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Human decontamination is the process of removing hazardous materials from the human body, including chemicals, radioactive substances, and infectious material.
People suspected of being contaminated are usually separated by sex, and led into a decontamination tent, trailer, or pod, where they shed their potentially contaminated clothes in a strip-down room. They then enter a wash-down room where they are showered. Finally, they enter a drying and re-robing room to be issued clean clothing, a jumpsuit, or other attire. Some more structured facilities include six rooms (strip-down, wash-down and examination rooms, for each of men's and women's side as per attached drawing). Some facilities, such as MODEC, and many others, are remotely operable, and function like "human car washes". Common lathering in soap, removes external dust that may contain radioisotopes. [1] It is advised that when lathering, effort should be made not to spread potential dust that deposited onto exposed, unclothed areas of skin, to areas that were once likely clean. [2]
Mass decontamination is the decontamination of large numbers of people. The ACI World Aviation Security Standing Committee describes a decontamination process thus, specifically referring to plans for Los Angeles authorities:
The disinfection/decontamination process is akin to putting humans through a car wash after first destroying their garments. Los Angeles World Airports have put in place a contingency plan to disinfect up to 10,000 persons who might have been exposed to biological or chemical substances.
Most hospitals in the United States are prepared to handle a large influx of patients from a terrorist attack. Volunteer hospital decontamination teams are common and trained to set up showers or washing equipment, to wear personal protective equipment, and to ensure the safety of both the victims and the community during the response. From a planning perspective it must be remembered that first responders in Level A or B personal protective equipment (PPE) will have a limited working duration, typically 20 minutes to 2 hours. [3]
Typically these teams use decontamination showers built into the hospital or tents which are set up outside in order to decontaminate individuals. Beyond terrorism incidents, common exposures may be related to factory spills, agricultural incidents, and vehicle accidents. Incidents are common in both urban and rural communities. Hospital decontamination is a component of the Hospital Incident Command System and is required in the standards set forth by the Joint Commission.
Decontamination exercises are frequently used to test the preparedness of emergency plans and personnel. 
Exercises are of three types:
Collaboration among various levels of authority, and among various countries, is required to address bioterror threats, because contamination knows no boundaries. Disease and contamination do not stop at the border from one country to another. Thus organizations such as NATO, bring together member countries to practice how to contain an outbreak, setup quarantine facilities, and care for displaced persons. [4]
"Dofficers" (Decontamination officers in the "doffing" or disrobing area) are often police or military personnel, ready to handle potentially unruly persons who refuse to cooperate with first responders.
For example, the U.S. ARMY SOLDIER AND BIOLOGICAL CHEMICAL COMMAND suggests that:
Paul Rega, M.D., FACEP, and Kelly Burkholder-Allen also note, in "The ABCs of Bioterrorism" an additional advantage in decontaminating everyone found at the scene of an incident, because this will help the authorities in searching through everyone's clothes to find suspicious items:
Chris Seiple, in "Another Perspective on the Domestic Role of the Military in Consequence Management" suggests that the evidence gathering process of identifying contaminated people and their belongings should also include the process of video surveillance:
Although there are the obvious privacy concerns in surveillance, one can also argue that due to the high risk nature of terrorism, such surveillance is warranted, as it is in other high risk areas like bathing complexes where surveillance is often used because of the risk of drowning. In these cases the importance of safety may often be thought to outweigh privacy concerns.
One of the elements that separates a drill from a real-life situation is dealing with panicked or uncooperative victims. Security personnel should be assigned to the area for crowd control and to ensure appropriate flow of individuals in and out of the decontamination area.[ citation needed ]
In a real attack, the perpetrators may be among the victims, or some of the victims may be in possession of contraband, or of evidence that might help law enforcement in solving the crime.[ citation needed ]
Another consideration is that some of the perpetrator victims might refuse to go through decon because this would result in discovery of the contraband they may be hiding.
For example, a person with explosives strapped to his or her body, under their clothing, would likely not be so willing to take it off. Such a victim might try to escape, and need to be restrained for decontamination.
Separate male and female officers (decontamination officers) deal with potentially unruly patients, by restraining the hands using flex cuffs, and cutting off the shirt, then removing shoes and pants normally. This usually requires a couple of officers.
The Belfast Telegraph describes such a situation:
See also [5] Battalion Chief Michael Farri:
Radioactive contamination can enter the body through ingestion, inhalation, absorption, or injection. This will result in a committed dose of radiation.[ citation needed ]
For this reason, it is important to use personal protective equipment when working with radioactive materials. Radioactive contamination may also be ingested as the result of eating contaminated plants and animals or drinking contaminated water or milk from exposed animals. Following a major contamination incident, all potential pathways of internal exposure should be considered.[ citation needed ]
Successfully used on Harold McCluskey, chelation therapy and other treatments exist for internal radionuclide contamination. [6]
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination.
Health physics, also referred to as the science of radiation protection, is the profession devoted to protecting people and their environment from potential radiation hazards, while making it possible to enjoy the beneficial uses of radiation. Health physicists normally require a four-year bachelor’s degree and qualifying experience that demonstrates a professional knowledge of the theory and application of radiation protection principles and closely related sciences. Health physicists principally work at facilities where radionuclides or other sources of ionizing radiation are used or produced; these include research, industry, education, medical facilities, nuclear power, military, environmental protection, enforcement of government regulations, and decontamination and decommissioning—the combination of education and experience for health physicists depends on the specific field in which the health physicist is engaged.
Radioactive contamination, also called radiological pollution, is the deposition of, or presence of radioactive substances on surfaces or within solids, liquids, or gases, where their presence is unintended or undesirable.
The Goiânia accident was a radioactive contamination accident that occurred on September 13, 1987, in Goiânia, Goiás, Brazil, after an unsecured radiotherapy source was stolen from an abandoned hospital site in the city. It was subsequently handled by many people, resulting in four deaths. About 112,000 people were examined for radioactive contamination and 249 of them were found to have been contaminated.
Chemical, biological, radiological, and nuclear defense or Nuclear, biological, and chemical protection is a class of protective measures taken in situations where chemical, biological, radiological, or nuclear hazards may be present. CBRN defense consists of CBRN passive protection, contamination avoidance, and weapons of mass destruction mitigation.
Mass decontamination is the decontamination of large numbers of people, in the event of industrial, accidental, or intentional contamination by toxic, infective, caustic, polluted, or otherwise unhealthful or damaging substances.
Decontamination foam is a spray-on cleaning solution used on surfaces that have been contaminated with biological or chemical agents. Decon foam has been found to make numerous chemical and biological agents harmless. It is also intended for use in areas where large numbers of people have possibly been contaminated.
Infection prevention and control is the discipline concerned with preventing healthcare-associated infections; a practical rather than academic sub-discipline of epidemiology. In Northern Europe, infection prevention and control is expanded from healthcare into a component in public health, known as "infection protection". It is an essential part of the infrastructure of health care. Infection control and hospital epidemiology are akin to public health practice, practiced within the confines of a particular health-care delivery system rather than directed at society as a whole.
Nuclear entombment is a method of nuclear decommissioning in which radioactive contaminants are encased in a structurally long-lived material, such as concrete. This prevents radioactive material and other contaminated substances from being exposed to human activity and the environment. Entombment is usually applied to nuclear reactors, but also some nuclear test sites. Nuclear entombment is the least used of three methods for decommissioning nuclear power plants, the others being dismantling and deferred dismantling. The use of nuclear entombment is more practical for larger nuclear power plants that are in need of both long and short term burials, as well as for power plants which seek to terminate their facility licenses. Entombment is used on a case-by-case basis because of its major commitment with years of surveillance and complexity until the radioactivity is no longer a major concern, permitting decommissioning and ultimate unrestricted release of the property. Considerations such as financial backing and the availability of technical know-how are also major factors.
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.
Contamination is the presence of an unwanted constituent in another substance.
Homeland Security Grant Program (HSGP) is a program in the United States established in 2003 and was designated to incorporate all projects that provide funding to local, state, and Federal government agencies by the Department of Homeland Security. The purpose of the grants is to purchase surveillance equipment, weapons, and advanced training for law enforcement personnel in order to heighten security. The HSGP helps fulfill one of the core missions of the Department of Homeland Security by enhancing the country's ability to prepare for, prevent, respond to and recover from potential attacks and other hazards. The HSGP is one of the main mechanisms in funding the creation and maintenance of national preparedness, which refers to the establishment of plans, procedures, policies, training, and equipment at the Federal, State, and local level that is needed to maximize the ability to prevent, respond to, and recover from major events such as terrorist attacks, major disasters, and other emergencies. The HSGP's creation stemmed from the consolidation of six original projects that were previously funded by the Office of State and Local Government Coordination and Preparedness. The HSGP now encompasses five projects in the program: State Homeland Security Program, Urban Areas Security Initiative, Operation Stonegarden, Metropolitan Medical Response System Program, and Citizen Corps Program. During the 2010 fiscal year, the Department of Homeland Security will spend $1,786,359,956 on the Homeland Security Grant Program.
The safe handling of carcinogens is the handling of cancer causing substances in a safe and responsible manner. Carcinogens are defined as 'a substance or agent that can cause cells to become cancerous by altering their genetic structure so that they multiply continuously and become malignant'. The World Health Organization breaks down the three types of carcinogens that can cause cancer in humans. The first type of carcinogen is the physical type which can be ultraviolet and ionizing radiation. The second type of carcinogens is defined as asbestos, tobacco smoke, alcohol, aflatoxin, and arsenic. The third type of carcinogen is biological which highlights infections that can be caused from viruses, bacteria, or parasites. There are many risk factors when it comes to the human body and carcinogens, which is why it is so important that the proper approach is used when attempting to reduce expose to cancer causing carcinogens.
The Fukushima disaster cleanup is an ongoing attempt to limit radioactive contamination from the three nuclear reactors involved in the Fukushima Daiichi nuclear disaster that followed the earthquake and tsunami on 11 March 2011. The affected reactors were adjacent to one another and accident management was made much more difficult because of the number of simultaneous hazards concentrated in a small area. Failure of emergency power following the tsunami resulted in loss of coolant from each reactor, hydrogen explosions damaging the reactor buildings, and water draining from open-air spent fuel pools. Plant workers were put in the position of trying to cope simultaneously with core meltdowns at three reactors and exposed fuel pools at three units.
National Response Scenario Number One is the United States federal government's planned response to a small scale nuclear attack. It is one of the National Response Scenarios developed by the United States Department of Homeland Security, considered the most likely of fifteen emergency scenarios to impact the United States. The Scenarios are related to the National Response Framework (NRF), which describes the structures and mechanisms of a response and the National Incident Management System (NIMS) that gives a framework to orchestrate emergency management. The scenario anticipates terrorists detonating a single, 10 kiloton weapon in a major city, as opposed to a full-scale nuclear war, in which a foreign power such as Russia or China would detonate hundreds or thousands of weapons.
Dry decontamination is a method of removing contaminants without the need to use water or other liquids. Decontamination is an essential duty of hazmat responders as it protects victims from harmful reactions to the contaminants.
Hazmat diving is underwater diving in a known hazardous materials environment. The environment may be contaminated by hazardous materials, the diving medium may be inherently a hazardous material, or the environment in which the diving medium is situated may include hazardous materials with a significant risk of exposure to these materials to members of the diving team. Special precautions, equipment and procedures are associated with hazmat diving so that the risk can be reduced to an acceptable level.
The Chernobyl disaster remains the major and most detrimental nuclear catastrophe which completely altered the radioactive background of the Northern Hemisphere. It happened in April 1986 on the territory of the former Soviet Union. The catastrophe led to the increase of radiation in nearly one million times in some parts of Europe and North America compared to the pre-disaster state. Air, water, soils, vegetation and animals were contaminated to a varying degree. Apart from Ukraine and Belarus as the worst hit areas, adversely affected countries included Russia, Austria, Finland and Sweden. The full impact on the aquatic systems, including primarily adjacent valleys of Pripyat river and Dnieper river, are still unexplored.
Diving equipment may be exposed to contamination in use and when this happens it must be decontaminated. This is a particular issue for hazmat diving, but incidental contamination can occur in other environments. Personal diving equipment shared by more than one user requires disinfection before use. Shared use is common for expensive commercial diving equipment, and for rental recreational equipment, and some items such as demand valves, masks, helmets and snorkels which are worn over the face or held in the mouth are possible vectors for infection by a variety of pathogens. Diving suits are also likely to be contaminated, but less likely to transmit infection directly.
Suction Assisted Laryngoscopy Airway Decontamination (SALAD) is incremental step-wise approach to the management of a massively contaminated airway.
