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Hearing Committee on Veterans' Affairs House of Representatives

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Hearing Committee on Veterans' Affairs House of Representatives THE NEED TO DEVELOP EDUCATION AND TRAINING PROGRAMS ON THE MEDICAL RESPONSES TO THE CONSEQUENCES OF TER- RORIST ACTIVITIES HEARING BEFORE THE SUBCOMMITTEE OVERSIGHT AND INVESTIGATIONS OF THE COMMITTEE ON VETERANS’ AFFAIRS HOUSE OF REPRESENTATIVES ONE HUNDRED SEVENTH CONGRESS FIRST SESSION NOVEMBER 14, 2001 Printed for the use of the Committee on Veterans’ Affairs Serial No. 107–17 ( U.S. GOVERNMENT PRINTING OFFICE 82–748PS WASHINGTON : 2003 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2250 Mail: Stop SSOP, Washington, DC 20402–0001 COMMITTEE ON VETERANS’ AFFAIRS CHRISTOPHER H. SMITH, New Jersey, Chairman BOB STUMP, Arizona LANE EVANS, Illinois MICHAEL BILIRAKIS, Florida BOB FILNER, California TERRY EVERETT, Alabama LUIS V. GUTIERREZ, Illinois STEPHEN E. BUYER, Indiana CORRINE BROWN, Florida JACK QUINN, New York JULIA CARSON, Indiana CLIFF STEARNS, Florida SILVESTRE REYES, Texas JERRY MORAN, Kansas VIC SNYDER, Arkansas HOWARD P. (BUCK) MCKEON, California CIRO D. RODRIGUEZ, Texas JIM GIBBONS, Nevada RONNIE SHOWS, Mississippi MICHAEL K. SIMPSON, Idaho SHELLEY BERKLEY, Nevada RICHARD H. BAKER, Louisiana BARON P. HILL, Indiana ROB SIMMONS, Connecticut TOM UDALL, New Mexico ANDER CRENSHAW, Florida HENRY E. BROWN, JR., South Carolina PATRICK E. RYAN, Chief Counsel and Staff Director SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS STEPHEN E. BUYER, Indiana, Chairman BOB STUMP, Arizona JULIA CARSON, Indiana MICHAEL BILIRAKIS, Florida BARON P. HILL, Indiana TERRY EVERETT, Alabama TOM UDALL, New Mexico (II) C O N T E N T S November 14, 2001 Page The Need to Develop Education and Training Programs on the Medical Re- sponses to the Consequences of Terrorist Activities ......................................... 1 OPENING STATEMENTS Chairman Buyer ...................................................................................................... 1 Prepared statement of Chairman Buyer ........................................................ 69 Closing statement of Chairman Buyer ........................................................... 71 Hon. Julia Carson .................................................................................................... 4 Hon. Christopher H. Smith, Chairman, Full Committee on Veterans’ Affairs .. 6 Hon. Lane Evans, Ranking Democratic Member, Full Committee on Veterans’ Affairs .................................................................................................................... 8 Hon. Baron P. Hill ................................................................................................... 22 Hon. Vic Snyder ....................................................................................................... 25 WITNESSES Blaser, Martin J., M.D., Professor and Chairman, Department of Medicine, NYU School of Medicine ...................................................................................... 63 Prepared statement of Dr. Blaser, with attachment ..................................... 109 Cohen, Jordan J., M.D., President, American Association of Medical Colleges . 60 Prepared statement of Dr. Cohen ................................................................... 104 Cooksey, Hon. John, a Representative in Congress from the State of Louisi- ana ......................................................................................................................... 9 Eisold, John F., Attending Physician to Congress, Rear Admiral, United States Navy Medical Corps ................................................................................. 11 Prepared statement of Adm. Eisold ................................................................ 72 Hemming, Val G., M.D., Dean, F. Edward He´bert School of Medicine, Uni- formed Services University of the Health Sciences, Department of Defense .. 42 Prepared statement of Dr. Hemming .............................................................. 87 Hill, J. Edward, M.D., Chairman-elect of the Board of Trustees, American Medical Association .............................................................................................. 58 Prepared statement of Dr. Hill ........................................................................ 89 Matcha, Susan J., M.D., Mid-Atlantic Permanente Medical Group, Kaiser Permanente ........................................................................................................... 32 Prepared statement of Dr. Matcha ................................................................. 78 Murphy, Frances M., M.D., Deputy Under Secretary for Health, Veterans Health Administration, Department of Veterans Affairs, accompanied by Susan Mather, M.D., Chief Officer, Public Health and Environmental Haz- ards, Veterans Health Administration, Department of Veterans Affairs, and Kenneth H. Mizrach, Director, VA New Jersey Health Care System, Veterans Health Administration, Department of Veterans Affairs ................. 40 Prepared statement of Dr. Murphy ................................................................. 82 Omenaca, Carlos, M.D., Miami Heart Center, Miami Florida ............................. 29 Prepared statement of Dr. Omenaca .............................................................. 75 Shaw, Jr., E. Clay, a Representative in Congress from the State of Florida ..... 28 Weldon, Hon. Dave, a Representative in Congress from the State of Florida .... 13 MATERIAL SUBMITTED FOR THE RECORD Written committee questions and their responses: Chairman Buyer to Adm. John Eisold ............................................................ 121 Chairman Buyer to Dr. Carlos Omenaca ....................................................... 122 (III) IV Page Written committee questions and their responses—Continued Chairman Buyer to Dr. Susan Matcha ........................................................... 124 Congresswoman Carson to Dr. Susan Matcha ............................................... 126 Congresswoman Carson to Dr. Frances Murphy ........................................... 126 Congresswoman Carson to Mr. Kenneth Mizrach ......................................... 131 Chairman Buyer to Dr. Val Hemming ............................................................ 134 Chairman Buyer to Dr. Jordan Cohen ............................................................ 138 Congresswoman Carson to Dr. Jordan Cohen ............................................... 140 Congresswoman Carson to Dr. Martin Blaser ............................................... 141 Congressman Evans to Dr. Martin Blaser ..................................................... 142 THE NEED TO DEVELOP EDUCATION AND TRAINING PROGRAMS ON THE MEDICAL RESPONSES TO THE CONSEQUENCES OF TERRORIST ACTIVITIES WEDNESDAY, NOVEMBER 14, 2001 U.S. HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS, COMMITTEE ON VETERANS’ AFFAIRS, Washington, DC The subcommittee met, pursuant to notice, at 10 a.m., in room 334, Cannon House Office Building, Hon. Stephen E. Buyer (chair- man of the subcommittee) presiding. Present: Representatives Buyer, Carson, and Hill. Also present: Represenatatives Smith, Evans, Snyder, and Shaw. OPENING STATEMENT OF CHAIRMAN BUYER Mr. BUYER. This hearing will come to order. This is the Subcommittee on Oversight and Investigations of the Committee on Veterans’ Affairs. Good morning. Today’s hearing will examine a very important question which affects not only those of us in this room, but all Americans. We must answer the fundamental question: Is the U.S. medical community prepared for biological, chemical, and radiological acts of terrorism? Since September 11th, our country has been in a constant state of fear and anxiety of not only flying the so-called friendly skies, but also opening our mail. We are fighting a two-front war, not only here in America, but also abroad. It is clear our health care providers are not resourced or trained with the proper tools to detect, diagnose, and treat cas- ualties in the face of biological, chemical, and radiological weapons. The purpose of this hearing is to review the critical roles that the VA and DOD should play in providing our Nation’s medical stu- dents and the current health care professionals with the education and training programs necessary to respond to terrorist activities. Before I continue with my statement, I would like to extend a warm welcome to our distinguished panelists. I know Adm. Eisold is presently here, and we are waiting on two members, Dave Weldon of Florida and John Cooksey of Louisiana. I would like to extend a special welcome to Adm. Eisold, who is our Attending Physician to Congress. (1) 2 Since the Office of the Attending Physician was established in 1928, this will be the first time someone in your position, Adm. Eisold, will testify before a House committee or a Senate commit- tee. However, given the importance of the subject matter of this hear- ing, and your personal and professional interests over these last weeks, I know it is critically important and the perspective that you have to share with us on this critical subject will be substantive. I also would like to recognize two physicians who are on the front lines in this medical war on terrorism. First is Dr. Susan Matcha, who diagnosed and treated two em- ployees at a Washington, DC area Postal facility who contracted the anthrax virus. Second is Dr. Carlos Omenaca, who diagnosed and successfully treated one of the first victims of inhalation
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