Lesperance Ann M, Olson Jarrod, Stein Steve, Clark Rebecca, Kelly Heather, Sheline Jim, Tietje Grant, Williamson Mark, Woodcock Jody
Pacific Northwest National Laboratory, Northwest Regional Technology Center, 1100 Dexter Ave. North, Seattle, WA 98109, USA.
Biosecur Bioterror. 2011 Sep;9(3):280-7. doi: 10.1089/bsp.2011.0031.
A biological attack would present an unprecedented challenge for local, state, and federal agencies, the military, the private sector, and individuals on many fronts, ranging from vaccination and treatment to prioritization of cleanup actions to waste disposal. To prepare for recovery from this type of incident, the Seattle Urban Area Security Initiative (UASI) partners collaborated with military and federal agencies to develop a regional recovery framework. The goal was to identify key information that will assist policymakers and emergency managers in shortening the timeline for recovery and minimizing the economic and public health impacts of a catastrophic anthrax attack. Based on discussions in workshops, tabletop exercises, and interviews with local, state, federal, military, and private sector entities responsible for recovery, the authors identified goals, assumptions, and concepts of operation for various areas to address critical issues the region will face as recovery progresses. Although the framework is specific to a catastrophic, wide-area biological attack using anthrax, it was designed to be flexible and scalable so it could also serve as the recovery framework for an all-hazards approach in other regions and jurisdictions. Benefits from this process include enhanced coordination and collaboration across agencies, a more thorough understanding of the anthrax threat, an opportunity to proactively consider long-term recovery, and a better understanding of the specific policy questions requiring resolution.
生物攻击将在诸多方面给地方、州和联邦机构、军队、私营部门及个人带来前所未有的挑战，涉及从疫苗接种和治疗到清理行动优先级确定再到废物处理等各个领域。为做好应对此类事件后恢复工作的准备，西雅图市区安全倡议（UASI）合作伙伴与军队及联邦机构合作，制定了一个区域恢复框架。目标是确定关键信息，以协助政策制定者和应急管理人员缩短恢复时间线，并将灾难性炭疽攻击对经济和公众健康的影响降至最低。基于研讨会上的讨论、桌面演练以及对负责恢复工作的地方、州、联邦、军队和私营部门实体的访谈，作者确定了各领域的目标、假设和行动概念，以应对恢复过程中该地区将面临的关键问题。尽管该框架专门针对使用炭疽的灾难性、大面积生物攻击，但设计得具有灵活性和可扩展性，因此它也可作为其他地区和司法管辖区全灾种应对方法的恢复框架。这一过程带来的益处包括加强各机构间的协调与合作、更深入了解炭疽威胁、有机会主动考虑长期恢复以及更好地理解需要解决的具体政策问题。
