title: Cybercare NDMs: an improved strategy for biodefense using information technologies.
abstract: The National Disaster Medical System (NDMS) was created in the early 1980's, and it was designed to meet the threats of the time. Today the threats are much less discreet and predictable. They are distributed; they move and spread quickly; and they walk silently among us. Specifically, biological agents are an enemy unlike any we have had to deal with before. They offer unique challenges that fly in the face of current doctrine. We must redesign the NDMS in order to contain and eliminate this new threat. Tools exist today capable of effectively coordinating distributed resources--even through containment borders. We need to strengthen our public health system, create a net-centric disaster management system, and blur the boundaries between local and federal resources. Ultimately we must move from an incremental, echelon-based response to an immediate, continuous response. This can be accomplished by adding inexpensive, well-established information technologies to the existing response system.
authors.affiliation: Dartmouth-Hitchcock Medical Center, Department of Plastic Surgery, One Hospital Drive, Lebanon, NH 03756, USA. joseph.m.rosen@hitchcock.org
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Rosen
authors.forename: Eliot
authors.initials: E
authors.lastname: Grigg
authors.forename: Susan Mc
authors.initials: SM
authors.lastname: Grath
authors.forename: Scott
authors.initials: S
authors.lastname: Lillibridge
authors.forename: C Everett
authors.initials: CE
authors.lastname: Koop
mesh_terms: D023482:Bioterrorism / Q000517:prevention & control*; D004189:Disaster Planning; D004632:Emergency Medical Services / Q000458:organization & administration; D006801:Humans; D007256:Information Systems; D009313:National Health Programs; D014481:United States; D014488:United States Health Resources and Services Administration