Findings and Recommendations From a Series of Workshops on Hospital Emergency Responses to an Improvised Nuclear Device Detonation.

The New York City Department of Health and Mental Hygiene and the Greater New York Hospital Association held 3 workshops and 2 follow-up meetings with hospital emergency managers and colleagues to determine hospitals' response actions to a scenario of a 10-kiloton improvised nuclear device detonation. The scenario incorporated 3 zones of damage (moderate, light, and beyond damage zones) and covered the period of 0 to 72 hours postdetonation divided into 3 24-hour operational periods. The Joint Commission's critical emergency areas were used to determine the objectives and response actions that would be initiated.

Risk communication and public response to potential radiation emergencies in New York City.

Public knowledge and awareness about radiation (both natural and manmade) tend to be low, while perceived risk of radiation tends to be high. High perceptions of risk associated with radiation have been linked to the affect heuristic and general feelings of dread, which are often not proportionate to actual risk. For example, studies routinely show that members of the public rate the risk of radiation from nuclear power plants as significantly higher (and riskier) than radiation from medical X-rays.

A Radiological Emergency Health and Safety Plan for City Agencies Without First Response Responsibilities.

In New York City, the citywide radiological response plan charges 4 primary agencies with various roles and objectives: police, fire, health, and environmental protection. These agencies perform essential functions such as criminal investigation, life safety, public health, and environmental assessments. In the late phase of an incident where components of remediation and recovery have been initiated, other municipal agencies that had not previously planned to respond to a radiological incident may be expected to supply various levels of support.

Bridging the Expertise Gap: Developing and Utilizing a Radiological Advisory Committee for New York City.

From the Field is a semi-regular column that explores what it means to be a local health professional on the front lines of an emergency. Typically, National Association of County and City Health Officials (NACCHO) members share their stories of preparing for and responding to disasters, epidemics, and other major health issues. This month's column features a submission from the New York City health department that describes their experience in setting up a radiological advisory committee.