The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.

The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.

Analyses the emergency response to the bombing of the Alfred P. Murrah Federal Building in Oklahoma City on April 19, 1995.

After reading this text, the reader will have a fuller understanding of the nature of domestic terrorism and a clearer understanding of the basics. These basics include a review of the complex history that spans thousands of years, an explanation of definitions, a review of contemporary domestic terrorism, and the examination of intelligence gathering, threat analysis, and emergency responses to terrorism-incident management. It is hoped that such knowledge as presented here will enhance the public's understanding of domestic terrorism and law enforcement's ability to prevent and respond to its acts. It focuses almost exclusively on right-wing domestic terrorism because of its strong presence in the last twenty years and the projection of experts that right-wing terrorism will prevail well into the twenty-first century. The book is divided into three parts. The first part deals with definitional problems associated with policymaker's and law enforcement's handling of terrorism, an historical overview of terrorism and terrorist incidents in the global community, and an historical examination of terrorism from below in the United States. Part Two addresses the American Hate Movement and patriot-militia activities. It also discusses the emergence of special-interest extremist and terrorism groups that advocate violence based on an ideology or belief, which may include the desire for political and social change. They include ecological resistance groups, antienvironmental movements, animal rights and antiabortion activists. Part Three focuses on effective criminal intelligence-gathering techniques and the implementation of terrorism-incident management strategies.

The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.

"Together we must affirm that domestic terrorism has no place in our society." -President Joseph R. Biden, Jr., National Strategy for Countering Domestic Terrorism (June 2021) National Strategy for Countering Domestic Terrorism (June 2021) conveys the Biden Administration's view of domestic terrorism and strategy on how to deal with it. What is domestic terrorism? As defined by this report, it is based on a range of violent ideological motivations, including racial bigotry and anti-government feeling, and it can take several forms, from lone actors and small groups to violent militias.