When disaster strikes, the nation depends on emergency response workers who are prepared and trained to respond effectively. This need is particularly clear as we observe the anniversary of the attacks of September 11, 2001, and honor the responders who performed heroic service during that somber time. Response work can range from well-contained, localized efforts to massive, diffuse mobilizations and involves a broad array of activities including search, rescue, investigations, assessment, recovery, cleanup, and restoration. Such work is carried out by individuals from emergency management, fire services, law enforcement, emergency medical services, public health, construction and other skilled support, disaster relief, mental health, and volunteer organizations.

To ensure that workers can meet the challenges of disasters, every effort must be made to protect emergency workers from the safety and health risks inherent in the work.  A new National Response Team technical assistance document, “Emergency Responder Health Monitoring and Surveillance” is now available which provides a recommended health monitoring and surveillance system.  The Emergency Responder Health Monitoring and Surveillance system includes specific recommendations and tools for all phases of a response, including the pre-deployment, deployment, and post-deployment phase (see Figure 1). The intent of medical monitoring and surveillance is to identify exposures and/or signs and symptoms early in the course of an emergency response.  Early detection can prevent or mitigate adverse physical and psychological outcomes; helping to ensure that workers and volunteers are not harmed in the course of their response and are able to maintain their ability to respond effectively.