Improving Civilian Medical Response to Chemical or Biological Terrorist Incidents -- Copyright -- Contents -- Executive Summary -- INTRODUCTION -- CURRENT CIVILIAN CAPABILITIES -- DETECTION -- Detection of Agents in the Environment -- Detection of Agent Exposure in Clinical Samples -- Detection of Covert Exposures of a Population -- PROTECTION -- TREATMENT -- CONCLUSIONS AND RECOMMENDATIONS -- RESEARCH AND DEVELOPMENT NEEDS -- INTERIM RECOMMENDATIONS -- 1 Introduction -- LEGISLATIVE BACKGROUND -- CHARGE TO THE COMMITTEE -- ASSUMPTIONS AND PARAMETERS OF THIS REPORT -- 2 Current Civilian Capabilities -- PREINCIDENT INTELLIGENCE -- DETECTION AND MEASUREMENT OF AGENTS IN THE ENVIRONMENT -- Chemical Agents -- Biological Agents -- PERSONAL PROTECTIVE EQUIPMENT (PPE) -- Chemical Agents -- Biological Agents -- SAFE AND EFFECTIVE PATIENT EXTRACTION -- METHODS FOR RECOGNIZING SIGNS AND SYMPTOMS IN VICTIMS/PATIENTS -- DETECTION AND MEASUREMENT OF AGENT EXPOSURE IN CLINICAL SAMPLES FROM PATIENTS -- Chemical Agents -- Nerve Agents -- Vesicants -- Cyanide -- Biological Agents -- METHODS FOR RECOGNIZING COVERT EXPOSURE OF A POPULATION -- MASS-CASUALTY TRIAGE TECHNIQUES/PROCEDURES -- METHODS FOR DECONTAMINATING EXPOSED INDIVIDUALS -- Chemical Agents -- Biological Agents -- AVAILABILITY, SAFETY, AND EFFICACY OF DRUGS AND OTHER THERAPIES -- Chemical Agents -- Nerve Agents -- Vesicants -- Cyanide -- Biological Agents -- Anthrax -- Brucellosis -- Pneumonic Plague -- Q Fever -- Tularemia -- Smallpox -- Viral Encephalitides -- Viral Hemorrhagic Fevers -- Botulinum Toxins -- Staphylococcal enterotoxin B (SEB) -- Ricin -- T-2 Mycotoxin -- PREVENTION, ASSESSMENT, AND TREATMENT OF PSYCHOLOGICAL EFFECTS -- 3 Conclusions and Recommendations -- RESEARCH AND DEVELOPMENT NEEDS -- INTERIM RECOMMENDATIONS -- References -- APPENDIX A Committee Biographies.

APPENDIX B Committee Meeting Agenda -- APPENDIX C Table of Lethal and Incapacitating Chemical Weapons -- APPENDIX D Centers for Disease Control and Prevention List of Restricted Agents -- VIRUSES -- BACTERIA -- RICKETTSIAE -- FUNGI -- TOXINS -- APPENDIX E Excerpts from the Metropolitan Medical Strike Team Operational System Description -- METROPOLITAN MEDICAL STRIKE TEAM -- MISSION, CONCEPT OF OPERATIONS, AND TEAM ORGANIZATION -- METROPOLITAN MEDICAL STRIKE TEAM -- TEAM ACTIVATION -- I. INTRODUCTION -- IV. FIELD OPERATIONS GUIDE -- APPENDIX F Excerpts from the National Disaster Medical System Home Page -- OFFICIAL FACT SHEETS FROM NDMS -- DMAT / NDMS / other related links -- NDMS PARTNERS -- THE PURPOSE OF THE NATIONAL DISASTER MEDICAL SYSTEM -- Major Components of NDMS include -- NDMS LEAD ORGANIZATIONS -- THE NDMS DISASTER MEDICAL ASSISTANCE TEAMS -- NDMS STATISTICS -- WHAT IS A DISASTER MORTUARY TEAM (DMORT)? -- WHAT IS A VETERINARY MEDICAL ASSISTANCE TEAM (VMAT)? -- APPENDIX G Military Detection and Monitoring Equipment.