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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> &gt; <a href="." class="crumb_link">Development of Models for Emergency Preparedness</a> &gt; Chapter 1, Appendix A</span></p>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a>Development of Models for Emergency Preparedness </span></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h2>Chapter 1, Appendix A. Subject Matter Interview Questions and Experts</h2>
<p>The Science Applications International Corporation team interviewed Federal, State, and local subject-matter experts representing a broad spectrum of regulatory, professional, government, and private agencies and organizations.<2E> The goal was to summarize current evidence-based, best demonstrated practices relating to preparedness for health-care professionals in the topics of personal protective equipment, decontamination, isolation/quarantine, and laboratory capacity. <20>The interview questions for each report topic and the subject matter experts interviewed are below.</p>
<h3>Personal Protective Equipment</h3>
<h4>Interview Questions</h4>
<ol><li>What is the appropriate PPE for a bioterrorism event?<3F>What is the appropriate PPE for a chemical event? What is the appropriate PPE for a radiological event? Please answer these questions as they pertain to a medical facility and for EMS in the field, and for infectious events, as well as contamination events necessitating the performance of decontamination?</li>
<li>Is there any new or recent research that you know of that would assist healthcare<72>professionals in choosing appropriate PPE for an infectious agent or a contaminant?</li>
<li>Would you recommend flexible levels of PPE, for the healthcare professional to choose from, based on patient symptoms, positive pathogen or agent identification and immune status<75> (i.e., past hx of chickenpox), or do you recommend a &quot;prescriptive&quot; approach, such as full standard precautions for an infectious pathogen and Level B or C for a chemical contaminant?</li>
<li>What is the financial impact of maintaining flexible levels of PPE available?</li>
<li>What are the current barriers for healthcare professionals in utilizing/having the appropriate PPE for a biological, radiological or chemical event, manmade or naturally occurring?</li>
<li>What types of research and development needs to be done to enable healthcare professionals to utilize appropriate PPE?</li>
<li>Is there anything else you would like to add?</li></ol>
<h4>Subject Matter Experts</h4>
<p>Knox Andress, RN<br />
WMD Response Coordinator<br />
CHRISTUS Schumpert Health System<br />
Emergency Nurses Association<br />
Emergency Preparedness Committee Chair 2004<br />One Saint Mary Place<br />Shreveport, LA<4C>71101<br />Phone: (318) 681-4255<br />knox.andress@christushealth.org</p>
<p>Jim Bentley, PhD<br />Senior Vice President, Strategic Policy Planning<br />American Hospital Association <br />325 Seventh Street, NW<br />Washington, DC<44> 20004<br />Phone: (202) 626-2273/4631<br />Fax: (202) 626-4630<br />jbentley@aha.org</p>
<p>Chief Robert Brown<br />Chief of Staff, Boone County Fire and Rescue<br />2201 I-70 Drive NW<br />Columbia, MO<4D> 65201<br />Phone: (573) 447-5000<br />rbrown@bcfdmo.com</p>
<p>CDR Duane Caneva, MD, MC, U.S.NR<br />Head, Medical Plans and Policy<br />Navy Medicine Office of Homeland Security<br />Bureau of Medicine and Surgery<br />2300 E. Street, NW<br />Washington, DC<44> 20372<br />Phone: (202) 762-3338<br />dccaneva@us.med.navy.mil</p>
<p>Steve Cantrill, MD, FACEP<br />Associate Director of Emergency Medical Services<br />Denver Health Medical Center<br />777 Bannock Street<br />Denver, CO<43> 80014<br />Phone: (303) 436-8100<br />steve.cantrill@dhha.org</p>
<p>Kathy Dolan, RN<br />Risk Manager, Safety and Disaster Coordinator<br />Mercy Medical Center<br />Directory, Emergency &amp; Trauma Services<br />Emergency Department &amp; Area Ambulance<br />701 10th Street, SE<br />Cedar Rapids, IA<49> 52403<br />Phone: (319) 369-4590<br />kdolan@mercycare.org</p>
<p>Edward Eitzen, MD, MPH <br />
Senior Medical Advisor <br />
Office of the Assistant Secretary for Public Health<br />
Emergency Preparedness <br />
Department of Health and Human Services <br />
200 Independence Avenue S.W.,
Room 636G <br />
Washington, DC<44> 20201 <br />
Phone: (202) 690-5545<br />
edward.eitzen@hhs.gov</p>
<p>Zachary Goldfarb, BS, CEM, EMT-P<br />Deputy Chief, FDNY-EMS (Ret.)<br />Consultant<br />Incident Management Solutions, Inc.<br />P.O. Box 634<br />North Bellmore, NY<4E> 11710<br />Phone: (516) 521-5467<br />zgold-nyc@att.net</p><p>Michael Hodgson, MD, MPH<br />Director, Occupational Health Program<br />VHA (136)<br />810 Vermont Avenue, NW<br />Washington DC 20420</p>
<p>David J. Ippolito <br /> Director, Office of Science and Technology Assessment <br />
U.S. Department of Labor<br /> Occupational Safety and Health Administration <br />
200 Constitution Ave, NW<br />Room, N3655<br />Washington, D.C.<2E> 20210 <br />
Phone: (202) 693-2334 <br />
ippolito.david@dol.gov</p>
<p>Dennis L. Jones, RN, BSN<br />State Hospital Community Preparedness Coordinator<br />Georgia Division
of Public Health<br />2 Peachtree St NW Suite 12-413<br />Atlanta, GA 30303<br />Phone: (404) 463-0432</p>
<p>Robin Koons, PhD<br />Director, Hospital Preparedness Program<br />Bioterrorism and Emergency Preparedness Section<br />Disease Control &amp; Environmental Epidemiology Division<br />4300 Cherry Creek Drive South<br />Denver, Colorado<64> 80246<br />robin.koons@state.co.us</p>
<p>Paul Maniscalco, MPA, EMT-P<br />Director, Emergency Services Management Program<br /> George Washington University<br />Past President, National Association of Emergency Medical Technicians<br />Former Deputy Chief/Paramedic for the City of New York <br />47072 Stillwood Place<br />Potomac Falls, VA 20165<br />Phone: (973) 568-4293<br />paulm@gwu.edu</p>
<p>James Howard Murphy, MBA, CEM, EMT-P<br />
Senior Consequence Management Medical Support Officer<br />U.S. Army Reserve Unit&#8212;CM, Aberdeen Proving Ground<br />Senior Program Manager<br />Science Applications International Corporation<br />124 Wycombe Drive<br />Anderson, SC 29621-3644<br />Phone: (864) 261-3670<br />james.h.murphy@saic.com</p>
<p>Lewis Rubinson, MD<br />Fellow Center for Biosecurity of University of Pittsburgh Medical Center<br />Division of Pulmonary and Critical Care Medicine<br />Johns Hopkins University<br />111 Market Street, Suite 830<br />Baltimore, MD 21202<br />Phone: (443) 573-3309<br />Fax: (443) 573-3305<br />lrubinso@jhmi.edu</p>
<p>George Ruby, MD<br />Medical Officer, Office of Occupational Medicine<br />Directorate of Technical Support<br />U.S. Department of Labor<br /> Occupational Safety and Health Administration <br />200 Constitution Ave, NW, Room N 3457<br />Washington, D.C.<2E> 20210 <br />
Phone: (202) 693-2323<br />Fax: (202) 693-1647 <br />
george.ruby@osha.gov</p>
<p>Dean Samet<br />Associate Director/Senior Engineer<br />Accreditation Operations, Standards Interpretation Group<br />Joint Commission on Accreditation of Healthcare Organizations<br />One Renaissance Blvd.<br />Oakbrook Terrace, Ill. 60181<br />Phone: (630) 792-5759<br />dsamet@jcaho.org</p>
<p>Fran Santagata, MS<br />Domestic Preparedness Officer, Office of Domestic Preparedness<br />Department of Homeland Security <br />810 7th Street NW<br />Washington, DC 20531<br />Phone: (202) 230-9376 <br />Fax: (202) 514-5566<br />fran.santagata@dhs.gov</p>
<p>Roslyne Schulman<br />Senior Associate Director, Policy Development<br />American Hospital Association <br />325 7th Street NW, Suite 700 <br />Washington, DC<44> 20004<30><br />Phone: (202) 626-2273<br /> rschulman@aha.org</p>
<p>John Sinclair, Deputy Chief (ret.)<br />
Chair, International Association of Fire Chiefs, EMS Section<br />
10202 64th Ave. CT. E.<br />
Puyallup, WA 98373<br />
Phone: (253) 845-2420<br />
JDS606@aol.com</p>
<p>Robert D. Stephan<br />Battalion Chief, Department of Fire &amp; Rescue Service, Montgomery County<br />9713 Fairway Avenue<br />Silver Spring, MD<4D> 20901<br />Phone: (301) 332-5254<br />ksstephan@lerchearly.com</p>
<p>Martin A. Stolmack<br />Senior Program Analyst<br />Homeland Security Support Operations<br />Science Applications International Corporation<br />8301 Greensboro Drive, MS E-1-6<br />McLean, VA 22102<br />Phone: (703) 676-2795<br />martin.stolmack@saic.com</p>
<p>Bettina Stopford, RN<br />Emergency Nurses Association<br /> National Emergency Preparedness Workgroup Member<br />Chief Nursing Officer (past), U.S. Public Health Service, Central U.S. NMRT:WMD<br />Director, Public Health and Medical Emergency Preparedness<br />Science Applications International Corporation<br />Justice and Security Solutions Business Unit<br />8301 Greensboro Drive, MS E-1-6<br />McLean, VA
22102<br />Phone: (703) 676-6348<br />stopfordb@saic.com</p>
<p>Denny Thomas<br />American Society for Healthcare Risk Management <br />Director of Risk Management, Ministry of Healthcare<br />
St. Josephs Hospital<br />611 St. Josephs Place<br />Marshfield, WI<57> 54449<br />Phone: (715) 387-7366<br />thomasd@stjosephs-marshfield.org</p><p>Robert A. Wise, MD<br />Vice President, Division of Standards &amp; Survey Methods<br />Joint Commission on Accreditation of Healthcare Organizations <br />1 Renaissance Blvd<br />Oakbrook Terrace, IL 60181<br />Phone: (630) 792-5890<br />rwise@jcaho.org</p>
<p>Dale Woodin, CHFM<br />Deputy Executive Director, American Society for Healthcare Engineering<br />One North Franklin<br />Chicago, IL 60606<br />Phone: (312) 422-3812<br />dwoodin@aha.org</p>
<h3>Decontamination</h3>
<h4>Interview Questions</h4>
<ol>
<li>What are some best practices for mass casualty decontamination?</li>
<li>How can throughput be maximized?</li>
<li>What are the elements of detailed/technical decontamination that healthcare professionals should strive for?</li>
<li>What are the cost and regulatory impacts of mass casualty decontamination?</li>
<li>What type or level of training should healthcare professionals engaged in patient decontamination have?</li>
<li>What research and development is needed for mass casualty decontamination?</li>
</ol>
<h4>Subject Matter Experts</h4>
<p>Knox Andress, RN<br />WMD Response Coordinator<br />CHRISTUS Schumpert Health System<br />Emergency Nurses Association<br />Emergency Preparedness Committee Chair 2004<br />One Saint Mary Place<br />Shreveport, LA<4C> 71101<br />Phone: (318) 681-4255<br />knox.andress@christushealth.org</p>
<p>Jim Bentley, PhD<br />Senior Vice President, Strategic Policy Planning<br />American Hospital Association <br />325 Seventh Street, NW<br />Washington, DC<44> 20004<br />Phone: (202) 626-2273/4631<br />(202) 626-4630<br />jbentley@aha.org</p><p>Chief Robert Brown<br />Chief of Staff, Boone County Fire and Rescue<br />2201 I-70 Drive NW<br />Columbia, MO<4D> 65201<br />Phone: (573) 447-5000<br />rbrown@bcfdmo.com</p>
<p>CDR Duane Caneva, MD, MC, U.S.NR<br />Head, Medical Plans and Policy<br />Navy Medicine Office of Homeland Security<br />Bureau of Medicine and Surgery<br />2300 E. Street, NW<br />Washington, DC<44> 20372<br />Phone: (202) 762-0029<br />Fax: (202) 762-3999<br />dccaneva@us.med.navy.mil</p>
<p>Steve Cantrill, MD, FACEP<br />Associate Director of Emergency Medical Services<br />Denver Health Medical Center<br />777 Bannock Street<br />Denver, CO<43> 80014<br />Phone: (303) 436-8100<br />steve.cantrill@dhha.org</p>
<p>Kathy Dolan, RN<br />Risk Manager, Safety and Disaster Coordinator<br />Mercy Medical Center<br />Directory, Emergency &amp; Trauma Services<br />Emergency Department &amp; Area Ambulance<br />701 10<sup>th</sup> Street, SE<br />Cedar Rapids, IA<49> 52403<br />Phone: (319) 369-4590<br />kdolan@mercycare.org</p>
<p>Edward Eitzen, MD, MPH <br />
Senior Medical Advisor, Office of the Assistant Secretary for Public Health<br />
Emergency Preparedness <br />
Department of Health and Human Services <br />
200 Independence Avenue S.W., Room 636G <br />
Washington, DC<44> 20201 <br />
Phone: (202) 690-5545<br />
edward.eitzen@hhs.gov</p>
<p>Zachary Goldfarb, BS, CEM, EMT-P<br />Deputy Chief, FDNY-EMS (Ret.)<br />Consultant<br />Incident Management Solutions, Inc.<br />P.O. Box 634<br />North Bellmore, NY<4E> 11710<br />Phone: (516) 521-5467<br />zgold-nyc@att.net</p>
<p>Murray Hamilton, PhD<br />Director, Rocky Mountain Center for Homeland Defense<br />University of Denver<br />Denver Research Institute<br />2050 East Iliff Ave.<br />Denver, CO<43> 80208<br />mhamilton@du.edu</p>
<p>Michael Hodgson, MD, MPH<br />Director, Occupational Health Program<br />VHA (136)<br />810 Vermont Avenue, NW<br />Washington DC 20420<br />muh7@mail.va.gov</p>
<p>Dennis L. Jones, RN, BSN<br />State Hospital Community Preparedness Coordinator<br />Georgia Division
of Public Health<br />2 Peachtree St NW Suite 12-413<br />Atlanta, GA 30303<br />Phone: (404) 463-0432</p>
<p>Robin Koons, PhD<br />Director, Hospital Preparedness Program<br />Bioterrorism and Emergency Preparedness Section<br />Disease Control &amp; Environmental Epidemiology Division<br />4300 Cherry Creek Drive South<br />Denver, Colorado<64> 80246<br />
robin.koons@state.co.us</p>
<p>Paul Maniscalco, MPA, EMT-P<br />Past President, National Association of Emergency Medical Technicians <br />Assistant Professor, George Washington University<br />Former Deputy Chief/Paramedic for the City of New York <br />47072 Stillwood Place<br />Potomac Falls, VA 20165<br />Phone: (973)568-4293<br />paulm@gwu.edu</p>
<p>J. Howard Murphy, CEM, EMT-P<br />Senior Consequence Management Medical Support Officer<br />U.S. Army Reserve &#8212;CM, Aberdeen Proving Ground<br />Senior Program Manager<br />Science Applications
International Corporation <br />124 Wycombe Drive<br />Anderson, SC 29621-3644<br />Phone: (864) 261-3670<br />james.h.murphy@saic.com</p>
<p>Lewis Rubinson, MD<br />Fellow, Center for Biosecurity of University of Pittsburgh Medical Center<br />Division of Pulmonary and Critical Care Medicine<br />Johns Hopkins University<br />111 Market Street, Suite 830<br />Baltimore, MD 21202<br />Phone: (443) 573-3309<br />lrubinso@jhmi.edu</p>
<p>Fran Santagata, MS<br />Domestic Preparedness Officer, Office of Domestic Preparedness <br />Department of Homeland Security <br />810 7th Street NW<br />Washington, DC 20531<br />Phone: (202) 230-9376 <br />Fax: (202) 514-5566<br />fran.santagata@dhs.gov</p>
<p>Roslyne Schulman<br />Senior Associate Director, Policy Development<br />American Hospital Association <br />325 7th Street NW, Suite 700<br />Washington, DC<44> 20004<br />Phone: (202) 626-2273<br />rschulman@aha.org</p>
<p>Robert D. Stephan<br />Battalion Chief, Department of Fire &amp; Rescue Service, Montgomery County<br />9713 Fairway Avenue<br />Silver Spring, MD<4D> 20901<br />Phone: (301) 332-5254<br />ksstephan@lerchearly.com</p>
<p>Martin A. Stolmack<br />Senior Program Analyst<br />Homeland Security Support Operations<br />Science Applications International Corporation <br />8301 Greensboro Drive, MS E-1-6<br />McLean, VA 22102<br />Phone: (703) 676-2795<br />martin.stolmack@saic.com</p>
<p>Bettina Stopford, RN<br />Emergency Nurses Association<br /> National Emergency Preparedness Workgroup
Member<br />Chief Nursing Officer (past), U.S. Public Health Service<br /> Central U.S. National Medical Response Team: Weapons of Mass Destruction <br />Director, Public Health and Medical Emergency Preparedness<br />Science Applications International Corporation <br />Justice and Security Solutions Group<br />8301 Greensboro Drive, MS E-1-6<br />Phone: (703) 676-6348<br />
stopfordb@saic.com</p>
<p>Robert A. Wise, M.D.<br />Vice President, Division of Standards &amp; Survey Methods<br />Joint Commission on Accreditation of Healthcare Organizations<br />Phone: (630) 792-5890<br />rwise@jcaho.org</p>
<p>Dale Woodin, CHFM<br />Deputy Executive Director<br />American Society for Healthcare Engineering <br />One North Franklin<br />Chicago, IL 60606<br />Phone: (312) 422-3812<br />dwoodin@aha.org</p>
<h3>Isolation/Quarantine</h3>
<h4>Interview Questions</h4>
<ol><li>What provisions have been enacted in your jurisdiction or in other communities
of which you are aware that would assist in the coordination of reporting
suspected disease events and contact information to local or state public
health departments 24 hours a day, 7 days a week?<3F> What technological
equipment or advances would you suggest be utilized or created?</li>
<li>There have been discussions among the hospital community that during a biological
incident, hospitals should be reserved for persons who do not have the
virulent agent and such persons should be assessed and treated in off-campus
isolation units.<2E> However, until technological advances allow
for immediate triage and diagnosis of emerging infectious diseases and
bioterrorism agents, patients infected with bioterrorism agents or emerging
infectious diseases will present to hospitals and health care providers
with early forms of transmissible diseases.<2E> What principles
should be implemented or models would you recommend regarding the use of
off-campus isolation units that would minimize contamination of health
care facilities both before and during a biological exposure event?</li>
<li>What should be an equitable provision for remediation, decontamination, or clean-up
of a public or private facility that has had patients isolated/quarantined
in it who have been infected with an agent such as SARS or other communicable
diseases after the disease situation has passed? What agencies need to be involved?</li>
<li>The monitoring of thousands of infectious disease case contacts that were under
quarantines during the Toronto and Hong Kong SARS outbreaks required many
hours of telephone and personal contact by a core of public health staff.<2E> What
pre-emptive, pre-event training capacities can be pursued now to increase
the local level surveillance capacity of public health department and/or hospital staff?</li>
<li>What legal protections/provisions are you aware of that maintain
not only continuity of life operations (income protection, care of family
members, etc.) for persons involved in voluntary or mandatory home/work
or full-fledged quarantine but for resumption of employment after the quarantine
is completed?<3F> What regulatory provisions would assist in
this process or need to be developed to assist in this process?</li>
<li>During the anthrax incidents of October 2001 and the SARS epidemics
in 2002/2003 there was an attrition of workers out of and away from the
workforces that were exposed to these events.<2E> Some workers
requested transfers out of the affected facilities to other types of occupations,
some left that particular line of work altogether, and some health care
workers refused to treat infected patients.<2E> What provisions
need to be established to a) address the mental and physical protection
issues of health care workers for their own health during infectious disease
situations and b) to support the maintenance of a viable health care workforce
during times of surge needs?<3F> Would the provision of &quot;incentive
pay&quot; for treating certain types of infected patients create a perception
that treating certain illnesses is more financially lucrative than treating
others?<3F> If so, who should pay for the incentives for the workers?</li>
<li>What provisions should be in place to actually enforce community
isolation or quarantine, above and beyond after the health officer orders
such to occur?<3F> How specifically should law enforcement act
to carry out the order, including use of force?<3F> Should this
be state/region-specific or should this be a federal/national act? What
specific provisions need to be in place prior to the incident for either
of these scenarios to occur?</li></ol>
<h4>Subject Matter Experts</h4>
<p>Jim Bentley, PhD<br />Senior Vice President, Strategic Policy Planning<br />American Hospital Association<6F> <br />325 Seventh Street, NW<br />Washington, DC<44> 20004<br />Phone: (202) 626-2273<br />jbentley@aha.org</p>
<p>Patricia Checko, MPH<br />Director of Public Health, Bristol Burlington Health<br />National Association of County and City Health Officials<br /> Chairperson,
Bioterrorism/Public Health<br />Emergency Preparedness Taskforce<br />240 Stafford Avenue<br />Bristol, CT<43> 06010<br />Phone: (860) 584-7682<br />patriciachecko@ci.bristol.ct.us</p>
<p>James G. Hodge, Jr., JD, LLM<br />Deputy Director, Center for Law and the Public's Health<br />Georgetown University Law Center<br />600 New Jersey Avenue, NW<br />Washington, DC 20001<br />Phone: (410) 955-7624<br />jhodge@jhsph.edu</p>
<p>Joel L. Leson<br />Special Assistant to the Executive Director and Chief of Staff<br />International Association of Chiefs of Police<br />515 North Washington Street<br />Alexandria, VA 22314-2357<br />Phone: (703) 836-6767, ext. 316 <br />Fax: (703) 836-4543<br />leson@theiacp.org</p>
<p>Daniel R. Lucey, MD<br />Interim Chief Health Officer, DC Department of Health<br />825 North Capitol
Street, NE<br />4th Floor<br />Washington, DC<44> 20002<br />Phone: (202) 442-5938<br />dlucey@dchealth.com</p>
<p>Edward Richards, III, JD, MPH<br />Director of the Program in Law, Science, and Public Health<br />Harvey A. Peltier Professor of Law<br />Louisiana State University<br />Paul M. Herbert Law Center<br />Baton Rouge, LA 70803<br />Phone: (225) 578-7595<br />Fax: (225) 578-5935<br />
richards@lsu.edu</p>
<p>Mark Rothstein, JD<br />University of Louisville School of Medicine<br />Institute for Bioethics, Health Policy and Law<br />501 East Broadway, Suite 310<br />Louisville, KY<4B> 40202<br />Phone: (502) 852-4982<br />mark.rothstein@louisville.edu</p>
<p>Roslyne Schulman<br />Senior Associate Director, Policy Development<br />American Hospital Association <br />325 7th Street NW, Suite 700 <br />Washington, DC<44> 20004<br />Phone: (202) 626-2273<br /> rschulman@aha.org</p>
<p>Christa Singleton, MD, MPH<br />Chief Medical Director, Office of Public Health Preparedness<br />Baltimore City Department of Health<br />182 Fleetwood Terrace<br />Silver Spring, MD 20910<br />Phone: (301) 589-5296<br />Alt Phone: (240) 988-1055<br />cmsing@aol.com</p>
<p>Dale Woodin, CHFM<br />Deputy Executive Director<br />American Society for Healthcare Engineering<br />American Hospital Association <br />One North Franklin<br />Chicago, IL 60606<br />Phone: (312) 422-3812<br />dwoodin@aha.org</p>
<h3>Laboratory Capacity</h3>
<h4>Interview Questions</h4>
<ol><li>Is there clear direction and formal coordination between emergency responders and laboratories that defines the laboratory's roles and functions?</li>
<li>Is the decisionmaking process based on adequate information (what samples to test, how to test them, procedures for referrals, etc.)?</li>
<li>Is there adequate capacity for environmental testing in addition to clinical samples?<3F>What is the testing capacity/capability for each sample type?</li>
<li> Are adequate planning and protocols in place for surge capacity?</li>
<li>Are there adequate equipment and training available to safely handle, store, and ship/transfer samples that may contain biological warfare agents?<3F> Are facilities maintained and personnel trained to the appropriate biosafety level (BSL2, BSL3, etc.)?</li>
<li>Are there adequate security and safety measures in place to protect select agents and samples from theft or misuse and laboratory personnel and emergency responders from exposure?</li>
<li>Are training and reagents provided by Centers for Disease Control and Prevention's CDC) Laboratory Response Network adequate for effective and timely diagnosis and identification of biological weapons agents?</li>
<li>Is proposed funding from Health and Human Services/CDC adequate to upgrade laboratory capacity within the Laboratory Response Network (LRN) in preparation of potential bioterrorist attack?</li>
<li>What is/are the greatest gap(s) in laboratory capacity preparedness
for a bioterrorism attack (appropriate facilities (size, security, and
containment level), equipment, appropriately trained personnel (full-time
employees or on loan for surge capacity), diagnostic protocols for clinical
and environmental samples, reagent availability, cooperation between organizations
(LRN, Public Health Laboratory Services, hospitals, Federal Bureau of Investigation,
etc.), rapid and accurate communication of tests, results, etc. (high speed
internet and E-mail access to secure databases (Health Alert Network, Epi-X,
etc.), etc.<2E> How do you think we could bridge or fill the gap?<3F>Which agency, department, or organization do you think is best suited to handle this?</li>
<li>There has been a huge increase in bioterrorism spending. In regard to laboratory capacity, do you generally feel that the money is being well spent?<3F>Who do you think should oversee spending efforts?<3F>The States?<3F>A Federal agency?<3F>Where do you see the most/least amount of money being spent?</li>
<li> How do you feel the LRN is evolving?<3F>Do you see any gaps in responding to a BT event or naturally occurring epidemic that could be filled by the LRN?</li>
<li>What do you think are the most important &quot;dual-use&quot; resources that laboratories require (e.g., personnel, training, clinical lab connectivity, or equipment)?</li>
<li>Can you identify preparedness steps that laboratories can take that do not require a great deal of funding (e.g., interagency communications, or on-line training)?</li></ol>
<h4>Subject Matter Experts</h4>
<p>Scott Becker, MS<br />Executive Director<br />Association of Public Health Laboratories <br />2025 M Street, NW, Suite 550<br />Washington, DC<44> 20036-3320<br />Phone: (202) 822-5227, ext 201<br />Fax: (202)
887-5098<br />sbecker@aphl.org</p>
<p>Jasmine Chaitram, MPH, MT <br />Health Scientist<br />Laboratory Response Network<br />Centers for
Disease Control and Prevention <br />1600 Clifton Rd. N.E.<br />MS C-18<br />Atlanta, GA 30333<br />Phone: (404) 639-3155<br />Fax: (404) 639-2850<br />jchaitram@cdc.gov</p>
<p>Edward Eitzen, MD, MPH<br />U.S. Army Medical Research Institute of Infectious Diseases Commander
(past)<br />
Senior Medical Advisor <br />
Office of the Assistant Secretary for Public Health <br />
Emergency Preparedness <br />
Department of Health and Human Services<br />
200 Independence Avenue S.W., Room 636G <br />
Washington, DC<44> 20201 <br />
Phone: (202) 690-5545<br />
edward.eitzen@hhs.gov</p>
<p>Mary Gilchrist, PhD<br />Vice President for Research, Hygienic Laboratory<br />University of Iowa<br />H101 Oakdale Hall, Oakdale Campus<br />Iowa City, IA<49> 52242<br />Phone: (319) 335-4500<br />Fax: (319) 335-4600<br />mary-gilchrist@uiowa.edu</p>
<p>Rosemary Humes, MS, MT (ASCP) SM<br />Director, Infectious Disease Programs<br />Association of Public Health Laboratories<br />2025 M St NW Suite 550<br />Washington, DC 20036<br />Phone: (202) 822-5227 x 211<br />rhumes@aphl.org</p>
<p>Laura Jevitt <br />
Microbiologist, Epidemiology and Laboratory Branch <br />
Division of Healthcare Quality Promotion <br />
Centers for Disease Control and Prevention <br />
1600 Clifton Rd, NE, G-08 <br />
Atlanta, GA 30333 <br />
Phone: (404) 639-3832 <br />
Fax: (404) 639-1381 <br />lgj9@cdc.gov</p>
<p>Barbara Johnson <br />Director, Center for Biosecurity, STRA <br />Science Applications International Corporation <br />1710 SAIC Drive<br />McLean, VA 22102.<br />Phone: (703) 676-8344<br />Barbara.Johnson@saic.com</p>
<p>Richard Kellogg<br />LRN Coordinator<br />Centers for Disease Control and Prevention<br />1600 Clifton Road, C-18<br />Atlanta, GA<47> 30333<br />Phone: (404) 639-0392<br />rbk1@cdc.gov</p>
<p>Michele Ledgerwood<br />Senior National Security Analyst for Advanced Science and Technology<br />Program Manager, Unconventional Approaches to Countering Bioterrorism<br />Science Applications International Corporation<br />1710 SAIC Drive<br />McLean, VA 22102<br />Phone: (703) 676-5131<br />michele.m.ledgerwood@saic.com</p>
<p>George Ludwig, PhD<br />Chief, Diagnostic Systems Division<br />U.S. Army Medical Research Institute of Infectious Diseases <br />1425 Porter Street<br />Ft. Detrick, MD<4D> 21702<br />Phone: (301) 619-4941<br />george.Ludwig@det.amedd.army.mil</p>
<p>Chris Mangal, MPH<br />Program Manager, Emergency Preparedness and Response<br />Association of Public Health Laboratories <br />2025 M St NW Suite 550<br />Washington, DC 20036<br />Phone: (202) 822-5227, ext. 244<br />Fax: (202) 887 5098<br />cmangal@aphl.org</p>
<p>Claudine McCarthy<br />Senior Analyst, Public Health Preparedness and Infrastructure<br />National Association of City and County Health Officials<br />1100 17th Street, NE, Second Floor<br />Washington, DC 20018<br />Phone: (202) 783-5550, ext. 264<br />Fax: (202) 783-1583<br />CMcCarthy@naccho.org</p>
<p>Jim Pearson, MD<br />Association of Public Health Laboratories<br />Virginia State Laboratory<<br />600 North 5th Street<br />Richmond, VA<56> 23219<br />Phone: (804) 648-4480<br />jpearson@dgs.state.va.us</p>
<p>Bonnie D. Rubin<br />Bioterrorism Response Coordinator<br />University Hygienic Laboratory<br />102 Oakdale Campus<br />Iowa City, IA<49> 52242<br />Phone: (319) 335-4861<br />Fax: (319) 335-4600<br />bonnie-rubin@uiowa.edu</p>
<p>James Snyder, PhD<br />Department of Pathology, Division of Laboratory Medicine<br />University of Louisville, School of Medicine<br />530 S. Jackson Street<br />Louisville, KY<4B> 40202<br />Phone: (502) 852-1777<br />Fax: (502) 852-1771<br />jwsnyd01@gwise.louisville.edu</p>
<p>Robert A. Wise, MD<br />Vice President, Division of Standards &amp; Survey Methods<br />Joint Commission on Accreditation of Healthcare Organizations <br />One Renaissance Blvd.<br />Oakbrook Terrace, Ill. 60181<br />Phone: (630) 792-5890<br />rwise@jcaho.org</p>
<p>Ann Willey, JD, PhD<br />Director Of Policy and Planning<br />Wadsworth Center<br />P.O. Box 509<br />Albany, NY 12201-0509<br />Phone: (518) 473-4856<br />ann.willey@wadsworth.org</p>
<p>Mark Wolcott, PhD<br />Chief, Special Pathogens and Field Operations and Training Branches<br />U.S. Army Medical Research Institute of Infectious Diseases<br />1425 Porter Street<br />Ft. Detrick, MD 21702<br />Phone: (301) 619-4738<br />Fax: (301) 619-4292 <br />mark.wolcott@det.amedd.army.mil </p>
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