Lowes Motor Speedway Incident Command Protocol for Mock Bioterrorism Event

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Lowes Motor Speedway Incident Command Protocol
for Mock Bioterrorism Event

• Fletcher P.
• Mike M.
• Jessica S.
• Gloria M.

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Scenario

• Winston Cup Race in Concord, North Carolina. May
  17th, 2003 at 700 pm start.
• Full capacity crowd (infield and seating) of
  217,000
• 121 Executive suites and 52 condominiums
• 3,000 individuals directly associated with the
  race event.

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Scenario (cont.)

• Terrorist sprays mens bathroom with a fogger
  containing smallpox major, located behind the
  Ford Section grandstand, gate 8 during the 1st
  leg of the race.
• Suspect apprehended along with the fogger and
  admits to using Variola Major.

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Artists Rendering of Terrorist Suspect

• Suspect known only as Dr. Douche bag is
  believed to be associated with several
  Eco-terrorist and environmental racist groups
  throughout the United States. Often uses Healthy
  Carolinians as a cover for his terrorist
  behavior.

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Suspect (cont.)

• The terrorist used a douche package to smuggle
  the fogger into the stadium. This method appears
  to be his trademark signature since this method
  has been used in other attacks

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Scenario (cont.)

• Lowes Motor Speedway officials contact Cabarrus
  County Health Department and Emergency Management
  Director.
• Speedway security seals off mens bathroom.
• Race is continued at this point and time to
  prevent hysteria.

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Scenario (cont.)

• Cabarrus County Health Director contacts
  Charlotte Mecklenburg Health Director due to the
  fact that they have more resources readably
  available and are better prepared to handle this
  situation.

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Incident Command

• Charlotte Health Director arrives and is
  positioned in the clubhouse after discreet
  evacuation of the clubhouse. Located at gates 5A
  and 5B.
• Health Director notifies the Regional Response
  Team 7, local law enforcement, 514th Military
  Battalion, 4th Marine Expeditionary Battalion,
  emergency personnel, Red Cross, CDC, CDC Epidemic
  Intelligence Service officers, US AMIRD, North
  Carolina Highway Patrol, FBI, Mayor of
  Mecklenburg and Cabarrus Counties and Governor of
  North Carolina.

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Incident Command (Internal)

• Health Director pools all available resources
  inside the clubhouse.
• 55 State Patrol
• 12 EMS
• 10 Security Personnel
• 5 FBI agents

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Incident Command (Internal)

• Health Director begins to establishing inner and
  outer security rings.
• By using the floor plans the Health Director
  establishes hot, warm, and cold zones.

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Specifics

• Hot zones contained 9,600 people
• Warm zones contained 9,600 people
• Cold zones are the remaining occupants of the
  Lowes Motor Speedway area.

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Pre-Evacuation Security

• State Patrol officers are stationed at
• 40 at the head of section J of the General Motors
  section. (20 at each level)
• 2 at each gate (gates 4-8)
• 3 at the AA Ford Section.
• EMS placed at each gate 4-8 for injury control.
• Duke Power Trucks placed at each gate 4-8 used
  for diversion.

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Evacuation Procedure

• All security is in place prior to evacuation of
  all sections excluding General Motors and Ford
  sections.
• Lights on turn 3 are shut down by electric
  personnel.
• Announcement is made over the intercom Due to
  technical difficulties the race must be
  postponed. Please exit through the nearest gate.
  Persons in General Motors and Ford sections
  please stay seated. Until personnel secure the
  area. Sorry for the inconvenience.

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Evacuation Procedure

• At each exit gate an information card is handed
  out and each person is told to send this
  information card back through the mail to receive
  free tickets to another race.

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Evacuation Procedure (cont.)

• Directly following the announcement the 40 state
  patrol officers proceed down the bleachers in the
  hot and warm zones. 20 for each level.
• Persons in Ford and General Motors sections are
  notified why they are being held directly after
  evacuation of cold zones. Persons are also
  notified that the chemical released is not
  identifiable at this time.

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Evacuation Procedure (cont.)

• Garage and pits are evacuated so that persons in
  Ford and General Motors sections are moved to
  this area to be contained.

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Incident Command (External)

• Regional Response Team 7 (RRT 7) arrives an hour
  and a half after notification.
• Sample taken from the terrorist foam sprayer and
  is taken by FBI to CDC Laboratory in Atlanta GA
  for identification.
• Smallpox is confirmed 4 hours later.

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Incident Command (External)

• All available resources arrive and begin their
  assigned duties
• EMS positions themselves at garage and pit
  area.
• CDC is positioned in garage and pit area.
• Military is positioned around the garage
  and pit area to secure the place.
• (all personnel have already been vaccinated
  for smallpox)

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Incident Command (External)

• Garage and pit areas are set up as temporary
  housing.
• Lowes Motor Speedway provides food services.
• Charlotte Observer is contacted to make
  information sheets for follow up.

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Smallpox Background

• Incubation period 12 days (range 7-17 days)
• Duration of Illness 32 days max.
• Prodrome headache, fever, muscle pain, nausea,
  vomiting, backache.
• Rash
• Persons to person transmission after rash has
  developed.
• Morality- variola major 30 - variola minor 1.

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Incident Command (External)

• Clothing is provided by NASCAR and Concord Mills
  Mall.
• Needed upon basis sleeping bags and other
  accessories are provided by Bass Pro Shops at
  Concord Mills Mall.

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Evacuation and Decontamination

• Upon confirmation of Variola Major, CDC flies
  in four helicopters
•   -22 personnel (one for each section) each
  equipped with a Ped-O-Jet vaccination device and
  appropriate units of vaccination -22 personnel to
  decontaminate the area
•  

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Decontamination

• Victims are asked to place clothing into
  biohazard bags for later disposal.
• Incineration
• Chemical disinfections
• Steam sterilization
• Personal items are bagged and labeled for
  subsequent decon and returned later.

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Decontamination

• Following decontamination of persons they are
  clothed and personal information is taken and
  they are removed from the Speedway and sent home.

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Home Land Security Announcement

• ABC and NBC are contacted to make announcements
  about the smallpox release, and inform the
  general public that if persons at the Winston Cup
  race on May 17th start to show symptoms to seek
  immediate medical attention.

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Victim Observation

• Victims are contacted within two weeks to ensure
  symptoms have not been displayed.
• This is continued for a month.
• Any family members or persons who have been in
  close contact with persons that have already been
  vaccinated but show signs are directed to local
  health departments for vaccinations.

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Victim Observation

• Due to common adverse effects, all persons
  vaccinated are briefed on symptomology and
  importance of treatment. Surveillance of
  vaccination sites is explained and local
  hospitals are contacted to provide supportive
  care.

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Follow Up

• Lowes Motor Speedway is decontaminated
• 1 sodium hypochlorite

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Decontamination Pics
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Decontamination Pics
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Questions Will be Taken at this Time