The Good Samaritan: Integrating ordinary people into emergency response

The real first responders in a widespread destructive incident are those who are immediately on hand, including the survivors

By Joseph Scanlon

In 1942, when fire raged through the Cocoanut Grove night club in Boston, there was an urgent need for transportation of the injured and dead. Some were moved in taxis, and many were transported in newspaper delivery vans.

AP Photo/Eric Draper
An earthquake victim salvages belongings from the rubble of her home as a high rise burns out of control in downtown Kobe, Japan, January 19, 1995. The citizens directly affected by emergencies are often the real first responders.

In 1987, after a tornado tore apart large areas of Edmonton, Alberta, residents of a trailer park used their undamaged cars to take injured survivors to hospital.

In 1995, survivors of the Kobe earthquake collected the bodies of the dead and took them to temples and other public buildings.

In 1998, when Swissair 111 plunged into the Atlantic Ocean five miles offshore from Halifax International Airport in Nova Scotia, the first response was by fishing boats from nearby coastal communities.

In 2004, after the Indian Ocean tsunami struck Thailand and Sri Lanka, survivors picked up bodies and took them to hospitals, temples and morgues.

These examples illustrate the well-documented fact that the real first responders in a widespread destructive incident are those who are immediately on hand, including the survivors. Police, firefighters and EMS personnel play little, if any, role in initial response.

The impact of civilians and survivors

What is not so well documented, and is less understood, is the impact of these Good Samaritans' actions on emergency response.

Understanding radiologic and nuclear terrorism as public health threats

Preparedness and response perspectives

By Daniel Barnett, Cindy L. Parker, David W. Blodgett, Rachel K. Wierzba, Jonathan Links
The Journal of Nuclear Medicine

Terrorism dates back to antiquity, but our understanding of it as a public health threat is still in its nascent stages. Focusing on radiation and nuclear terrorism, we apply a public health perspective to explore relevant physical health and psychosocial impacts, the evolving national response infrastructure created to address terrorism, and the potential roles of nuclear medicine professionals in preparing for and responding to radiologic and nuclear terrorism.

Understanding terrorism begins with defining it-a complex task in itself. "Terrorism" has had 100 definitions, each varying in inclusion or exclusion of certain motivating factors, means of attack, and targeted groups or individuals (1). The U.S. federal government itself has several working definitions of terrorism, whose general themes include a calculated, unlawful use of violence to intimidate or coerce populations or governments (2-4).

A brief overview of relevant historical events can aid in our understanding of radiologic and nuclear terrorism threats. In 1987, a nonterrorism-related radiologic emergency in Brazil involved health effects and radioactive material mirroring what might be expected in a radiation terrorism scenario. In this incident, a group of men seeking scrap metal dismantled an abandoned teletherapy unit at the Goiana Institute of Radiotherapy, exposing the unit's platinum core containing (5). The purchaser of this scrap metal then unknowingly distributed the radioactive material among relatives, friends, and children, resulting in contamination of 249 people and 4 deaths (5). The well-documented physical, economic, and psychosocial impacts on the area were significant (5).

More recently, threats of radiologic terrorism from al Qaeda were raised in 2002 when 31-y-old Jose Padilla was detained on suspicion that he intended to deploy a radiologic dispersal device (RDD) in lhe United States (5); detailed plans for RDDs were uncovered after the destruction of an al Qaeda training camp in Afghanistan.

10 years after 9/11: 8 pre-attack indicators of terrorist activity

As we approach the 10-year anniversary of the 9/11 terrorist attacks, it is a very useful exercise to remind ourselves about some of the most basic -- and most visible -- signs which can help police officers thwart a plot

There are observable behaviors and activities prior to a terrorist attack which generally represent the best opportunity to detect and disrupt the terrorists' plans. What follows is a synthesis of versions of this list that can be found online as well as information gleaned from a variety of books I've read on the subject. This is far from a complete or comprehensive list -- it's a starting point for a much larger discussion -- so add your own thoughts on this in the comments area.

1.) Financing Activities -- Watch out for evidence of transactions involving large cash payments, deposits, or withdrawals. These are not just signs of criminal enterprise, but also may indicate terrorist funding efforts. Collection/solicitation of financial donations and "white-collar" criminal activities are potential warning signs.

2.) Surveillance -- Not just glassing a target with a pair of binoculars, a long camera lens, or a laser range finder, this can include timing the movement of vehicles and persons within an area, as well as simply transiting the area at various times of day and recording the activity levels at the target. Evidence of surveillance operations can also be found at totally different locations -- if there are hand-drawn diagrams or building plans in the house you just did a warrant entry on, ask yourself "Why is this here? What could this be used for?"

3.) Active Elicitation -- A tactic often ignored is sending spoof "surveys" via fax and email to target locations with questions about security, numbers of employees, and whatnot. Activities in this area can also include in-person or phone inquiries. A parent interested in enrolling their child in a school and asking, "Do you have police officers guarding kids here?" may really be someone looking to commit a Beslan-style attack here in the United States.

4.) Probing Security -- This may include abandoning suspicious packages in a target area, breaking and entering a target building, or simple trespass on the target's property. It's entirely possible that the person doing this activity has no idea that they're testing security response -- a terror cell with decent operational security will send a low-level person on this task who knows nothing of the attack plan itself. Obviously, this can also include phoning in false alarms to a location and watching the tactics of the arriving first responders (as well as timing their response times).

5.) Acquiring Supplies -- In addition to the acquisition of conventional weapons like guns, ammunition, and knives, terrorist cells and individual lone wolves are still seeking to obtain explosives or precursor ingredients. Legally-obtainable but equally-hazardous materials include pool chemicals, fuel, and fertilizer. Further, what are the security considerations at your local hospital regarding the radiological material -- including waste products -- stored there. With a set of scrubs, a stolen key, a forged ID, and a confident stride, an interloper can gain access to even highly-secured areas of a medical facility.

6.) Suspicious Persons -- Perhaps the best possible application of the word "hinky," all officers are already on the lookout for people who just seem to be out of place. While a lone adult at a playground screams for attention, a middle-aged student enrolled in a chemical engineering class with a bunch of 19-year-old college kids seems to slip a bit beneath the radar. Trust your gut, and ask the question, "What is this person really doing here?"

7.) Conducting Dry Runs -- It has long been my personal belief that Richard Reid was unwittingly conducting a dry run when he attempted to light his shoe ablaze on American Airlines Flight 63 in December 2001. Ever since then, travelers have been striding sock-footed through the airport scanners. It's well known that the 9/11 hijackers racked up frequent-flier miles as they conducted dry runs to count numbers of passengers and time out the best stage of the flight to mount their attack. Dry runs can also be as simple as mapping routes and timing the sequence of traffic lights.

8.) Deploying Assets -- By the time the personnel and materiel are put into motion for a terrorist attack, stopping it becomes considerably more difficult. Once a suicide bomber starts rolling toward target, they're about 95 percent successful in carrying out their mission. However, there are still viable opportunities to intervene during the final moments before a terrorist act occurs. Never give up!

Many Hands Make Light Work
I've been studying terrorism now for more than two decades. My first "desk job" was as a low-level analyst with the U.S. Department of State in the immediate aftermath of Saddam's August 1990 invasion of Kuwait -- my primary area of focus was Middle East terrorism and military history. Despite dedicating a significant portion of my life to studying this stuff, I still work hard to educate myself further about the changing landscape of terrorism.

I know there are thousands of like-minded law enforcers and law-abiding citizens who are doing the same thing. I'd bet a waist-high stack of green money that if you're reading this final paragraph, you're one of those great, modern-day American Patriot warriors. With hard work, and a measure of luck, we'll keep winning this battle against those who want to destroy us.

About the author
Doug Wyllie is editor of PoliceOne, responsible for setting the editorial direction of the website and managing the planned editorial features by our roster of expert writers. In addition to his editorial and managerial responsibilities, Doug has authored more than 200 feature articles and tactical tips on a wide range of topics and trends that affect the law enforcement community. Doug is a member of the California Peace Officers' Association and is active in his support for the law enforcement community, contributing his time and talents toward police-related charitable events as well as participating in force-on-force training, search-and-rescue training, and other scenario-based training designed to prepare cops for the fight they face every day on the street.

Khan said the CDC's first line of attack is to know its enemy: the genetics of a virus, how it attacks and who it kills.

"If you don't know what it is, you can't make a lab test for it, you can't make a treatment for it," Khan said. "Everything hinges on knowing what it is."

Disease Surveillance

CDC labs were on the front lines researching SARS, the coronavirus, some strains of the Ebola virus and others before they were under control. Khan said if a virus isn't understood internationally, the World Health Organization and others may send it to CDC laboratories.

"We don't outsource. The buck ends here," Khan said.

The CDC also has more than 500 people placed at county and state health departments "working shoulder to shoulder" with public health officials to track disease, Khan said. Local health departments manage most small outbreaks alone, but if something more widespread strikes, such as the H1N1 outbreak of 2009, the CDC will hear about it quickly.

Read more: http://www.foxnews.com/health/2011/09/09/how-cdc-would-deal-with-real-life-contagion/#ixzz1XUhatALc

Labor Day?

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This holiday is no longer about the working man. It has become a celebration of the Unions as they ruin the businesses the workers are employed at. The Communists are the ones who celebrate the most because they do not think that allowing people to profit, except the Elites, should be legal.

Luckily the Communists are too stupid to actually figure out how to ruin the rest of us and force us to work in their ideal world where we are all slaves and supporting them. All their policies are about taking goods and services from others to make their lives more comfortable. Yet, anyone who who wants to keep the goods they have accumulated are called 'greedy'. What a crock.

I love workers. We need them! They are the backbone of civilization. However, they are not the ultimate part of the system. No one is! We need the visionaries who will create things and the organizers who can make things work better. We need all types of people to make the world work and it is not just the 'workers' who are 'blue collar' who labor!

People in suits and uniforms are not recognized for their hard work. They should be. Leftist thugs have taken over the Unions and refuse to admit that anyone else even works. Personally, I want those Leftists to have to compete with the rest of us. Having them take over GM irritated me immensely, until I realized that this is the Leftists trying to ruin things.

Will they succeed? No. They make a big splash and a lot of noise but they always fail. The Media will support their run and claim that the reason they failed is that everyone else was allowed to succeed. Success is evil to Communists.

I will celebrate today. I will make money and enjoy the fruits of my labor. Not the fruits of Labor. They can only succeed by pulling others down or by being artificially propped up. Only fools can believe otherwise.


The summer is over

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Well, technically it is still going until the end of September. My summer is over now and I am working full time again. Fun is over and now I get to blog again.

This summer we saw lots of strange political activity. None of it designed to make a person like me, who values individual freedom and the freedom to succeed or fail, feel good about the Government.

Terrorist reports are fewer because the fools have finally realized they are more likely to die alone than bring others to Hell with them. This does not mean the terror leaders are giving up! This means they are having a hard time finding semi-intelligent followers who are willing to die.

These modern wars are now wars of attrition. In previous wars armies marched in and smashed things until the locals got tired of being beat on. In this war we have tried to protect the population from the bad guys and win them onto our side with Western logic. Too bad we are not fighting in the West. Wars of attrition take a lot longer than traditional wars. The liberators are on both sides and neither wants to lose. Both sides think they are right and doing the best thing for the civilian population. Winning in this takes a lot of money and time. The only thing that is saved is lives. And it the war goes long enough, then that equalizes, too. Not worth it in my book, but I am not politically correct, though I can pretend to be in public.

The attack in Norway was from a guy who is angry about the Muslims taking over his country and world. While it was nice to see someone in the land of the Vikings finally fight back, I am horrified by how he did it! If he had found known terrorists and their supporters to kill I would not have been horrified by his actions. There are different ways to do things and this attack is going to backfire from what the seeming goal was.

Anyway, I will be posting more again. If you like my posts, please let me know. See you soon.

Thinking of a Career in Emergency Management?

I really like this article. More people should read it and prepare for the future.

http://www.nationalreview.com/articles/print/264296

"The numbers generally cited in support of this argument do not actually tell us much about what has happened to the incomes of wealthy households over time. That's because the people who are in the top bracket today are not the people who were in the top bracket last year. There's a good deal of socioeconomic mobility in the United States -- more than you'd think. Our dear, dear friends at the IRS keep track of actual households (boy, do they ever!), and sometimes the Treasury publishes data about what has happened to them. For instance, among those who in 1996 were in the very highest income group isolated for study -- the top 0.01 percent -- 75 percent were in a lower income group by 2005. The median real income of super-rich households went down, not up. The rich got poorer. Among actual households, income grew proportionally more for those who started off in the low-income groups than those that began in high-income groups."

http://www.homeland1.com/Emergency-Management-Operations/articles/1006846-Tenn-fire-chief-credits-NIMS-in-treatment-plant-search/

Train and prepare. Prepare and train. That is the key to success! Good for them.

About Me

Belisarius

This is my place to vent a little and get things off my chest. I am a retired Marine who has interests in WMDs. Since WMD events are, thankfully, few in number, I spend a lot of time reading about people likely to use them. This takes me on some interesting tangents. I travel alot in my post retirement career and do not always have time to comment as I post articles. Give me a day or two to catch up if I skip comments, please.

Email: belisarius =at= politicalinsecurity =dot= com

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