1. Disaster Behavioral Health
Randal Beaton, PhD
Case Study

2. Caldwell Rodeo Arena Bioterrorism Event, Idaho
During one of the major rodeo events of the year, and with thousands of fans in the stands, a small crop-duster biplane appears out of nowhere and “strafes” the arena.
A whitish powder is effectively sprayed onto just about everything and everyone in attendance.
What should EMS and law enforcement do at this point to manage the behavioral health aspects of this event?

3. Caldwell Rodeo Arena Bioterrorism Event, Idaho
Samples of the white powder tentatively test positive for anthrax within an hour of the event.
What behavioral health steps are indicated now?

4. Caldwell Rodeo Arena Bioterrorism Event, Idaho
Anthrax is confirmed by the CDC lab within 48 hours.
What behavioral health steps are needed now?
photomicrograph of Bacillus anthracis bacteria
Image source: CDC

5. Caldwell Rodeo Arena Bioterrorism Event, Idaho
A mass dispensing venue is mobilized to provide antibiotics to those attending the rodeo with a credible exposure
What behavioral health problems do you anticipate and how could they be minimized and/or resolved?

6. Other Web-resources www.nwcphp.org/edu/dbh
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