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If there was an actual nuclear detonation, health effects for those in the immediate vicinity would range from instant death to severe burns and radition poisioning. Further from the blast results in lower doses of radition, but at even a small bomb, exposure within the first few hours would likely result in some sort of cellular damage from nervous system shut down to cancers, some of which might take years to develop. Any exposure to the human system will have some effect, the more the fallout and proximity, the greater the effect (Levy and Sidel, 2003).
From a public health perspective, prompt treatment and long-term monitoring are necessary components of the rik plan. Multi-organ failure, for instance, can be limited based on lowering fevers and inflamatory effects, and those with small amounts of exposure can benefit from transfusions, immune system boosters, and antibiotics. The keys to these issues are to: retain profecient medical personnel who understand treatment of radiological issues; maintaining equipment and supplies that are constantly in readiness; training for responders (medical and non-medical); ensuring quick coordination at the local, state and national level -- even with a potential power outage or power surge; communicating with the public during and after an incident, and dealing with the psychogical impact of the attack (Sutphen, 2006;...
In truth, one cannot say enough about keeping adequate food, water and medicine fresh and available; having back up saniation plans; ensuring that the right professionals have a way to get to those most in need; and selective quarantine and/or feeding/medicating programs when necessary (Toole and Waldman, 1997).
REFERENCES
Johnson, S., et.al. (2003). New Challenges, New Tools for Defense Decision-Making.
Rand Corporation.
Levy, B., Sidel, V. (2003). Terrorism and Public Health. New York: Oxford University
Press.
Sutphen, S. (October 2006). Trauma Update from the 2006 Annual Scientific Assembly
of the American College of Emergency Physicians. Retrieved from: http://www.medscape.com/viewcollection/6099
Tenforde, T., et.al. (2010). Health Aspects of a Nuclear or Radiological Attack. National Academy of Engineering. 40 (2): Retrieved from: http://www.nae.edu / Publications/Bridge/19804/20055.aspx
Wan, S. (2009). Service impact analysis using business continuity planning processes.
Campus Wide Information Systems, 26(1), 20-42.
Wirtz, J. (2006, January). Indications and Warning in an Age of Uncertainty. Retrieved from: Center for Contemporary Conflict: http://www.nps.edu/Academics/SIGS / CCC/conferences/recent/Presentations/Wirtz%20I&W.pdf
REFERENCES
Johnson, S., et.al. (2003). New Challenges, New Tools for Defense Decision-Making.
Rand Corporation.
Levy, B., Sidel, V. (2003). Terrorism and Public Health. New York: Oxford University
Press.
of the American College of Emergency Physicians. Retrieved from: http://www.medscape.com/viewcollection/6099
Tenforde, T., et.al. (2010). Health Aspects of a Nuclear or Radiological Attack. National Academy of Engineering. 40 (2): Retrieved from: http://www.nae.edu / Publications/Bridge/19804/20055.aspx
Wirtz, J. (2006, January). Indications and Warning in an Age of Uncertainty. Retrieved from: Center for Contemporary Conflict: http://www.nps.edu/Academics/SIGS / CCC/conferences/recent/Presentations/Wirtz%20I&W.pdf
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