Gaps

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Gaps Useful PracticesLos Angeles
CountyMulti-Agency Radiological Response Plan
(MARRP)

• Kathleen Kaufman
• Former Director,
• LA County Radiation Management

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Gaps

• LA County has significant resources
• Many are HazMat qualified
• Generally, theyre more qualified for chemical
  issues, rather than radiation
• During exercises, there was confusion re which
  agency was responsible for an activity
• Those with radiation expertise were all
  performing one activity, such as monitoring
  uninjured victims, leaving another activity w/o
  someone with radiation subject matter expertise
• Incident commander and the media received
  conflicting information

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Gap

• Every agency and organization has their own
  radiation response plan (fully or not fully
  developed)
• One umbrella plan would reduce responder
  confusion
• Avoid duplication of response efforts
• Eliminate gaps in response efforts

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Gaps

• A more organized effective response required
  clarification of the roles responsibilities of
  response agencies
• Radiation Management had a vision for a plan
  that integrated responders activities,
  clarified each agencys role
• We received a grant from CDC to write an
  integrated radiation response plan
• We hired a contractor to help

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Process

• Had to have a name with a good acronym!
• Multi-Agency Radiation Response Plan (MARRP)
• We conducted three planning committee meetings
  with all agencies, local, State, federal,
  participating
• Purpose, Objectives, Concept of Operations
• Scope of Radiological Incidents
• Role and Responsibilities
• Radiological Dispersal Device Table-Top Exercise
• Review of proposed Draft Plan
• Also conducted focused meetings
• Los Angeles County Fire Department, Health
  Hazardous Materials Division
• American Red Cross Los Angeles County
  Department of Public Social Services

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Who?

• 30 local, State, and federal agencies and
  organizations
• Los Angeles County (LACo) Department of Public
  Health, LACO Fire Health Hazardous Materials
  Division, LACo Coroner, LACo Department of Public
  Social Services, LACo Sheriff, Los Angeles (LA)
  City Fire Police, LA Airport, LA Port, Long
  Beach Fire, Police Port, California (CA)
  Department of Public Health, CA Office of
  Emergency Services, CA Highway Patrol, United
  States Environmental Protection Agency
  Department of Energy, Federal Emergency
  Management Agency, Civil Support Team, Federal
  Bureau of Investigations, United States Coast
  Guard, American Red Cross
• 100 technical representatives experienced in
  emergency operations

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What?

• Coordination plan for a significant radiological
  (not nuclear) incident
• Coordination of response actions between local,
  State, and federal agencies
• Does not replace, but supplements, existing
  plans!
• Provides guidance to responders and decision
  makers during an incident

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Guidance Plan

• MARRP is not the law or regulation
• MARRP is not a mandatory plan for responding
  agencies/organizations
• MARRP is guidance with recommendations
• Volume I is a responders field manual
• Volume II is more in-depth
• Good for training

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Volume I Responder Field Manual

• Information Cards (3)
• Summary Tables (2)
• Position Job Aids (7)
• Activity Playbooks (13)
• Standard Operating Guides (2)
• Instructions (3)
• Forms (3)
• Tables (15)

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Forms and Tables

• Forms
• 1. Contamination Survey
• 2. Public Property Contamination Survey
• 3. Responder Dose Log
• 15 Tables
• Table 4 Radiation Incident Zones and Activities
• Table 11 Responder Contamination Release Levels
• Table 13 Victim and Public Contamination Release
  Levels
• Others included in the manual

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Table 1 Agencies Responsible for Playbooks
Activity Playbook Rad Mgmt Fire Hazmat Fire Law Hazmat EPA
1 Exclusion Zone Operations NL 1 2 NL NL
2 Initial Incident Control Zones 1 2 NL 3 4
3 Monitoring Responders and Equipment for Contamination 1 2 3 6 4
4 Monitoring Injured Victims for Contamination 1 2 3 NL 4
5 Monitoring Uninjured Victims for Contamination 1 2 3 NL 4
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Playbooks

• 13 playbooks for major radiological related
  activities
• Designed as stand alone documents
• Content
• Activity
• Resources
• What to do
• Considerations
• Tables
• Standard Operating Guides
• Instructions
• Forms

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13 Playbooks

1. Exclusion zone operations
2. Initial incident control zones
3. Monitor responders and equipment for
   contamination
4. Monitor injured victims for contamination
5. Monitor uninjured victims for contamination
6. Conduct advanced radiation measurements
7. Determine presence or absence of alpha radiation

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13 Playbooks

• Conduct crime scene investigations in the
  Exclusion Zone and Extreme Caution Areas
• Monitor people for contamination at public
  reception centers
• Monitor public property for contamination
• Determine need for and recommend protective
  actions for the public, including advice for
  evacuation and shelter-in-place
• Control traffic in contaminated areas, create
  responder access corridors, and establish
  evacuation routes
• Conduct critical hospital-based operations

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Table 6 Dose Potential Health Effects

• Provides the potential health effects of exposure
  to levels of radiation
• Dose to have acute health effects
• Excess lifetime risk of fatal cancer correlated
  with radiation exposure

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Table 7 Responder Alarm Levels
Alarm Level Exposure Rate1 (mR/hr) Cumulative Dose2 (mrem)
First Alarm 2 10
Second Alarm 10,000 (10 R/hr) 25,000 (25 rem)
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Tables 11 12 Responder/Equipment Contamination
Release Levels

• Provides contamination levels at which
  responders/equipment can be released
• Includes the maximum background radiation level
  in which the measurement must be taken
• Provides decontamination instructions

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Table 12 Responder Equipment Contamination
Release Levels
Radiation Type Contamination Range 1,2 Maximum Background Levels Decontamination Instructions
Beta 3 or 100 cpm to 10,000 cpm 4 or Level 1 10 of Release Limit Decontaminate to lowest level practicable using routine field decontamination methods (wiping and washing) and release without restriction.
Gamma 3 10 µR/hr to 100 µR/hr 5 (0.01 mR/hr to 0.1 mR/hr) Level 1 10 of Release Limit Decontaminate to lowest level practicable using routine field decontamination methods (wiping and washing) and release without restriction.
Alpha 3 1 cpm to 1,000 cpm 6 Level 1 10 of Release Limit Decontaminate to lowest level practicable using routine field decontamination methods (wiping and washing) and release without restriction.
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Table 12 Responder Equipment Contamination
Release Levels, continued
Beta 3 or 10,000 cpm to 100,000 cpm 4 or Level 2 10 of Release Limit Control large items, bag smaller items, and retain until evaluated by a Radiation Technical Specialist. Items returning to contaminated areas, including ambulances, may be reused during the incident with these contamination levels
Gamma 3 100 µR/hr to 1,000 µR/hr 5 (0.1 mR/hr to 1 mR/hr) Level 2 10 of Release Limit Control large items, bag smaller items, and retain until evaluated by a Radiation Technical Specialist. Items returning to contaminated areas, including ambulances, may be reused during the incident with these contamination levels
Alpha 3 1,000 cpm to 10,000 cpm 6 Level 2 10 of Release Limit Control large items, bag smaller items, and retain until evaluated by a Radiation Technical Specialist. Items returning to contaminated areas, including ambulances, may be reused during the incident with these contamination levels
Beta 3 or 100,000 cpm and Greater 4 or Level 3 10 of Release Limit Do not reuse or release. Contact a Radiation Technical Specialist for determination of disposition. 9
Gamma 3 1,000 µR/hr or Greater 5 (1 mR/hr or Greater) Level 3 10 of Release Limit Do not reuse or release. Contact a Radiation Technical Specialist for determination of disposition. 9
Alpha 3 10,000 cpm and Greater 6 Level 3 10 of Release Limit Do not reuse or release. Contact a Radiation Technical Specialist for determination of disposition. 9
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Attachment 6 Reception CenterFlow Diagrams
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Thank you!