Appendix F STATE AND LOCAL DOMESTIC PREPAREDNESS NEEDS This appendix summarizes the results of three separate assessments of state and local preparedness: a 1995 survey of state and local preparedness by RAND; a 1997 National Institute of Justice survey of unmet technology needs; a 1997 study by FEMA; and a 1999 study by the Institute of Medicine and National Research Council. RAND’S 1995 ASSESSMENT OF STATE AND LOCAL PREPAREDNESS A 1995 RAND report revealed that, although there is concern about domestic preparedness issues, states and localities have limited resources for addressing the emerging threats: The case studies confirm in detail what the survey revealed in general terms. That is, communities perceived potential terrorism problems and have an interest in confronting terrorism before it erupts but in many cases are forced by budgetary, manpower, and other constraints to limit their terrorism preparedness. In such instances, cooperation with the FBI, through regular communication, training, and guidelines, is highly valued. Despite the resource and other constraints noted, the case studies reveal that a variety of successful terrorism preparedness formulas exist in communities both large and small. Large municipalities, such as New York City and Miami, have developed significant terrorism programs in close cooperation with the FBI and its regional joint terrorism task forces, whereas smaller communities, such as Kootenai County and Coeur d’Alene, Idaho, have worked to stay ahead of 251 252 Preparing the U.S. Army for Homeland Security nascent terrorism threats by forging close regional alliances and capitalizing on available FBI resources. More generally, the case study findings suggest that a community’s size, its resources, and the nature of the terrorism threats it confronts will influence both the strategic and tactical law enforcement response. Communities value the intelligence and support that the FBI provides, and municipalities highly value their communication with federal authorities. Localities are interested in adopting a strategic approach, in which intelligence, planning, and advance preparation are used to combat terrorism but lack the resources in many cases to maintain this more expensive approach. (Riley and Hoffman, 1995, p. x.) The principal implications are as follows: • The federal government is likely to be the principal source of resources for improving domestic preparedness. • Localities see great value in assistance in planning, training, equipping, and exercising local capabilities. • Localities see great value in access to federal law enforcement organizations, particularly the FBI, and are likely to value highly threat warning information, as well as access to relevant strategic, tactical, and operational intelligence. NIJ’S 1997 SURVEY OF UNMET TECHNOLOGY NEEDS The National Institute of Justice sponsored a study in 1997 that interviewed 195 individuals representing 138 agencies from 50 states and the District of Columbia about unmet technology needs for combating terrorism (National Institute of Justice, 1999). The top 15 identified technology needs are described in Table F.1. The list suggested a continuing need for • technologies with improved performance characteristics (e.g., detection, assessment, communications, robots, personal protective equipment); • technologies that, because they are currently very expensive or purchased in bulk quantities, need to be made more affordable State and Local Domestic Preparedness Needs 253 Table F.1 Top 15 Technology Needs of State and Local Law Enforcement National intergovernmental information system with current intelligence on terrorism Improved means of detecting explosives Improved and more readily available secure communications Improved means of detecting and categorizing NBC threats Improved interagency communications Improved robots for disarming and disabling explosive devices Improved affordable protective gear Improved nonlethal weapons Improved “see-through-the-wall” capability Improved long-range video monitoring Improved detection and tracing mechanisms for countermeasures for cyber attacks Improved electronic listening devices Improved training to combat terrorism Improved containment vessels and vehicles for explosive devices Improved night vision devices SOURCE: National Institute of Justice, 1999, p. 4. (e.g., detection and assessment equipment, personal protective equipment); and • improved communications and training. THE 1997 FEMA STUDY According to the 1997 Report to Congress on Response to Threats of Terrorist Use of Weapons of Mass Destruction, FEMA was assigned by the NSC to review the adequacy of the FRP to respond for WMD events (DoD, 1997). As described by the report: FEMA has been tasked by the NSC to review the adequacy of the FRP to respond to nuclear, biological, or chemical (NBC) WMD terrorism incidents and to identify and remedy any shortfalls in stockpiles, capabilities, or training that would affect [the] ability to respond. Scenarios describing NBC WMD incidents were used to help Federal, State, and local responders focus on the capabilities that would be required and to assess the adequacy of current capabilities to meet response requirements. The Federal effort included 254 Preparing the U.S. Army for Homeland Security a review of the coordination of consequence management activities with crisis management activities, an examination of the relationships among existing Federal interagency emergency plans, an assessment of the capabilities of the FRP to respond to an NBC WMD incident, the availability of medical capabilities for terrorism response, and procedures for military support of medical facilities and decontamination activities. The assessment of the FRP and Federal capabilities focused on identifying shortfalls in stockpiles, capabilities, and training that would affect the Federal Government’s ability to respond. In conducting the review and subsequent assessment, FEMA sought input from the 29 departments and agencies supporting the FRP. Comprehensive scenario-specific information was provided by key responding agencies including DoD, DOE, HHS, and EPA. The DoD report then went on to summarize the findings of the FEMA report. THE 1999 INSTITUTE OF MEDICINE/NATIONAL RESEARCH COUNCIL STUDY In 1999, a study on chemical and biological terrorism was published by the Institute of Medicine and National Research Council. It provided an assessment of civilian capabilities for medical care in chemical and biological incidents. The capability areas in Table F.2 have been ranked in declining order of need at the local and state levels (i.e., the least capable areas are found in the top rows of the table).1 Although the table sheds little light on what performance improvements and costs might be associated with additional investments, the five areas given the lowest capability ratings for the localities and states were as follows: • Preincident intelligence and threat warning information. ______________ 1 The rank-ordering was based on the number of times a capability was given a low rating in the first six columns (i.e., for local responders, initial treatment facilities, or state responders). State and Local Domestic Preparedness Needs 255 Table F.2 Relative Capabilities for Response to Civilian Chemical and Biological Incidents at Four Levels of Medical Care Local Responders Capability Receipt of preincident intelligence Detection and measurement of agent exposure in clinical samples Methods/procedures for decontamination of those exposed Availability, safety, and efficacy of drugs and other therapies Detection, identification, and quantification of agents in the environment Personal protective equipment Safe and effective patient extraction Methods for recognizing symptoms and signs in patients Methods for recognizing covert exposure in populations Mass-casualty triage techniques and procedures Prevention, assessment, and treatment of psychological effects Initial Treatment Facilities State Federal Chem Bio Chem Bio Chem Bio Chem Bio L L L L S S S S L L L S L S H H S S L L L L S S L L S S L L S S S L L L S S H S S S L S L S S S S S N/A N/A N/A N/A S S S S S S L L S S N/A N/A S S S S S S S S S S L L S S S S S S S S S S NOTE: H = highly capable; S = some capability; L = little or no capability; and N/A = not applicable. SOURCE: Institute of Medicine and National Research Council, 1999, p. 24. 256 Preparing the U.S. Army for Homeland Security • Detection and assessment equipment for environmental analysis and clinical samples. • Mass decontamination capabilities. • Vaccines and therapeutics. • Personal protective equipment.