1. Biological Response Planning and Capabilities NRT/RRT Annual Co-Chairs Meeting March 3, 2004

2. National-level Planning National Response Plan National Response Plan NIMS NIMS Other Other

3. Experience/Advances Experience/Advances Biotoxins Biotoxins Prions/ BSEs Prions/ BSEs HSPD 9 HSPD 9 Anthrax/Other Pathogens Anthrax/Other Pathogens BioWatch BioWatch

4. Prions/BSEs Bovine Spongiform Encephalopathy Bovine Spongiform Encephalopathy Other Chronic Wasting Diseases Other Chronic Wasting Diseases USDA Nationwide Response System in place USDA Nationwide Response System in place New Tracking Regulations proposed late December New Tracking Regulations proposed late December

5. HSPD #9 Signed on February 3, 2004 Signed on February 3, 2004 Protects food supply and agriculture from terrorist attacks Protects food supply and agriculture from terrorist attacks Requires improved coordination between USDA, FDA, and EPA Requires improved coordination between USDA, FDA, and EPA Expands ESF #11 in draft Final NRP Expands ESF #11 in draft Final NRP

6. Anthrax Activities Several regional and other exercises Several regional and other exercises Brentwood, Trenton completed; Brentwood, Trenton completed; AMI underway 2 nd Civilian/Military Workshop 2 nd Civilian/Military Workshop Revision of the NRT Anthrax TAD Revision of the NRT Anthrax TAD US/Russian Scientific Exchange US/Russian Scientific Exchange

7. How Clean? Technical Working Group (TWG) Technical Working Group (TWG) Clearance Advisory Committee (CAC) Clearance Advisory Committee (CAC) Characteristics of Key CWA and BWA Characteristics of Key CWA and BWA Technical Guidelines/Resources Technical Guidelines/Resources

8. Bio-Watch DHS program supported by EPA, CDC, FBI DHS program supported by EPA, CDC, FBI Operational in major urban centers Operational in major urban centers Early detection of airborne BWA Early detection of airborne BWA Early mobilization of public health system Early mobilization of public health system

9. Bio-Watch Planning Templates Preparedness Preparedness Public Health Response Public Health Response Environmental Sampling Environmental Sampling

10. NRP ESF # 8 – Current Thoughts NRP ESF 8 similar to FRP ESF 8 NRP ESF 8 similar to FRP ESF 8 SERT/SCC SERT/SCC NDMS/MMRS NDMS/MMRS ATSDR/CDC Management Consolidation ATSDR/CDC Management Consolidation ATSDR/CDC support to NCP and ESF 10 ATSDR/CDC support to NCP and ESF 10

11. Mass Care within the Unified Incident Command Incident Command Fire Services, Law Enforcement, Medical Services, Public Works, Health Department, Others Administration/ Finance Section Operations Section Logistics Section Planning Section PIO LIAISON SAFETY Public Health (e.g., EPI) Public Health

12. Discussion Questions What is the mechanism for coordination between ESF #8 and #10? What is the mechanism for coordination between ESF #8 and #10? Do local response plans include provisions for mass care? Do local response plans include provisions for mass care? How does the medical community fit into ICS? How does the medical community fit into ICS? Does the NRS have a role in incidents involving massive livestock infection? Does the NRS have a role in incidents involving massive livestock infection?

13. Discussion Questions Is there adequate bio-response planning at the RRT/State/local level? Is there adequate bio-response planning at the RRT/State/local level? What gaps exist in bio-response planning, training, exercises, health and safety? What gaps exist in bio-response planning, training, exercises, health and safety? What steps should the NRT/RRTs take to close existing gaps? What steps should the NRT/RRTs take to close existing gaps?