VDH Executive Summary

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VDH can provide critical information to healthcare providers, including a fact sheet for managing patients exposed to or contaminated with radiation (Appendix 16) and instructions for collecting and shipping specimens for laboratory testing by urine bioassay (Appendix 17a for distribution outside VDH, Appendix 17b for distribution within VDH). For clinical management and care of patients with significant radiation exposure or contamination (≥ 1000 times background), DRH may refer healthcare providers, through the LHD Director, to REAC/TS. REAC/TS provides 24-hour clinical consultation for the medical management and radiation monitoring of radiation victims. A REAC/TS algorithm for managing radiation victims is presented in Appendix 18. VDH can also provide information to responders about PPE (See Section 2.10).

VDH intra-agency communication about the incident may occur through the health alert network (HAN), communication by electronic mail, telephone, group conference calls or Polycom meetings.

5.4 Intermediate phase (hours to days)
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Specifically relating to epidemiology, activities will include collecting information to characterize the event and the affected population and establishing an active surveillance system. Surveying the health and health conditions among emergency responders will also be part of this active surveillance system. Monitoring casualties would also likely be needed. Epidemiologists will be involved in assisting with the collection of patient specimens and prioritizing specimens for analysis. Lastly, providing information to the public will continue to be a major function of public health activities and a public health inquiry center may be established to meet increased demands for providing this

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