title: Are we prepared for a deliberate release of a biological agent?
abstract: OBJECTIVE
  Following the events of 11 September 2001 in New York, planning for the deliberate release of chemical, biological, radiological and nuclear agents has intensified in the UK, with Department of Health recommendations for National Health Service and public health action. A consequence of this was to assess preparedness across the West Midlands region of England for mounting an effective response to a deliberate release of a biological agent.
  
  
  METHODS
  Descriptive study.
  
  
  METHODS
  West Midlands, UK. This work involved key organizations and entailed obtaining information from those responsible for and likely to be involved in managing incidents via questionnaire surveys based around preparedness and planning arrangements.
  
  
  RESULTS
  Findings revealed that plans delineating action to take during an incident do exist. However, staff training (40%) in acute trusts and testing of plans in primary care trusts (45%) could be improved. Communication arrangements in hospitals require support.
  
  
  CONCLUSIONS
  Work is ongoing but there is more to do. Trusts should provide staff training and engage in exercises to test plans and communication arrangements.
authors.affiliation: Regional Surveillance Unit, HPA West Midlands, Birmingham Heartlands Hospital, Bordesley Green, Birmingham, UK. smpod@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Pooransingh
authors.forename: J
authors.initials: J
authors.lastname: Hawker
mesh_terms: D023482:Bioterrorism; D016542:Chief Executive Officers, Hospital / Q000523:psychology; D004189:Disaster Planning; D006801:Humans; D013222:State Medicine; D011795:Surveys and Questionnaires; D006113:United Kingdom