Top Officials (TOPOFF)
Exercise Series:
TOPOFF 2
After Action Summary Report
For
Public Release
December
19, 2003
Introduction
Top Officials 2 (TOPOFF 2)
was a Congressionally-mandated, national terrorism exercise that was
designed to identify vulnerabilities in the nation��s domestic incident
management capability by exercising the plans, policies, procedures,
systems, and facilities of federal, state, and local response organizations
against a series of integrated terrorist threats and acts in separate
regions of the country.
TOPOFF 2 was the largest and
most comprehensive terrorism response exercise ever conducted in the
United States. The exercise scenario, which was played out from
May 12 to May 16, 2003, depicted a fictitious, foreign terrorist organization
that detonated a simulated radiological dispersal device (RDD) in Seattle,
Washington, and released the Pneumonic Plague (Yersinia pestis)
in several Chicago metropolitan area locations. There was also
significant pre-exercise intelligence play, a cyber-attack, and credible
terrorism threats against other locations. The exercise brought
together top government officials from 25 federal, state, and local
agencies and departments, and the Canadian Government to test the domestic
incident management in response to WMD terrorist attacks in the United
States.
The first TOPOFF exercise,
TOPOFF 2000, was a single, no-notice, exercise co-chaired by the Department
of Justice and the Federal Emergency Management Agency (FEMA) in May
2000. Unlike TOPOFF 2000, TOPOFF 2 was designed as an ��open��
exercise in which participants were introduced to the exercise scenario
prior to the exercise through a cycle of activity of increasing complexity
that included:
- a series of seminars
that explored emergency public information, RDD response, bioterrorism,
and national direction and control issues; and
- the Top Officials
Seminar that brought together top government officials from 25 FSL
agencies and departments, and the Canadian Government, in a roundtable
discussion to explore inter-governmental domestic incident management
in response to WMD terrorist attacks on the United States.
The purpose of the open exercise
design was to enhance the learning and preparedness value of the exercise
through a ��building-block�� approach, and to enable participants
to develop and strengthen relationships in the national response community.
Participants at all levels stated that this approach has been of enormous
value to their domestic preparedness strategies.
This Summary Report highlights
the significant findings of the TOPOFF 2 exercise series with particular
focus on seven special topics that crossed multiple areas of analysis
or were of special significance. The special topics are:
- Alerts and Alerting:
The Elevation of the Homeland Security Advisory System Threat Condition
to Red;
- Declarations and
Proclamations of Disaster and Emergency;
- Department of Homeland
Security Play in TOPOFF 2 : The Role of the Principal Federal
Official;
- Data Collection
and Coordination: Radiological Dispersal Device Plume Modeling and Deposition
Assessment;
- Play Involving the
Strategic National Stockpile;
- Hospital Play in
the Illinois Venue: Resources, Communications and Information Sharing
during a Public Health Emergency;
- Balancing the Safety
of First Responders and the Rescue of Victims.
Summary
Findings
- Alerts and Alerting:
The Elevation of the Homeland Security Advisory System Threat Condition
to Red
The TOPOFF 2 Exercise provided
several opportunities to test the Homeland Security Advisory System
(HSAS): it was the first time (real or notional) that the HSAS Threat
Condition was raised to Red; it represented the first time for agencies
to experiment with the actions associated with the Threat Condition
of ��Severe,�� or Red; and it allowed for examination of the implications
of raising specific regions or localities to Red. In addition,
local jurisdictions raised their own threat levels to Red. The
exercise highlighted that additional refinement of this advisory system
is needed. Findings from the exercise include the following:
- Following the local
threat level elevations of Seattle and King County early in the exercise,
there was uncertainty as to the status of the HSAS Threat Condition
of other jurisdictions. This situation was caused in part by a)
a lack of awareness of local threat advisory systems; b) inconsistent
or non-existent formal notification protocols of threat elevations;
and c) a lack of language clarity—elevations of the HSAS are referred
to as elevations of the ��national threat level,�� even if applied
to regions or localities.
- There was also uncertainty
regarding specific protective actions to be taken by specific agencies
under a HSAS Severe Threat Condition Red. Many agencies lack a
consistent and comprehensive understanding of the protective actions
that might be taken by other agencies or jurisdictions under various
threat levels.
- The federal, state,
and local response to elevations of the HSAS needs to be further developed
and synchronized. Participants in the TOPOFF 2 suggested the development
of a tiered, operational response linked to the HSAS levels and based
upon the nature of the threat. This system would be defined by
a coalition of federal, state, and local agencies and would offer a
comprehensive operational response framework that jurisdictions at all
levels could use to help define their response plans at each HSAS Threat
Condition.
- Declarations
and Proclamation of Disaster and Emergency
During the exercise, several
declarations of emergencies and disasters were issued. Local and
state jurisdictions in both exercise venues invoked their authorities
to declare emergencies, and requested federal assistance under the Stafford
Act. These requests ultimately led to a Presidential Declaration of
Major Disaster in Washington and a Presidential Declaration of Emergency
in Illinois. The bioterrorism attack in Illinois was especially
challenging as its impact involved multiple counties, the city of Chicago
and the state of Illinois. In addition, the Secretary of Health
and Human Services declared a Public Health Emergency in the state of
Illinois under the authorities of the Public Health Service Act.
This occurred before the Presidential Declaration of Emergency, enabling
the activation of several response assets. Findings from the exercise
include the following:
- Officials in Illinois
requested a Major Disaster Declaration to obtain maximum federal assistance
for the growing bioterrorism disaster. The emergency declaration
in Illinois led to concerns about whether some individual assistance
programs, which are specifically authorized for a disaster but not for
an emergency, would be authorized.
- It is worth noting
that during the exercise, the large-scale bioterrorism attack did not
qualify as a Major Disaster under the Stafford Act; biological disasters
are not specifically cited in the Act. It is not clear from the
exercise whether the difference in declaring a major disaster would
result in substantive real-world issues given the exception clauses
under declarations of emergency as previously described.
- The relationships
between the authorities and resources brought to bear under the Public
Health Act and the Stafford Act should continue to be exercised.
The exercise did not indicate confusion with activation of the Public
Health Act or the declaration by the HHS Secretary of a Public Health
Emergency, but additional clarity, especially regarding the authorities
and resources brought to bear under both Acts, would be valuable.
- Department of
Homeland Security Play in TOPOFF 2: The Role of the Principal Federal
Official
The exercise was the first
opportunity for the newly created DHS to exercise and experiment with
its organization, functions, and assets. For example, the DHS
Principal Federal Official (PFO) concept was first implemented during
the exercise, which provided the opportunity to examine the role of
the PFO during an emergency response. During the exercise, the
PFOs in both venues facilitated integrated communications and coordinated
action planning. Findings from the exercise include the following:
- The PFO was well-received
and successfully integrated into the unified command structure in both
venues. In Seattle, the PFO quickly instituted a unified command
to manage the overall federal response and coordinate integrated communications
and action planning. The PFO in Seattle also helped to prioritize
and adjudicate between the often-competing needs of the crisis and consequence
management sides of the response phase. In Illinois, the PFO worked
within the framework of a unified command to ensure that integrated
communications were achieved and that action plans were coordinated.
- Both PFOs required
additional technical support beyond their deployed administrative and
security details. The exercise highlighted the need for the PFO
to have a dedicated staff with the flexibility and expertise to support
all emergencies, natural and terrorist-related. If the Domestic
Emergency Support Team is expected to support the PFO and the federal
response, DHS should consider providing additional resources to staff
at least one additional team in the event that more than one federal
emergency occurs at the same time, as was exercised during TOPOFF 2.
- Data Collection
and Coordination: Radiological Dispersal Device Plume Modeling
and Deposition Assessment in Washington
During TOPOFF 2, there
were multiple federal, state, and local agencies that had responsibilities
for collecting data. The data were then sent to one or more locations
to be compiled and analyzed. Once the analyses were complete,
information was provided to top officials to assist in their decision-making.
However, there were critical data collection and coordination challenges
that had significant impacts on the response to the RDD attack in Seattle
and impacted the ability to get timely, consistent, and valid information
to top officials. Findings from the exercise include the following:
- The coordination
of on-site and off-site data collection by multiple agencies at federal,
state, and local levels of government needs improvement. The exercise
highlighted the many radiological data collection assets that exist
at all levels of government. Federal, state, and local agencies and
departments, therefore, need to be educated about the importance of
coordinating the data collection process, and to work with the Federal
Radiological Monitoring and Assessment Center to ensure that coordination
takes place during radiological emergencies. The development of
the National Response Plan and the National Incident Management Plan
may help to facilitate the data collection and coordination processes
in the future.
- There is a need
for additional education among both responders and decision-makers as
to the timing and value of the different types of information following
a radiological incident. The value and limitations of plume models
and other analysis products are not widely understood. Plume models
provide a prediction of where the material in the explosion will travel.
Once actual data from the incident are collected and evaluated, the
value of plume models diminishes. Once responders learn what really
is out there and where it is, predictions alone become less important.
- Play Involving
the Strategic National Stockpile
The activation, requests
for and deployment and distribution of the Strategic National Stockpile
(SNS) were extensively played during TOPOFF 2. The exercise tested
the ability of all levels of government to make decisions, allocate
resources, coordinate and communicate, and inform the public regarding
this critical SNS resource. The state of Illinois tested its ability
to break down and secure the antibiotic stocks. Local jurisdictions
tested their abilities to distribute supplies of antibiotics to their
first responders and citizens. Overall, the request, receipt,
breakdown, distribution, and dispensing of the SNS during the exercise
were completed successfully. Findings from the exercise include
the following:
- Determining a prophylaxis
distribution policy for first responders and citizenry across local
jurisdictions was challenging. This was due, in part, to the enormous
logistical challenges of distributing medications to a large metropolitan
area, as well as the very real limitation of the amount of medication
that was immediately available.
- Inconsistent information
was given by different jurisdictions as to who should seek prophylaxis
and when, as well as the locations of the suspected plague release sites.
- The Homeland Security
Council is leading an interagency effort to remedy the plume modeling
process deficiencies noted during the exercise.
- Hospital Play
in the Illinois Venue: Resources, Communications, and Information
Sharing during a Public Health Emergency
During TOPOFF 2, 64 hospitals
in the Illinois venue participated in the exercise, making it one of
the largest mass casualty exercises ever undertaken. This aspect
of the exercise presented an unprecedented opportunity to examine the
coordinated efforts of the medical and public health communities to
react to and control the spread of a disease outbreak, specifically
an outbreak initiated by a bioterrorism attack. Because of the
large number of participating hospitals, challenges regarding communication
and the management of resource requirements were significant.
Findings from the exercise include the following:
- During the exercise,
the lack of a robust and efficient emergency communications infrastructure
was apparent. Communications heavily relied upon telephones and faxes
for data transmission. The unanticipated large call volume was
the greatest problem. The phone system in at least one location
was overwhelmed, requiring three HAM radio operators to maintain communications
connectivity. Facsimile communications were also subject to transmission
and receipt problems due to call volumes. ��Blast fax transmissions��
took up to two hours to complete. In addition, information was
often copied manually to a form. The form was then faxed (in some
cases degrading its readability) to a collection point, where it was
then manually tabulated on another form, and then entered into an information
system for transmission. This process increases potential errors.
- Resource demands
challenged hospitals throughout the exercise. These included short
supplies of isolation and negative pressure rooms, as well as staff
shortages. Hospitals employed a number of solutions to these problems
including activating staff phone trees to recall medical personnel;
using extra conference rooms, lobbies, and Clinical Decision Units (closed
units) as isolation wards; and using same day surgery, radiology, and
endoscopy labs, as well as an offsite tent, as negative pressure (i.e.,
disease containment) rooms.
- Balancing the
Safety of First Responders and the Rescue of Victims
In incidents when victim
survival is dependent upon the timeliness of medical treatment, first
responders typically initiate victim rescue and removal as rapidly as
possible, while incident commanders manage responder safety with an
ongoing risk-benefit analysis. However, when faced with an emergency
that potentially involves a WMD, first responders face a greater potential
of becoming casualties themselves. Given the uncertainty surrounding
the simulated RDD explosion during the exercise, many of the responders
artificially had the knowledge that it was a radiological incident and
the incident commander had to take precautions to ensure that the responders
were safe. Findings from the exercise include the following:
- Rescue operations
at the RDD incident site highlighted the need for more frequent, informational
communication between incident command and hospital control. Incident
commanders may need to be more proactive in providing information. While
hospital control was aware that radiation had been detected at the incident
site, there is no indication in the data analyzed that incident command
or the medical group at the incident site communicated with hospital
control to explain the need to conduct a more detailed risk-benefit
analysis before rescue operations could commence. In addition,
hospital control was not always aware of the periodic halts to rescue
operations that occurred during the initial hours of the exercise response
due to both the suspected and real presence of secondary explosive devices.
- The public health
and medical communities, the media, and the general public should be
educated on the unique considerations that must be factored into rescue
operations following a terrorist WMD attack. Considerations non-responder
communities should be aware of include the need to balance responder
safety and rescue efforts and the specific practices rescuers employ
when responding to critical situations, such as the potential for secondary
explosive devices in or around an incident scene. The public health
and medical communities should be made aware of the need for incident
command to conduct a detailed risk-benefit analysis prior to the start
of rescue operations. Finally, a consistent message to the public
from incident command, public health, and medical communities is critical.
Conclusions
TOPOFF 2 was an innovative,
useful, and successful exercise and was the first national combating
terrorism exercise conducted since DHS was established. As a result,
TOPOFF 2 provided a tremendous learning experience for both the new
DHS and the federal agencies now working with DHS during a response
to domestic incidents. In addition, the experience in Washington
and Illinois provided important lessons regarding federal, state, and
local integration. These lessons are valuable to other states
and localities as they work to train, exercise, and improve their own
response capabilities.
TOPOFF 2 involved the play
of new agencies and entities within DHS (e.g., the Transportation Security
Administration, the PFO, and the Crisis Action Team).
- The PFO concept
was tested in both exercise venues. While this position has the potential
to assist greatly with the coordination of federal activities across
the spectrum of the response, TOPOFF 2 results also indicated that the
roles and responsibilities of the PFO need to be clarified with respect
to those of the FBI Special Agent in Charge, the FEMA RD, and the FCO.
In addition, the PFO requires an emergency support team with the flexibility
and expertise to provide support across the full range of homeland security
operations.
TOPOFF 2 represented the
first time (real or notional) in which the HSAS Threat Condition was
raised to Red.
- Valuable experience
was gained as the Secretary of DHS, in concert with the Homeland Security
Council, first raised selected areas of the country and then the whole
country to Threat Condition Red. In addition, local jurisdictions
raised their own threat levels to Red.
TOPOFF 2 involved an extraordinary
sequence of two Presidential Declarations wrapped around a Public Health
Emergency declaration by the Secretary of HHS.
- The Presidential
declarations were for a major disaster in the Washington venue and an
emergency in the Illinois venue. These two declarations illustrated
some of the subtleties of the Stafford Act that may not have been fully
appreciated before the exercise; for instance, a bioterrorism attack
does not clearly fit the existing definition of disaster as defined
by the Act. The Secretary of Department of Health and Human Services
(HHS), acting on authorities through the Public Health Service Act and
in consultation with the region, declared a Public Health Emergency.
This permitted HHS to authorize the use of federal assets (with costs
covered by HHS). It appeared to lead to some uncertainty about
where authority to deploy certain assets really lay, with HHS or DHS.
Planning and development
of the National Incident Management System (NIMS) should take advantage
of the TOPOFF Exercise Series.
- This comment from
the TOPOFF 2000 report bears repeating: ��Multiple direction and control
nodes, numerous liaisons, and an increasing number of response teams
complicated coordination, communications, and unity of effort.��
If anything, TOPOFF 2 may have been characterized by even more
teams and communication nodes.
- Communication and
coordination issues drove the course and outcome of critical public
policy decisions, from raising the threat level to the various disaster/emergency
declarations, from the determination of exclusion zones to the re-opening
of transportation systems. To the extent that there were problems
in these areas, communication issues were likely the primary cause.
- TOPOFF 2 showed
that how people believe communications and coordination is supposed
to work based on policy is often not how they work in reality.
What may appear to be clearly defined processes—such as requesting
the SNS—in practice become much more difficult.
With the active participation
of 64 hospitals in the Chicago metropolitan area responding to the notional
bioterrorism attack, TOPOFF 2 represented one of the largest hospital
mass casualty exercises ever conducted.
- TOPOFF 2 represented
a significant experiment in communications and coordination for the
public health and medical communities. In particular, the massive
amounts of communication required to track resource status (beds, specialized
spaces, medical equipment), and the cumbersome procedures and insufficient
electronic means to do so in many cases, taxed hospital staff.
- TOPOFF 2 did not
last long enough to fully explore the impacts of mass casualties on
the medical system. Much less than half of the infected population
was visible to the medical system at the conclusion of the exercise.
- While there were
a number of attempts to estimate the potential scope of the outbreak,
the focus of most activities appeared to be on the cases that were presented
to the health care system. It should be noted that HHS was working
actively during the exercise to identify the resources that would be
required to deal with the infected population.
TOPOFF 2 Illinois play also
involved an extensive SNS request and distribution component
- Although the actual
distribution process appeared to go quite well, there was some confusion
over the procedures and processes for requesting and receiving the SNS.
The SNS Operations Center coordinated the stockpile deployment through
the FEMA EP&R Director. Additionally, senior-level consultation
occurred between DHS and HHS via video teleconference and direct communication.
- The jurisdictions
in the Chicago metropolitan area were forced to confront important decisions
about how the stockpile (and local assets) would be divided and who
would be among the first population groups to receive prophylaxis.
The discussions and decision-making involved, as well as the challenges
in coordinating public information, are worthy of study by other metropolitan
areas for the lessons they provide.
DHS should consider the
integration of existing response policies and plans into the NRP.
- States are familiar
with and have built their response plans to coincide with federal assets
and plans using similar agency and department structures and language.
Federal agencies are satisfied with the language, authorities, and relationships
outlined in existing plans such as the FRERP and the NRP. As the
NRP undergoes development, the integration of response plans and policies
merit consideration—particularly where existing plans are considered
effective for emergency response.
TOPOFF 2 involved more sustained
play by top officials than TOPOFF 2000.
- Of particular note
was the involvement of DHS (which had been in existence for only a little
more than ten weeks prior to the exercise), the DHS Secretary, and other
senior civilians.
- HHS operated the
Secretary��s Command Center for 24 hours-a-day throughout the exercise
with extensive play at the Assistant Secretary- and Operating Division
Director levels. The Secretary was actively involved, and since
one venue involved substantial public health play, the participation
of HHS was critical to the success of the exercise.
- In both Washington
and Illinois, the offices of the mayors, county executives, and governors
were well-represented throughout the exercise by either the elected
officials themselves or high-level policy-makers in respective administrations.
TOPOFF 2 represents a foundational
experience to guide the future development of the TOPOFF Exercise Series.
- Because of the extensive
data collection process and the effort to make TOPOFF 2 findings both
well-documented and traceable through a detailed reconstruction of the
exercise events, TOPOFF 2 represents a baseline upon which subsequent
TOPOFF exercises can build and to which they can be rigorously compared.
- TOPOFF 2 demonstrated
the value of the international, private sector, and non-profit perspectives
and roles in response to WMD terrorism. Future exercises will,
no doubt, expand on these elements by broadening the participation of
all these sectors.
- The success of the
Video News Network and widespread participant feedback regarding the
desire for additional challenges in the area of public information suggest
that future exercises should include a more aggressive mock-media element
with a more aggressive news-gathering function that includes mock-press
conferences.
PARTICIPATING AGENCIES LIST
United States Federal Departments and
Agencies |
American Red Cross
(ARC) |
Bureau of Alcohol,
Tobacco, Firearms and Explosives (ATF) |
Centers for Disease
Control and Prevention (CDC) |
Defense Threat Reduction
Agency (DTRA) |
Department of Agriculture
(USDA) |
Department of Defense
(DOD) |
Department of Energy
(DOE) |
Department of Health
and Human Services (HHS) |
Department of Homeland
Security (DHS) |
Department of Housing
and Urban Development (HUD) |
Department of Justice
(DOJ) |
Department of Labor
(DOL) |
Department of Navy
(DON) |
Department of the
Interior (DOI) |
Department of State
(DOS) |
Department of Transportation
(DOT) |
Department of Veterans
Affairs (VA) |
Environmental Protection
Agency (EPA) |
Federal Bureau of
Investigation (FBI) – Critical Incident Response Group (CIRG) |
FBI – WMD Countermeasures
Unit |
Federal Aviation
Administration (FAA) |
Federal Emergency
Management Agency (FEMA) |
General Services
Administration (GSA) |
Institute for Security
Technology Studies (ISTS) |
Joint Forces Command
(JFCOM) |
National Aeronautics
and Space Administration (NASA) |
National Imagery
and Mapping Agency (NIMA) |
National Reconnaissance
Office (NRO) |
National Security
Council (NSC) |
National Weather
Service (NWS) (Department of Commerce) |
Nuclear Regulatory
Commission (NRC) |
Occupational Safety
and Health Administration (OSHA) |
United
States Federal Agencies and Organizations (Continued) |
Postal Inspection
Service (U.S. Postal Service [USPS]) |
Small Business Administration
(SBA) |
Social Security
Administration (SSA) |
Technical Support
Working Group (TSWG) |
Transportation Security
Administration (TSA) |
U.S. Coast Guard
(USCG) |
U.S. Customs Service
(USCS) |
U.S. Geological
Survey (USGS) |
U.S. Secret Service
(USSS) |
Canadian
Agencies |
Agriculture and
Agri-Food Canada (AAFC) |
British Columbia
Ministry of Health EOC (BCMOH) |
British Columbia
Provincial Emergency Program (BCPEP) |
Canadian Coast Guard
(CCG) |
Canada Customs and
Revenue Agency (CCRA) |
Canadian Food Inspection
Agency (CFIA) |
Canadian Nuclear
Safety Commission (CNSC) |
Canadian Security
Intelligence Service (CSIS) |
Citizenship and
Immigration Canada (CIC) |
Department of Justice
(DOJ) |
Department of Defense
(DOD) |
Department of Foreign
Affairs and International Trade (DFAIT) |
Environment Canada
(EC) |
Health Canada (HC) |
Industry Canada
(IC) |
Office of Critical
Infrastructure Protection and Emergency Preparedness (OCIPEP) |
Privy Council Office
(PCO) |
Public Works and
Government Services Canada (PWGSC) |
Royal Canadian Mounted
Police (RCMP) |
Solicitor General
(SGC) |
Transport Canada
(TC) |
State
and Local Agencies |
American Red Cross
of Greater Chicago (ARCGC) |
Chicago Department
of the Environment (CDOE) |
Chicago Department
of Public Health (CDPH) |
Chicago Fire Department
(CFD) |
Chicago Office of
Emergency Management and Communications (OEMC) |
City of Bellevue |
Cook County Sheriff's
Office (CCSO) |
Cook County Sheriff's
Office Emergency Management Agency (CCSO EMA) |
Cook County Department
of Public Health (CCDPH) |
DuPage County Office
of Emergency Management (DCOEM) |
DuPage County Health
Department (DCHD) |
Illinois Department
of Public Health (IDPH) |
Illinois Emergency
Management Agency (IEMA) |
Illinois Hospital
Association (IHA) |
Illinois Office
of the State Fire Marshal |
Illinois State Fire
Chiefs Association |
Illinois State Police
(ISP) |
Illinois Commerce
Commission (ICC) |
Illinois Department
of Transportation (IDOT) |
Illinois Department
of Human Services (IDHS) |
Kane County Office
of Emergency Management (KCOEM) |
Kane County Health
Department (KCHD) |
King County Fire
Chiefs Association (KCFCA) |
King County Government
(KCG) |
King County Office
of Emergency Management (KCOEM) |
King County Police
Chiefs Association (KCPCA) |
Public Health –
Seattle and King County |
Lake County Emergency
Management Agency (LCEMA) |
Lake County Health
Department (LCHD) |
Lake County Fire
Department Specialized Response Team |
Metropolitan Chicago
Healthcare Council (MCHC) |
Office of the Governor
of the State of Illinois |
Office of the Governor
of the State of Washington |
Office of the Mayor
of the City of Chicago |
State
and Local Agencies (Continued) |
Office of the Mayor
of the City of Seattle |
Port of Seattle |
Seattle Fire Department
(SFD) |
Seattle Emergency
Management (SEM) |
Seattle Police Department
(SPD) |
Washington State
Department of Agriculture (WSDA) |
Washington State
Department of Ecology (WSDE) |
Washington State
Department of Health (WSDH) |
Washington State
Department of Information Services (WSDIS) |
Washington State
Department of Transportation (WSDOT) |
Washington State
Emergency Management Department (WSEMD) |
Washington State
Ferries (WSF) |
Washington State
Patrol (WSP) |