Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions - Workshop Summary


Report at a Glance

  • IND Response Infographic (JPG, HTML)

Note: Proceedings contain the opinion of the presenters, but do NOT reflect the conclusions of the Health and Medicine Division or the National Academies. Learn more about the differences between Reports and Proceedings.

Detonation of an improvised nuclear device (IND) in a major U.S. city would result in tens of thousands to hundreds of thousands of victims, overwhelming public health, emergency response, and health care systems in surrounding regions and impacting cities nationwide. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack. Despite many publications at the federal level outlining a framework for health and medical preparedness for responding to an IND detonation, there has been only limited planning at the local level.  

On January 23-24, 2013, in partnership with the National Association of County and City Health Officials (NACCHO), the IOM Forum on Medical and Public Health Preparedness for Catastrophic Events hosted a workshop that focused on key response requirements faced by local and regional public health and health care systems in response to an IND detonation. Topics discussed at the workshop included understanding the differences between types of radiation incidents and the implications of an IND attack on outlying communities as well as the roles of regional health care coalitions in coordination of health care response. This document summarizes the workshop.