Need Writing Help 11/29/2023

HSE 420 WK 7 DP

Review the following scenario and answer the questions that follow:

Imagine that over a 24-hour period 17 patients report to the Emergency Department of a small hospital in a rural community. Clinically, the patients present with fever, malaise, flushing, conjunctivitis, myalgia, abdominal pain, nausea, diarrhea, and a petechial rash. One of the patients is coughing up blood (hemoptysis) and another has seizures in the Emergency Department and falls into a coma.

An infectious diseases specialist is called in to determine the cause of this outbreak. The specialist collects blood and urine from most of the patients and orders a battery of tests. Samples are sent on

to the hospital laboratory for routine blood and urine tests. A subset of the patient samples is forwarded to a commercial laboratory where more elaborate testing is available. Based on initial findings from the hospital laboratory, the specialist comes up with a differential diagnosis of viral hemorrhagic fever, bacterial sepsis, Rocky Mountain spotted fever or other rickettsial disease, leptospirosis, borreliosis, dengue hemorrhagic fever, septicemic plague, or hemorrhagic smallpox.

The specialist begins to piece together information gathered from the patients and family members. There appears to be one common event shared by all the case patients: All attended a major sporting event, a championship college football game that occurred nearly two weeks previously. The physician has a reasonable suspicion that the cases are all related to an intentional act or at least to some bizarre coincidence.

At this point, isolates from case patients would be forwarded to a regional laboratory in the state’s capital city for further testing. If the isolate is found to test positive for one of the CDC bioterrorism agents (Category A, B, or C), an isolate would be sent to the national laboratory in Atlanta for definitive testing.

The state Bureau of Investigation, the Federal Bureau of Investigation, and a local joint terrorism task force would send agents to the community to work with epidemiologists to determine the source of the outbreak. The FBI’s Hazardous Materials Response Unit, along with the state’s Army National Guard’s WMD civil support team might be requested to respond to collect and process evidence within the community. The evidence that these teams collect would be delivered to the laboratory via local, state, or federal law enforcement. Environmental and clinical samples would be gathered from numerous sites. The field collection effort would be enormous and likely to include thousands of samples.

· Discuss the implications for local emergency managers and response organizations from the jurisdictions that will be included in the response and investigation.

· Where does the National Incident Management System, Incident Command System, unified command, and the National Response Framework come into play here?

· What agency will be in charge of the response? What agency will be in charge of the investigation? Consider something like this occurring in your town.

Book: Ryan, J. (2016). Biosecurity and Bioterrorism (2nd ed.). Butterworth-Heinemann.

Some Resources: Module 7 Chapter 12 & 13 PowerPoints

RUBRIC BELOW

1. Discussion Forum

Discussion forum participation will be graded using the following criteria:

	2 points	3 points	4 points	5 points
Engagement / Interaction	N/A - no points are available for this criterion	engaged in a meaningful and relevant dialog with at least one peers	N/A - no points are available for this criterion	engaged in a meaningful and relevant dialog with  two or more peers
Participation	N/A - no points are available for this criterion	participated on one days=	N/A - no points are available for this criterion	participated on  two or more days
Content / Topic Relevance	discussion forum contributions rarely addressed the main topic	discussion forum contributions sometimes addressed the main topic	discussion forum contributions very often addressed the main topic	discussion forum contributions always addressed the main topic
Timeliness	N/A - no points are available for this criterion	responded to main topic one day after the first post due date	N/A - no points are available for this criterion	responded to main topic the day of the first post due date
Content / Topic Knowledge	displays a fair understanding of the material	displays a good understanding of the material	displays a very good understanding of the material	displays an excellent understanding of the material

Approved Website Resources

Organized by Student Learning Objective 

The following optional learning resources contain approved external websites that may be used to assist you in gaining a deeper understanding of the material presented in this weeks lesson. They are categorized by the student learning objectives in this week. Please take advantage of this opportunity to expand your knowledge with the material provided. 

	Title	Link / Citation
1	Department of Homeland Security: The Truth About BioWatch: The Importance of Early Detection of a Potential Biological Attack	Garza, A. (2018, September 21).  The Truth About BioWatch: The Importance of Early Detection of a Potential Biological Attack. Department of Homeland Security. Retrieved September 28, 2021, from https://www.dhs.gov/blog/2012/07/12/truth-about-biowatch. Click  https://www.dhs.gov/blog/2012/07/12/truth-about-biowatch  link to open resource.
2	The Australia Group	The Australia Group. (n.d.). Retrieved September 28, 2021, from https://www.dfat.gov.au/publications/minisite/theaustraliagroupnet/site/en/index.html. Click  https://www.dfat.gov.au/publications/minisite/theaustraliagroupnet/site/en/index.html  link to open resource.
3	Public Health Emergency | Strategic National Stockpile	Strategic national stockpile. Publich Health Emergency. (n.d.). Retrieved September 28, 2021, from https://www.phe.gov/about/sns/Pages/default.aspx. Click  https://www.phe.gov/about/sns/Pages/default.aspx  link to open resource.