Global & Disaster Medicine

Archive for the ‘Terrorism’ Category

Paris ‘terror attack’: One policeman has been shot dead and two others wounded with their suspected attacker killed by security forces.

BBC

 


Syria: A suicide bomber who killed more than 120 people in Syria lured children toward him by handing out crisps before detonating his explosives.

Daily Mail

“….The bomb….killed at least 126 people including 68 children [as it] tore through buses carrying evacuees from besieged government-held towns….”

 


More than 100 people, including 68 children, the vast majority being families evacuating from two Shiite villages, were killed in a suicide attack on Saturday in rebel-held northwestern Syria.

NPR

 


4/15/13: Boston Marathon Bombings killing three spectators and wounding more than 260 other people in attendance


In Ready or Not? Protecting the Public from Diseases, Disasters and Bioterrorism, 26 states and Washington, D.C. scored a six or lower on 10 key indicators of public health preparedness.

TFAH

Ready or Not? examines the nation’s ability to respond to public health emergencies, tracks progress and vulnerabilities, and includes a review of state and federal public health preparedness policies. Some key findings include:

  • 26 states increased or maintained funding for public health from Fiscal Year (FY) 2014-2015 to FY 2015-2016.
  • Just 10 states vaccinated at least half of their population (ages 6 months and older) against the seasonal flu during the 2015-2016 flu season (from July 2015 to May 2016).
  • 45 states and Washington, D.C. increased the speed of DNA fingerprinting using pulsed-field gel electrophoresis (PFGE) testing for all reported cases of Shiga toxin-producing E. coli O157, a measure of a state’s ability to detect foodborne outbreaks.
  • 10 states have a formal access program or a program in progress for getting private sector healthcare staff and supplies into restricted areas during a disaster.
  • 30 states and Washington, D.C. met or exceeded the overall national average score (6.7) of the National Health Security Preparedness Index (as of 2016).
  • 32 states and Washington, D.C. received a grade of C or above in States at Risk: America’s Preparedness Report Card, a national assessment of state-level preparedness for climate change-related threats – which have an impact on human health.

In addition, the report examined trends in public health preparedness over the last 15 years, finding successes and ongoing concerns.

  • One-third of funds for health security and half of funds for healthcare system preparedness have been cut: Health emergency preparedness funding for states has been cut from $940 million in fiscal year (FY) 2002 to $660 million in FY 2016; and healthcare system preparedness funding for states has been cut by more than half since FY 2005 – down to $255 million.
  • Some major areas of accomplishment: Improved emergency operations, communication and coordination; support for the Strategic National Stockpile and the ability to distribute medicines and vaccines during crises; major upgrades in public health labs and foodborne illness detection capabilities; and improvements in legal and liability protections during emergencies.
  • Some major ongoing gaps: Lack of a coordinated, interoperable, near real-time biosurveillance system; insufficient support for research and development of new medicines, vaccines and medical equipment to keep pace with modern threats; gaps in the ability of the healthcare system to care for a mass influx of patients during a major outbreak or attack; and cuts to the public health workforce across states.

The Ready or Not? report provides a series of recommendations that address many of the major gaps in emergency health preparedness, including:

  • Requiring strong, consistent baseline public health Foundational Capabilities in regions, states and communities-so that everyone is protected.
  • Ensuring stable, sufficient health emergency preparedness funding to maintain a standing set of foundational capabilities alongside a complementary Public Health Emergency Fund which would provide immediate surge funding during an emergency.
  • Improving federal leadership before, during and after disasters – including at the White House level.
  • Recruiting and training a next generation public health workforce with expert scientific abilities to harness and use technological advances along with critical thinking and management skills to serve as the Chief Health Strategist for a community.
  • Reconsidering health system preparedness for new threats and mass outbreaks by developingstronger coalitions and partnerships among providers, hospitals, insurance providers, pharmaceutical and health equipment businesses, emergency management, and public health agencies.
  • Prioritizing efforts to address one of the most serious threats to human health by expanding efforts to stop Superbugs and antibiotic resistance.
  • Improving rates of vaccinations for children and adults – which are one of the most effective public health tools against many infectious diseases.

Ready or Not? was released annually from 2003-2012, and more recently, TFAH has released Outbreaks: Protecting Americans from Infectious Diseases, from 2013-2015.The report was supported by a grant from the Robert Wood Johnson Foundation (RWJF).

Score Summary:

A full list of all of the indicators and scores and the full report are available on TFAH’s website. For the state-by-state scoring, states received one point for achieving an indicator or zero points if they did not achieve the indicator. Zero is the lowest possible overall score, 10 is the highest. The data for the indicators are from publicly available sources or were provided from public officials.

10 out of 10: Massachusetts

9 out of 10: North Carolina and Washington

8 out of 10: California, Connecticut, Iowa, New Jersey, Tennessee and Virginia

7 out of 10: Colorado, Delaware, Florida, Indiana, Maryland, Michigan, New Hampshire, New Mexico, New York, North Dakota, Oregon, Rhode Island, South Carolina, Utah and Wisconsin

6 out of 10: Arizona, Arkansas, District of Columbia, Georgia, Hawaii, Illinois, Kansas, Kentucky, Louisiana, Maine, Minnesota, Mississippi, Montana, Nebraska, Ohio, Pennsylvania, Texas and Vermont

5 out of 10: Alabama, Missouri, Oklahoma, South Dakota and West Virginia

4 out of 10 Nevada and Wyoming

3 out of 10: Alaska and Idaho


Hybrid attacks: Vehicles as weapons of terror

NY Times

“…..The Islamic State revived the idea of using cars as weapons after it broke with Al Qaeda in 2014. …..

In France, a man drove into a crowd on a busy seaside promenade during Bastille Day celebrations in Nice.

Another attacker plowed a truck into shoppers at a Christmas market in Berlin.

And last month, an assailant drove a car into pedestrians on Westminster Bridge near Parliament in London…..”


Norway’s intelligence services have raised the national terror threat level, after a homemade bomb was found in the centre of the capital Oslo.

BBC

  • Benedicte Bjornland, head of the Police Security Service, said: “It’s not clear whether the 17-year-old young man intended to commit a terrorist attack.”
  • The raised threat level will remain in force for two months.
  • The explosive device was capable of causing only limited damage, police said.

 


ISIS claimed responsibility for bombings that killed 36, wounding over 100 more, at 2 Coptic churches in Egypt on Palm Sunday

CNN

 


The Romanian woman who fell into the Thames during the Westminster terror attack has died

BBC

“…..The other people killed on the bridge were Aysha Frade, 44, who worked at a London sixth-form college, US tourist Kurt Cochran, 54, from Utah, and retired window cleaner Leslie Rhodes, 75, from south London.

Father-of-two PC Keith Palmer was fatally stabbed outside Parliament….”

London at Night

 


A man drove a stolen beer truck into a crowd of people in a popular shopping district in Stockholm on Friday afternoon and then rammed it into a department store, killing four people and injuring 15 others

NY Times


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