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U.S. Emergency, Trauma Care System Unprepared for Terrorist Attacks,
Disease Outbreaks, Op-Ed Says
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While
the federal government has devoted "billions in taxpayer dollars"
to prepare the US for the possibility of a bioterrorist attack,
the nation's emergency and trauma care systems remain unprepared
for the possibility of a terrorist attack using explosives
or a biological threat such as SARS or avian flu, Arthur Kellerman,
professor and chair of emergency medicine at the... Emory
University School of Medicine, writes in a Washington Post
opinion piece. According to Kellerman, "International terrorism's
weapon of choice is explosives," yet there is "not one [federally
funded public health preparedness center] focused on civilian
injuries from explosives," compared with 17 such centers for
the "less-likely threat" of "biological and other exotic weapons
of mass destruction." He adds that "underfunded emergency
rooms and trauma centers" across the U.S. "lack sufficient
beds to meet their daily mission, much less absorb large numbers
of victims from a terrorist attack," yet the federal government
has earmarked only $3.5 million to trauma systems planning,
Kellerman writes.
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He notes that
the U.S. remains equally unprepared for biological threats such
as SARS and influenza. Despite experts' warnings that a flu pandemic
could emerge soon, a national plan for countering such a threat
is still in the "draft stage," and federal officials are not planning
a meeting to discuss "surge capacity" at hospitals before next fall,
even though evidence shows that hospitals already are diverting
ambulances because of overcrowding, Kellerman writes. Moreover,
the U.S. "still lacks sufficient production to meet its needs" a
"year after the flu vaccine debacle," and many "[f]ront-line" emergency
medical providers are unable to obtain needed protection, he writes.
Kellerman concludes, "Unless we quickly rethink our priorities and
broadly allocate resources to meet the most plausible threats to
the U.S. population, our only option will be a 'faith-based initiative'"
-- "[p]ray that nothing happens" (Kellerman, Washington Post, 8/5).
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