TABLE 132.6 REPRESENTATIVE CLASSES OF INDUSTRIAL CHEMICALS— SUMMARY OF PEDIATRIC MANAGEMENT CONSIDERATIONS Critical ongoing issues regarding ED preparedness for a biologic or chemical agent attack include (i) optimal decontamination techniques, especially for young children; (ii) optimal PPE for ED staff; (iii) logistics of patient and hospital staff flow and isolation, in the context of a potentially lethal, contagious disease (e.g., smallpox, plague, and viral hemorrhagic fevers); (iv) safety of decontamination water runoff into public drainage systems; (v) community-wide needs for education and training; and (vi) financial considerations for individual hospital and regional planners Continued activity on an expert consensus basis, as well as new research, should help to address many of these issues