Harmful Biological Agents in a Public Facility: The Airport Scenario
  18. Appendixes
  19. Appendix A Statement of Task
  20. Appendix B Presentations to the Committee
  21. Appendix C All Findings and Recommendations
  22. Appendix D Other Relevant Case Studies
  23. Appendix E Were the 2001 Anthrax Exposures Consistent with Dose–Response: The Case for the AMI Building
  24. Appendix F Biographical Sketches of Committee Members