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Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Science and the CBRNE Science Medical Operations Science Support Expert (CMOSSE)

Published online by Cambridge University Press:  17 June 2019

James J. James
Affiliation:
Society for Disaster Medicine and Public Health, Rockville, Maryland
Monique K. Mansoura
Affiliation:
MITRE Corporation, Bedford, Massachusetts
Alicia A. Livinski
Affiliation:
National Institutes of Health Library, Office of Research Services, Office of the Director, National Institutes of Health, Bethesda, Maryland
Andrea DiCarlo-Cohen
Affiliation:
Radiation and Nuclear Countermeasures Program, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland
Brooke Buddemeier
Affiliation:
Lawrence Livermore National Laboratory, Livermore, California
Rocco Casagrande
Affiliation:
Gryphon Scientific, Tacoma Park, MD
Cullen Case Jr
Affiliation:
National Marrow Donor Program / Radiation Injury Treatment Network, Minneapolis, Minnesota
David M. Weinstock
Affiliation:
Dana Farber Cancer Institute and Harvard Medical School, Boston, MA
Nicholas Dainiak
Affiliation:
Yale University School of Medicine, New Haven, CT
Irwin Redlener
Affiliation:
National Center for Disaster Preparedness, Earth Institute at Columbia University, New York, New York
Tammy P. Taylor
Affiliation:
National Security Directorate, Pacific Northwest National Laboratory, Richland, Washington
Aubrey Miller
Affiliation:
National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, Maryland
Richard Hatchett
Affiliation:
Coalition for Epidemic Preparedness Innovations, London, England, UK

Abstract

A national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.

Type
Concepts in Disaster Medicine
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. This is a work of the U.S. Government and is not subject to copyright protection in the United States. 

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