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U.S. Department of Health and Human Services

About This Playbook

State and Local Planners Playbook For Medical Response to a Nuclear Detonation

This Playbook is a prototype and is a living document that must be updated periodically to reflect evolving processes and policy decisions including changes resulting from interagency plans or policies. ASPR is responsible for managing this process of bringing the playbooks up to date.  It is not a "must follow" structured road-map. It is offerred as a guide to assist State, regional, local, tribal, and territorial medical and public health planners and other subject matter experts preparing their venues for a nuclear detonation. However, is not designed to account for all local variables or planning considerations.  The content of this playbook must be tailored to specific local organizations, requirements, and capabilities.

The organization of this playbook is similar to playbooks created and used by the Department of Health and Human Services to guide the Federal medical and public health response. Its content, however, is different, and is offerred expressly for state, regional, local, tribal, and territorial medical and public health planners.

To provide background, HHS/ASPR strongly recommends that planners consult key detailed supporting material listed below and the Additional Resources section.

This State and Local planners Playbook is a resource developed by non-government and government subject matter experts from the  Nuclear Detonation Scarce Resources Working Group.  Multiple manuscripts were published in the March, 2011 issue of Disaster Medicine and Public Health Preparedness. For links to these manuscripts, see the Manuscript List.

Feedback is welcomed by the Division of Preparedness and Planning, Office of Preparedness and Emergency Operations, ASPR, HHS. Users are encouraged to submit comments through the website and to join the REMM ListServ to receive notice of important changes to the Playbook and the REMM website.  Periodic updates will be found on this website.



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  • This page last reviewed: February 14, 2012