Emergency Response and Air Toxicants Branch Division of Laboratory Sciences National Center for Environmental Health Centers for Disease Control and Prevention David L. Ashley. Ph.D. Preparing for Chemical Terrorism Response at the Centers for Disease Control and Prevention
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Preparing for Chemical Terrorism Response at the Centers ... · chemical terrorism events. CT Laboratory Response Team Prepared for immediate travel to event site 20 minute response,
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Emergency Response and Air Toxicants BranchDivision of Laboratory Sciences
National Center for Environmental HealthCenters for Disease Control and Prevention
David L. Ashley. Ph.D.
Preparing for Chemical TerrorismResponse at the Centers for
Disease Control and Prevention
Assess dangersStabilize victimsSecure the areaAssess symptomsField testing
First responders -Law enforcement, EMTs, firefighters
Identify specific agentIdentify worried wellRetrospective analysisEvaluate long-term health effects
of low level exposure - registriesDetermine temporal or geographical
exposure distribution
Analysis of Clinical Samples forPublic Health Response to Chemical
Terrorism
Goal
Produce interpretable laboratory results on a limited number of clinical samples as quickly as possible
Flexible laboratory capabilities that can respond to the complete range of chemical terrorism events
CT Laboratory ResponseTeam
Prepared for immediate travel to event site20 minute response, 1 hr arrival at CDCSample supplies in emergency packsSupport collection of clinical samplesProvide tracking information
for samplesCDC Air Transport
Specimen ReceiptSpecimens received at CDCTreated as toxic and infectiousCDC BPRP tests for infectious riskAliquots heated, if analytes are heat-stableAutomated sample
3-4 per yearActive exercises, not table-topTesting lab responseTesting data transmission, approval
and reportingTesting personnel and sample transport
Exercises
• Notification from the DEOC• DLS Phone tree• Response team transport• Analyst notification• Support services (IT, Engineering,
Cardkey) notification• Lab lockdown• Analytical method validity checks• Epi information collection• Epi information transmission• Sample transport to DLS• Sample receipt at DLS• Chain of custody procedures• Secure sample storage• Sample id assignment
• Sample sterilization• Sample aliquoting• Sample analysis – entire RTS• Personnel and equipment backups• Quality control evaluation• Analytical results into database• Analytical results compilation• Analytical results interpretation• Results reporting• Results communication to state• Results communication to management• Media communications• Sample shipping to surge labs• Data transmission - states to CDC
• Environmental Protection Agency• Food and Drug Administration• Department of Homeland Security• Department of Defense• Federal Bureau of Investigation