Kathi Huddleston, MSN, RN, College of Nursing and Health Science, George Mason University, 9507 Claychin Court, Burke, VA 22015, 703-923-0417, khuddles@gmu.edu

This presentation discusses and analyzes the response in the Washington D.C. metropolitan area regarding pediatrics and the threat of bioterrorism. Much has been done to secure first responders, galvanize our community resources and use public health surveillance to ready our “at risk” area for a potential biological attack. From smallpox vaccinations to the use of plastic sheets and duct tape, we have discussed various methods to contain the effects of potential biological agents. But children may be our “canaries”, as they may be the first to succumb to a noxious agent released in the community. As we have seen with SARS and the recent influenza outbreak, children may respond differently than previously expected. The emerging and re-emerging infectious disease entities force us to examine the role of children within public health surveillance. The number of children with a chronic illness or compromised immune systems may make this group highly susceptible. The process of isolation and quarantine are particularly worrisome in this vulnerable population. The health care system capacitance for pediatric emergency medicine is more focused and thus more limited in its capacitance. There are three major pediatric facilities in the Washington DC area, representing three different state/federal legislations. Analysis of changes made in these facilities since 9/11, in regard to the threat of biological agents, emergency planning, and the effects on pediatrics will be presented. The roles of public health and the emergency medical system will be examined from the eyes of a child experiencing the effects of bioterrorism.

Learning Objectives:

• Describe and discuss 2 differences in the health care system response to a pediatric versus adult exposure to a biological agent?
• Recognize three challenges to the public health surveillance system in detecting and responding to the child who has been exposed to a biological agent in the Washington metropolitan area?
• Analyze the role of public health, and identify 2 actions that are their sole responsibility,during the "Dark Winter" scenario.

Keywords: Bioterrorism, Children's Health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.