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One of the most catastrophic incidents that could befall the United States (US), causing enormous loss of life and property and severely damaging economic viability, is a nuclear detonation in a US city. It is incumbent upon all levels of government, as well as public and
private parties within the US, to prepare for this incident through focused nuclear attack response planning. Nuclear explosions present substantial and immediate radiological threats to life. Local and State community preparedness to respond to a nuclear detonation could result in life-saving on the order of tens of thousands of lives.