Weapons of Mass Destruction: A Coordinated Response Effort

1
Weapons of Mass DestructionA Coordinated
Response Effort

• Capt Holly Shenefelt
• Medical Operations Officer
• Wyoming 84th Civil Support Team

2
Agenda

• Brief introduction to the functions and
  capabilities of the Civil Support Team(CST)
• Partnerships
• Successes
• Questions

3
What Is a Civil Support Team?

• Are you familiar with Civil Support Teams (CSTs)
  or their functions?

1. Yes
2. No

4
Situation Example

• Weve just received a report theres been an
  explosion at the intersection of Loop 101 and
  202, announced news anchor Forrest Sawyer with
  the Virtual News Network. At this time, we are
  not sure if this explosion is related to the
  dirty bomb detonations weve seen today in Guam
  and Portland, OR.

5
Mission

• The WMD CST deploys to support civil
  authorities at a domestic chemical, biological,
  radiological, nuclear, and high explosive
  (CBRNE) incident site by identifying CBR
  agents/substances, assessing current and
  projected consequences, advising on response
  measures and assisting with appropriate requests
  for state support.

6
What We DO

• Confirm CHEM and RAD hazards
• Identify BIO agents
• Work directly as a state response asset with
  local, state, federal response agencies
• Provide recommendations on event mitigation,
  medical treatment, and follow-on state and
  federal resources

7
CST Locations
12th
11th
15th
10th
83rd
103rd
81st
55th
2nd
102nd
1st
82nd
101st
13th
54th
51st
14th
84th
3rd
71st
21st
95th
52nd
72nd
31st
35th
53rd
8th
5th
92nd
32nd
85th
34th
33rd
73rd
41st
7th
42nd
9th
45th
63rd
91st
43rd
93rd
61st
64th
47th
4th
46th
62nd
6th
44th
CST in every state and territory (total of 55
teams by 2007)
Guam-94th
Puerto Rico22nd
8
Organization
Commander Deputy Commander First Sergeant
Admin/Log Element
Communication Element
Survey Element
Operations Element
Medical Element
Logistics Non-Commissioned Officer (NCO)
Operations Officer
Survey Team Leader
P.A.
Communication Team Chief
Admin NCO /ASST Decon NCO
System Information Tech.
Operations NCO/ Modeler
Medical Operations Officer
Reconnaissance NCO

• 22 Full-time Active (AGR) Force
• Army and Air National Guard members
• On call 24/7365

Asst. Operations NCO/Decon NCOIC
Team Chief
Nuclear Medical Science Officer
Team Chief
Team Member
Team Member
Medical NCO
Team Member
Team Member
9
Deployment
Ground

• Local / regional response
• Times vary based on incident site
  location
• Goal is four hours presence on scene
  (advanced party)
• Partial- or full-team response

Air
10
Basic Capabilities

• Hazard modeling
• Communications
• Field analysis
• Medical liaison
• Survey operations
• DECON

Training Exercise
11
Medical Section
Training Exercise
Training Exercise

• Medical surveillance and emergency
  treatment of team
• Advice on treatment of WMD casualties
• Liaison for medical support
• Analysis of WMD agents

12
CST Involvement with Public Health

• How involved is the CST in your state or local
  public health office?

• Very involved
• Somewhat involved
• Not involved
• I dont know

13
Analytical Lab System (ALS)

• Presumptive analysis of CHEM and BIO agents
• Two internal negative pressure glove boxes
• HAPSITE, FTIR, HAZMAT ID, HHA, Microscope, PCR
• Self-contained 15kw generator
• Operated in the COLD Zone

14
Footprint
Incident Command and other responders
Civil Support Team
Training Exercise
Hot zone
15
Questions?

• Do you have any questions?

Training Exercise
16
Wyoming Partnerships

• State level
• All hazards line
• Monthly bioterrorism meeting
• Emergency Preparedness Advisory Committee
• Training
• Laboratory
• Glove box
• Sampling video
• Tabletops
• SNS training containers
• Burn Course
• ICS Courses
• Visual DX Software

17
Wyoming Partnerships (cont.)

• Local public health
• Exercises
• Call outs
• Equipment familiarity
• Prophylaxis
• Public communication
• Training
• First Responders
• Training
• Participation
• Role Play

18
Successes North Dakota

• Instructors/evaluators
• Pandemic influenza scenario
• Point dispensing
• Triage lab

Training Exercise
19
Successes Idaho

• Networking
• Exercise involvement
• Training
• Collaborative medical surveillance
• Local Emergency Planning Committee (LEPC)
  meetings

Training Exercise
20
Successes Guam

• Pandemic influenza preparation
• Airport disaster
• Mass immunization
• All hazards events
• BT lab set up

Training Exercise
21
Successes Colorado

• Typing resource database for public
  health/medical
• Slated to become the national model for resource
  typing
• Recently highlighted for their efforts in a
  documentary on 9NEWS out of Denver, CO

22
Successes Louisiana

• Hand-in-hand relationship
• Katrina
• Pandemic flu preparation
• SNS coordination

Development of regional response plans for
smallpox . . . to the coordination betweenpublic
health, local hospital and the militaryfor
patient evacuation during a crisis . . . to
dealing with Hurricanes Katrina and Rita . . .
there is much to be said for developing a firm
relationship with public health entities.
Training Exercise
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Summary

• Civil Support Team (CST)
• Partnerships
• Successes
• Plan
• Coordinate
• Communicate

Training Exercise
24
Questions?
Do you have any questions?
Training Exercise
Capt Holly Shenefelt [phone] holly.shenefelt
_at_us.army.mil
25
Special Thanks for Contributions

• CPT Connelley
• Mr. Moreland
• 1LT Nordick
• CPT Perkins
• CPT Strawbridge
• CPT Taylor
• WY State Health Dept Public Health and
  Bioterrorism Program
• 84th Civil Support Team

Training Exercise