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Bioterror Drill Preparing Queens For The Worst
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| Volunteer patients filing into a mock “Point of Dispensing” at Hillcrest High School.
Tribune photo by Jeff Feinman
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By Jeff Feinman
As fears of anthrax tore through the country in late 2001, cities were put on alert that a biological or chemical attack could be just as deadly - if not more so - than an act of violence at the hands of a terrorist.
In New York, the Office of Emergency Management stepped up its plans and last week responded to thousands of patients suffering from a malicious outbreak of anthrax in a two-night terror drill designed to test Queens’ response to a massive biological or chemical threat.
Volunteers flooded into Hillcrest High School in order to take part in PODEX, a biological terror reaction drill by the OEM. Approximately 100 exercise participants were tapped to aid the distribution of medication, while volunteers numbering in the thousands acted as patients with fictional symptoms.
“I hope that we never have to do any of this for real, but it is important to be prepared for it,” OEM Commissioner Joseph F. Bruno said June 2, the second night of the drill. The drill was held in four Points of Dispensing, or PoDs, as OEM officials called them. Though only four PoDs were opened - in Jamaica, Rego Park, Kew Gardens and Hollis - for the drill, the OEM says that up to 204 distribution points could be opened in an emergency.
Outbreak
The two-day drill began Wednesday and continued Thursday night, kicking off when city health monitoring equipment “discovered” anthrax in the borough. On the first day of the drill, the OEM requested medical supplies from the federal government and training was held for PoD supervisors.
The second day was when the system was put to the test as mock distribution points were set up, along with proper security, public information, and transportation issues that would possibly arise in an emergency event.
Highland Avenue, the street on which the Hillcrest High School is located, was fully stocked with emergency response vehicles, police, and an enormous line of exercise volunteers, which stretched down the avenue.
Handling The Sick
After waiting outside for nearly two hours, volunteers filed into the four-part facility set up in the school’s gymnasium. The four parts included triage, medical evaluation, dispensing and an in-house pharmacy. Given slips of paper with specific roles to play and a number of different symptoms, volunteers were first diagnosed in triage and then given the proper medication from facility workers.
Patient roles were given fully at random, with old men portraying 2-year-old girls and women acting as older men. In addition, volunteer patients were told to act out different emotions in order to train facility workers to handle a panic situation.
“In a real situation, emotions will be high, and we are training the best we can for that,” said Bruno.
Part of the Solution
Volunteer patients got involved with the drill in a number of ways. Fireman Nelson Roman was recruited by the fire department, but he had not known what he was in for. “They told us that it was going to be a bio-terror medication dispersal drill, but I didn’t know the magnitude of it,” said Roman, who portrayed a young child as well as a family member. “I didn’t think so many cops and paramedics would be taking part.”
Many of the exercise participants had backgrounds in health care and some have taken part in previous exercises. An orthopedic surgeon, who did not disclose his name, served as a medical evaluator and said that this is his second time participating in the exercise. The surgeon noted that he has seen improvement in the program.
“It’s important for us to keep doing it over and over again to work out the bugs, but we’re responding quicker than last time,” he said.
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| An exercise participant distributes medicine to a volunteer patient. Tribune photo by Jeff Feinman
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How Does Queens Respond?
Barbara Stuchinski, co-chair of the CB 6 Community Emergency Response Team, helped dispense medication at PS 99 in Kew Gardens. She said that her location had a limited number of police and firemen, but that the exercise ran smoothly.
“We had CERT teams come in from all five boroughs to help out,” Stuchinski said. “These are worthwhile exercises because it is important to know where to go, what to do, and how to react in a real emergency.”
In a real bio-terror emergency, OEM officials said that they would make use of mass media as a means to inform the public of how they can receive proper help. According to the OEM, the effects of bio-terror is a slow process which happens over many days, so there is time to notify borough residents of ways they can receive help. The OEM also provides publications on its Web site, which lays out procedural steps that the public can take in all types of emergencies.
Is It Enough?
Dan Andrews, a spokesman for Queens Borough President Helen Marshall, said one of the major concerns of a bioterror attack would be the possible lack of distribution sites. Another problem that Andrews pointed out would be communication barriers due to the diverse population of Queens. “The availability of interpreters would certainly be a concern with the great number of languages spoken in the borough,” he said.
New York Hospital Queens, however, is a center that has had very extensive training in bioterrorism reaction. Because NYHQ is a Level 1 trauma center, it takes part in advanced training methods.
“There were about 50 to 60 trainees in the bioterrorism lectures, and we learned ways to break language barriers if this ever happened,” said NYHQ spokeswoman Cynthia Bacon, a certified participant in the training. “Through hand signals and basic generic communication, you can get the message across. It was a very beneficial class because of the diversity within Queens.”
Bacon added that she and the other trainees received cultural sensitivity training in addition to communication tactics. “There are cultural barriers to be aware of. For instance, if we need to make use of decontamination showers, it is important for us to respect the different religions and cultures of the people we’re helping.”
In Good Hands
Stuchinski pointed to the West Nile scare that occurred two summers ago as a demonstration of the city’s response to an emergency. She praised then-Mayor Rudy Giuliani’s reaction efforts in the situation, opening hospitals that same day to allot necessary care. Stuchinski also noted that Giuliani did well by allowing the OEM to take the lead in such situations throughout his mayoral tenure.
“The OEM has more expertise than other city departments, I feel better when I see them at emergency calls,” she said. “When they’re on the scene, you have confidence in them, and they guide us in the right direction.”
“As an agency, we have a number of press releases already in the can for many types of emergencies, from hurricanes to terrorist attacks,” said OEM spokesperson Jarrod Bernstein. “Obviously, we cannot be fully prepared for all predicaments, but we do our best.” |
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