In March 2011, the North Atlantic Treaty Organization (NATO) promulgated Allied
Medical Publication 8 (C): NATO Planning Guide for the Estimation of CBRN Casualties,
(AMedP-8(C)) as a general methodology for estimating casualties resulting from
chemical, biological, radiological, and nuclear (CBRN) attacks against deployed military
forces. AMedP-8(C) contains parameters and values that can be used to apply the methodology
for a limited number of specified CBRN agents or effects. This document is the
third annual review by the Institute for Defense Analyses (IDA) of the extent to which
information available in published literature can be used: 1) to support the development
of quantifiable casualty estimation parameters for additional agents or effects, 2) in
response to new research, to update parameters for agents or effects already modeled, and
3) to extend the methodology to allow consideration of conditions not included in
AMedP-8(C). The 2011 review focuses on the effort required to meet the priorities
evinced in discussions with sponsors within Office of the Surgeon General (OTSG) and
the Joint Staff. The recommendations for future work contained herein are based on these
priorities.