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While most areas of the country have systems in place to handle conventional disasters, such as a plane crash or building collapse, the infrastructure and systems to deliver health care during or following catastrophic situations, such as a widespread disease outbreak or a devastating earthquake, are rudimentary at best, says a new report from the Institute of Medicine. The report provides a resource manual to guide health care organizations, public health agencies, first responder teams, and government agencies in delivering care as effectively as possible to the greatest number of people when such disasters occur.