Appendices

### Appendices {#appendices .14pt-Bold-head}

Breakout Group Need/Strategy Summary

# **Attendee List**

Acronym List

Breakout Group

Need/Strategy Summaries

### Emergency Management {#emergency-management .Black-14pt-head}

-   Federal antiterrorism planning appears fragmented from the State
    perspective.

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-   Federal and State/county interaction is less established than
    existing Federal/city antiterrorism initiatives.

-   Formal lines of communication between State and Federal levels are
    not clear.

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-   Public safety is the sole province of State and local government,
    while the Federal Government is responsible for preserving national
    security.

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-   Due to new definition of national security in the post-Cold War era,
    however, lines between Federal involvement in national
    security/public safety have been blurred.

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-   Strong partnerships between Federal and State/local levels should be
    forged.

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-   States' concern that Federal Government has bypassed them
    programmatically and administratively should be addressed.

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-   Intelligence-sharing problems are viewed as impediments to greater
    coordination with Federal level during terrorist incidents.

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-   There is concerns with overall Federal coordination of antiterrorism
    efforts.

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-   Federal Government should coordinate weapons of mass destruction
    (WMD) training guidance to the States and should not be responsible
    for delivering direct assistance to the States.

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-   States should be responsible for determining most efficacious
    training implementation methods.

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-   There are Federal Response Plan (FRP) concerns, including issues
    regarding Federal Bureau of Investigation/Federal Emergency
    Management Agency (FBI/FEMA) roles.

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-   Participants indicated that during certain Federal exercises, no one
    agency assumed control.

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-   There was a suggestion to create Federal authorized representatives
    who would function similar to a Governor's authorized
    representative.

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-   There is concern that, depending on the nature of a terrorist
    attack, major Federal response assets would not arrive for a minimum
    of 12 to 24 hours.

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-   Federal funding should be distributed to the State and local levels.

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-   Attorney General should be urged to develop heightened partnerships
    with State Governors regarding antiterrorism planning and decision
    making.

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-   Identification of single Federal Point of Contact (POC) would
    clarify State/local concerns with Federal planning and
    identification of Federal response assets.

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-   Acceptable levels of first responder preparedness need to be
    established.

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-   Key issues remain with State/local access to vaccines, antibiotics,
    and chemical prophylaxes.

### Fire/HAZMAT {#firehazmat .Black-14pt-head}

-   Designate a single POC for all Federal antiterrorism programs and
    policies.

-   Place greater emphasis on developing real-world and flexible
    decontamination training procedures.

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-   Develop of a baseline training package for the entire Fire
    community.

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-   Develop enhanced information-sharing for all first responders and
    improved communication flow.

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-   Accelerate current preparedness training timetables, identify and
    ensure resource access, develop tiered training based on needs
    assessments, further delineate training goals, and calibrate
    training to at least meet current National Fire Protection
    Association (NFPA) training standards.

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-   Make terrorism issues an integral part of training packages.

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-   Seek active participation of International Association of Fire
    Chiefs (IAFC) in developing future training protocols.

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-   Maintain and bolster current Federal funding streams for equipment,
    training, and medical prophylaxes.

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-   Develop new Presidential Decision Directive (PDD) that de-emphasizes
    PDD-39's focus on crisis management.

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-   Need Fire representation at senior Federal policy-making level.

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-   Develop, refine, and update overarching national plan for the
    delivery of response services.

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-   In addition to training and planning and State/local levels,
    initiate response coordination at regional level.

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-   Include sovereign nations (American Indian) in future planning.

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-   Seek and encourage participation from private industry and utilize
    their resources and expertise.

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-   Recognize that National Guard teams need to develop liaisons with
    State Fire, Law Enforcement, and EMS.

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-   Modify Occupational Safety and Health Administration (OSHA)
    regulations to allow local Fire assets to utilize equipment in
    response to WMD incidents.

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-   Promote greater harmonization of Fire perspectives from different
    professional organizations.

### City/County Emergency Management {#citycounty-emergency-management .Black-14pt-head}

-   Adress the need of State and local responders/emergency managers to
    have clear lines of communication, rapid access to Federal assets,
    and identification of Federal response timelines.

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-   Develop improved communication systems to allow local responders to
    maintain communications with regional and Federal resources.

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-   Broaden training base to include community organizations such as
    churches and schools.

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-   Sensitize and educate key local public officials regarding WMD
    responder training.

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-   Direct funding to providing WMD detection instruments and devices to
    local responders.

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-   Develop improved personal protective gear.

-   Develop improved decontamination equipment and establish baseline
    decontamination protocols.

-   Revamp existing Federal grant application process so as to expedite
    process from State and local responders.

-   Improve existing intelligence-sharing mechanisms and provide more
    intelligence to State and local responders.

-   Include more actors at State and local levels in WMD terrorism
    training and policy development, including Public Works and Medical
    Examiners.

-   Reduce tensions between evidence preservation and medical collection
    during terrorism incidents.

-   Encourage hospital participation in WMD terrorism training and
    policy development.

### Law Enforcement {#law-enforcement .Black-14pt-head}

-   Clarify Law Enforcement's role in domestic WMD terrorism response.

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-   Establish and identify appropriate Federal POCs (local Federal
    Bureau of Investigation \[FBI\] WMD coordinator?) for WMD terrorist
    incidents.

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-   Simply procedures and streamline Federal response protocols for
    local responders.

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-   Emphasize that the actual response and control of initial response
    fall on local Fire and EMS, while initial Law Enforcement emphasis
    should be directed towards site security, crowd and traffic control,
    and evidence preservation.

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-   Implement and apply existing Law Enforcement narcotics methods to
    WMD terrorism matters.

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-   Improve intelligence dissemination between Federal through local
    information pipelines and make such information flows reciprocal.

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-   Develop standardized training packages.

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-   Improve local Explosive Ordnance Demolition (EOD) and Bomb Squad
    capabilities to respond to WMD terrorist incidents.

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-   Redress deficiencies in current personal protective and
    decontamination equipment regulations for local responder use.

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-   Establish equipment uniformity that addresses types of maintenance,
    reimbursements, and waivers of regulations from OSHA and State
    regulatory agencies.

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-   Improve communications networks available for local Law Enforcement,
    including expanding band spectrums for local use.

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-   Heighten public awareness regarding domestic WMD terrorist threat.

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-   Reconfigure Federal grant system so as to abolish competition among
    State, county, and city players vying for the same funding pool.

### Medical/EMS {#medicalems .Black-14pt-head}

-   Bolster funding streams for EMS HAZMAT training.

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-   Assure EMS and Emergency Room (ER) training is short, concise, and
    relevant due to pressing time constraints.

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-   Assure EMS and ER responder training is dynamic and flexible to
    adjust for staff turnover and technology developments.

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-   Develop local EMS and ER response infrastructures that are realistic
    in scope and size.

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-   Address issues of hospital training reimbursement and cost
    containment and develop both incentives and penalties to encourage
    hospital administration adherence to such training.

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-   Push training and preparedness through the regional level to respond
    to mass casualty WMD terrorism incidents.

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-   Place greater emphasis on addressing hospital concerns with patient
    decontamination issues and existing hospital decontamination
    capabilities.

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-   Develop hospital guidelines in response to WMD incidents (including
    guidance on air venting, disposal of waste water, and personal
    protection for hospital workers).

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-   Develop aggressive public health monitoring and surveillance
    mechanisms at the local level that would provide dual benefits of
    bolstering preparedness against terrorism and improving existing
    public health response infrastructures.

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-   Develop and field improved hand-held assays and rapid tests to
    quickly identify chemical/ biological agents.

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-   Heighten public awareness regarding domestic WMD terrorism threat
    similar to 1950's and 1960's Civil Defense education programs.

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-   Establish a single Federal POC for WMD terrorism incidents so as to
    reduce post-incident confusion and expedite deployment of Federal
    response assets and resources.

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-   Promote interagency cooperation that improves on-site management.