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On February 2, 2014, Super Bowl XLVIII took place less than 10 miles from where we are sitting today. That event, which was attended by more than 80,000 people and watched around the world by more than 100 million people, is just one of the many large sporting events and gatherings that take place around the country each and every year. Just a few days before the Super Bowl, a suspicious powder was mailed to several locations in New Jersey and New York, including hotels near the Super Bowl site. Those substances were non-toxic, but the situation served as a stark reminder of the threats we face and the importance of planning, training, and exercises prior to mass gatherings. One of the keys to success is thorough planning and coordination. That includes at all levels-Federal, State, local, and private sector. It involves intelligence personnel, first responders, security experts, and dozens of other players who have a part to play. In preparation for Super Bowl XLVIII, the Department of Homeland Security took the lead in coordinating Federal efforts to assist the New Jersey State Police in security operations at MetLife Stadium and the surrounding areas, directing over 13 Federal offices and agencies in a massive interagency partnership. This partnership included the FBI, Department of Health and Human Services, FDA, and DOD, among others, all essential partners.
Mass gatherings pose special challenges in terms of management and control, especially considering their value as targets for terrorism. The terrorist goal of attacking in order to kill and injure the most people and have the greatest impact for the least amount of effort applies to mass gatherings; large-scale mass gatherings need to be protected in the post-9/11 world. Mass gatherings can be categorized in a number of different ways. Mass gatherings occur over different periods of time. Mass gatherings can also be categorized according to whether they are designated National Special Security Events (NSSEs) or non-NSSEs. The declaration as an NSSE carries with it a large commitment of Federal funding and other resources, as well as the leadership and management of the U.S. Secret Service of all security matters, including security planning. Whether mass gatherings are declared NSSEs or not, they can be so large and prolonged that they take on many of the characteristics of a city. These characteristics include population density, the need for law enforcement and first responder resources to manage crises, and the physical infrastructure of the venues themselves. Mass gatherings may present an attractive set of targets to terrorists when they incorporate patriotic and or military activities; corporate advertisements; governmental sponsorship; and large-scale television broadcasts. The threat to such venues is real and believed to be rising. On a bipartisan basis, Committee Staff visited and examined a number of mass gathering locations with different characteristics and challenges. It is clear that support personnel at these venues are doing the best they can with what they have, and that their efforts are commendable. However, personnel supporting non-NSSEs need assistance in three particular areas: countering biological threats, collaborative planning, and partnering across sectors.
Mass gathering security : a look at the coordinated approach to Super Bowl XLVIII in New Jersey and other large scale events : field hearing before the Subcommittee on Emergency Preparedness, Response and Communications of the Committee on Homeland Security, House of Representatives, One Hundred Thirteenth Congress, second session, June 23, 2014.
The challenge of protecting mass gatherings in a post 9/11 world: hearing before the Committee on Homeland Security, House of Representatives, One Hundred Tenth Congress, second session, July 9, 2008.
This is the definitive reference on disaster medicine, outlining areas of proficiency for health care professionals handling mass casualty crises.
"This document presents the key issues to be considered in the process of setting up and implementing public health alert, response and operational plans for MGs. It sets out methods for assessing the needs of the MG, determining the ability of existing systems to meet those needs, and modifying and strengthening those systems where required. It provides advice about prevention, detection and management of public health incidents, as well as the integration of the full range of public health activities into the MG planning process. It addresses the many different types of MG, provides case studies of the work undertaken for public health activities at various MGs, and supporting papers and additional resources to support the information here. This document has been developed primarily for public health professionals, as well as key policy makers, planners and executive personnel. In addition to those in the health sector, there are many outside authorities involved in contributing to healthy outcomes at MGs, who will also find this document useful. It is further anticipated that it will be a valuable resource for event promoters and managers, emergency service personnel, government bodies, and any organizations or individuals who contribute to the organization of MGs. Wide distribution should be encouraged, providing it is understood that while many factors influence the wellbeing of those attending MGs, the detailed contents of this document are directed principally at managing public health issues that influence health and safety at a MG."--Page 12.
The definitive reference for travel medicine, updated for 2020 "A beloved travel must-have for the intrepid wanderer." -Publishers Weekly "A truly excellent and comprehensive resource." -Journal of Hospital Infection The CDC Yellow Book offers everything travelers and healthcare providers need to know for safe and healthy travel abroad. This 2020 edition includes: � Country-specific risk guidelines for yellow fever and malaria, including expert recommendations and 26 detailed, country-level maps � Detailed maps showing distribution of travel-related illnesses, including dengue, Japanese encephalitis, meningococcal meningitis, and schistosomiasis � Guidelines for self-treating common travel conditions, including altitude illness, jet lag, motion sickness, and travelers' diarrhea � Expert guidance on food and drink precautions to avoid illness, plus water-disinfection techniques for travel to remote destinations � Specialized guidelines for non-leisure travelers, study abroad, work-related travel, and travel to mass gatherings � Advice on medical tourism, complementary and integrative health approaches, and counterfeit drugs � Updated guidance for pre-travel consultations � Advice for obtaining healthcare abroad, including guidance on different types of travel insurance � Health insights around 15 popular tourist destinations and itineraries � Recommendations for traveling with infants and children � Advising travelers with specific needs, including those with chronic medical conditions or weakened immune systems, health care workers, humanitarian aid workers, long-term travelers and expatriates, and last-minute travelers � Considerations for newly arrived adoptees, immigrants, and refugees Long the most trusted book of its kind, the CDC Yellow Book is an essential resource in an ever-changing field -- and an ever-changing world.