The fallout would begin to fall on the ground, roofs, and vehicles as the winds dispersed it from the mushroom cloud of debris rising up to five miles in the atmosphere. Many more people-some hundreds of thousands-who were not affected by the immediate effects of the explosion would be at risk of injury and death from radioactive fallout but would have the ability to take actions to protect themselves from the radiation. Immediately after an unannounced ground-level burst of a 10-kt IND in the central business district of a major city, some tens of thousands of people would be dead or severely injured. They addressed the prevention and treatment of the delayed casualties resulting from an IND detonation. The participants in this August workshop panel discussion were Thomas Ahrens from the California Department of Public Health, Los Angeles and San Francisco Brooke Buddemeier from Lawrence Livermore National Laboratory Kathleen “Cass” Kaufman from the Los Angeles County Department of Public Health Jeanine Prud’homme from the New York City Department of Health and Mental Hygiene Irwin Redlener, Columbia University Adela Salame-Alfie from the New York State Department of Health Reuben Varghese from Arlington Public Health, Virginia (National Capital Region) and Michael Welling from the Virginia Department of Health (National Capital Region).
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