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The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows: understand the differences between types of radiation incidents and implications of an IND attack on outlying communities; highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans; examine gaps in planning efforts and possible challenges and solutions; identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled; discuss the possibilities and benefits of integration of disaster transport systems; and explore roles of regional health care coalitions in coordination of health care response.--