{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:43:38Z","timestamp":1786999418529,"version":"build-2736575974"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"unspecified","delay-in-days":345,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325102504_sec1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess interagency emergency response capabilities for radiological threats through a tabletop exercise (TTX) simulating a nuclear power plant accident, with focus on communication protocols, patient referral pathways, and public information management in Ukraine\u2019s current security context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102504_sec2\">\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A structured 3-day TTX was conducted in September 2024 by the WHO Ukraine Country Office, simulating a cooling system failure at a fictional North-West Nuclear Power Plant. Twelve organizations participated, including regional health authorities, emergency services, and international partners. The exercise employed a progressive scenario that injects testing accident notification, media management, medical response, and evacuation procedures. Performance was evaluated using structured criteria (Achieved, Partially Achieved, Not Achieved) across predefined indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102504_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The exercise identified critical preparedness gaps including the absence of regular radiological-nuclear emergency drills in regions without nuclear facilities, challenges in potassium iodide procurement and distribution, staff hesitancy due to inadequate insurance coverage, and lack of standardized decontamination procedures. Communication protocols functioned effectively, though coordination delays were noted. Patient referral pathways required strengthening, particularly for contaminated casualties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102504_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While Ukraine demonstrates functional emergency response frameworks, specific radiological preparedness requires enhancement. Regular multiagency drills, improved staff protection policies, standardized decontamination protocols, and robust public information systems are essential for effective radiological emergency response.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10250","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T11:46:27Z","timestamp":1765539987000},"source":"Crossref","is-referenced-by-count":3,"title":["Strengthening Radiological Emergency Preparedness through a Tabletop Exercise: Lessons from a Multi-Agency Response Assessment in Ukraine"],"prefix":"10.1017","volume":"19","author":[{"given":"Kamal","family":"Akbarov","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO Country Office"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0043-8040","authenticated-orcid":false,"given":"Landry Ndriko","family":"Mayigane","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7553-8831","authenticated-orcid":false,"given":"Zhanat","family":"Kenbayeva","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaroslav","family":"Levchenko","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO Country Office"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akbar","family":"Esengulov","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO Regional Office"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederik Anton","family":"Copper","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO Regional Office"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Bacchus","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Bruni","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO Country Office"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarno","family":"Habicht","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01f80g185","id-type":"ROR","asserted-by":"publisher"}],"name":"WHO Country Office"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"S1935789325102504_r10","doi-asserted-by":"publisher","DOI":"10.1111\/1468-5973.12517"},{"key":"S1935789325102504_r2","unstructured":"2. World Health Organization\u2014Europe. Supporting Ukraine\u2019s Health Emergency Preparedness: WHO Pilots A New Tool for Hospital Response to Radiation Emergencies. Published April 2024. Accessed July 2, 2025. https:\/\/www.who.int\/europe\/news\/item\/05-04-2024-supporting-ukraine-s-health-emergency-preparedness--who-pilots-a-new-tool-for-hospital-response-to-radiation-emergencies"},{"key":"S1935789325102504_r6","doi-asserted-by":"publisher","DOI":"10.7290\/V7X34VDW"},{"key":"S1935789325102504_r4","unstructured":"4. World Health Organization. International Health Regulations (2005): IHR Monitoring and Evaluation Framework. Published January 1, 2018. Accessed July 2, 2025. https:\/\/www.who.int\/publications\/i\/item\/international-health-regulations-(-2005)-ihr-monitoring-and-evaluation-framework"},{"key":"S1935789325102504_r5","doi-asserted-by":"publisher","DOI":"10.1097\/HP.0b013e3181bbc18b"},{"key":"S1935789325102504_r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2020.101503"},{"key":"S1935789325102504_r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2016.12.010"},{"key":"S1935789325102504_r9","unstructured":"9. Jackson, BA , McKay, S. Preparedness exercises 2.0: alternative approaches to exercise design that could make them more useful for evaluating \u2014 and strengthening \u2014 preparedness. Homel Secur Aff. Vol. 7, No. 9 (April 2011). Accessed July 2, 2025. https:\/\/www.hsaj.org\/articles\/46"},{"key":"S1935789325102504_r3","unstructured":"3. World Nuclear Association. Safety of Nuclear Power Reactors - World Nuclear Association. Published February 11, 2025. Accessed July 2, 2025. https:\/\/world-nuclear.org\/information-library\/safety-and-security\/safety-of-plants\/safety-of-nuclear-power-reactors"},{"key":"S1935789325102504_r1","unstructured":"1. World Health Organization\u2014Ukraine. War in Ukraine: Situation Report From WHO Country Office in Ukraine: Issue No. 71, Published April 5, 2024. Accessed July 2, 2025. https:\/\/www.who.int\/europe\/publications\/i\/item\/WHO-EURO-2024-5319-45083-73867"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325102504","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T11:46:29Z","timestamp":1765539989000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325102504\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":10,"alternative-id":["S1935789325102504"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10250","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e355"}}