Book contents
- Frontmatter
- Contents
- List of Contributors
- Contributor Biographies
- Foreword
- Preface
- Acknowledgments
- PART I CONCEPTUAL FRAMEWORK AND STRATEGIC OVERVIEW
- PART II OPERATIONAL ISSUES
- 9 Public Health and Emergency Management Systems
- 10 Legislative Authorities and Regulatory Issues
- 11 Syndromic Surveillance
- 12 Triage
- 13 Personal Protective Equipment
- 14 Decontamination
- 15 Quarantine
- 16 Mass Dispensing of Antibiotics and Vaccines
- 17 Management of Mass Gatherings
- 18 Transportation Disasters
- 19 Emergency Medical Services Scene Management
- 20 Healthcare Facility Disaster Management
- 21 Mass Fatality Management
- 22 Crisis and Emergency Risk Communication
- 23 Telemedicine and Telehealth Role in Public Health Emergencies
- 24 Complex Public Health Emergencies
- 25 Patient Identification and Tracking
- PART III CLINICAL MANAGEMENT
- Index
- Plate section
- References
13 - Personal Protective Equipment
from PART II - OPERATIONAL ISSUES
Published online by Cambridge University Press: 05 August 2011
Book contents
- Frontmatter
- Contents
- List of Contributors
- Contributor Biographies
- Foreword
- Preface
- Acknowledgments
- PART I CONCEPTUAL FRAMEWORK AND STRATEGIC OVERVIEW
- PART II OPERATIONAL ISSUES
- 9 Public Health and Emergency Management Systems
- 10 Legislative Authorities and Regulatory Issues
- 11 Syndromic Surveillance
- 12 Triage
- 13 Personal Protective Equipment
- 14 Decontamination
- 15 Quarantine
- 16 Mass Dispensing of Antibiotics and Vaccines
- 17 Management of Mass Gatherings
- 18 Transportation Disasters
- 19 Emergency Medical Services Scene Management
- 20 Healthcare Facility Disaster Management
- 21 Mass Fatality Management
- 22 Crisis and Emergency Risk Communication
- 23 Telemedicine and Telehealth Role in Public Health Emergencies
- 24 Complex Public Health Emergencies
- 25 Patient Identification and Tracking
- PART III CLINICAL MANAGEMENT
- Index
- Plate section
- References
Summary
OVERVIEW
Following terrorist attacks such as the September 11, 2001 events in the United States, governments around the world at local, state, and federal levels placed increased emphasis on preparedness efforts. Vendors capitalized on this heightened attention by embarking on aggressive marketing campaigns flooding marketplaces with advertisements for disaster survival kits, survival manuals, evacuation plans, instruction manuals on protecting families during a terrorist attack, and information on “the very best” personal protective equipment (PPE). However, as the time interval since the latest disaster increases, both public and government interest in being prepared tend to fade. For example, in the United States, at the time of this writing, there is no federal law requiring state and local officials to plan for the evacuation of the sick, elderly, disabled, or impoverished. Ironically, pets are more protected as both houses of the U.S. Congress passed bills that require local governments to plan for the evacuation of pets. Nonetheless, some progress is being made in the area of PPE.
PPE is being considered by many organizations and agencies. These agencies are purchasing and supplying equipment for the protection of the workforce from possible attacks and threats uncovered through a hazards vulnerability analysis. Numerous pitfalls, obstacles, and confusing directions exist regarding equipment selection and indications for use in protecting individuals from a possible unknown hazard.
Keywords
- Type
- Chapter
- Information
- Koenig and Schultz's Disaster MedicineComprehensive Principles and Practices, pp. 184 - 194Publisher: Cambridge University PressPrint publication year: 2009
References
Why We Don't Prepare. Time Magazine. 2006. Available at: http://www.time.com/time. Accessed February 3, 2009.
A History of Biological Warfare from 300 B.C.E. to the Present. Available at: http://www.aarc.org/resources/biological/history.asp. Accessed February 3, 2009.
: Medical Management of Biological Casualties Handbook. Fort Detrick, Frederick, MD: US Army Medical Research Institute of Infectious Diseases.
A Brief History of Chemical and Biological Weapons: Ancient Times to the 19th Century. 2001 Available at: http://www.cbwinfo.com/History/History.html. Accessed February 3, 2009.
Wikipedia Free Encyclopedia. Chemical Warfare. Available at: http://en.wikipedia.org/wiki/Chemical_warfare. Accessed February 3, 2009.
War of Nerves: Chemical Warfare from World War 1 to Al-Qaeda. New York: Pantheon Books; 2006.
. Fact Sheet on Dirty Bombs. Available at: http://www.nrc.gov/reading-rm/doc-collections/fact-sheets/dirty-bombs.html. Accessed February 3, 2009.
Defense Intelligence Agency; Current and Projected National Security Threats to the United States. Senate Armed Services Committee Testimony, 2/28/2006.
National Infrastructure Protection Plan 2006. Available at: http://www.dhs.gov/xlibrary/assets/NIPP_Plan.pdf. Accessed February 3, 2009.
(2003). Hazardous Substances Emergency Events Surveillance (HSEES), Annual Report 2003:Victims. Available at: http://www.atsdr.cdc.gov/HS/HSEES/annual2003.html#victims. February 3, 2009.
. Medical Management of Chemical Casualties Handbook. 3rd ed. Aberdeen Proving Ground, MD: USAMRID; 2000.
. Proposed Airborne Exposure Limits for Chemical Warfare Agents H, HD, and HT (Sulfur Mustard). Fed. Reg.
2003;68:43356–43357.Google Scholar
. Understanding Radiation. 2002. Available at: http://www.nsc.org/resources/issues/rad/nonioniz.aspx. Accessed February 3, 2009.
. Ionizing Radiation – It's Everywhere! Los Alamos National Laboratory. 1995. Available at: http://library.lanl.gov/cgi-bin/getfile?23-01.pdf. Accessed February 3, 2009.
. Federal Manager's/Decision Makers Emergency Guide. 2005. Available at: http://www.opm.gov/emergency/PDF/ManagersGuide.pdf. Accessed February 3, 2009.
. 2003. Available at: http://www1.va.gov/emshg/docs/Radiological_Medical_Countermeasures_Indexed-Final.pdf. Accessed February 3, 2009.
. Understanding the New NFPA
1994
Standard on Protective Ensembles for Chemical. Available at: http://www.seinet.org/NFPA%201994.pdf. Accessed February 3, 2009.
. The Federal Employee's Emergency Guide. 2005. Available at: http://www.opm.gov/emergency/PDF/EmployeesGuide.pdf. Accessed February 3, 2009.
. The Terrorist Attack with Sarin in Tokyo Summary, Experience and Conclusions. KAMEDO Report No 71.
. Nosocomial poisoning associated with emergency department treatment of organophosphate toxicity – Georgia, 2000. MMWR. 2001;49 (51):1156–1158.Google Scholar
. Center for Health Promotion and Preventive Medicine's Technical Guide, Personal Protective Equipment Guide for Military Medical Treatment Facility Personnel Handling Casualties from Weapons of Mass Destruction and Terrorist Events. Technical Guide 217; 2000.
Occupational Safety and Health Administration. 29 Code of Federal Regulations (CFR) 1910.134 b. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=12716. Accessed February 3, 2009.
. 29 Code of Federal Regulations (CFR) 1910.134(d)(1)(iii). Available at: http://www.cdc.gov/niosh/npptl/pdfs/scba-attach-e.pdf. Accessed February 3, 2009.
. 29 Code of Federal Regulations (CFR) 1910.134(g)(2)(i). Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=9765. Accessed February 3, 2009.
. Using Combinations of Respiratory Protection Not Approved by NIOSH. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=INTERPRETATIONS&p_id=22685&p_text_version=FALSE. Accessed February 3, 2009.
. Preamble to the OSHA Respirator Standard. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=PREAMBLES&p_id=1053&p_text_version=FALSE. Accessed February 3, 2009.
(2002). Memorandum for Commander, Defense Reutilization and Marketing Service. Available at: http://www1.va.gov/vasafety/docs/GAS_MASK_8_6_02R.pdf. Accessed February 3, 2009.
. Interim Recommendations for the Selection and Use of Protective Clothing and Respirators Against Biological Agents. Available at: http://www.cdc.gov/niosh/unp-intrecppe.htm. Accessed February 3, 2009.
. Recommendations Regarding Filter and Sorbent Selection, Operations, Upgrade, and Maintenance. Available at: http://www.cdc.gov/niosh/docs/2003-136/2003-136d.html. Accessed February 3, 2009.
. OSHA Training Institute Education Center Course Descriptions, Course #2225 – Respiratory Protection. Available at: http://www.osha.gov/fso/ote/training/edcenters/coursedescription.html#2225. Accessed February 6, 2009.
. Inspection Procedures for the Respiratory Protection Standard Directive. CPL 2–0.120. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=DIRECTIVES&p_id=2275. Accessed February 3, 2009.
. Questions and Answers on the Respiratory Protection Standard. Available at: http://www.osha.gov/qna.pdf. Accessed February 3, 2009.
. 29 Code of Federal Regulation (CFR) 1910.134(g)(2)(iii), Personal Protective Equipment. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=12716. Accessed February 3, 2009.
. Personal Protective Equipment. 29 Code of Federal Regulation (CFR) 1910.134(g)(l)(ii). Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=12716. Accessed February 3, 2009.
. Protecting Emergency Responders. Available at: http://www.rand.org/pubs/conf_proceedings/CF176/CF176.ch3.pdf. Accessed February 3, 2009.
, , , et al. Health care facilities' “War on Terrorism”: a deliberate process for recommending personal protective equipment. Am J Emerg Med. 2007;25(2):185–195.Google Scholar
Chemical and Biological Terrorism; Research and Development to Improve Civilian Medical Response, Committee on R&D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents. Health Science Policy Program, Institute of Medicine and Board on Environmental Studies and Toxicology, Commission on Life Sciences, National Research Council, National Academy Press: Washington, DC; 1999.
. NIOSH Respirator Selection Logic. Publication No. 2005 – 100. Available at: http://www.cdc.gov/niosh/docs/2005-100/default.html. Accessed February 3, 2009.
. Preamble to the OSHA Respirator Standard. Available at: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=PREAMBLES&p_id=1053&p_text_version=FALSE. Accessed February 3, 2009.
. Commonly Asked Questions and Answers About Part 84 Respirators. NIOSH Guide to the Selection and Use of Particulate Respirators Certified Under 42 CFR 84. Available at: http://www.cdc.gov/niosh/userguid.html. Accessed February 6, 2009.
. NIOSH Guide to Industrial Respiratory Protection. NIOSH Publication No. 87-116. Available at: http://www.cdc.gov/niosh/pdfs/87-116.pdf. Accessed February 6, 2009.