Testimony
Before the Committee
on Government Reform, Subcommittee on the District of Columbia
United States House
of Representatives
Emergency Preparedness
in the Nation's Capital
Statement of
RADM Arthur
J. Lawrence
Assistant
Surgeon General and
Acting
Principal Deputy Assistant Secretary for Health
Department
of Health and Human Services
For
Release on Delivery
Expected
at 10:00 am
on
Friday, November 2, 2001
Good morning Madam
Chair and Members of the Subcommittee. I am Dr. Arthur
Lawrence, Assistant Surgeon General and Acting Principal
Deputy Assistant Secretary for Health of the Department
of Health and Human Services (HHS). In this regard I am
the head of the Office of Public Health and Science and
supervise the activities of the Office of Emergency Preparedness.
Recently, the emergency
response capabilities of HHS have been mobilized to assist
local governments in New York, Pennsylvania, and the Washington
metropolitan area address the health consequences of unprecedented
terrorist attacks against the citizens of the United States.
Our Department, with our partners in the Departments of
Defense and Veterans Affairs, are in the best position
at the national level to supplement the resources of State
and local governments in mass casualty situations, regardless
of their cause, as we have done continuously since September
11.
HHS is a signatory
agency of the Federal Response Plan that provides a structure
for federal response assistance to other levels of government
when their resources are overwhelmed. In particular, our
Department is responsible for leading the health and medical
services emergency support function of the Plan, known
as ESF 8. We are supported in that responsibility by 12
other departments and agencies. The functions that we
carry out, through the Office of Emergency Preparedness
(OEP), include medical services, mental health services,
preventive health services, and environmental health services.
All of the agencies of HHS participate with OEP in executing
the functions of the Secretary of Health and Human Services
under the Plan.
One of our most
important assets for providing emergency health support
to our citizens during disasters is the National Disaster
Medical System (NDMS). NDMS is a partnership of the Departments
of Health and Human Services, Defense (DOD), and Veterans
Affairs (VA), as well as the Federal Emergency Management
Agency (FEMA). In this partnership, more than 7000 health
professionals (doctors, nurses, pharmacists, emergency
medical technicians, etc) are organized into approximately
80 teams around the country to provide medical, mental
health and specialized services at or near the scene of
disasters. Furthermore, the System provides the capability
to transport patients to other locations away from the
disaster region in order to meet victims' definitive care
needs, should that be necessary. Additionally, under the
System, both DOD and the VA manage approximately 2000
private sector hospitals which have volunteered and can
be called upon to accept patients from the disaster area
who might not otherwise be able to receive care in locally
overwhelmed systems.
Another resource
that we can access is the Public Health Service's Commissioned
Corps Readiness Force (CCRF), a group of 1400 Public Health
Service Officers that can be mobilized to respond to disasters
or other public health emergencies. Immediately after
the attack on the World Trade Center, the Secretary of
HHS, Tommy Thompson, placed these systems on their highest
state of readiness to respond. And they did.
Since September
11, we have mobilized over 1300 members of NDMS, commissioned
officers under CCRF, and public health professionals from
the Centers from Disease Control and Prevention (CDC)
to augment local resources available to respond to these
calamities. For example, in New York City, we are still
providing medical support for the teams working at the
site of the destruction of the World Trade Center, augmenting
the resources of the medical examiner to identify the
victims of the attack, supplementing the nursing staff
at the burn center taking care of some of the survivors,
assisting the Department of Health with its public health
surveillance, and providing support for the immediate
crisis counseling needs that have been identified, among
other activities.
In addition to
continuing to support the City in response to the World
Trade Center attack, we have deployed over 100 NDMS and
CCRF members to assist in distributing drugs to United
States Postal Service (USPS) workers to protect them from
potential exposure to the anthrax that was used to contaminate
letters sent to the major television networks and that
passed through their mail processing centers. Today and
tomorrow, these teams are back in New York to assist in
distributing the pharmaceuticals that will be necessary
to complete the prophylaxis of more than 5000 postal workers
and contractors potentially exposed.
Similarly, we are
still assisting the District government in investigating
and controlling the health risks to USPS and other mail
room workers and visitors in the District and surrounding
jurisdictions that were exposed to anthrax that was contained
in one or more letters processed through the Brentwood
postal facility or the State Department Annex 32 mail
handling area. In support of the District Government,
we have provided the majority of the health professionals
that have staffed the anthrax prevention clinics that
were set up at DC General Hospital to assure that mail
handlers exposed to anthrax in Washington received the
necessary pharmaceuticals, in this case ciprofloxacin
and doxycycline. Although we also provided these drugs
to Maryland, Virginia and New Jersey for their affected
postal workers, their health departments decided to make
the distributions without our direct assistance.
Our Department
has had a long experience with both federal, State and
local governments in the Washington metropolitan area
in preparing for terrorist attacks. For example, here
in the Capitol our teams support the Attending Physician
during major events (such as the State of the Union Address),
assuring the availability of health services for Members
of Congress, their staffs and visitors should a significant
disaster occur. In recent weeks, we have provided continuous
support to the Office of the Attending Physician in testing
and providing preventive services and pharmaceuticals
to Members of Congress, their staffs and visitors to areas
affected by the release of anthrax in the Congressional
mail system.
Likewise, we have
worked with all of the Washington area jurisdictions to
create a National Medical Response Team that can supplement
the available resources in any one of the jurisdictions
(Montgomery County, Prince Georges County, Arlington County,
Alexandria or Fairfax counties, or the District) should
there be the release of a chemical weapon. Sufficient
antidotes are stockpiled here to treat 5,000 victims,
using a team that can respond within 90 minutes of activation.
Now we are in the final stages of completion of a plan,
expected within two weeks, for the distribution of pharmaceuticals
in the District in the event of a biological attack directed
against the general population.
These most recent
events have not been the initiator for our local actions.
In fact, we have been working with the governments in
Maryland, Virginia and the District since 1995 in strengthening
public health responsibilities. We are looking forward
to continuing these close working relationships.
Thank you, Madam
Chairman, for the opportunity to testify today. I would
be pleased to address any questions that you or Members
of the Subcommittee may have.