ENHANCING BIOWATCH
CAPABILITIES THROUGH TECHNOLOGY
AND COLLABORATION
PROCEEDINGS OF A WORKSHOP
Joe Alper, Rapporteur
Standing Committee on Health Threats and Workforce Resilience
Board on Health Sciences Policy
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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This activity was supported by Contract No. HSHQDC-14-C-00100_P2 - ROHB-16-00042 with the Department of Homeland Security. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-45168-0
International Standard Book Number-10: 0-309-45168-X
Digital Object Identifier: https://doi.org/10.17226/23687
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Copyright 2017 by the National Academy of Sciences. All rights reserved.
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Enhancing BioWatch capabilities through technology and collaboration: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/23687.
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PLANNING COMMITTEE ON ENHANCING BIOWATCH CAPABILITIES THROUGH TECHNOLOGY AND COLLABORATION1
LISA E. GORDON-HAGERTY (Chair), President and Chief Executive Officer, LEG Inc.
SUZET M. McKINNEY, Executive Director, Illinois Medical District Commission
TERRY MULLINS, Chief, Bureau of Emergency Medical Services and Trauma System, Arizona Department of Health Services
COLIN STIMMLER, Director, Biodetection Preparedness and Response Unit, Office of Emergency Preparedness and Response, New York City Department of Health and Mental Hygiene
JOHN VITKO, JR., Rector, St. Luke Serbian Orthodox Church
Health and Medicine Division Staff
SCOTT WOLLEK, Program Director
JACK HERRMANN, Senior Program Officer (until August 2016)
BEN KAHN, Research Associate
THELMA COX, Senior Program Assistant (until August 2016)
ANDREW M. POPE, Director, Board on Health Sciences Policy
Consultant
JOE ALPER, Consulting Writer
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
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STANDING COMMITTEE ON HEALTH THREATS AND WORKFORCE RESILIENCE1
LISA E. GORDON-HAGERTY (Chair), President and Chief Executive Officer, LEG Inc.
MAXIE BISHOP, JR., Emergency Medical Services (EMS) Coordinator, Division of Emergency Management, Texas Department of Public Safety
DAREN BRABHAM, Assistant Professor, Annenberg School for Communication and Journalism, University of Southern California
ELLEN EMBREY, President and Chief Executive Officer, Stratitia, Inc.
ROBERT KNAKE, Whitney Shepardson Senior Fellow, Council on Foreign Relations
JAMES LAMBERT, Research Professor, Associate Director of the Center for Risk Management of Engineering Systems, University of Virginia
SCOTT LILLIBRIDGE, Professor, Department of Epidemiology and Biostatistics, School of Public Health, Texas A&M University Health Science Center
SUZET M. McKINNEY, Executive Director, Illinois Medical District Commission
STEPHEN MORSE, Professor of Clinical Epidemiology, Mailman School of Public Health, Columbia University
TERRY MULLINS, Chief, Bureau of Emergency Medical Services and Trauma System, Arizona Department of Health Services
GERALD PARKER, Associate Vice President for Public Health Preparedness and Response, Center for Innovation in Advanced Development & Manufacturing, Texas A&M University Health Science Center
TERRI TANIELIAN, Senior Social Research Analyst, RAND Corporation
JOHN VITKO, JR., Rector, St. Luke Serbian Orthodox Church
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s standing committees do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
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Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
MAXIE BISHOP, JR., Texas Department of Public Safety
JULIA GUNN, Boston Public Health Commission
SCOTT R. LILLIBRIDGE, Texas A&M University Health Science Center
SUZET M. McKINNEY, Illinois Medical District Commission
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by ENRIQUETA C. BOND, Burroughs Wellcome Fund and QE Philanthropic Advisors. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.
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Acronyms and Abbreviations
APHIS | Animal and Plant Health Inspection Service (USDA) |
ASPR | Office of the Assistant Secretary for Preparedness and Response (HHS) |
BAR | BioWatch Actionable Result |
CBRN | chemical, biological, radiological, or nuclear |
CDC | Centers for Disease Control and Prevention |
DHS | Department of Homeland Security |
DoD | Department of Defense |
ECBC | Edgewood Chemical Biological Center (U.S. Army) |
EMS | emergency medical services |
EPA | Environmental Protection Agency |
FBI | Federal Bureau of Investigation |
FEMA | Federal Emergency Management Agency |
FISMA | Federal Information Security Management Act |
Fp | fraction of population protected |
GAO | Government Accountability Office |
Gen-2 | BioWatch Generation 2.0 technology |
Gen-3 | BioWatch Generation 3.0 technology |
HHS | Department of Health and Human Services |
NRC | National Research Council |
OHA | Office of Health Affairs (DHS) |
PCR | polymerase chain reaction |
Pd-10K | probability of detection of a biological aerosol attack that results in more than 10,000 infections |
S&T | Science and Technology Directorate (DHS) |
SLTT | state, local, tribal, territorial |
USDA | U.S. Department of Agriculture |
USNORTHCOM | U.S. Northern Command |