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Composition: Publishers’ Design and Production Services, Inc. Cover Printing: Malloy, Inc. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Library of Congress Cataloging-in-Publication Data NOT FORKatz, Rebecca SALE Lynn, OR 1973– DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Essentials of public health preparedness / Rebecca Katz. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-0-7637-7983-2 ©(pbk.) Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC ISBN-10: 0-7637-7983-0 (pbk.)NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 1. Public health—United States. 2. Disaster medicine—United States. 3. Public health administration—United States. 4. Civil defense readiness—United States. I. Title. [DNLM: 1. Civil Defense—United States. 2. Disaster Planning—United States. 3. Public Health Administration—United States. 4. Security Measures—United States. 5. Terrorism—prevention & control—United States. WA 295] RA445.K34© Jones 2012 & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC 363.34’8—dc23NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 2011014807 6048 Printed in the United States of America 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. 79832_ch00_FM_5987.indd 2 8/24/11 9:22:38 PM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & ContentsBartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Prologue: Essentials of Public Health Preparedness ix P©reface Jones & Bartlett Learning, LLC © Jones & Bartlett Learning,xi LLC ANOTcknowledgments FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTIONxiii About the Author xv Abbreviations xvii © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION PART I Background of the Field 1 Chapter 1 Introduction to Public Health Preparedness 3 © Jones & Bartlett Learning,Learning LLC Objectives © Jones & Bartlett Learning, LLC 3 NOT FOR SALE OR DISTRIBUTIONIntroduction NOT FOR SALE OR DISTRIBUTION 3 National Security 3 Homeland Security 4 Homeland Defense 4 Public© Jones Health & PreparednessBartlett Learning, LLC © Jones & Bartlett Learning,4 LLC DevelopingNOT FOR the SALE Public OR Health DISTRIBUTION Preparedness Workforce: Charge andNOT Careers FOR SALE OR DISTRIBUTION6 Jobs in Public Health Preparedness 6 Key Words 7 Discussion Questions 8 © Jones & BartlettReferences Learning, LLC © Jones & Bartlett Learning, LLC 9 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION PART II Defining the Problem: Potential Threats 11 Chapter 2 Threats from Biological, Chemical, Nuclear, and Radiological Weapons 13 © Jones & Bartlett Learning,Learning LLC Objectives © Jones & Bartlett Learning, LLC 13 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. 79832_ch00_FM_5987.indd 3 8/24/11 9:22:38 PM iv Contents © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Introduction 13 Chemical Threats 13 Toxins 14 History© Jones & Bartlett Learning, LLC © Jones & Bartlett14 Learning, LLC Nuclear andNOT Radiological FOR SALE Threats OR DISTRIBUTION NOT FOR SALE OR16 DISTRIBUTION Nuclear Weapons 16 Radiological Threats 16 Biological Threats 20 Biological Agents 22 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Classification of Biological Weapons 23 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION The Biological Threat 28 Key Words 29 Discussion Questions 30 References 31 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FORChapter SALE 3 ORT hreatsDISTRIBUTION from Naturally OccurringNOT Disease FOR SALE OR DISTRIBUTION 33 Learning Objectives 33 Introduction 33 Evolution of Disease and Security Links 34 Defining© the Jones Link between& Bartlett Disease Learning, and Security LLC © Jones & Bartlett36 Learning, LLC Global InterconnectednessNOT FOR SALE and OR the DISTRIBUTION Spread of Disease NOT FOR SALE OR38 DISTRIBUTION Monkeypox 38 Severe Acute Respiratory Syndrome 38 HIV/AIDS 40 © JonesResponse & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC40 NOT FORKey Words SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION42 Discussion Questions 43 References 44 © JonesPAR & BartlettT III InfrastructureLearning, LLC © Jones & Bartlett Learning, LLC 45 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter 4 September 11, 2001 and Its Aftermath 47 Learning Objectives 47 Introduction 47 Constitutional© Jones Framework & Bartlett and History Learning, of Federal LLC Assistance for Preparedness© Jones and & Bartlett Learning, LLC DisasterNOT Response FOR SALE OR DISTRIBUTION NOT FOR SALE OR47 DISTRIBUTION Immediate Response to 9/11 48 Post-9/11