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Attachment A FY05 HOMELAND SECURITY GRANT PROGRAM • Coordinate all training needs for radiological medical and health effects preparedness, including Continuing Medical Education (CME) and Continuing Nursing Education (CNE) courses. • Identify radiation and nuclear detection equipment that identify nuclear elements released in a radiological release /nuclear detonation. • Identify PPE safe for first responders and safe for initial remediation workers, their location and type, and ensure equipment is in accordance with DHS equipment standards, which may be found at http:/ /www.dhs.gov /dhspublic /interapp /editorial /editorial 0420 xml. Ensure agreements are in place to access equipment if needed, complete with timelines and identified skilled personnel to operate the equipment. • Be prepared to provide treatment for victims of a radiological /nuclear incident, such as decontamination, immediate medical treatment, reception centers, mass care shelters, and a plan to address the local mental health services, needed by the worried well. • Research lessons learned about potential unknown human health effects of a radiological release /nuclear detonation. Consider 'lessons learned' from documented and alleged human health consequences of the World Trade Center incident, where individuals were potentially exposed to chemical byproducts released by an explosion of mixtures of several unknown chemicals, potentially enhancing their toxicity in exposed individuals. In establishing /enhancing the capabilities described above, the revised MMRS threshold capacity levels for catastrophic incident response planning for a radiological release /nuclear detonation are as follows. Detailed guidance on the implementation of the HSC Planning Scenarios may change these thresholds. o Jurisdictions ranked 1 -21 by population on the UASI grants list: 25,000 immediate deaths; 100,000 contaminated victims (50,000 acutely exposed and 50,000 moderately exposed); and 300,000 displaced persons. o Jurisdictions ranked 22 -50 by population on the UASI grants list: 15,000 immediate deaths; 50,000 contaminated victims (25,000 acutely exposed and 25,000 moderately exposed); and 200,000 displaced persons. o Remaining MMRS jurisdictions: 7,500 immediate deaths; 25,000 contaminated victims (10,000 acutely exposed and 15,000 moderately exposed) and 100,000 displaced persons. DEPARTMENT OF HOMELAND SECURITY I OFFICE FOR DOMESTIC PREPAREDNESS 94