1. Business Meeting November 15-16, 2011

2. Agenda (Day One) Welcome & Introductions Agenda & Housekeeping NARR & Partner Updates Radiation Injury Treatment Network Break Membership Subcommittee Wide Area Recovery and Resiliency Program

3. NARR 101

4. Vision To become a more protected, resilient nation through a comprehensive and integrated approach to radiological emergencies

5. Mission Enhancing radiological preparedness capability and capacity in public health and health care systems through a coalition of organizations committed to improving the nation’s ability to prepare, respond, and recover from radiological emergencies at the local, state, and national levels

6. Purpose To serve as the collective “voice of health” in radiological preparedness through the: – Participation in national dialogues on radiological emergency issues – Provision of thoughtful feedback on documents, policies, and guidelines – Convening of partners to raise awareness of and resolve radiological emergency issues To build radiological emergency preparedness, response and recovery capacity and capabilities by supporting the: – Development of mechanisms for sharing resources and tools, including technical methods and information – Identification and dissemination of best practices – Definition of and education on the roles and responsibilities of different levels of government and different governmental agencies in radiological emergencies – Establishment of performance measures and guidelines – Building and sustaining of long-term competencies

7. Membership American Association of Poison Control Centers (AAPCC) American Hospital Association (AHA) American Medical Association (AMA) American Public Health Association (APHA) Association of Public Health Laboratories (APHL) Association of Schools of Public Health (ASPH) Association of State and Territorial Health Officials (ASTHO) Conference of Radiation Control Program Directors (CRCPD) Council of State and Territorial Epidemiologists (CSTE) Health Physics Society (HPS) International Association of Emergency Managers (IAEM) National Association of County and City Health Officials (NACCHO) National Association of State EMS Officials (NASEMSO) National Disaster Life Support Foundation (NDSLF) National Emergency Management Association (NEMA)

8. Ex-Officio Partners Assistant Secretary for Preparedness and Response/US Department of Health & Human Services Centers for Disease Control and Prevention Environmental Protection Agency Federal Emergency Management Agency Food and Drug Administration Nuclear Regulatory Commission US Department of Agriculture US Department of Energy National Urban Security Technology Laboratory/US Department of Homeland Security

9. Governance NARR Chairs – currently serving 1 st of 2 year term – Subsequent chairs will serve 1 year terms – ASTHO, CRCPD, +1 additional (rotating) member organization Adela Salame-Alfie, PhD, Acting Director, Division of Environmental Health Investigations, New York State Health Department William Stephens, MS, Manager, Southwest Center for Advanced Public Health Practice, Tarrant County Public Health John Erickson, MS, Special Assistant, Public Health Emergency Preparedness and Response, Washington State Department of Health

10. NARR & PARTNER UPDATES

11. Activities Since March 2011 Participation in Fukushima response national coordination calls UPMC Rad Resilient City Project Requests for feedback: – HHS: Fukushima after action – National Preparedness Goal – NRC: Standard Protocol for State Communications on Unintended Releases of Radioactive Material Membership Subcommittee Product development Clearinghouse & Editorial Board NARR observer at Vigilant Guard (AZ exercise) Abstracts: Public Health Preparedness Summit, Integrated Training Summit

12. Member Introductions & Updates American Association of Poison Control Centers (AAPCC) American Hospital Association (AHA) American Medical Association (AMA) American Public Health Association (APHA) Association of Public Health Laboratories (APHL) Association of Schools of Public Health (ASPH) Association of State and Territorial Health Officials (ASTHO) Conference of Radiation Control Program Directors (CRCPD) Council of State and Territorial Epidemiologists (CSTE) Health Physics Society (HPS) International Association of Emergency Managers (IAEM) National Association of County and City Health Officials (NACCHO) National Association of State EMS Officials (NASEMSO) National Disaster Life Support Foundation (NDSLF) National Emergency Management Association (NEMA)

13. Partner Updates Assistant Secretary for Preparedness and Response/US Department of Health & Human Services Centers for Disease Control and Prevention Environmental Protection Agency Food and Drug Administration US Department of Agriculture US Department of Energy US Department of Homeland Security

14. RADIATION INJURY TREATMENT NETWORK

15. BREAK

16. MEMBERSHIP SUBCOMMITTEE

17. Membership Subcommittee For Discussion Value – What value does NARR membership provide to organizations? Membership criteria – Tier 1: Any governmental or non-governmental organization that supports activities principally under Emergency Support Function #8 (ESF#8) of the DHS National Response Framework (NRF) – Tier 2: Any organization with an interest in some element of radiological readiness as evidenced by their organizational mission and objectives. In general, Tier 2 will exclude commercial enterprises, but such membership determinations will be made on a case by case basis by the Steering Committee. Tier 2 member organizations may include: Academic/training institutions [e.g., Association of Schools of Public Health, Preparedness and Emergency Response Research Centers (PERRCs), Emergency Management Institute (EMI), National Preparedness Directorate/Naval Post-Graduate School] Healthcare organizations that represent practitioners, including laboratorians Institutions that have an interest in radiological treatment

18. Membership Subcommittee For Discussion What level of growth can the NARR sustain? Potential members – National Public Health Information Coalition – American Academy of Clinical Toxicology Where are there gaps? Membership Matrix How can representatives/staff effectively drawn on the knowledge of the entire organization and its members? What are the protocols for soliciting, accepting, and not accepting? – Active vs. passive solicitation of new members

19. Membership Matrix RadiationPublic Health Emergency Management HealthcareFederal CRCPD Radiation protection ASTHO State/territorial public health NEMA State/territorial emergency managers NASEMSO State EMS CDC FDA CSTE Epidemiology AAPCC Poison control centers HHS/ASPR APHL Laboratory EPA NACCHO Local public health National Disaster Life Support Foundation Medical training USDA NRC ASPH Schools, training, research AMA Physicians DOE HPS Radiation safety APHA All public health practitioners IAEM All emergency managers AHA Hospitals DHS FEMA

20. WIDE AREA RECOVERY AND RESILIENCY PROGRAM

21. ADJOURN (DAY ONE)