LLIS Lesson Learned: Incident Site Safety and Security: Maintaining Access Control and Using Personal Protection Equipment during an Anthrax Incident [open pdf - 129KB]
"On December 24, 2009, Massachusetts General Hospital (MGH) medical personnel diagnosed a 24-year-old female patient with gastrointestinal anthrax. Several weeks prior to the onset of symptoms, the patient had participated in a 'drumming circle' in Durham, New Hampshire. Seventy-two people had attended the two-hour drumming event at the University of New Hampshire (UNH) United Campus Ministry (UCM) community center. During the event, participants had played 59 drums and inadvertently caused anthrax spores on some animal-hide drums to aerosolize. The patient then ingested the aerosolized anthrax spores. […] During the extended response operations, the IMT [incident management team] did not effectively coordinate with law enforcement agencies to ensure that these agencies had procedures for enforcing appropriate PPE [personal protective equipment] use and for maintaining continuous incident site security. Consequently, law enforcement agencies could not implement site safety and security procedures consistently and continuously during the response. For example, the Durham Police Department supported sampling activity of the NH National Guard 12th Civil Support Team at the onset of emergency response operations. In addition, UNH Police Department personnel performed daily drive-bys around the incident site. However, these agencies did not maintain a secure perimeter around the UNH UCM building and continuous access control between December 2009 and April 2010. Multiple individuals accessed the UNH UCM building unimpeded and without donning PPE during the extended response operations. The after action report recommends that the IMT coordinate with security agencies to ensure no one entering the incident site does so without appropriate PPE."
Lessons Learned Information Sharing (LLIS)
Incident Site Safety and Security: Maintaining Access Control and Using Personal Protection Equipment during an Anthrax Incident