Third Annual Report to the President and the Congress Is a Document of the Advisory Panel, Not a RAND Publication

Total Page:16

File Type:pdf, Size:1020Kb

Third Annual Report to the President and the Congress Is a Document of the Advisory Panel, Not a RAND Publication The Advisory Panel to Assess Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction was established by Section 1405 of the National Defense Authorization Act for Fiscal Year 1999, Public Law 105–261 (H.R. 3616, 105th Congress, 2nd Session) (October 17, 1998). That Act directed that a federally funded research and development center provide research, analytical, and other support to the Advisory Panel during the course of its activities and deliberations. RAND has been providing that support, under contract from the Department of Defense, since the Advisory Panel’s inception. This Third Annual Report to the President and the Congress is a document of the Advisory Panel, not a RAND publication. It was prepared and edited by RAND professional staff and is being submitted for review and comment within the U.S. Government Interagency process. It is not copyrighted but does contain material from copyrighted sources. Copies of the report may also be obtained via the Internet at: http://www.rand.org/nsrd/terrpanel About RAND RAND’s mission is to improve policy and decisionmaking through research and analysis. Though RAND confronts different policy challenges over time, its principles remain constant. RAND research and analysis aim to: S Provide practical guidance by making policy choices clear and addressing barriers to effective policy implementation. S Develop innovative solutions to complex problems by bringing together researchers in all relevant academic specialties. S Achieve complete objectivity by avoiding partisanship and disregarding vested interests. S Meet the highest technical standards by employing advanced empirical methods and rigorous peer review. S Serve the public interest by widely disseminating research findings. THIRD ANNUAL REPORT TO THE PRESIDENT AND THE CONGRESS OF THE ADVISORY PANEL TO ASSESS DOMESTIC RESPONSE CAPABILITIES FOR TERRORISM INVOLVING WEAPONS OF MASS DESTRUCTION III. FOR RAY DOWNEY 15 December 2001 PHOTO CREDITS FROM COVER PAGE 1 2 4 3 1— A New York City ambulance burns in the street near the base of the World Trade Center towers. It was one of hundreds completely destroyed in the attacks. Photo by Shannon Stapleton/Reuters 2— Arlington County Fire Department rescue team at the Pentagon. Photo by Jocelyn Augustino/FEMA News Photo 3—Firefighters, rescue workers, and military personnel unfurl the American flag in anticipation of a visit to the Pentagon crash site on September 12 by President Bush. Photo by Jocelyn Augustino/FEMA News Photo 4— Rescue workers remove a man from the World Trade Center tower in New York City shortly after the attacks on September 11, 2001. Victims of the attack – many suffering from extensive burns – were transported to hospitals in New York City within minutes after two planes slammed into the twin towers. Photo by Shannon Stapleton/Reuters THE ADVISORY PANEL TO ASSESS DOMESTIC RESPONSE CAPABILITIES FOR TERRORISM INVOLVING WEAPONS OF MASS DESTRUCTION James S. Gilmore, III Chairman L. Paul Bremer December 15, 2001 Raymond Downey To Our Readers: George Foresman William Garrison The terrorist attacks on September 11, 2001, have become a defining moment for the Ellen M. Gordon future of the United States and the rest of the civilized world. Today, we continue to mourn for the thousands of victims and their families. Yet, in our grief also lies the hope of a more James Greenleaf secure future. We have an opportunity and an obligation to help to define that future. To William Jenaway that end, I am pleased to provide the Third Annual Report of the Advisory Panel to Assess William Dallas Jones Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction to Paul M. Maniscalco support the United States in its leadership role in combating the threat posed by terrorists. John O. Marsh, Jr. America has responded to this assault on our values and character with steadfast Kathleen O'Brien determination. In our communities, states, and at the federal level, government, the private M. Patricia Quinlisk sector, and ordinary citizens have mobilized and begun to work together on many fronts with Patrick Ralston a sense of renewed determination. Our shared goal is protecting every American and others beyond our borders from the lawlessness of terrorists. A robust coalition of international William Reno partners stands united in military, law enforcement, and economic actions designed to Joseph Samuels, Jr. prevent further attacks and to identify, arrest, and prosecute those who committed these acts Kenneth Shine and continue to threaten people around the world. Those who govern this nation have Hubert Williams displayed the best in leadership, as they have sought to protect and maintain our fundamental civil liberties and constitutional values. Collectively, we know that the underpinnings of our democracy remain strong but also make it impossible to secure our nation completely. It is the inherent risk we face in our uniquely American way of life. Accordingly, our focus Ellen Embrey remains on protecting ourselves to the extent that we can within the framework of a free and U.S. Department of open society and on ensuring our ability to respond if more attacks occur. Defense Representative Michael Wermuth Our mission is urgent and clear: We must continue to bolster our capability to thwart RAND Executive terrorists wherever and whoever they are. Today, our panel presents its Third Annual Report Project Director to the President and the Congress as our contribution to the war against terrorism. This effort builds on findings and recommendations in our First and Second Annual Reports delivered in 1999 and 2000. It reflects a national strategic perspective that encompasses the needs of all three levels of government and the private sector. It seeks to assist those who are dedicated to making our homeland more secure. We recommend: 4Empowering state and local response by ensuring the men and women on the front line of the war against terrorism inside our borders have the tools and resources needed to counter the murderous actions of terrorists; 4Enhancing health and medical capacities, both public and private, to help ensure our collective ability to identify attacks quickly and correctly, and to treat the full scope of potential casualties from all forms of terrorist attacks; Please address comments or questions to: RAND 1200 South Hayes Street, Arlington, Virginia 22202-5050 Telephone: 703-413-1100 FAX: 703-413-8111 The Federally-Funded Research and Development Center providing support to the Advisory Panel 2 4Strengthening Immigration and Border Controls to enhance our ability to restrict the movement into this country, by all modes of transportation, of potential terrorists and their weapons and to limit severely their ability to operate within our borders; 4Improving Security Against Cyber Attacks and enhancing related critical infrastructure protection to guard essential government, financial, energy, and other critical sector operations against attack; and 4Clarifying the Roles and Missions for Use of the Military for providing critical and appropriate emergency response and law enforcement related support to civilian authorities. The attacks of recent weeks have caused human and physical scars that will be with us forever. Our nation, however, remains strong and resilient. Our collective call is to continue the momentum to secure our homeland and protect our citizens. While there is more work to be done, there is no question that we will be successful. America's strength is in its people, our leaders, and our collective commitment, especially during times of crisis. We dedicate this report to our fellow panel member and good friend, Chief Ray Downey. Our loss is tempered by the extraordinary opportunity that we had in being informed and counseled by Ray during the past three years. We therefore present our recommendations with a sense of profound commitment to Ray and all the other victims, that they will not be forgotten and that their loss will not have been in vain. Sincerely, James S. Gilmore, III Governor of Virginia Chairman IN MEMORIAM On September 11, 2001, at a few minutes after 10 o’clock in the morning, Ray Downey, chief in charge of Special Operations Command, Fire Department of the City of New York, perished in the collapse of the North tower of the New York World Trade Center. Although the impending disaster was obvious following the prior collapse of the South tower, and with fearless disregard for his own personal safety, Ray stayed at his post with his people, all doing their job. Ray served as a dedicated member of the Advisory Panel during its entire three-year tenure, bringing insightful first-responders’ perspectives and consistently providing invaluable counsel based on his years of training, unequaled leadership, and exceptional experience in the field. It is with increasing humility, but with a firm sense of our special privilege and high honor, that we dedicate this report to the memory of our great colleague and good friend, Ray Downey. RAYMOND MATTHEW DOWNEY, SR. Joined the Fire Department of the City of New York as a regular firefighter in 1962. Promoted to officer rank in 1972. Named commander of several fire companies. Served as fire department Incident Commander for the 1993 World Trade Center attack. Elevated to battalion chief in 1994. Assigned as Chief of Rescue Operations in 1995. Named FDNY Deputy Chief and Chief-in-Charge, Special Operations Command in 2000. Married to Rosalie Princiotta Downey, his wife of almost 40 years. Father of five children—two are New York City firefighters—and seven grandchildren. Trained and mentored firefighters and other responders nationwide. A nationally-recognized leader, author, and lecturer on rescue, collapse operations, and terrorism emergency response. Responded to the call for help in Oklahoma City, Atlanta, and other disasters outside his home jurisdiction. The most decorated firefighter in the entire New York Fire Department—21 times for valor. Ray Downey Husband .
Recommended publications
  • Union Calendar No. 481 104Th Congress, 2D Session – – – – – – – – – – – – House Report 104–879
    1 Union Calendar No. 481 104th Congress, 2d Session ± ± ± ± ± ± ± ± ± ± ± ± House Report 104±879 REPORT ON THE ACTIVITIES OF THE COMMITTEE ON THE JUDICIARY OF THE HOUSE OF REPRESENTATIVES DURING THE ONE HUNDRED FOURTH CONGRESS PURSUANT TO CLAUSE 1(d) RULE XI OF THE RULES OF THE HOUSE OF REPRESENTATIVES JANUARY 2, 1997.ÐCommitted to the Committee of the Whole House on the State of the Union and ordered to be printed U.S. GOVERNMENT PRINTING OFFICE 36±501 WASHINGTON : 1997 COMMITTEE ON THE JUDICIARY HOUSE OF REPRESENTATIVES ONE HUNDRED FOURTH CONGRESS HENRY J. HYDE, Illinois, Chairman 1 CARLOS J. MOORHEAD, California JOHN CONYERS, JR., Michigan F. JAMES SENSENBRENNER, JR., PATRICIA SCHROEDER, Colorado Wisconsin BARNEY FRANK, Massachusetts BILL MCCOLLUM, Florida CHARLES E. SCHUMER, New York GEORGE W. GEKAS, Pennsylvania HOWARD L. BERMAN, California HOWARD COBLE, North Carolina RICH BOUCHER, Virginia LAMAR SMITH, Texas JOHN BRYANT, Texas STEVEN SCHIFF, New Mexico JACK REED, Rhode Island ELTON GALLEGLY, California JERROLD NADLER, New York CHARLES T. CANADY, Florida ROBERT C. SCOTT, Virginia BOB INGLIS, South Carolina MELVIN L. WATT, North Carolina BOB GOODLATTE, Virginia XAVIER BECERRA, California STEPHEN E. BUYER, Indiana JOSEÂ E. SERRANO, New York 2 MARTIN R. HOKE, Ohio ZOE LOFGREN, California SONNY BONO, California SHEILA JACKSON LEE, Texas FRED HEINEMAN, North Carolina MAXINE WATERS, California 3 ED BRYANT, Tennessee STEVE CHABOT, Ohio MICHAEL PATRICK FLANAGAN, Illinois BOB BARR, Georgia ALAN F. COFFEY, JR., General Counsel/Staff Director JULIAN EPSTEIN, Minority Staff Director 1 Henry J. Hyde, Illinois, elected to the Committee as Chairman pursuant to House Resolution 11, approved by the House January 5 (legislative day of January 4), 1995.
    [Show full text]
  • J. Michael Mcginnis, Md, Ma, Mpp
    J. MICHAEL MCGINNIS, MD, MA, MPP National Academy of Medicine, the National Academies, 500 Fifth Street NW, Washington DC 20001, (202) 334-3963, [email protected] Highlights: Michael McGinnis is a physician and epidemiologist who lives and works in Washington DC. Through his writing, government service, and work in philanthropy, he has been a long-time contributor to national and international field leadership in health, health care, and health policy. He currently serves at the National Academy of Medicine (NAM), where he is the Leonard D. Schaeffer Executive Officer, Senior Scholar, and Executive Director of the NAM’s Leadership Consortium for public and private collaboration on behalf of a continuously learning health system. Previously, he served as founding Director, respectively, of the Robert Wood Johnson Foundation’s (RWJF) Health Group, the World Health Organization’s Office for Health Reconstruction in Bosnia, the federal Office of Research Integrity (interim), and the federal Office of Disease Prevention and Health Promotion. In a tenure unusual for political and policy posts, he held continuous appointment through the Carter, Reagan, Bush and Clinton Administrations at the Department of Health and Human Services, with policy responsibilities for disease prevention and health promotion (1977-1995). Programs and policies conceived and launched at his initiative include the Healthy People process establishing national health goals and objectives (1979-present), the U.S. Preventive Services Task Force (1984-present), the Dietary Guidelines for Americans (with USDA, 1980- present), the multi-level Public Health Functions Steering Group and the Ten Essential Services of Public Health (1994-present), the RWJF Active Living family of programs (2000-present), the RWJF Young Epidemiology Scholars Program (2001-2012), the RWJF Health and Society Scholars Program (2002-2017), and the current Learning Health System initiative of the NAM.
    [Show full text]
  • THE SURGEON GENERAL and the BULLY PULPIT Michael Stobbe a Dissertation Submitted to the Faculty of the University of North Carol
    THE SURGEON GENERAL AND THE BULLY PULPIT Michael Stobbe A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Doctor of Public Health in the Department of Health Policy and Administration, School of Public Health Chapel Hill 2008 Approved by: Ned Brooks Jonathan Oberlander Tom Ricketts Karl Stark Bryan Weiner ABSTRACT MIKE STOBBE: The Surgeon General and the Bully Pulpit (Under the direction of Ned Brooks) This project looks at the role of the U.S. Surgeon General in influencing public opinion and public health policy. I examined historical changes in the administrative powers of the Surgeon General, to explain what factors affect how a Surgeon General utilizes the office’s “bully pulpit,” and assess changes in the political environment and in who oversees the Surgeon General that may affect the Surgeon General’s future ability to influence public opinion and health. This research involved collecting and analyzing the opinions of journalists and key informants such as current and former government health officials. I also studied public documents, transcripts of earlier interviews and other materials. ii TABLE OF CONTENTS LIST OF TABLES.................................................................................................................v Chapter 1. INTRODUCTION ...............................................................................................1 Background/Overview .........................................................................................1
    [Show full text]
  • THE SURGEON GENERAL and the BULLY PULPIT Michael Stobbe a Dissertation Submitted to the Faculty of the University of North Carol
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Carolina Digital Repository THE SURGEON GENERAL AND THE BULLY PULPIT Michael Stobbe A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Doctor of Public Health in the Department of Health Policy and Administration, School of Public Health Chapel Hill 2008 Approved by: Ned Brooks Jonathan Oberlander Tom Ricketts Karl Stark Bryan Weiner ABSTRACT MIKE STOBBE: The Surgeon General and the Bully Pulpit (Under the direction of Ned Brooks) This project looks at the role of the U.S. Surgeon General in influencing public opinion and public health policy. I examined historical changes in the administrative powers of the Surgeon General, to explain what factors affect how a Surgeon General utilizes the office’s “bully pulpit,” and assess changes in the political environment and in who oversees the Surgeon General that may affect the Surgeon General’s future ability to influence public opinion and health. This research involved collecting and analyzing the opinions of journalists and key informants such as current and former government health officials. I also studied public documents, transcripts of earlier interviews and other materials. ii TABLE OF CONTENTS LIST OF TABLES.................................................................................................................v Chapter 1. INTRODUCTION ...............................................................................................1
    [Show full text]
  • Distribution Agreement in Presenting This Thesis Or Dissertation As A
    Distribution Agreement In presenting this thesis or dissertation as a partial fulfillment of the requirements for an advanced degree from Emory University, I hereby grant to Emory University and its agents the non-exclusive license to archive, make accessible, and display my thesis or dissertation in whole or in part in all forms of media, now or hereafter known, including display on the world wide web. I understand that I may select some access restrictions as part of the online submission of this thesis or dissertation. I retain all ownership rights to the copyright of the thesis or dissertation. I also retain the right to use in future works (such as articles or books) all or part of this thesis or dissertation. Signature: _____________________________ ______________ Anita L. Renahan-White Date Faith and the Public's Health By Anita L. Renahan-White Master of Divinity Candler School of Theology ___________________________________________ [Thesis Advisor's signature] Dr. John Blevins Committee Chair ___________________________________________ [Member's signature] Dr. Steven J. Kraftchick Director of General and Advanced Studies ___________________________________________ [Member's signature] Dr. Emmanuel Lartey Committee Member Faith and the Public's Health By Anita L. Renahan-White MPH Emory University 1993 Thesis Committee Chair: John Blevins, ThD An abstract of A thesis submitted to the Faculty of the Candler School of Theology in partial fulfillment of the requirements for the degree of Master of Divinity 2012 Abstract Faith and the Public's Health By Anita L. Renahan-White In the following thesis "Faith and the Public's Health," I detail findings from research and interviews I conducted from March 2011 through February 2012.
    [Show full text]
  • The Peace Corps' Contributions to the Global Smallpox Eradication Program
    The Peace Corps’ Contributions to the Global Smallpox Eradication Program About the Office of Strategic Information, Research, and Planning (OSIRP) It is the mission of OSIRP to advance evidence-based management at the Peace Corps by guiding agency strategic planning; monitoring and evaluating agency-level performance and programs; conducting research to generate new insights in the fields of international development, cultural exchange, and Volunteer service; enhancing the stewardship and governance of agency data; and helping to shape agency engagement on high-level, governmentwide initiatives. Front Cover: Peace Corps Volunteers Robert Steinglass and Doug Arbuckle administering the smallpox vaccine in Mille, Ethiopia, in 1974. Photo: Steinglass, personal collection. ii Dedication This report is dedicated to the memory of Dr. Donald Ainslie “D. A.” Henderson (September 7, 1928—August 19, 2016), a seminal figure in the field of smallpox eradication. The Peace Corps is deeply appreciative of having had the opportunity to correspond with Dr. Henderson about the contributions of Peace Corps Volunteers and returned Volunteers within the context of the global eradication program. His charismatic leadership, tireless energy, and unflagging devotion to this program inspired countless public health workers around the world, including many of the returned Peace Corps Volunteers interviewed for this report. iii Acknowledgments In 1806, approximately 10 years after Dr. Edward Jenner conducted the first documented experiment with smallpox vaccination, laying the foundations of modern medicine, President Thomas Jefferson wrote to the English physician and scientist. Jefferson acknowledged the importance of this discovery, extending “a portion of the tribute of gratitude due to you from the whole human family.
    [Show full text]
  • Treasury and General Government Appropriations for Fiscal Year 2001
    S. HRG. 106±712 TREASURY AND GENERAL GOVERNMENT APPROPRIATIONS FOR FISCAL YEAR 2001 HEARINGS BEFORE A SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS UNITED STATES SENATE ONE HUNDRED SIXTH CONGRESS SECOND SESSION ON H.R. 4871/S. 2900 AN ACT MAKING APPROPRIATIONS FOR THE TREASURY DEPARTMENT, THE UNITED STATES POSTAL SERVICE, THE EXECUTIVE OFFICE OF THE PRESIDENT, AND CERTAIN INDEPENDENT AGENCIES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2001, AND FOR OTHER PUR- POSES Department of the Treasury Executive Office of the President Nondepartmental witnesses Printed for the use of the Committee on Appropriations ( Available via the World Wide Web: http://www.access.gpo.gov/congress/senate U.S. GOVERNMENT PRINTING OFFICE 62±810 cc WASHINGTON : 2000 For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 COMMITTEE ON APPROPRIATIONS TED STEVENS, Alaska, Chairman THAD COCHRAN, Mississippi ROBERT C. BYRD, West Virginia ARLEN SPECTER, Pennsylvania DANIEL K. INOUYE, Hawaii PETE V. DOMENICI, New Mexico ERNEST F. HOLLINGS, South Carolina CHRISTOPHER S. BOND, Missouri PATRICK J. LEAHY, Vermont SLADE GORTON, Washington FRANK R. LAUTENBERG, New Jersey MITCH MCCONNELL, Kentucky TOM HARKIN, Iowa CONRAD BURNS, Montana BARBARA A. MIKULSKI, Maryland RICHARD C. SHELBY, Alabama HARRY REID, Nevada JUDD GREGG, New Hampshire HERB KOHL, Wisconsin ROBERT F. BENNETT, Utah PATTY MURRAY, Washington BEN NIGHTHORSE CAMPBELL, Colorado BYRON DORGAN, North Dakota LARRY CRAIG, Idaho DIANNE FEINSTEIN, California KAY BAILEY HUTCHISON, Texas RICHARD J. DURBIN, Illinois JON KYL, Arizona STEVEN J. CORTESE, Staff Director LISA SUTHERLAND, Deputy Staff Director JAMES H. ENGLISH, Minority Staff Director SUBCOMMITTEE ON TREASURY AND GENERAL GOVERNMENT BEN NIGHTHORSE CAMPBELL, Colorado, Chairman RICHARD C.
    [Show full text]
  • Seamus Heaney Exhibit Is Tribute to Friend of Emory Emory Photo Video
    Welcome to spring semester SPECIAL ISSUE Online all the time at news.emory.edu JANUARY 21, 2014 ATHLETICS BEARDEN EXHIBIT Oxford’s organic farm 2 Eagle teams ‘Black Odyssey’ return strong draws scholars, Spring break alternatives 5 for 2014. faculty and local Calendar highlights 6-7 Page 3 celebrities. Page 12 Founders Week 11 University Course expands 11 Seamus Heaney exhibit is tribute to friend of Emory Emory Photo Video Nobel Prize-winning poet Seamus Heaney had a long relationship with Emory, having presented the inaugural Richard Ellmann Lectures. By MAUREEN MCGAVIN beginning at 6 p.m. with W. Ronald Schuchard, Emory profes- were part of an old bench from Carysfort College in Dublin, sor emeritus of English, as toastmaster. where Heaney taught in the 1970s. “Seamus Heaney: The Music of What Happens,” opening Geraldine Higgins, director of Emory’s Irish studies pro- There will also be a custom-built media space where people Saturday, Feb. 22, will be Emory’s first major exhibition cel- gram, curated the exhibition, choosing the title from a line can listen to recordings of Heaney and other distinguished writ- ebrating the life of the late Irish poet and Nobel Prize winner. in the Heaney poem “Song:” “The finest music of all is the ers, artists and well-known figures, including Irish actor Liam Heaney had a special connection to Emory beginning music of what happens.” Neeson and novelist Sir Salman Rushdie, reading his poems. with his first reading in March 1981. He delivered the inau- The exhibition will showcase Heaney’s poems and drafts A large kite will be at the center of the exhibition, suspended gural Richard Ellmann Lectures in Modern Literature in showing his handwritten revisions, rare publications, and over the spiral staircase in the gallery that descends to the lower 1988, donated his lecture notes to Emory’s Manuscript, artists’ books containing his poetry.
    [Show full text]
  • Senate Hearings Before the Committee on Appropriations
    S. HRG. 105±757 Senate Hearings Before the Committee on Appropriations Treasury and General Government Appropriations Fiscal Year 1999 105th CONGRESS, SECOND SESSION H.R. 4104/S. 2312 DEPARTMENT OF THE TREASURY EXECUTIVE OFFICE OF THE PRESIDENT NONDEPARTMENTAL WITNESSES U.S. POSTAL SERVICE Treasury and General Government Appropriations, 1999 (H.R. 4104/S. 2312) 1 S. HRG. 105±757 TREASURY AND GENERAL GOVERNMENT APPROPRIATIONS FOR FISCAL YEAR 1999 HEARINGS BEFORE A SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS UNITED STATES SENATE ONE HUNDRED FIFTH CONGRESS SECOND SESSION ON H.R. 4104/S. 2312 AN ACT MAKING APPROPRIATIONS FOR THE TREASURY DEPARTMENT, THE UNITED STATES POSTAL SERVICE, THE EXECUTIVE OFFICE OF THE PRESIDENT, AND CERTAIN INDEPENDENT AGENCIES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 1999, AND FOR OTHER PUR- POSES Department of the Treasury Executive Office of the President Nondepartmental witnesses U.S. Postal Service Printed for the use of the Committee on Appropriations ( Available via the World Wide Web: http://www.access.gpo.gov/congress/senate U.S. GOVERNMENT PRINTING OFFICE 46±121 cc WASHINGTON : 1998 For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 ISBN 0±16±057868±X COMMITTEE ON APPROPRIATIONS TED STEVENS, Alaska, Chairman THAD COCHRAN, Mississippi ROBERT C. BYRD, West Virginia ARLEN SPECTER, Pennsylvania DANIEL K. INOUYE, Hawaii PETE V. DOMENICI, New Mexico ERNEST F. HOLLINGS, South Carolina CHRISTOPHER S. BOND, Missouri PATRICK J. LEAHY, Vermont SLADE GORTON, Washington DALE BUMPERS, Arkansas MITCH MCCONNELL, Kentucky FRANK R. LAUTENBERG, New Jersey CONRAD BURNS, Montana TOM HARKIN, Iowa RICHARD C.
    [Show full text]
  • Proquest Dissertations
    'RANDOM MURDER BY TECHNOLOGY': THE ROLE OF SCIENTIFIC AND BIOMEDICAL EXPERTS IN THE ANTI-NUCLEAR MOVEMENT, 1969 - 1992 LISA A. RUMIEL A DISSERTATION SUBMITTED TO THE FACULTY OF GRADUATE STUDIES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY GRADUATE PROGRAM IN HISTORY YORK UNIVERSITY, TORONTO, ONTARIO AUGUST 2009 Library and Archives Bibliotheque et 1*1 Canada Archives Canada Published Heritage Direction du Branch Patrimoine de I'edition 395 Wellington Street 395, rue Wellington OttawaONK1A0N4 Ottawa ON K1A 0N4 Canada Canada Your file Votre reference ISBN: 978-0-494-54104-3 Our file Notre r6f6rence ISBN: 978-0-494-54104-3 NOTICE: AVIS: The author has granted a non­ L'auteur a accorde une licence non exclusive exclusive license allowing Library and permettant a la Bibliotheque et Archives Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par telecommunication ou par I'lnternet, preter, telecommunication or on the Internet, distribuer et vendre des theses partout dans le loan, distribute and sell theses monde, a des fins commerciales ou autres, sur worldwide, for commercial or non­ support microforme, papier, electronique et/ou commercial purposes, in microform, autres formats. paper, electronic and/or any other formats. The author retains copyright L'auteur conserve la propriete du droit d'auteur ownership and moral rights in this et des droits moraux qui protege cette these. Ni thesis. Neither the thesis nor la these ni des extraits substantiels de celle-ci substantial extracts from it may be ne doivent etre imprimes ou autrement printed or otherwise reproduced reproduits sans son autorisation.
    [Show full text]
  • Controlling Onchocerciasis (River Blindness) in Sub-Saharan Africa
    Case 7 Controlling Onchocerciasis (River Blindness) in Sub-Saharan Africa Geographic area: Sub-Saharan Africa Health condition: In west African countries in 974, nearly 2 million of the area’s 20 million inhabit- ants were infected with onchocerciasis, and approximately 200,000 were blind. Global importance of the health condition: Onchocerciasis, or river blindness, afflicts approximately 42 mil- lion people worldwide, with well over 99 percent of its victims in sub-Saharan Africa. An estimated 600,000 people are blind, and an additional .5 million Africans are visually impaired due to onchocerciasis. Intervention or program: The Onchocerciasis Control Program (OCP) was launched in 974 in west African countries. Weekly aerial spraying with environmentally safe insecticides helped control the dis- ease vector—blackflies that bred in fast-moving waterways, thereby halting transmission of the disease. In 995, a second program, the African Programme for Onchocerciasis Control (APOC), was established to control the disease in 9 central, east, and southern African countries. Through a broad international partnership and the participation of 5,000 remote, rural communities, APOC and OCP distributed a drug donated by Merck & Co., Inc., Mectizan (ivermectin), to more than 45 million people in sub-Saharan Africa in 2005. The drug prevents and alleviates the symptoms of the disease with one annual dose. Cost-effectiveness: OCP operated with an annual cost of less than $ per protected person. Commit- ments from 27 donors during the 28-year project totaled $600 million. The annual return on investment was calculated to be about 20 percent, primarily attributable to increased agricultural output; about $3.7 billion will be generated from improved labor and agricultural productivity.
    [Show full text]
  • Disease Strategy Debated
    MONDAY, MARCH 20, 2006 To Conquer, or Control? Disease Strategy Debated By DONALD G. McNEIL Jr and CELIA W. DUGGER Other Likely Candidates for Eradication There is a heroic allure to ridding the planet of a horrible disease forever. DISEASE EST. CASES TRANSMISSION BREAKING THE CYCLE Louis Pasteur is famous as the inventor of the vaccine. Jonas Salk is synonymous Guinea worm 12,000 Worm larvae in water Filter or treat pond water. with the one he created to combat polio. fleas swallowed by Dig deep wells so they do In the medical community, doctors like humans. Worms can not get contaminated. Donald A. Henderson and William Foege grow three feet long. are honored as the conquerors of smallpox. Lymphatic 120 million Mosquitoes carry juvenile Deworming pills kill Though the dream of eradication filariasis (1996) worms. Adult worm nests juvenile worms, but victims continues to animate scientists, doctors swell legs and scrotums, must be treated annually and public health officials, the history crippling victims. for 6 years. is at best rocky. In the past century, erad- ication efforts failed against hookworm, yellow fever and malaria. Today the struggling drive against polio has raised new questions about whether eradication of any disease is achievable, and, if so, whether the cost in terms of effort and dollars would be worth it, given all the A woman with other diseases that need attention. lymphatic filariasis The latest push began in 1993, when in Haiti. the International Task Force for Disease Eric S. Lesser for The New York Times Eradication, a panel of experts, was convened in Atlanta by the Centers for Measles 30 million Virus spread by Vaccine delivered Disease Control and Prevention, Emory annual cases; coughing, sneezing by injection.
    [Show full text]