1. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok 1 The triage monitoring and treatment of the public exposed to the malevolent use of radiation “TMT Handbook” Presented at the 5 th edition of the European Security Research Conference Kursaal, Ostend, Belgium September 22 – 24, 2010 by Carlos Rojas-Palma, Ph.D.

2. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok European Security Research Conference, Ostend 22 – 24 September, 2010 2 Contents Need Objectives of the handbook Contents and format of the Handbook Current status

3. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok Need Until recently, European national emergency response plans have been focussed on accidents at nuclear industry sites Recent events have highlighted the possible threat from malevolent use of ionising radiation or radioactive material Any incident would occur at a location not known in advance (therefore, no site-specific plans) Location could be a highly populated urban area Large numbers of people could be affected Radiation exposures could range from very low to substantial, and could be combined with conventional injuries Existing international guidance is generic in nature 3 European Security Research Conference, Ostend 22 – 24 September, 2010

4. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok 4 Provide practicable guidelines on the management of people Consider range of reasonable scenarios Make use of existing knowledge and practice Harmonisation across European countries Handbook, Training Course - Radiological Exposure Device (RED) - Radiological Dispersion Device (RDD) - Contamination of food or water - Improvised Nuclear Device (IND) Workshop IAEA WHO ICRP NCRP EC projects (TIARA, CONRAD) Survey of current practice (TMT/CONRAD) European Security Research Conference, Ostend 22 – 24 September, 2010

5. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok Contents and format of the Handbook 5 European Security Research Conference, Ostend 22 – 24 September, 2010

6. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok Current status Handbook can be downloaded (www.tmthandbook.org ) for free upon registrationwww.tmthandbook.org Downloaded by more than 1000 users in 75 countries on 5 continents already Nearly 2000 hard copies distributed Plans for translating the handbook into several EU languages are in place Extension to cover the full CBRN spectrum 6 European Security Research Conference, Ostend 22 – 24 September, 2010

7. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok Acknowledgements All partners International expert panel: Drs: M. Akashi, N. Gent, P. Gourmelon, F.Joussineau, V.List, D. Lloyd, N. Valverde, A.Wiley All end users Financial support: 7 European Security Research Conference, Ostend 22 – 24 September, 2010

8. CLOR ENVIROS HPA NRPA SCKCEN STUK WHO TMT Handbok 8 European Security Research Conference, Ostend 22 – 24 September, 2010