Table of Contents

CONTRIBUTORS vii

PROLOGUE xi

ACKNOWLEDGMENTS xiii

PART I INTRODUCTION: THE KNOWN AND THE UNKNOWN

1 Preparedness, Uncertainty, and Terror Medicine 3
Leonard A. Cole

2 Bioterrorism and the Communication of Uncertainty 17
Leonard A. Cole, Laura H. Kahn, and Peter M. Sandman

3 Responding to Disaster and Terrorism: The Central Role of Communication 29
Steven M. Becker

PART II HEALTHCARE PROFESSIONALS

4 The Role of the Emergency Physician 47
Emily G. Kidd, Donald H. Jenkins, and Craig A. Manifold

5 The Role of the Nurse 61
Dian Dowling Evans, Samuel E. Shartar, and James W. Gordon

6 The Role of the Dentist 71
David L. Glotzer

7 The Role of the Emergency Medical Technician 83
Brendan McCluskey and Henry P. Cortacans

8 The Role of the Mental Health Professional 95
Ann E. Norwood, Lisa M. Brown, and Gerard A. Jacobs

PART III INSTITUTIONAL MANAGEMENT

9 The Role of the Manager of Mass Casualty and Disaster Events 111
Shmuel C. Shapira and Limor Aharonson-Daniel

10 The Role of Public Health 123
Henry Falk and Isaac Ashkenazi

11 The Role of the Hospital Receiver 139
Mark A. Merlin

12 Managing Traumatic Stress 153
Steven M. Crimando

PART IV SUPPORT AND SECURITY

13 The Role of the On-Scene Bystander and Survivor 165
Bruria Adini

14 The Role of the Trained Volunteer 177
Brenda D. Phillips, Njoki Mwarumba, and Debra Wagner

15 Bioterrorism, Biosecurity, and the Laboratory 189
Nancy D. Connell and James Netterwald

16 The Role of the Law Enforcement Officer 201
Graeme R. Newman and Ronald V. Clarke

17 A Model Case of Counterterrorism: Thwarting a Subway Bombing 215
Joshua Sinai

18 The Newest Security Threat: Cyber-Conflict 227
Panayotis A. Yannakogeorgos

PART V CONCLUSION

19 Preparedness, Black Swans, and Salient Themes 241
Nancy D. Connell and Leonard A. Cole

Index 249

About the Author

Dr. Leonard Cole is an adjunct professor of politicalscience at Rutgers University-Newark, NJ, and director of theProgram on Terror Medicine and Security at UMDNJ's Center forBioDefense. He has published widely on terrorism-relatedsubjects including chapters in two recent Wiley volumes: SuicideTerror and Bacillus Anthracis and Anthrax. Hismost recent books are The Anthrax Letters (revised edition,2009) and Essentials of Terror Medicine (co-editor, 2009). Afull list of works by Dr. Cole is available on his websitewww.leonardcole.com. Dr. Nancy Connell is professor of infectious disease atthe Medical School of the University of Medicine and Dentistry ofNew Jersey. She is director of UMDNJ's Center for BioDefense,has authored numerous scientific articles, and has served onnational and regional panels concerning biosecurity. Currently, she is a member of the National Academy of Sciencescommittee on the "Review of the Scientific Approaches Used by theFBI During Its Investigation of the 2001 Anthrax Mailings."

Reviews

In summary, this book is an excellent read and the waythe various incidents and subsequent responses are recounted, onecannot help but to reevaluate how to plan for disasters andemergencies to be better prepared for not only realistic worst caseevents but also for the Black Swan. (Journal ofChemical Health & Safety, 1 April 2013) Local Planning for Terror and Disaster: FromBioterrorism to Earthquakes, is required reading for anyoneinvolved in responding to Mass Casualty Events which means allof us, because we could all become firstresponders. Nancy Hartevelt Kobrin,PhD, familysecuritymatters.org "'Local Planning' may be among the most important books publishedthis year..." Warren Boroson,newjerseynewsroom.com "Leonard Cole and Nancy Connell have producedan essential book, not just for counterterrorismand disaster preparedness professionals, but for each and everyAmerican. We can t prevent disasters but we can mitigatethem, and the key to mitigation is preparedness. I know of nobetter place to look for that key than in the pages of thisbook." Clark Ervin, Former Inspector General, USDepartment of Homeland Security "A great read. At a time when funding for local preparednessefforts is waning, this book is a clarion call for reversing thattrend. Leading experts and practitioners from across thepreparedness spectrum provide vivid case studies and give valuablejudgments about what matters most in responding to disasters andterrorism. Read it and be reminded how much depends onlocal response when catastrophe strikes." ThomasInglesby, MD, Director of the Center for Biosecurity ofUPMC This text is an excellent addition to the discipline ofdisaster management. It includes realistic case studies tointroduce the diverse range of disaster and terror situations thatmedical, security, or other professionals should be prepared toaddress. Any disaster professional would benefit greatly fromheeding its lessons. Jane Bullock, FormerChief of Staff, Federal Emergency Management Agency "This book provides a unique approach to the trueinterdisciplinary requirements for responses to terrorist anddisaster events as it translates findings from case studies intoactions needed for preparedness. Thus, it provides much neededinformation for the disciplines that comprise disaster medicine,including administration and security. It is an important read thatwill enhance our levels of preparedness." MarvinBirnbaum, MD, PhD, Chair, Board of Directors, World Association forDisaster and Emergency Medicine