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Report of the ICMM Pan Asia Seminar on Medical Preparedness and Response for CBRN Warfare and Terrorism

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ICMM PAN ASIA SEMINAR ON MEDICAL PREPAREDNESS AND RESPONSE FOR CBRN WARFARE AND TERRORISM

Bangkok, Thailand
17-19 November 2013

Report

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REPORT OF THE ICMM PAN ASIA SEMINAR ON
MEDICAL PREPAREDNESS AND RESPONSE FOR CBRN WARFARE AND TERRORISM


Over the years, advances in technology has also brought about higher risk of hazardous material incidents ranging from chemical and radiation leaks, biological terrorism to nuclear threats. One incident of CBRNs may cause a number of casualties but its effect can be persistent and could potentially lead to disruption in the wider society. This is why effective CBRN defense is of such importance and deserves attention.

Chemical, biological, radiological and nuclear defense are protective measures taken in situations in which any of these four hazards are present. Therefore, from this seminar we aimed that sharing of our experiences and discussion between experts from several countries in Asia-Pacific Regions would help address the Medical Preparedness and Response for CBRN Warfare and Terrorism.

The followings are conclusions of a two-day session in Bangkok with 92 delegates from 10 countries “Cambodia, China, Germany, Malaysia, Laos, Pakistan, Singapore, USA, Vietnam, and Thailand”

The discussion can be concluded as follows:

1. Recognizing National Capability and Infrastructure and Develop Response Plan at a National Level that is compatible with currently available health services

2. A Holistic Government Approach
a. National Evacuation Plan
b. Collaboration between Civil Sectors, Defence Forces and Non-government organizations such as The Press.
c. Increment of the Citizens’ Confidence Level in the Government
(The society must be confident in the government enough to follow the instructions ordered by the government in emergency situation to prevent the chaos.)
d. Timely and Accurate National disaster and CBRN attack Reporting System
e. National Strategic allocation and distribution of CBRN specialists and Stockpiles

3. Logistic Contingency Planning
a. Frequent Rehearsal and Evaluation of Emergency Plans
b. Preparedness for the unexpected incidents; Flexible and Adaptable plans
c. Localisation and Regionalisation of the contaminated areas; Securing the contaminated areas
d. Allocation of Reservoirs for contaminated substances
e. Involvement of Civil Ambulance Services in Evacuation Plan
f. Hospitals
i. Regional Hospital Set up with one specially allocated for handling of CBRN attacks
ii. Distribution of Specialists to every region
iii. Localization of affected patients to prevent the spread of hazards
g. Specialised centers for providing information related to CBRN should be contactable at all times especially for areas with lack of CBRN specialists.

4. Medication Stockpiling and Equipment
a. Inventions and novel knowledge are still needed in all areas of CBRN Defence especially in terms of treatment options for CBRN Hazards, detection measures and preventions.
b. Applicability and Cost-effectiveness of the devices
c. Medical Stockpiles and PPE should be a focus.
d. Availability and accessibility to Vaccination, Antitoxin, Antidotes and Decontaminants
e. Consider rational use of PPE
i. Different levels PPE
ii. Equipment to measure the levels of CMRB substances of the PPE (Cumulative effects of the CBRN such as Radiation)
f. Careful planning on Supply Chain and Operational Stockpiles
g. Emergency activation and adaptable Operational Stockpiles when receiving terrorism threats
h. Timing: Affected areas should be accessible to medications within 1-2 hours
i. Estimations of needs and allocations of supply

5. Response Teams and Plans
a. Response plan development based on National Infrastructure
b. Focus on Prevention of Transmission and Control
c. Early Detection of Outbreak and Surveillance Rapid Response Teams
d. Ensuring safety for the first responders and personnel working in the CBRN events
e. Frequent update and Ongoing training of Personnel at different levels

6. Long term plan at a National Level after CBRN attack should also be established.


7. AGREE
that each country must develop the most probable plan for the worse imaginable situation.

8. COMMIT
to collaborate between sectors at National Levels to ensure that each sector not only the defense but at the national level as a whole is well-prepared for emergency situation so that the plan could be effectively executed.