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The Energy – Matter Spectrum State and Local Level Considerations: Radiological Emergencies Col Damon T. Arnold, M.D., M.P.H. (Ret.) Director – Illinois.

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Presentation on theme: "The Energy – Matter Spectrum State and Local Level Considerations: Radiological Emergencies Col Damon T. Arnold, M.D., M.P.H. (Ret.) Director – Illinois."— Presentation transcript:

1 The Energy – Matter Spectrum State and Local Level Considerations: Radiological Emergencies Col Damon T. Arnold, M.D., M.P.H. (Ret.) Director – Illinois Department of Public Health

2 The Nuclear Age When Will We Catch Up? Historical Points RCA-EM / “Fossy” Jaw Legislation

3 IDPH Platform Model

4 The Mouth and Chronic Disease

5 Energy-Matter Spectrum AGENT Occupational Engineering Controls [Elimination / Containment / Substitution] Administrative Controls [BEIACGIHTLV PELOSHA RELNIOSH] Personal Protective Equipment [PPE] Containment System / Perimeter / P.P.E. Penetration [Breach] Exposure to the Agent Biological Monitoring Surveillance Chemical Monitoring Radiological Monitoring and 3 0 Prevention Injury, Illness and Disease [Acute and Chronic] Environmental Agent Penetration Public Health Domain: Legislative [HB/SB] Regulatory Statutes / Rules Regulatory Behavioral Choices Accidents Health System: LHDs Hospitals Clinics Private Practices

6 General Environmental Conditions: [Causative Agent Spectrum] Probability (Risk of harm resulting in Illness, Injury, or Disease leading to Morbidity or Premature Mortality) B. Monitoring: [ Epidemiology/Surveillance ] Sensitivity/Specificity/Reproducibility [e.g., HAN – CHESS – BIOWATCH – NWS - LAB PCR TECH – INEDDS – BIOSENSE - BIOSHIELD] Accuracy / Precision / Qualitative and Quantitative Analysis Environmental / Incident Site Contamination C. Incident Site: [Potential Exposure]: Engineering and Administrative Controls (Limit Exposure) Barrier Breach [Skin/ Respiratory/ G.I.] / Prophylaxis / DECON >>> Direct Exposure: EVAC/Perimeter Mapping/Containment/Lock-Out/Agent Mitigation D. Primary Treatment Site: EMS / ED / LHD / Private Practices / Dx-Rx [Adsorption-Absorption-Distribution (Toxico-dynamic) / Metabolism(Toxico- kinetic)-Defenses-Elimination ] E. Secondary Treatment Site: Hospital / Clinic / FQHC / CHC / LHD / PVT Practice Morbidity and Mortality Acute/ Chronic Injury, illness, or Disease // Death F. Community Based Dwellings: Home / LTCFs / CIKR Sectors Public Health S.M.A.R.T. D.O.C. (P.H. Fusion Center) Strategic Management And Resource Technology Department Operations Center

7 Basic Structure of a Nuclear Plant Containment Building 4’ – 8’ Thick Walls Air Tight Seals Airliner Impact Proof Source: Energy Information Administration Reactor Vessel 4” – 8” Thick High Tensile Steel Reactor Core Rods Fuel Core Neutrons Sustained Rx

8 Energy Production Neutron Bombardment Heavy Elements (Uranium or Plutonium) Nuclear Fission  Neutrons  Sustained Chain Rx + Poisons [Radiation + Heat Energy] H2O  Steam D2O [BWR - 1 loop / PWR - 2 loops] He Gas Liquid Metal Turbo Generators  Electrical Power (Pb / Na)200 Million Electron Volts

9 Nuclear Fuel Cycle [Front End] Exploration (uneven distribution) Mining (Uranium Ore 0.05 to 0.3% U308) Open, underground and In Situ Leach Milling (purification/concentration) Dry powder Uranium Oxide U308 “Yellow Cake” is converted into Uranium Hexafluoride (UF6) Enrichment (UO2) 0.7%  4.0% Fissionable isotope U235 and DU (“the enrichment tails”) Fabrication Pellets Sealed Rods

10 Nuclear Fuel Cycle [Back End] Interim Storage Waste Disposal Reprocessing

11 ILLINOIS Considerations Illinois has 11 Nuclear Plants Wind: West to East Flow Pattern Earthquake Zone


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