The National Advisory Committee on Children and Terrorism said federal, state and local agencies should incorporate the unique needs and vulnerabilities of children into disaster plans at every stage of preparation and response.
"Protecting children and families should be at least as important as protecting bridges and buildings," Dr. Angela Diaz, committee chairwoman, said in a letter last week to Health and Human Services Secretary Tommy Thompson.
There are more than 70 million children under age 18 in the United States, and more than 22 million are 5 and younger, according to Diaz. "In a terrorist attack, these children would be among the most vulnerable populations in our society," she said.
As recently as 1997, the Federal Emergency Management Agency said no state disaster plans dealt specifically with the needs of children, Diaz said. She said a recent study showed that only about 20 percent of hospitals have access to pediatric emergency doctors, and most emergency personnel have little pediatric training or experience.
The report said a public health strategy for children in planning and responding to terrorism will require review of all Health and Human Services Department disaster programs and guidance to require that a specific focus be placed on meeting the needs of children and families.
The report said effective disaster planning must:
The report recommended that a national survey be done of federal, state and local terrorism and disaster plans to assess preparedness and training for the medical and psychological effects of terrorism on children.
Thompson said Monday that since Sept. 11, 2001, HHS has taken many steps toward planning for the needs of children and that as a result, the country is much better prepared today than it was two years ago. Still, he said, there is need for improvement.