1. Contributing to the Volunteer Solution for Preparedness Texas Medical Rangers “During Emergencies, We’re There.”

2. If a terrorist attack, disaster or other large scale public health emergency happens in Texas… A few critically important questions:  Who will be there to help?  Who will treat those affected?  Will there be enough people to respond adequately?

3. PREPARATION PROCESS Preparing for Disasters Plans – planning for disaster response People – detecting personnel gaps & filling them Products – obtaining equipment, supplies, facilities Practice – for individuals and teams

4. Types of Agents/Casualties WeaponPotential Casualties Duration Chemical (Nerve)100’shours/days Biological100’s to 10,000’sweeks/months Radiation – Dirty Bomb 100’sHours/delayed Nuclear 100,000’sImmediate/months Explosive10’s to 100’sImmediate/days

5. WHO Model Biologic Attack: City of 1,000,000 AgentNumber of People at Risk DeathsIncapacitated Anthrax180,00095,00030,000 Plague100,00044,00036,000 Tularemia180,00030,00095,000

6. 15 Kiloton “Hiroshima” Homemade Terrorist Bomb New York City Population: 8 million (1.5 million Manhattan) Dead: 1,000,000 Injured: 1,000,000

7. Pandemic Flu Outbreak If H5N1 Virus mutates and human to human contagion results, the health care system may be overwhelmed Alternate treatment sites and quarantine centers may be needed Texas Medical Rangers will likely help staff them

8. www.medicalreservecorps.gov

9. The Texas Medical Rangers Responded to Hurricanes Katrina and Rita The Houston Medical Response Group was active at the Astrodome and at George R. Brown Convention Center

10. The Houston Medical Response Group Responded through the UT School of Public Health

11. Along with other volunteers, we did cot to cot health surveys

12. Helping Avoid a Diarrhea Epidemic

13. We made new friends while helping others…

14. And worked beside noted scientists at the same time.

15. Our Mission Is To Serve To Serve the people of Texas by providing volunteer medical expertise, health service support during public health emergencies or disasters Inside Texas at the call of the Governor. The Texas Medical Rangers

16. Teams of organized, specially-trained volunteers from all health-related fields, including support skills, with verified licensure The Medical Reserve Corps of the Texas State Guard The Texas Medical Rangers

17. Including Physicians Nurses EMT’s Mental Health Professionals Dentists Pharmacists Medical, Public Health, and Nursing Students Non-medical support personnel

18. One Training Project Was Operation Lone Star in the Rio Grande Valley

19. Providing Care to the Uninsured While Building Skills and Teamwork

20. Three or more days of optional, volunteer duty in the summer as a Texas Medical Ranger

21. Health Professionals and Health Careers Students Helping Texans

22. Part of U.S. Surgeon General’s network of Medical Reserve Corps volunteer organizations. We work only for the Governor of Texas N0T subject to authority of U.S. President. Available for missions only within Texas. Available for missions expected to last a few days to a few weeks. The Texas Medical Rangers

23. No weapons or equipment. Just good people willing to be ready to give a little of their time. We provide ‘Surge Responders’ in emergencies If a Texas Medical Ranger is called to duty, the Ranger can decline the mission. We drill one Saturday morning per month The Texas Medical Rangers (Characteristics Cont’d)

24. We wear the State Guard uniform. When on a state active duty official mission. –Texas HB 9 signed into law, effective 22 June 2003, provides immunity from civil liability. –State Guard worker’s compensation. –Your ‘day job’ is protected (with or without pay). –At Health Science Centers (state employees on duty keep benefits and coverage). (Characteristics Cont’d) The Texas Medical Rangers

25. GOVERNOR ADJUTANT GENERAL TEXAS ARMY NATIONAL GUARD TEXAS AIR NATIONAL GUARD TEXAS STATE GUARD COMMANDER ------------------------------------------Texas Military Forces----------------------------------- TEXAS MEDICAL RANGERS REGIONAL BRIGADES The Texas Medical Rangers

26. A Recent Mission January 2006

27. Rabies Suppression in the Rio Grande Valley

28. Veterinarians and Support Personnel Dropped Bait with Vaccine

29. And made good memories while helping Texans

30. To grow to about 2,000 members [now 350] To be written into response plans by state and local authorities To participate in local training To provide active programs to train others To provide care at community events The Texas Medical Rangers Our Goals

31. We provide SURGE Responders Help Staff or Manage Acute Care Centers Augment TSDHS and Local Clinics Help Staff Emergency Operation Centers Help Staff Medical Question Call Centers Help Staff Mass Vaccination / Antibiotic Sites Assist with Strategic National Stockpile Assist with Mass Triage Provide Emergency Veterinary Response Provide Mental Health Counseling The Texas Medical Rangers

32. Key Points We are ‘second’ or ‘third’ responders ---- not first responders. We serve only INSIDE the State of Texas Individual Rangers decide which missions each will respond to. We drill one Saturday morning per month

33. Typical Missions Operation Lone Star in the Rio Grande Valley each year Medical support to the Multiple Sclerosis Society 150 Mile Bike Ride - Houston to Austin Rabies Suppression Preparing to assist Texans in case of disaster or weapons of mass destruction attack

34. Helping fight Multiple Schlerosis

35. Medical Support to the MS Houston to Austin Bicycle Ride

36. 13,000 Riders Travel 150 Miles over Two Days

37. Some Riders are Injured – and Texas Medical Rangers Assist

38. Texas Medical Rangers Help Riders Finish the Charity Ride

39. Volunteer Locally – via the Harris County Medical Reserve Corps Volunteer Statewide – via the Texas Medical Rangers Or even Volunteer Nationwide or Internationally – via the Texas National Guard – [Our sister service]

40. Presentation of Texas Medical Rangers Colors March 20, 2004 The Texas Medical Rangers

41. “During Emergencies, We’re There ” Phone713-851-8250 – MAJ. Gregory Bogard Email: greg.bogard@us.army.mil Webpage:swc2.hccs.edu/texasmedicalrangers Or come to any meeting as a Visitor The Texas Medical Rangers