Warren County school conducts bioterror drill

Fake antibiotics distributed and instruction video shown during Warren Hills operation.
Sunday, October 03, 2004 • By KURT BRESSWEIN • The Express-Times

WASHINGTON TWP. -- Antibiotics for pneumonic plague replaced lunch and salad Saturday at the fronts of lines in the cafeteria of Warren Hills Regional High School.

Fortunately for the nearly 250 volunteers and professionals in medicine and law enforcement present, the bottles of antibiotics and the threat of plague were both empty.

It was all part of Operation Scarlet Pestilence, a three-day emergency exercise that tested the authorities' abilities to triage patients and distribute medication.

Warren County was one of four counties in addition to Newark to take part.

Had this been a real emergency, the infected would have found a response built around being open with the patients. The would-be patients got fact sheets on the treatment system and the plague and were herded into the school's auditorium for a video on what they were facing.

Preparations for the drill began about three months ago. The scenario on which the exercise was based was a swell of flu patients whose common link was their attendance at a Sept. 25 sporting event at Rutgers University.

Local, state and federal officials met Thursday in Trenton to plan their response. On Friday, the state Department of Corrections delivered the empty medicine bottles to the Warren County jail and locations in Monmouth and Passaic counties.

Atlantic County and Newark participated in the drill but without the antibiotics.

The medicine came from the federal Strategic National Stockpile, a mix of pharmaceuticals, vaccines, and medical supplies and equipment. The stockpile is spread throughout the country and designed for deployment by air or ground to any stateside location in 12 hours.

"They're pre-positioned in different places throughout the U.S. and then they're distributed wherever they're needed," John A. Hawk said about the stockpile's materials. "In this case they were sent to New Jersey."

Hawk is Warren County's health officer and served in the exercise as manager of the high school scene, known in homeland security jargon as a point of dispensing, or POD.

Layers of police checkpoints limited access to the school during Saturday's drill. Yellow tape strung around the front steps created a corral akin to the line for an amusement park ride.

Medical professionals wearing masks gave the victims an initial interview before sending them inside for triage, which is an assessment of who is healthy but scared and who is sick, sicker and sickest.

Those just scared were sent to talk to mental health professionals, while the less fortunate were sent for one of two antibiotics theoretically on hand. A pharmacist was available to prescribe doses for children.

Mary E. Van Horn, Warren County's assistant public health nursing supervisor, said the system is designed to treat 300 patients an hour with injections and double that for just pills.

Van Horn was pleased with the response Saturday.

"We are public health nursing and what we do is we deal with the public, we deal with masses of people," Van Horn said. "So this is not a new scenario for us."

John Horensky, the mayor of Washington Township and Somerset County's health officer, noted the treatment plan could serve any widespread illness or mass-casualty scenario.

"We're due pretty soon for a major flu pandemic," Horensky said.

Kevin Hayden, director of operations and planning for the state Department of Health and Senior Services, also noted New Jersey was home to terrorists in the 1993 World Trade Center bombing, the attacks of Sept. 11, 2001, and post offices through which anthrax-laced letters passed in 2001.

"We think about New Jersey and we think about all the things that are going on in the world today," Hayden said. "You have to remember no matter what happens, whether it's a manmade or natural catastrophe, there will always be health and medical consequences."

In addition to 130 volunteers including Community Emergency Response Teams from Washington Borough and Phillipsburg, Saturday's exercise included about 115 medical professionals and officials from the Warren County prosecutor's office, office of emergency management and health department; emergency medical services; police departments; and the Department of Health and Senior Services.

Operation Scarlet Pestilence was designed as prelude to a multi-day exercise scheduled for April, known as Top Off, for top officials. That is slated to involve all 21 counties in New Jersey as well as Connecticut, the United Kingdom and Canada.

"Heaven forbid this never happens," said Mark Frances, a Warren County assistant prosecutor. "But it's been a great experience so far for all of us to go through it. From our perspective it looks like it's going pretty well here for our first try."


Copyright 2004 The Express-Times. Used with permission.

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