BIOTERRIORISM, CIVIL PREPAREDNESS, AND HEALTH  

A Forum for the Community

May 15, 2003, 9:00 a.m. - 4:00 p.m

 



SCHEDULE

Personal Preparedness Guide


DHHS Disaster Preparedness Guide


the Michigan State Police Emergency Management Division


The Michigan Department of Community Health


Department of Homeland Security


Department of Homeland Security: Ready.gov


Please Enter Your Questions Below

      In the wake of 9/11 and the recent conflict in Iraq there is a heightened awareness of the threats posed by international terrorism. This demands a prepared population, but more importantly, the recognition that any type of military engagement involves the care of those injured whether the injury involves trauma, chemical or biological exposure and the immediate and long-term psychiatric/psychological fallout. The scope, the rules and the site of this engagement are far different than in other wars both declared and non-declared. The immediate consequence of the events of September 11, 2001 put the United States on immediate notice that the battle(s) no longer would occur only in other countries or with conventional warfare. The processes used in other threats no longer have the steadying effects of wars such as Vietnam. It is apparent that the United States is vulnerable and as such must move forcibly to protect itself from external forces operating within the United States. Regardless of the processes put into place by the Homeland Security Act, it will be the knowledge of the citizens of the country that will be the most critical.

       It is with this background that the School of Nursing and the University Officer Education Program are spearheading a series of forums which will focus on: military engagement, homeland security and readiness; health maintenance, restoration, life and ethics.





Sponsored by the University of Michigan School of Nursing and Military Officer Education Program

Committee members

Division 1 School of Nursing

Military Officer Education Program

Dr. Elizabeth Allen, RN.,
Dr. Alice Davis, RN, GNP
Ms. Mary Green
Dr. Margret Scisney-Matlock PhD, RN
Dr. Laura Struble,PhD, RN, GNP
Dr. Reg Williams, RN, CS, FAAN
COL John Gaughan, USAF
CMR Jeff Babos, USN
LTC Steve Rienstra, US Army


Supported By

Senior Vice Provost for Academic Affairs
Rackham Graduate School


If you would like to post a question to be addressed at one of the forums or post a comment to other viewers of this site, please click below


I want to know if wars today are different from those over a hundred years ago. I am doing an I-Search report on how the wars are different and in my opinion they are alike alot. They both are declared by safety of their country,property of land,etc... But they can also be different. Right?
well I could use more help and I want to know what others think.

Posted by Contributer @ 05:17 PM CST [Link]

Monday, January 10, 2005

how to i get student visa?
>

,To,
The Director

Subject: Visa as For Medical Laboratory
Technician

Respected Sir,
I humbly request you that , I have passed S.L.C. Examination from the HMG. board
of Nepal and I have passed Medical Laboratory Assistant Technician Course from
Pokhara Technical Training Center recognized by Council of Technical Education
and Vocational Training Nepal in first division . I have completed operator
Training course on RA-XT from Bayer Diagnostic India Ltd. Gujarat, India.

In connection, of my working experience, I have been working in this field since
last five years and I have been working as a permanent staff of His Majesty of
Government Ministry of Health Nepal. As a Lab. Asst. Technician since September
2003.

I am 24 years old image with hard working and sound health. I have independently
handled all the instruments of the clinical Biochemistry dept. including RA- 50,
RA- XT, Serozymetube, Electrophorus, Blood Gas analyzer and Micro-well ELISA
Reader and is capable of performing techniques like ELISA Routine Chromatography
and any Laboratory Investigations.

I would like to work in your country and in your Hospital Laboratory. So I would
be most grateful if you could provide me the opportunity and I am extremely
interested to visit your Hospital at convenient to you I have been submitted
my curriculum vitae and certificate to support this application .

Thank you very much in anticipation of your quick response.


Your Faith
Kashi Ram Lamichhane
Medical Lab. Tech
His Majesty of Govern
Ministry of Health Nepal


CURRICULUM VITAE

Name :- Kashi Ram Lamichhane
Gender :- Male
Maritious status :- Single
Date of Birth :- 14th January, 1981
Place of Birth :- Nirmal Pokhari
V.D.C.Ward No.:-7 Kaski,
Father's Name :- Moti Prasad Lamichhane
Nationality :- Nepali
Passport No :- 1763060
Nepal Health Practitioners
Council No :- C-880 Diag. Lab.Tech.

Permanent Address:-

Nirmal Pokhari V.D.C.-7 Kaski District, Gandaki Zone, Nepal

Contact Address:-

Pokhara Sub-Metropolitan Ward No:-17 Pardi, Birauta SisuRmarg,
House No:- 44
Telephone No:-00977-61-539772

E-mail :- lamichhanek@hotmail.com

Academic Qualifications

1. School Leaving Certificate,Board of Nepal (His Majesty's Government,
District Education office Kaski, Nepal)

2. Proficiency Certificate Level in Humanities and Social Sciences from
Prithivi Narayan Campuss, Pokhara, Tribhuvan University, Nepal

Technical Qualifications

1. Medical Laboratory Assistant from Pokhara Technical Training Center
Affiliated with Council of Technical Education and Vocational Training
Nepal ( First Division)

2. Proficiency Certificate : Training Certificate: Operator Training Course
on RA-XT Automated Chemistry Auto Analyzer, Training organized by
Bayer Diagnostics India Ltd. Gujrat, India

3. Modular Training on Tuberculosis Laboratory based on WHO modules .
From National Tuberculosis Center / National Tuberculosis Programme
Nepal.

4. Training Certificate ( Handling Instruments) RA-50 Chemistry Analyzer,
RA-XT, Blood Gas Analyzer 148 , Flame Photometer, Electrophorus,
Micro well Elisa, Serozyme Tube, Colorimeter, Spectrophotometer,
Double pan Balance, Monopan Balance and Involved in quality control
organized by Manipal Teaching Hospital

5. Diploma in Computer from COBOL COMPUTER INSTITUTE Pardi
Birauta, Pokhara Nepal

6. Advanced Level of English Language from American Education
Consultancy Pvt. LTD.

WORK EXPERIENCES:-
1.Worked at Western Regional Hospital ( Regional Public Health
Laboratory )From Feb. 1999 to May 1999.
2.Worked at Nepal Diagnostic Center ( From June 1999 to January 2000)
3.Worked at Manipal Teaching Hospital (From 1st February 2000 to 9th
October 2003)
4.Working at His Majesty of Government Ministry of Health District
Public Health Office Laboratory Kaski Pokhara Nepal since
September2003 ( Regional Tuberculosis Hospital )


EMPLOYEE:
As a permanent staff of His Majesty of Government Ministry of Health, Nepal


DESIGNATION:

Medical Laboratory Asst. Technician

References:

1. Madhav Thapaliya ( Chief )
Pokhara Technical Training Cecter POkhara, Nepal
Telephone No:- 00977-61-527930

2. Dr. Suresh Ramachandra
MBBS , MS, DOMS
Medical Superintendent Manipal Teaching Hospital
Pokhara , Nepal.

3.Prof. Dr. Narsimha Rao, Ph.D
Head of Department of Clinical Biochemistry
Manipal Teaching Hospital Pokhara Nepal.

4.S.K. Bharma , MBBS , MD,
HMG. Director of Regional Tuberculosis Center
Pokhara Nepal


Kashi Ram Lamichhane
Lab.Asst. Technician
His Majesty of
Government,
Ministry of Health, Nepal


Posted by Contributer @ 11:13 AM CST


Monday, August 4, 2003

comon sense
>

test

Posted by Contributer @ 02:39 PM CST


Wednesday, May 14, 2003

Answer to question
>

The "Gulf War Syndrome has received in recent months a sizeable funding from congress. However it appears in the same vein as illness from nuclear fallout and agent orange. To little, to late. Recent figures indicate that two of three persons in the gulf area have some symptoms related to this war. The indications are that the symptoms are a direct result of gas released onto US troops when the US destroyed a plant in Iraq. Unfortunately the US was unable to predict how rapidly the fallout would disseminate or the exact location of the US troops. This is a part of the collateral damage that is talked about in the media. There have been massive genetic difficulties secondary to both WWII and Vietnam. We are now looking at this same scenario from the Gulf War.

What will or can be done about is entirely dependent on the American public. How much are they willing to pay to heal the veteran and off-springs of the veteran, both male and female. This is extremely costly. I do know that the American public has not in the past supported care of veterans and their families and there is no reason to expect it with this situation

In addition there has to be a discussion of what will happen in the world court. As you know it was Gerald Ford that signed the chemical/biological treaty. In effect that let the US off the hook for our use of dioxin and dibenzofuranes(sp) in Vietnam. That loop hold is now closed. There is continual discussion of why the US would "offer" to rebuild Iraq if indeed that will be necessary. If the US destroys another country they are committed to the reconstruction of that country.

Often a question sounds simple in the asking. However there are so many contingencies to the answer. These questions need to be asked and asked public and an answer demanded.

Dr. Elizabeth Allen


Posted by Contributer @ 06:29 AM CST


Tuesday, March 4, 2003

Gulf War Syndrome, etc.
>

What ever happened to Gulf War Syndrome? It can't have just gone away or been cured in
all who were affected by it. It is truly heartbreaking to think of our soldiers not only
being affected by a strange collection of maladies, but in some cases seeming to pass
symptoms on to their loved ones. What is the likelihood of "their" or "our" choice of weapons
causing this condition again?

I would also like to know if potassium iodide is available locally if needed.

Posted by Contributer @ 11:00 PM CST


Thursday, February 13, 2003

Washtenaw County and Michigan - Bioterrorism, All Hazards Planning
>

FYI - Michigan has been divided into regions to coordinate planning and prepare in the event that a future situation may present itself. Most immediately, the emphasis has been on preparing for a potential threat of smallpox exposure. To this end, our area: Region 2 South (Area hospitals and the Counties of Washtenaw, Monroe and Wayne and the City of Detroit) has been meeting and planning for smallpox vaccination of key public health and hospital health personnel. Government public health and area hosptial health personnel have been very active in the preparation & planning. Dr. Stan Reedy (Washtenaw County Public Health Dept Medical Director) is one person who has taken a leadership role, as have others.

Each County Health Dept (Detroit also has a Health Dept) has a bioterrorism or BT staff person. In Washtenaw, I am that person. My ressponsibilities include developing plans and other materials so that public health workers can be ready to respond should problems arise. Washtenaw County also has an Emergency Management Division (of the County) that develops plans for the many other aspects of emergency situations.

Rebecca Head, PhD, DABT
Director, Public Health Preparedness
headr@ewashtenaw.org

Posted by Contributer @ 04:47 PM CST




What does an Orange Alert mean for Physicians?
>

What does orange alert mean for physicians? The Department of Homeland Security recently upped our alert level to orange. I am looking for experts, preferably physicians, who can explain what exactly that means for physicians. Stockpiling antiobiotics? Pagers at the ready? What should they be doing?
-victoria_elliott@ama-assn.org


It is not completely clear what an orange alert means to physicians. The threat most likely to affect physicians would be chem, nuclear and biological. Chem and nuclear are very clear and identifiable. Bioterrorism is more difficult to detect and could occur after the orange alert passes. Some diseases such as smallpox can have incubation periods of 2 weeks. Physicians should be aware of unusual disease patterns in their community and should seek to explain strange illness. BT agents present as influenza-like illness, but deaths in previously healthy young people should raise the suspicion and would be a reason to contact local health departments. Most states in America have received increased funding for bioterrorism and as such there is a general awareness in the public health structure of this issue. A quick call to local public health may be all that is needed. Stockpiling antibiotics is unlikely to be helpful until a biological agent has been identified. Physicians should also be aware that smallpox vaccination of health care workers will begin soon. -Sandro Cinti M.D.

Sandro Cinti, M.D.
Clinical Assistant Professor
Infectious Diseases
University of Michigan Hospitals/VA Medical Center
2215 Fuller Rd.
Ann Arbor, MI 48105
734-769-7100 ext-5797 (phone)
734-769-7039 (fax)
scinti@umich.edu

Posted by Contributer @ 01:39 PM CST


Wednesday, February 5, 2003

Support From Other Countries
>

I keep hearing that there are other countries on board with the USA and Great Britain in their
pursuit of removing Mr. Saddam from office. My question has two parts.

The names of the countries that I have heard of to my knowledge do not have a large military
or large cash reserve. The other part is when are they going to practice in the desert
like the US troops? My understanding from Washington is that this conflict will last only a few
weeks. If this is true, their military would not be needed because of the short duration of the
war. I do not understand the logic of asking for military help from these countries.

This sounds like one of the statements that the nuns would use; "If you do not have any money
or time to invest, please offer prayers."

Posted by Contributer @ 11:55 AM CST


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