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Preparing to Save Lives

Preparing to Save Lives and Recover
After a Nuclear Catastrophe: Implications for US Policy


Overview

"Two decades after the end of the Cold War, we face a cruel irony of history - the risk of a nuclear confrontation between nations has gone down, but the risk of nuclear attack has gone up."

President Barack Obama, Remarks at the Nuclear Security Summit, April 13, 2010

On April 29, 2010, the Center for Biosecurity of UPMC convened an invitational conference in Washington, DC, to examine critical issues associated with response to and recovery from a nuclear detonation and to consider the policy implications of those issues. The meeting was attended by more than 150 participants, who included federal, state, and local government officials, congressional staff, policy analysts, academics, members of the media, and experienced practitioners from the public health, medical, and emergency management communities. The conference was sponsored by the Alfred P. Sloan Foundation.

Among the day's presenters were Joan Rohlfing, President, NTI; Brooke Buddemeier, Global Security Directorate, Lawrence Livermore National Laboratory (LLNL); John Fortier, Executive Director, AEI/Brookings Continuity of Government Commission; and White House officials David Marcozzi and Tammy Taylor, both of whom spoke off-the-record. The meeting also featured 3 distinguished panels that explored some of the most difficult challenges that would face policymakers in the event of a nuclear detonation. Panelists discussed proposals for strengthening preparedness efforts. See the Conference Agenda for a complete list of speakers, panels, and presentations.

Suggested background reading:




Agenda

Watch Videos


Welcoming and Opening Remarks
Tom Inglesby, Director and CEO, Center for Biosecurity of UPMC


Nuclear Dangers—"A Strange Turn of History"
Joan Rohlfing, President, Nuclear Threat Initiative


National Response to a Nuclear Detonation
David Marcozzi, Director, All-Hazards Medical Preparedness Policy, National Security Council Staff, The White House
Mr. Marcozzi's talk was off the record.


State and Local Roles in Response to a Nuclear Detonation
Tammy Taylor, Senior Policy Analyst, National Security and International Affairs Division, OSTP Policy, Executive Office of the President, The White House
Ms. Taylor's talk was off the record.


Brooke Buddemeier, Global Security Directorate, Lawrence Livermore National Laboratory
Video: Effects of a Nuclear Detonation in a Major City • Handout


Panel Discussion—What Are the Most Important Policies and Programs to Reduce Casualties from Nuclear Fallout?

  • Ann Norwood, Senior Associate, Center for Biosecurity of UPMC, Moderator
  • Baruch Fischhoff, Howard Heinz University Professor, Department of Social and Decision Sciences and Department of Engineering and Public Policy, Carnegie Mellon University
  • Tammy Taylor, Senior Policy Analyst, National Security and International Affairs Division, OSTP, Executive Office of the President, The White House
  • Kathleen Kaufman, Director, Radiation Management Program, Los Angeles County Department of Public Health


Reconstitution of the Federal Government After an Attack: Gaps and Ways Forward
John Fortier, Executive Director, American Enterprise Institute-Brookings Continuity of Government Commission

Panel Discussion—Saving Lives After a Nuclear Detonation: Making the Best Use of Medical Resources

  • Richard Waldhorn, Distinguished Scholar, Center for Biosecurity of UPMC, Moderator
  • C. Norman Coleman, Office of the Assistant Secretary for Preparedness and Response, HHS
  • David Weinstock, Department of Oncology, Dana-Farber Cancer Institute; Medical Advisor, Radiation Injury Treatment Network
  • Irwin Redlener, Director, National Center for Disaster Preparedness, Columbia University
  • Ann Knebel, Deputy Director, Preparedness Planning, Office of the Assistant Secretary for Preparedness and Response, HHS


Roundtable Discussion: What Is the Response and Role of the Press Following a Nuclear Terrorist Event?
Note: At the request of the panel, this discussion was off the record.

  • Randall Larsen, Former Executive Director, Commission on the Prevention of Weapons of Mass Destruction Proliferation and Terrorism, Moderator
  • Mimi Hall, Journalist, USA TODAY
  • Jeanne Meserve, Correspondent, CNN


Panel Discussion—What Policies Could Enable Communities to Recover After a Nuclear Detonation?

  • Monica Schoch-Spana, Senior Associate, Center for Biosecurity of UPMC, Moderator
  • Ann-Margaret Esnard, Professor and Director, VPT Lab, Florida Atlantic University School of Urban and Regional Planning
  • Louisa Vinton, Senior Programme Manager and Chernobyl Coordinator, Western CIS and Caucasus Countries, United Nations Development Programme
  • Gavin Smith, Executive Director, Center for the Study of Natural Hazards and Disasters, UNC Chapel Hill; DHS Center of Excellence for the Study of Natural Disasters, Coastal Infrastructure and Emergency Management
  • Brian Flynn, Former Assistant Surgeon General, Associate Director, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences


The Dead Hand—The Untold Story of the Cold War Arms Race and Its Dangerous Legacy
David Hoffman, 2010 Pulitzer Prize-winning author


Concluding Remarks
Thomas V. Inglesby, Director and CEO, Center for Biosecurity of UPMC




Speakers
 

Brooke Buddemeier
Brooke Buddemeier, CHP
Global Security Directorate, Lawrence Livermore National Laboratory
 
C. Norman Coleman
C. Norman Coleman, MD
Office of the Assistant Secretary for Preparedness and Response, HHS
 
Ann-Margaret Esnard
Ann-Margaret Esnard, PhD
Professor and Director, VPT Lab, Florida Atlantic University School of Urban and Regional Planning
 
Baruch Fischhoff
Baruch Fischhoff, PhD
Howard Heinz University Professor, Department of Social and Decision Sciences and Department of Engineering and Public Policy, Carnegie Mellon University
 
Brian W. Flynn
Brian W. Flynn, EdD
Former Assistant Surgeon General, Associate Director, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences
 
John C. Fortier
John C. Fortier, PhD
Executive Director, American Enterprise Institute-Brookings Continuity of Government Commission
 
Mimi Hall
Mimi Hall
Journalist, USA TODAY
 
David Hoffman
David Hoffman
2010 Pulitzer Prize-winning author of The Dead Hand: The Untold Story of the Cold War Arms Race and Its Dangerous Legacy
 
Thomas V. Inglesby
Thomas V. Inglesby, MD
Director and CEO, Center for Biosecurity of UPMC
 
Kathleen Kaufman
Kathleen Kaufman
Director, Radiation Management Program, Los Angeles County Department of Public Health
 
Rear Admiral Ann R. Knebel
Rear Admiral Ann R. Knebel
Deputy Director, Preparedness Planning, Office of the Assistant Secretary for Preparedness and Response, HHS
 
Col. Randall Larsen
Col. Randall Larsen, USAF (Ret.)
Executive Director, Commission on the Prevention of Weapons of Mass Destruction Proliferation and Terrorism
 
David Marcozzi
David Marcozzi, MD
Director, All-Hazards Medical Preparedness Policy, National Security Council Staff, The White House
 
Jeanne Meserve
Jeanne Meserve
Correspondent, CNN
 
Ann Norwood
Ann Norwood, MD, COL, USA, MC (Ret.)
Senior Associate, Center for Biosecurity of UPMC
 
Irwin Redlener
Irwin Redlener, MD
Director, National Center for Disaster Preparedness, Columbia University
 
Joan Rohlfing
Joan Rohlfing
President, Nuclear Threat Initiative
 
Monica Schoch-Spana
Monica Schoch-Spana, PhD
Senior Associate, Center for Biosecurity of UPMC
 
Gavin Smith
Gavin Smith, PhD
Executive Director, Center for the Study of Natural Hazards and Disasters, University of North Carolina at Chapel Hill, and Department of Homeland Security's Center of Excellence for the Study of Natural Disasters, Coastal Infrastructure and Emergency Management
 
Tammy Taylor
Tammy Taylor, PhD
Senior Policy Analyst, National Security and International Affairs Division, Office of Science and Technology Policy, Executive Office of the President, The White House
 
Louisa Vinton
Louisa Vinton, MA
Senior Programme Manager and Chernobyl Coordinator, Western CIS and Caucasus Countries, United Nations Development Programme
 
Richard Waldhorn
Richard Waldhorn, MD
Distinguished Scholar, Center for Biosecurity of UPMC
 
David Weinstock
David Weinstock, MD
Department of Oncology, Dana-Farber Cancer Institute; Medical Advisor, Radiation Injury Treatment Network
 



Attendees

Gary Ackerman, START

Terry Adirim, U.S. Department of Homeland Security

George Alexander, GA Alexander Solutions

Bruce Altevogt, Institute of Medicine

Carol Apelt, George Washington University Medical Center

Manuel Aponte, Office of the Secretary of Defense

Randy Atkins, National Academy of Engineering

Sheila Avruch, U.S. Government Accountability Office

Judy Bader, U.S. Dept. of Health & Human Services

Tali Bar-Shalom, Office of Management and Budget

Cindy Bascetta, U.S. Government Accountability Office

Kavita Berger, American Assn. for the Advancement of Science

Daniel Blumenthal, U.S. Department of Energy

Arnold Bogis, Harvard University

Nidhi Bouri, Center for Biosecurity of UPMC

Brooke Buddemeier, Lawrence Livermore National Laboratory

Jerome Cardt

Ellen Carlin, House Committee on Homeland Security

John Caves, NDU, Center for the Study of WMD

Andrew Chen, ASPR/OPEO/U.S. Dept. of Health & Human Services

Anita Cicero, Center for Biosecurity of UPMC 

Norman Coleman, National Institutes of Health

Bernard Courtney, The Tauri Group

Brooke Courtney, Center for Biosecurity of UPMC

Brian David, U.S. Department of Defense

Robert Davis, U.S. Department of Homeland Security

Molly D'Esopo, Center for Biosecurity of UPMC

Dan Dodgen, U.S. Department of Health & Human Services

John Donnelly, DC Fire and EMS

Joe Donovan, Beacon Capital

Michael Dunaway, U.S. Department of Homeland Security

Joanna Engstrom-Brown, Center for Biosecurity of UPMC

Gerald Epstein, American Assn. for the Advancement of Science

Ann-Margret Esnard, Florida Atlantic University

Julie Fischer, Stimson Center

Baruch Fischhoff, Carnegie Mellon University

Daniel Flynn, Radiation Oncol. Dept., Holy Family Med. Ctr.

Brian Flynn, Center for the Study of Traumatic Stress

John Fortier, American Enterprise Institute

Jackie Fox, Center for Biosecurity of UPMC

Crystal Franco, Center for Biosecurity of UPMC

Costanza Galastri, National Assn. of City & County Health Officials

Andrew Garrett, NDMS/U.S. Dept. of Health & Human Services

Scott Graham, American Red Cross

Kent Gray, U.S. Department of Energy

Michael Gresalfi, FEMA/U.S. Dept. of Homeland Security

Gigi Kwik Gronvall, Center for Biosecurity of UPMC

Kenneth Groves, S2-Sevorg Services, LLC

Nathaniel Hafer, NIH/NIAID/DAIT

Mimi Hall, USA TODAY

Dan Hanfling, Inova Health System

Cynthia Hansen, U.S. Dept. of Health & Human Services

Mary Beth Hansen, Center for Biosecurity of UPMC

Andrew Heighington, U.S. Department of Defense

D. A. Henderson, Center for Biosecurity of UPMC

Bill Hendrickson, Issues in Science and Technology

Gerard Hoetmer, Public Entity Risk Institute

Erin Hoffman, House Committee on Homeland Security

Chris Holbrook, California Emergency Management Agency

Chad Hrdina, U.S. Dept. of Health & Human Services

Tom Hu, ASPR/U.S. Dept. of Health & Human Services

Adam Hutter, U.S. Department of Homeland Security

Thomas V. Inglesby, Center for Biosecurity of UPMC

William Jenkins, Jr., U.S. Government Accountability Office

Til Jolly, U.S. Department of Homeland Security

Peter Jutro, U.S. Environmental Protection Agency

Kathleen Kaufman, Los Angeles County Dept. of Public Health

Beth Kennedy, Office of the Secretary of Defense Policy

Lynne Kidder, Business Executives for National Security

Tara Kirk Sell, Center for Biosecurity of UPMC

Ann Knebel, U.S. Dept. of Health & Human Services

John Koerner, ASPR/U.S. Dept. of Health & Human Services

Jonathan Kraden, Senate Homeland Security Committee

Randy Larsen, Center for Biosecurity of UPMC

Mary Lasky, Johns Hopkins Applied Physics Laboratory

John Lathrop, Lawrence Livermore National Laboratory

Mark Lauda, U.S. Dept. of Health & Human Services

Mark Levine, VA State Health Department

Dara Lieberman, Trust for America’s Health

Davia Lilly, Center for Biosecurity of UPMC

Carl Lindgren, North Arlington County Fire Dept. Office

Alicia Livinski, NIH/U.S. Dept. of Health & Human Services

Micah Lowenthal, National Academy of Sciences

David Lysy, U.S. Government Accountability Office

Ernest Maestas, Albuquerque Emergency Management

Ben Mallory, U.S. Department of Homeland Security

Sarah Maloney, U.S. Department of Homeland Security

Ronald Manning, BARDA/ASPR/U.S. Dept. of Health & Human Services

Monique Mansoura, BARDA/ASPR/U.S. Dept. of Health & Human Services

David Marcozzi, National Security Staff

Richard Martinello, U.S. Dept. of Veterans Affairs

Derek Matthews, U.S. Department of Homeland Security

Danny McClung, U.S. Dept. of Veterans Affairs

R. Allen McCurry, The McCurry Group

Michael McDonald, Global Health Initiatives, Inc.

Mike McGeary, Institute of Medicine

Dave McIntyre, ThinkingEnemy

Richard McNally, U.S. Dept. of Health & Human Services

Michael Meit, NORC at the University of Chicago

John Mercier, Noblis

Jeanne Meserve, CNN

Elizabeth Miller, de Beaumont Foundation

Paula Murrain-Hill, U.S. Dept. of Health & Human Services

Jessica Nagasako, HSGAC

Rick Nelson, CSIS

Ann Norwood, Center for Biosecurity of UPMC

Jennifer Nuzzo, Center for Biosecurity of UPMC

Gregg Pane, ASPR/U.S. Dept. of Health & Human Services

Ryan Paris, VA Dept. of Health, Div. of Radiological Health

Steven Payne, DTRA

R. Eric Petersen, Congressional Research Service

Sally Phillips, AHRQ

Lewis Radonovich, U.S. Department of Veterans Affairs

Laurel Radow, Federal Highway Admin., USDOT

Murad Raheem, U.S. Dept. of Health & Human Services

Kunal Rambhia, Center for Biosecurity of UPMC

Irwin Redlener, Columbia Univ. National Ctr. for Disaster Prep.

Joan Rohlfing, NTI

Al Romanosky, Maryland DHMH

Deborah Rosenblum, NTI

Bob Ross, U.S. Department of Homeland Security

Benjamin Rusek, Committee on International Security & Arms Control, National Academy of Sciences

Marjorie Russell, Georgetown University

Julie Sadovich, U.S. Department of Homeland Security

Adela Salame-Alfie, New York State Dept. of Health

Monica Schoch-Spana, Center for Biosecurity of UPMC

Thomas Seed, Tech Micro Services

Fred Selck, Center for Biosecurity of UPMC

Alla Shapiro, U.S. Food and Drug Administration

Aarisha Shrestha, U.S. Dept. of Health & Human Services

Gavin Smith, University of North Carolina

Brad Smith, Center for Biosecurity of UPMC

Steve Sternberg, USA TODAY

Clare Stroud, Institute of Medicine

Kate Summers, U.S. Senate Sergeant at Arms

Charles Swan, U.S. Department of Defense

Benn Tannenbaum, American Assn. for the Advancement of Science

Tammy Taylor, White House Office of Sci. & Tech. Policy

Thomas Tenforde, NCRP

Eric Toner, Center for Biosecurity of UPMC

Price Tyson, Center for Biosecurity of UPMC

RADM W. C. Vanderwagen, Martin Blanck and Assoc.

Jen Venero, National Marrow Donor Program

Dan Vergano, USA TODAY

Louisa Vinton, United Nations

Richard Waldhorn, Center for Biosecurity of UPMC

Matthew Watson, Center for Biosecurity of UPMC

David Weinstock, Harvard University

Scott Wells

Bob Whitcomb, U.S. Centers for Disease Control & Prev.

Jordy Wommack, NMDHSEM

Kevin Yeskey, U.S. Dept. of Health & Human Services