Category Archives: General Topics

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World Water Day 2019

Today is World Water Day – a day to focus on the United Nations’ Sustainable Development Goal of safe drinking water for all. Our reports explore challenges and opportunities for improving water safety and availability. All are free to download.

Drinking Water Distribution Systems: Assessing and Reducing Risks

Protecting and maintaining water distributions systems is crucial to ensuring high quality drinking water. Distribution systems — consisting of pipes, pumps, valves, storage tanks, reservoirs, meters, fittings, and other hydraulic appurtenances — …

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From Source Water to Drinking Water: Workshop Summary

The Institute of Medicine’s Roundtable on Environmental Health Sciences, Research, and Medicine was established in 1988 as a mechanism for bringing the various stakeholders together to discuss environmental health issues in a neutral setting. The …

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Review of the New York City Department of Environmental Protection Operations Support Tool for Water Supply

New York City’s water supply system is one of the oldest, largest, and most complex in the nation. It delivers more than 1.1 billion gallons of water each day from three upstate watersheds (Croton, Catskill, and Delaware) to meet the needs of …

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Water Reuse: Potential for Expanding the Nation’s Water Supply Through Reuse of Municipal Wastewater

Expanding water reuse–the use of treated wastewater for beneficial purposes including irrigation, industrial uses, and drinking water augmentation–could significantly increase the nation’s total available water resources. Water Reuse

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Challenges and Opportunities in the Hydrologic Sciences

New research opportunities to advance hydrologic sciences promise a better understanding of the role of water in the Earth system that could help improve human welfare and the health of the environment. Reaching this understanding will require …

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Pathways to Urban Sustainability: Challenges and Opportunities for the United States

Cities have experienced an unprecedented rate of growth in the last decade. More than half the world’s population lives in urban areas, with the U.S. percentage at 80 percent. Cities have captured more than 80 percent of the globe’s economic …

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Using Graywater and Stormwater to Enhance Local Water Supplies: An Assessment of Risks, Costs, and Benefits

Chronic and episodic water shortages are becoming common in many regions of the United States, and population growth in water-scarce regions further compounds the challenges. Increasingly, alternative water sources such as graywater-untreated …

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Desalination: A National Perspective

There has been an exponential increase in desalination capacity both globally and nationally since 1960, fueled in part by growing concern for local water scarcity and made possible to a great extent by a major federal investment for desalination …

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Understanding Water Reuse: Potential for Expanding the Nation’s Water Supply Through Reuse of Municipal Wastewater

In communities all around the world, water supplies are coming under increasing pressure as population growth, climate change, pollution, and changes in land use affect water quantity and quality. To address existing and anticipated water …

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Alternatives for Managing the Nation’s Complex Contaminated Groundwater Sites

Across the United States, thousands of hazardous waste sites are contaminated with chemicals that prevent the underlying groundwater from meeting drinking water standards. These include Superfund sites and other facilities that handle and dispose …

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Water and Sustainable Development: Opportunities for the Chemical Sciences: A Workshop Report to the Chemical Sciences Roundtable

Experts in the areas of water science and chemistry from the government, industry, and academic arenas discussed ways to maximize opportunities for these disciplines to work together to develop and apply simple technologies while addressing some of …

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Contaminated Water Supplies at Camp Lejeune: Assessing Potential Health Effects

In the early 1980s, two water-supply systems on the Marine Corps Base Camp Lejeune in North Carolina were found to be contaminated with the industrial solvents trichloroethylene (TCE) and perchloroethylene (PCE). The water systems were supplied …

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The Fukushima Daiichi Nuclear Disaster Eight Years On: Resources to Improve Safety, Security, and Preparedness

This month marks the 8th anniversary of the nuclear accident at the Fukushima Daiichi Nuclear Power Station in Japan. This incident highlights the importance of creating a culture of safety and planning to assure that we are prepared even in situations beyond our expectations. Our reports address best practices and risk management at nuclear facilities, and emergency preparedness and public health response in the event of a nuclear incident. All are free to download.

Lessons Learned from the Fukushima Nuclear Accident for Improving Safety of U.S. Nuclear Plants

The March 11, 2011, Great East Japan Earthquake and tsunami sparked a humanitarian disaster in northeastern Japan. They were responsible for more than 15,900 deaths and 2,600 missing persons as well as physical infrastructure damages exceeding …

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Lessons Learned from the Fukushima Nuclear Accident for Improving Safety and Security of U.S. Nuclear Plants: Phase 2

The U.S. Congress asked the National Academy of Sciences to conduct a technical study on lessons learned from the Fukushima Daiichi nuclear accident for improving safety and security of commercial nuclear power plants in the United States. This …

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Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary

Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands …

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Brazil-U.S. Workshop on Strengthening the Culture of Nuclear Safety and Security: Summary of a Workshop

On August 25-26, 2014, the Instituto de Pesquisas Energéticas e Nucleares (IPEN) and the National Research Council of the U.S. National Academy of Sciences convened the Brazil-U.S. Workshop on Strengthening the Culture of Nuclear Safety …

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Safety and Security of Commercial Spent Nuclear Fuel Storage: Public Report

In response to a request from Congress, the Nuclear Regulatory Commission and the Department of Homeland Security sponsored a National Academies study to assess the safety and security risks of spent nuclear fuel stored in cooling pools and …

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Science and Technology for DOE Site Cleanup: Workshop Summary

The Department of Energy’s Office of Environmental Management is developing a technology roadmap to guide planning and possible future congressional appropriations for its technology development programs. It asked the National Research Council of …

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Distribution and Administration of Potassium Iodide in the Event of a Nuclear Incident

Radioactive iodines are produced during the operation of nuclear power plants and during the detonation of nuclear weapons. In the event of a radiation incident, radioiodine is one of the contaminants that could be released into the …

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Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report

A nuclear attack on a large U.S. city by terrorists–even with a low-yield improvised nuclear device (IND) of 10 kilotons or less–would cause a large number of deaths and severe injuries. The large number of injured from the detonation and …

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The Science of Climate Change

Climate change is one of the defining issues of our time — it is now more certain than ever that humans are changing Earth’s climate. The evidence shows the atmosphere and oceans have warmed, accompanied by sea-level rise, a strong decline in Arctic sea ice, and other climate-related changes. Our reports emphasize the importance of 21st century choices regarding long-term climate stabilization through improving understanding of the causes and consequences of climate change and expanding the options available to limit the magnitude of climate change.

 

Abrupt Impacts of Climate Change: Anticipating Surprises

Climate is changing, forced out of the range of the past million years by levels of carbon dioxide and other greenhouse gases not seen in the Earth’s atmosphere for a very, very long time. Lacking action by the world’s nations, it is clear that …

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Climate Change: Evidence and Causes

Climate Change: Evidence and Causes is a jointly produced publication of The US National Academy of Sciences and The Royal Society. Written by a UK-US team of leading climate scientists and reviewed by climate scientists and others, the …

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Arctic Matters: The Global Connection to Changes in the Arctic

Viewed in satellite images as a jagged white coat draped over the top of the globe, the high Arctic appears distant and isolated. But even if you don’t live there, don’t do business there, and will never travel there, you are closer to the Arctic …

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Attribution of Extreme Weather Events in the Context of Climate Change

As climate has warmed over recent years, a new pattern of more frequent and more intense weather events has unfolded across the globe. Climate models simulate such changes in extreme events, and some of the reasons for the changes are well …

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America’s Climate Choices

Climate change is occurring. It is very likely caused by the emission of greenhouse gases from human activities, and poses significant risks for a range of human and natural systems. And these emissions continue to increase, which will result in …

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Diversity and Inclusion in STEM

In order for the United States to maintain the global leadership and competitiveness in science and technology that are critical to achieving national goals, we must invest in research, encourage innovation, and grow a strong and talented STEM workforce and work environment. These reports offer a comprehensive road map for increasing involvement of absent and underrepresented minorities, including the elimination of racial and gender bias in academia and recruiting women students and faculty in science and engineering.

Minority Serving Institutions: America’s Underutilized Resource for Strengthening the STEM Workforce

There are over 20 million young people of color in the United States whose representation in STEM education pathways and in the STEM workforce is still far below their numbers in the general population. Their participation could help re-establish …

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Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine

Over the last few decades, research, activity, and funding has been devoted to improving the recruitment, retention, and advancement of women in the fields of science, engineering, and medicine. In recent years the diversity of those …

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Expanding Underrepresented Minority Participation: America’s Science and Technology Talent at the Crossroads

In order for the United States to maintain the global leadership and competitiveness in science and technology that are critical to achieving national goals, we must invest in research, encourage innovation, and grow a strong and talented science …

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An American Crisis: The Growing Absence of Black Men in Medicine and Science: Proceedings of a Joint Workshop

Black men are increasingly underrepresented in medical schools and in the medical profession. A diverse workforce is a key attribute of quality healthcare and research suggests that a diverse workforce may help to advance cultural competency and …

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Seeking Solutions: Maximizing American Talent by Advancing Women of Color in Academia: Summary of a Conference

Seeking Solutions: Maximizing American Talent by Advancing Women of Color in Academia is the summary of a 2013 conference convened by the Committee on Women in Science, Engineering and Medicine of the National Research Council to discuss …

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Mars Exploration – Opportunity and Beyond

The resilience of the Mars Exploration Rover Opportunity, and the wealth of data that it gathered on Mars, opened a new chapter in our understanding of the Red Planet. Explore our reports about research on Mars and the rest of our solar system. All are free to download.

A Scientific Rationale for Mobility in Planetary Environments

For the last several decades, the Committee on Planetary and Lunar Exploration (COMPLEX) has advocated a systematic approach to exploration of the solar system; that is, the information and understanding resulting from one mission provide the scientific foundations that motivate subsequent, more …

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Assessment of NASA’s Mars Architecture 2007-2016

The United States and the former Soviet Union have sent spacecraft to mars as early as 1966, with Mars’ exploration being priority for NASA spacecraft. Both sides, however, have failed as well as succeed. The inability to determine if life exists on Mars is considered one of NASA’s failures and …

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Safe on Mars: Precursor Measurements Necessary to Support Human Operations on the Martian Surface

This study, commissioned by the National Aeronautics and Space Administration (NASA), examines the role of robotic exploration missions in assessing the risks to the first human missions to Mars. Only those hazards arising from exposure to environmental, chemical, and biological agents on the …

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Assessment of Mars Science and Mission Priorities

Within the Office of Space Science of the National Aeronautics and Space Administration (NASA) special importance is attached to exploration of the planet Mars, because it is the most like Earth of the planets in the solar system and the place where the first detection of extraterrestrial life …

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Assessment of Planetary Protection Requirements for Mars Sample Return Missions

NASA maintains a planetary protection policy to avoid the forward biological contamination of other worlds by terrestrial organisms, and back biological contamination of Earth from the return of extraterrestrial materials by spaceflight missions. Forward-contamination issues related to Mars …

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Grading NASA’s Solar System Exploration Program: A Midterm Report

The NASA Authorization Act of 2005 directed the agency to ask the NRC to assess the performance of each division in the NASA Science directorate at five-year intervals. In this connection, NASA requested the NRC to review the progress the Planetary Exploration Division has made in implementing …

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Vision and Voyages for Planetary Science in the Decade 2013-2022

In recent years, planetary science has seen a tremendous growth in new knowledge. Deposits of water ice exist at the Moon’s poles. Discoveries on the surface of Mars point to an early warm wet climate, and perhaps conditions under which life could have emerged. Liquid methane rain falls on …

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Powering Science: NASA’s Large Strategic Science Missions

NASA’s Science Mission Directorate (SMD) currently operates over five dozen missions, with approximately two dozen additional missions in development. These missions span the scientific fields associated with SMD’s four divisions—Astrophysics, Earth Science, Heliophysics, and Planetary …

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Extending Science: NASA’s Space Science Mission Extensions and the Senior Review Process

NASA operates a large number of space science missions, approximately three-quarters of which are currently in their extended operations phase. They represent not only a majority of operational space science missions, but a substantial national investment and vital national assets. They are …

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Visions into Voyages for Planetary Science in the Decade 2013-2022: A Midterm Review

In spring 2011 the National Academies of Sciences, Engineering, and Medicine produced a report outlining the next decade in planetary sciences. That report, titled Vision and Voyages for Planetary Science in the Decade 2013-2022, and popularly referred to as the “decadal survey,” has …

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Report Series: Committee on Astrobiology and Planetary Science: Getting Ready for the Next Planetary Science Decadal Survey

This study discusses the publicly available studies of future flagship- and New Frontiers-class missions NASA initiated since the completion of Vision and Voyages. The report considers the priority areas as defined in Vision and Voyages where publicly available mission studies have …

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The NASEM Annotations to the 2019 State of the Union

Since 2009, we’ve taken the transcript of the State of the Union and added in publications relevant to the President’s speech. It’s our way of spotlighting our work: providing independent, evidence-based research that addresses the wide variety of challenges and goals of our country and beyond.

Below, you’ll find the transcript of last night’s State of the Union from whitehouse.gov with our publications inline.

– TRANSCRIPT FOLLOWS –

Madam Speaker, Mr. Vice President, Members of Congress, the First Lady of the United States, and my fellow Americans:

We meet tonight at a moment of unlimited potential.  As we begin a new Congress, I stand here ready to work with you to achieve historic breakthroughs for all Americans.

Millions of our fellow citizens are watching us now, gathered in this great chamber, hoping that we will govern not as two parties but as one Nation.

The agenda I will lay out this evening is not a Republican agenda or a Democrat agenda.  It is the agenda of the American people.

Many of us campaigned on the same core promises:  to defend American jobs and demand fair trade for American workers; to rebuild and revitalize our Nation’s infrastructure; to reduce the price of healthcare and prescription drugs; to create an immigration system that is safe, lawful, modern and secure; and to pursue a foreign policy that puts America’s interests first.

There is a new opportunity in American politics, if only we have the courage to seize it.  Victory is not winning for our party.  Victory is winning for our country.

This year, America will recognize two important anniversaries that show us the majesty of America’s mission, and the power of American pride.

In June, we mark 75 years since the start of what General Dwight D. Eisenhower called the Great Crusade — the Allied liberation of Europe in World War II.  On D-Day, June 6, 1944, 15,000 young American men jumped from the sky, and 60,000 more stormed in from the sea, to save our civilization from tyranny.  Here with us tonight are three of those heroes:  Private First Class Joseph Reilly, Staff Sergeant Irving Locker, and Sergeant Herman Zeitchik.  Gentlemen, we salute you.

In 2019, we also celebrate 50 years since brave young pilots flew a quarter of a million miles through space to plant the American flag on the face of the moon.  Half a century later, we are joined by one of the Apollo 11 astronauts who planted that flag:  Buzz Aldrin.  This year, American astronauts will go back to space on American rockets.

In the 20th century, America saved freedom, transformed science, and redefined the middle class standard of living for the entire world to see.  Now, we must step boldly and bravely into the next chapter of this great American adventure, and we must create a new standard of living for the 21st century.  An amazing quality of life for all of our citizens is within our reach.

We can make our communities safer, our families stronger, our culture richer, our faith deeper, and our middle class bigger and more prosperous than ever before.

But we must reject the politics of revenge, resistance, and retribution — and embrace the boundless potential of cooperation, compromise, and the common good.

Together, we can break decades of political stalemate.  We can bridge old divisions, heal old wounds, build new coalitions, forge new solutions, and unlock the extraordinary promise of America’s future.  The decision is ours to make.

We must choose between greatness or gridlock, results or resistance, vision or vengeance, incredible progress or pointless destruction.

Tonight, I ask you to choose greatness.

Over the last 2 years, my Administration has moved with urgency and historic speed to confront problems neglected by leaders of both parties over many decades.

In just over 2 years since the election, we have launched an unprecedented economic boom — a boom that has rarely been seen before.  We have created 5.3 million new jobs and importantly added 600,000 new manufacturing jobs — something which almost everyone said was impossible to do, but the fact is, we are just getting started.

Wages are rising at the fastest pace in decades, and growing for blue collar workers, who I promised to fight for, faster than anyone else.  Nearly 5 million Americans have been lifted off food stamps.  The United States economy is growing almost twice as fast today as when I took office, and we are considered far and away the hottest economy anywhere in the world.  Unemployment has reached the lowest rate in half a century. African-American, Hispanic-American and Asian-American unemployment have all reached their lowest levels ever recorded. Unemployment for Americans with disabilities has also reached an all-time low.  More people are working now than at any time in our history –- 157 million.

We passed a massive tax cut for working families and doubled the child tax credit.

We virtually ended the estate, or death, tax on small businesses, ranches, and family farms.

We eliminated the very unpopular Obamacare individual mandate penalty — and to give critically ill patients access to life-saving cures, we passed right to try.

My Administration has cut more regulations in a short time than any other administration during its entire tenure.  Companies are coming back to our country in large numbers thanks to historic reductions in taxes and regulations.

We have unleashed a revolution in American energy — the United States is now the number one producer of oil and natural gas in the world.  And now, for the first time in 65 years, we are a net exporter of energy.

After 24 months of rapid progress, our economy is the envy of the world, our military is the most powerful on earth, and America is winning each and every day.   Members of Congress:  the State of our Union is strong.  Our country is vibrant and our economy is thriving like never before.

On Friday, it was announced that we added another 304,000 jobs last month alone — almost double what was expected.  An economic miracle is taking place in the United States — and the only thing that can stop it are foolish wars, politics, or ridiculous partisan investigations.

If there is going to be peace and legislation, there cannot be war and investigation.  It just doesn’t work that way!

We must be united at home to defeat our adversaries abroad.

This new era of cooperation can start with finally confirming the more than 300 highly qualified nominees who are still stuck in the Senate – some after years of waiting.  The Senate has failed to act on these nominations, which is unfair to the nominees and to our country.

Now is the time for bipartisan action.  Believe it or not, we have already proven that it is possible.

In the last Congress, both parties came together to pass unprecedented legislation to confront the opioid crisis, a sweeping new Farm Bill, historic VA reforms, and after four decades of rejection, we passed VA Accountability so we can finally terminate those who mistreat our wonderful veterans.

And just weeks ago, both parties united for groundbreaking criminal justice reform.  Last year, I heard through friends the story of Alice Johnson.  I was deeply moved.  In 1997, Alice was sentenced to life in prison as a first-time non-violent drug offender.  Over the next two decades, she became a prison minister, inspiring others to choose a better path.  She had a big impact on that prison population — and far beyond.

Alice’s story underscores the disparities and unfairness that can exist in criminal sentencing — and the need to remedy this injustice.  She served almost 22 years and had expected to be in prison for the rest of her life.

In June, I commuted Alice’s sentence — and she is here with us tonight.  Alice, thank you for reminding us that we always have the power to shape our own destiny.

When I saw Alice’s beautiful family greet her at the prison gates, hugging and kissing and crying and laughing, I knew I did the right thing.

Inspired by stories like Alice’s, my Administration worked closely with members of both parties to sign the First Step Act into law.  This legislation reformed sentencing laws that have wrongly and disproportionately harmed the African-American community.  The First Step Act gives non-violent offenders the chance to re-enter society as productive, law-abiding citizens. Now, States across the country are following our lead.  America is a Nation that believes in redemption.

The Growth of Incarceration in the United States: Exploring Causes and Consequences

After decades of stability from the 1920s to the early 1970s, the rate of imprisonment in the United States more than quadrupled during the last four decades. The U.S. penal population of 2.2 million adults is by far the largest in the world. …

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Reforming Juvenile Justice: A Developmental Approach

Adolescence is a distinct, yet transient, period of development between childhood and adulthood characterized by increased experimentation and risk-taking, a tendency to discount long-term consequences, and heightened sensitivity to peers and …

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We are also joined tonight by Matthew Charles from Tennessee.  In 1996, at age 30, Matthew was sentenced to 35 years for selling drugs and related offenses.  Over the next two decades, he completed more than 30 Bible studies, became a law clerk, and mentored fellow inmates.  Now, Matthew is the very first person to be released from prison under the First Step Act.  Matthew, on behalf of all Americans:  welcome home.

As we have seen, when we are united, we can make astonishing strides for our country.  Now, Republicans and Democrats must join forces again to confront an urgent national crisis.

The Congress has 10 days left to pass a bill that will fund our Government, protect our homeland, and secure our southern border.

Now is the time for the Congress to show the world that America is committed to ending illegal immigration and putting the ruthless coyotes, cartels, drug dealers, and human traffickers out of business.

As we speak, large, organized caravans are on the march to the United States.  We have just heard that Mexican cities, in order to remove the illegal immigrants from their communities, are getting trucks and buses to bring them up to our country in areas where there is little border protection.  I have ordered another 3,750 troops to our southern border to prepare for the tremendous onslaught.

This is a moral issue.  The lawless state of our southern border is a threat to the safety, security, and financial well‑being of all Americans.  We have a moral duty to create an immigration system that protects the lives and jobs of our citizens.  This includes our obligation to the millions of immigrants living here today, who followed the rules and respected our laws.  Legal immigrants enrich our Nation and strengthen our society in countless ways.  I want people to come into our country, but they have to come in legally.

Tonight, I am asking you to defend our very dangerous southern border out of love and devotion to our fellow citizens and to our country.

No issue better illustrates the divide between America’s working class and America’s political class than illegal immigration.  Wealthy politicians and donors push for open borders while living their lives behind walls and gates and guards.

Meanwhile, working class Americans are left to pay the price for mass illegal migration — reduced jobs, lower wages, overburdened schools and hospitals, increased crime, and a depleted social safety net.

Tolerance for illegal immigration is not compassionate — it is cruel.  One in three women is sexually assaulted on the long journey north.  Smugglers use migrant children as human pawns to exploit our laws and gain access to our country.

Human traffickers and sex traffickers take advantage of the wide open areas between our ports of entry to smuggle thousands of young girls and women into the United States and to sell them into prostitution and modern-day slavery.

Tens of thousands of innocent Americans are killed by lethal drugs that cross our border and flood into our cities — including meth, heroin, cocaine, and fentanyl.

The savage gang, MS-13, now operates in 20 different American States, and they almost all come through our southern border.  Just yesterday, an MS-13 gang member was taken into custody for a fatal shooting on a subway platform in New York City.  We are removing these gang members by the thousands, but until we secure our border they’re going to keep streaming back in.

Year after year, countless Americans are murdered by criminal illegal aliens.

I’ve gotten to know many wonderful Angel Moms, Dads, and families – no one should ever have to suffer the horrible heartache they have endured.

Here tonight is Debra Bissell.  Just three weeks ago, Debra’s parents, Gerald and Sharon, were burglarized and shot to death in their Reno, Nevada, home by an illegal alien.  They were in their eighties and are survived by four children, 11 grandchildren, and 20 great-grandchildren.  Also here tonight are Gerald and Sharon’s granddaughter, Heather, and great‑granddaughter, Madison.

To Debra, Heather, Madison, please stand:  few can understand your pain.  But I will never forget, and I will fight for the memory of Gerald and Sharon, that it should never happen again.

Not one more American life should be lost because our Nation failed to control its very dangerous border.

In the last 2 years, our brave ICE officers made 266,000 arrests of criminal aliens, including those charged or convicted of nearly 100,000 assaults, 30,000 sex crimes, and 4,000 killings.

We are joined tonight by one of those law enforcement heroes:  ICE Special Agent Elvin Hernandez.  When Elvin was a boy, he and his family legally immigrated to the United States from the Dominican Republic.  At the age of eight, Elvin told his dad he wanted to become a Special Agent.  Today, he leads investigations into the scourge of international sex trafficking.  Elvin says:  “If I can make sure these young girls get their justice, I’ve done my job.”  Thanks to his work and that of his colleagues, more than 300 women and girls have been rescued from horror and more than 1,500 sadistic traffickers have been put behind bars in the last year.

Special Agent Hernandez, please stand:  We will always support the brave men and women of Law Enforcement — and I pledge to you tonight that we will never abolish our heroes from ICE.

My Administration has sent to the Congress a commonsense proposal to end the crisis on our southern border.

It includes humanitarian assistance, more law enforcement, drug detection at our ports, closing loopholes that enable child smuggling, and plans for a new physical barrier, or wall, to secure the vast areas between our ports of entry.  In the past, most of the people in this room voted for a wall — but the proper wall never got built.  I’ll get it built.

The Economic and Fiscal Consequences of Immigration

The Economic and Fiscal Consequences of Immigration finds that the long-term impact of immigration on the wages and employment of native-born workers overall is very small, and that any negative impacts are most likely to be found for …

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The Integration of Immigrants into American Society

The United States prides itself on being a nation of immigrants, and the country has a long history of successfully absorbing people from across the globe. The integration of immigrants and their children contributes to our economic vitality and …

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Options for Estimating Illegal Entries at the U.S.-Mexico Border

The U.S. Department of Homeland Security (DHS) is responsible for securing and managing the nation’s borders. Over the past decade, DHS has dramatically stepped up its enforcement efforts at the U.S.-Mexico border, increasing the number of U.S. …

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This is a smart, strategic, see-through steel barrier — not just a simple concrete wall.  It will be deployed in the areas identified by border agents as having the greatest need, and as these agents will tell you, where walls go up, illegal crossings go way down.

San Diego used to have the most illegal border crossings in the country.  In response, and at the request of San Diego residents and political leaders, a strong security wall was put in place.  This powerful barrier almost completely ended illegal crossings.

The border city of El Paso, Texas, used to have extremely high rates of violent crime — one of the highest in the country, and considered one of our Nation’s most dangerous cities.  Now, with a powerful barrier in place, El Paso is one of our safest cities.

Simply put, walls work and walls save lives.  So let’s work together, compromise, and reach a deal that will truly make America safe.

As we work to defend our people’s safety, we must also ensure our economic resurgence continues at a rapid pace.

No one has benefitted more from our thriving economy than women, who have filled 58 percent of the new jobs created in the last year.  All Americans can be proud that we have more women in the workforce than ever before — and exactly one century after the Congress passed the Constitutional amendment giving women the right to vote, we also have more women serving in the Congress than ever before.

As part of our commitment to improving opportunity for women everywhere, this Thursday we are launching the first ever Government-wide initiative focused on economic empowerment for women in developing countries.

To build on our incredible economic success, one priority is paramount — reversing decades of calamitous trade policies.

We are now making it clear to China that after years of targeting our industries, and stealing our intellectual property, the theft of American jobs and wealth has come to an end.

Therefore, we recently imposed tariffs on $250 billion of Chinese goods — and now our Treasury is receiving billions of dollars a month from a country that never gave us a dime.  But I don’t blame China for taking advantage of us — I blame our leaders and representatives for allowing this travesty to happen.  I have great respect for President Xi, and we are now working on a new trade deal with China.  But it must include real, structural change to end unfair trade practices, reduce our chronic trade deficit, and protect American jobs.

Another historic trade blunder was the catastrophe known as NAFTA.

I have met the men and women of Michigan, Ohio, Pennsylvania, Indiana, New Hampshire, and many other States whose dreams were shattered by NAFTA.  For years, politicians promised them they would negotiate for a better deal.  But no one ever tried — until now.

Our new U.S.-Mexico-Canada Agreement — or USMCA — will replace NAFTA and deliver for American workers:  bringing back our manufacturing jobs, expanding American agriculture, protecting intellectual property, and ensuring that more cars are proudly stamped with four beautiful words:  made in the USA.

Tonight, I am also asking you to pass the United States Reciprocal Trade Act, so that if another country places an unfair tariff on an American product, we can charge them the exact same tariff on the same product that they sell to us.

Both parties should be able to unite for a great rebuilding of America’s crumbling infrastructure.

I know that the Congress is eager to pass an infrastructure bill — and I am eager to work with you on legislation to deliver new and important infrastructure investment, including investments in the cutting edge industries of the future.  This is not an option.  This is a necessity.

Renewing the National Commitment to the Interstate Highway System: A Foundation for the Future

TRB Special Report 329: Renewing the National Commitment to the Interstate Highway System: A Foundation for the Future explores pending and future federal investment and policy decisions concerning the federal Interstate Highway System. Congress …

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Water Reuse: Potential for Expanding the Nation’s Water Supply Through Reuse of Municipal Wastewater

Expanding water reuse–the use of treated wastewater for beneficial purposes including irrigation, industrial uses, and drinking water augmentation–could significantly increase the nation’s total available water resources. Water Reuse

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Enhancing the Resilience of the Nation’s Electricity System

Americans’ safety, productivity, comfort, and convenience depend on the reliable supply of electric power. The electric power system is a complex “cyber-physical” system composed of a network of millions of components spread out across the …

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The next major priority for me, and for all of us, should be to lower the cost of healthcare and prescription drugs — and to protect patients with pre-existing conditions.

Already, as a result of my Administration’s efforts, in 2018 drug prices experienced their single largest decline in 46 years.

But we must do more.  It is unacceptable that Americans pay vastly more than people in other countries for the exact same drugs, often made in the exact same place. This is wrong, unfair, and together we can stop it.

I am asking the Congress to pass legislation that finally takes on the problem of global freeloading and delivers fairness and price transparency for American patients.  We should also require drug companies, insurance companies, and hospitals to disclose real prices to foster competition and bring costs down.

Making Medicines Affordable: A National Imperative

Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the …

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Best Care at Lower Cost: The Path to Continuously Learning Health Care in America

America’s health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress …

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Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the …

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No force in history has done more to advance the human condition than American freedom.  In recent years we have made remarkable progress in the fight against HIV and AIDS.  Scientific breakthroughs have brought a once-distant dream within reach.  My budget will ask Democrats and Republicans to make the needed commitment to eliminate the HIV epidemic in the United States within 10 years.  Together, we will defeat AIDS in America.

Monitoring HIV Care in the United States: Indicators and Data Systems

The number of people living with HIV/AIDS (PLWHA) in the United States is growing each year largely due both to advances in treatment that allow HIV-infected individuals to live longer and healthier lives and due to a steady number of new HIV …

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Monitoring HIV Care in the United States: A Strategy for Generating National Estimates of HIV Care and Coverage

In September 2010, the White House Office of National AIDS Policy commissioned an Institute of Medicine (IOM) committee to respond to a two-part statement of task concerning how to monitor care for people with HIV. The IOM convened a committee of …

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HIV Screening and Access to Care: Exploring the Impact of Policies on Access to and Provision of HIV Care

With the widespread use of highly active anti-retroviral treatment (HAART), HIV has become a chronic, rather than a fatal, disease. But for their treatment to succeed, patients require uninterrupted care from a health care provider and …

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Tonight, I am also asking you to join me in another fight that all Americans can get behind:  the fight against childhood cancer.

Joining Melania in the gallery this evening is a very brave 10-year-old girl, Grace Eline.  Every birthday since she was 4, Grace asked her friends to donate to St. Jude Children’s Research Hospital.  She did not know that one day she might be a patient herself.  Last year, Grace was diagnosed with brain cancer.  Immediately, she began radiation treatment.  At the same time, she rallied her community and raised more than $40,000 for the fight against cancer.  When Grace completed treatment last fall, her doctors and nurses cheered with tears in their eyes as she hung up a poster that read:  “Last Day of Chemo.”  Grace — you are an inspiration to us all.

Many childhood cancers have not seen new therapies in decades.  My budget will ask the Congress for $500 million over the next 10 years to fund this critical life-saving research.

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis

In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the …

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Rare Diseases and Orphan Products: Accelerating Research and Development

Rare diseases collectively affect millions of Americans of all ages, but developing drugs and medical devices to prevent, diagnose, and treat these conditions is challenging. The Institute of Medicine (IOM) recommends implementing an integrated …

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To help support working parents, the time has come to pass school choice for America’s children.  I am also proud to be the first President to include in my budget a plan for nationwide paid family leave — so that every new parent has the chance to bond with their newborn child.

There could be no greater contrast to the beautiful image of a mother holding her infant child than the chilling displays our Nation saw in recent days.  Lawmakers in New York cheered with delight upon the passage of legislation that would allow a baby to be ripped from the mother’s womb moments before birth.  These are living, feeling, beautiful babies who will never get the chance to share their love and dreams with the world.  And then, we had the case of the Governor of Virginia where he basically stated he would execute a baby after birth.

To defend the dignity of every person, I am asking the Congress to pass legislation to prohibit the late-term abortion of children who can feel pain in the mother’s womb.

Let us work together to build a culture that cherishes innocent life.  And let us reaffirm a fundamental truth:  all children — born and unborn — are made in the holy image of God.

The final part of my agenda is to protect America’s National Security.

Over the last 2 years, we have begun to fully rebuild the United States Military — with $700 billion last year and $716 billion this year.  We are also getting other nations to pay their fair share.  For years, the United States was being treated very unfairly by NATO — but now we have secured a $100 billion increase in defense spending from NATO allies.

As part of our military build-up, the United States is developing a state-of-the-art Missile Defense System.

Making Sense of Ballistic Missile Defense: An Assessment of Concepts and Systems for U.S. Boost-Phase Missile Defense in Comparison to Other Alternatives

The Committee on an Assessment of Concepts and Systems for U.S. Boost-Phase Missile Defense in Comparison to Other Alternatives set forth to provide an assessment of the feasibility, practicality, and affordability of U.S. boost-phase missile …

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Under my Administration, we will never apologize for advancing America’s interests.

For example, decades ago the United States entered into a treaty with Russia in which we agreed to limit and reduce our missile capabilities.  While we followed the agreement to the letter, Russia repeatedly violated its terms.  That is why I announced that the United States is officially withdrawing from the Intermediate-Range Nuclear Forces Treaty, or INF Treaty.

Perhaps we can negotiate a different agreement, adding China and others, or perhaps we can’t –- in which case, we will outspend and out-innovate all others by far.

As part of a bold new diplomacy, we continue our historic push for peace on the Korean Peninsula.  Our hostages have come home, nuclear testing has stopped, and there has not been a missile launch in 15 months.  If I had not been elected President of the United States, we would right now, in my opinion, be in a major war with North Korea with potentially millions of people killed.  Much work remains to be done, but my relationship with Kim Jong Un is a good one.  And Chairman Kim and I will meet again on February 27 and 28 in Vietnam.

Two weeks ago, the United States officially recognized the legitimate government of Venezuela, and its new interim President, Juan Guaido.

We stand with the Venezuelan people in their noble quest for freedom — and we condemn the brutality of the Maduro regime, whose socialist policies have turned that nation from being the wealthiest in South America into a state of abject poverty and despair.

Here, in the United States, we are alarmed by new calls to adopt socialism in our country.  America was founded on liberty and independence –- not government coercion, domination, and control.  We are born free, and we will stay free.  Tonight, we renew our resolve that America will never be a socialist country.

One of the most complex set of challenges we face is in the Middle East.

Our approach is based on principled realism — not discredited theories that have failed for decades to yield progress.  For this reason, my Administration recognized the true capital of Israel — and proudly opened the American Embassy in Jerusalem.

Our brave troops have now been fighting in the Middle East for almost 19 years.  In Afghanistan and Iraq, nearly 7,000 American heroes have given their lives.  More than 52,000 Americans have been badly wounded.  We have spent more than $7 trillion in the Middle East.

As a candidate for President, I pledged a new approach.  Great nations do not fight endless wars.

When I took office, ISIS controlled more than 20,000 square miles in Iraq and Syria.  Today, we have liberated virtually all of that territory from the grip of these bloodthirsty killers.

Now, as we work with our allies to destroy the remnants of ISIS, it is time to give our brave warriors in Syria a warm welcome home.

I have also accelerated our negotiations to reach a political settlement in Afghanistan.  Our troops have fought with unmatched valor — and thanks to their bravery, we are now able to pursue a political solution to this long and bloody conflict.

In Afghanistan, my Administration is holding constructive talks with a number of Afghan groups, including the Taliban.  As we make progress in these negotiations, we will be able to reduce our troop presence and focus on counter-terrorism.  We do not know whether we will achieve an agreement — but we do know that after two decades of war, the hour has come to at least try for peace.

Above all, friend and foe alike must never doubt this Nation’s power and will to defend our people.  Eighteen years ago, terrorists attacked the USS Cole — and last month American forces killed one of the leaders of the attack.

We are honored to be joined tonight by Tom Wibberley, whose son, Navy Seaman Craig Wibberley, was one of the 17 sailors we tragically lost.  Tom:  we vow to always remember the heroes of the USS Cole.

My Administration has acted decisively to confront the world’s leading state sponsor of terror: the radical regime in Iran.

To ensure this corrupt dictatorship never acquires nuclear weapons, I withdrew the United States from the disastrous Iran nuclear deal.  And last fall, we put in place the toughest sanctions ever imposed on a country.

We will not avert our eyes from a regime that chants death to America and threatens genocide against the Jewish people.  We must never ignore the vile poison of anti-Semitism, or those who spread its venomous creed.  With one voice, we must confront this hatred anywhere and everywhere it occurs.

Just months ago, 11 Jewish-Americans were viciously murdered in an anti-semitic attack on the Tree of Life Synagogue in Pittsburgh.  SWAT Officer Timothy Matson raced into the gunfire and was shot seven times chasing down the killer.  Timothy has just had his 12th surgery — but he made the trip to be here with us tonight.  Officer Matson:  we are forever grateful for your courage in the face of evil.

Tonight, we are also joined by Pittsburgh survivor Judah Samet.  He arrived at the synagogue as the massacre began.  But not only did Judah narrowly escape death last fall — more than seven decades ago, he narrowly survived the Nazi concentration camps.  Today is Judah’s 81st birthday.  Judah says he can still remember the exact moment, nearly 75 years ago, after 10 months in a concentration camp, when he and his family were put on a train, and told they were going to another camp.  Suddenly the train screeched to a halt.  A soldier appeared.  Judah’s family braced for the worst.  Then, his father cried out with joy:  “It’s the Americans.”

A second Holocaust survivor who is here tonight, Joshua Kaufman, was a prisoner at Dachau Concentration Camp. He remembers watching through a hole in the wall of a cattle car as American soldiers rolled in with tanks.  “To me,” Joshua recalls, “the American soldiers were proof that God exists, and they came down from the sky.”

I began this evening by honoring three soldiers who fought on D-Day in the Second World War. One of them was Herman Zeitchik.  But there is more to Herman’s story.  A year after he stormed the beaches of Normandy, Herman was one of those American soldiers who helped liberate Dachau.  He was one of the Americans who helped rescue Joshua from that hell on earth.  Almost 75 years later, Herman and Joshua are both together in the gallery tonight — seated side-by-side, here in the home of American freedom.  Herman and Joshua:  your presence this evening honors and uplifts our entire Nation.

When American soldiers set out beneath the dark skies over the English Channel in the early hours of D-Day, 1944, they were just young men of 18 and 19, hurtling on fragile landing craft toward the most momentous battle in the history of war.

They did not know if they would survive the hour.  They did not know if they would grow old.  But they knew that America had to prevail.  Their cause was this Nation, and generations yet unborn.

Why did they do it?  They did it for America — they did it for us.

Everything that has come since — our triumph over communism, our giant leaps of science and discovery, our unrivaled progress toward equality and justice — all of it is possible thanks to the blood and tears and courage and vision of the Americans who came before.

Think of this Capitol — think of this very chamber, where lawmakers before you voted to end slavery, to build the railroads and the highways, to defeat fascism, to secure civil rights, to face down an evil empire.

Here tonight, we have legislators from across this magnificent republic.  You have come from the rocky shores of Maine and the volcanic peaks of Hawaii; from the snowy woods of Wisconsin and the red deserts of Arizona; from the green farms of Kentucky and the golden beaches of California.  Together, we represent the most extraordinary Nation in all of history.

What will we do with this moment?  How will we be remembered?

I ask the men and women of this Congress:  Look at the opportunities before us!  Our most thrilling achievements are still ahead.  Our most exciting journeys still await.  Our biggest victories are still to come.  We have not yet begun to dream.

We must choose whether we are defined by our differences — or whether we dare to transcend them.

We must choose whether we will squander our inheritance — or whether we will proudly declare that we are Americans.  We do the incredible.  We defy the impossible.  We conquer the unknown.

This is the time to re-ignite the American imagination.  This is the time to search for the tallest summit, and set our sights on the brightest star.  This is the time to rekindle the bonds of love and loyalty and memory that link us together as citizens, as neighbors, as patriots.

This is our future — our fate — and our choice to make. I am asking you to choose greatness.

No matter the trials we face, no matter the challenges to come, we must go forward together.

We must keep America first in our hearts.  We must keep freedom alive in our souls.  And we must always keep faith in America’s destiny — that one Nation, under God, must be the hope and the promise and the light and the glory among all the nations of the world!

Thank you.  God Bless You, God Bless America, and good night!

Becoming Cyber Resilient – What You Need to Know

Individuals, public utilities, corporations, election systems, institutions, and social media are all vulnerable to cyberattacks and data breaches. As the number of and damage from these kinds of activities increase, how can we become more cyber resilient? Our reports examine the threats that cyberattacks pose and make recommendations to prevent, respond to, and recover from future incursions. All are free to download.

Data Breach Aftermath and Recovery for Individuals and Institutions: Proceedings of a Workshop

In January 2016, the National Academies of Sciences, Engineering, and Medicine hosted the Workshop on Data Breach Aftermath and Recovery for Individuals and Institutions. Participants examined existing technical and policy remediations, and they …

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Securing the Vote: Protecting American Democracy

During the 2016 presidential election, America’s election infrastructure was targeted by actors sponsored by the Russian government. Securing the Vote: Protecting American Democracy examines the challenges arising out of the 2016 federal election, …

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Recoverability as a First-Class Security Objective: Proceedings of a Workshop

The Forum on Cyber Resilience of the National Academies of Sciences, Engineering, and Medicine hosted the Workshop on Recoverability as a First-Class Security Objective on February 8, 2018, in Washington, D.C. The workshop featured presentations …

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Software Update as a Mechanism for Resilience and Security: Proceedings of a Workshop

Software update is an important mechanism by which security changes and improvements are made in software, and this seemingly simple concept encompasses a wide variety of practices, mechanisms, policies, and technologies. To explore the landscape …

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Foundational Cybersecurity Research: Improving Science, Engineering, and Institutions

Attaining meaningful cybersecurity presents a broad societal challenge. Its complexity and the range of systems and sectors in which it is needed mean that successful approaches are necessarily multifaceted. Moreover, cybersecurity is a dynamic …

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Guidebook on Best Practices for Airport Cybersecurity

TRB’s Airport Cooperative Research Program (ACRP) Report 140: Guidebook on Best Practices for Airport Cybersecurity provides information designed to help reduce or mitigate inherent risks of cyberattacks on technology-based …

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Cybersecurity Dilemmas: Technology, Policy, and Incentives: Summary of Discussions at the 2014 Raymond and Beverly Sackler U.S.-U.K. Scientific Forum

Individuals, businesses, governments, and society at large have tied their future to information technologies, and activities carried out in cyberspace have become integral to daily life. Yet these activities – many of them drivers of economic …

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Protection of Transportation Infrastructure from Cyber Attacks: A Primer

TRB’s Protection of Transportation Infrastructure from Cyber Attacks: A Primer provides transportation organizations with reference materials concerning cybersecurity concepts, guidelines, definitions, and standards. The primer is a joint product …

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The Resilience of the Electric Power Delivery System in Response to Terrorism and Natural Disasters: Summary of a Workshop

The Resilience of the Electric Power Delivery System in Response to Terrorism and Natural Disasters is the summary of a workshop convened in February 2013 as a follow-up to the release of the National Research Council report Terrorism …

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At the Nexus of Cybersecurity and Public Policy: Some Basic Concepts and Issues

We depend on information and information technology (IT) to make many of our day-to-day tasks easier and more convenient. Computers play key roles in transportation, health care, banking, and energy. Businesses use IT for payroll and accounting, …

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Science to Improve Disaster Communication

Source: FEMA News

During an emergency, alerts and warnings can mean the difference between life and death. Our reports explore the critical role of communication and make recommendations to improve systems and procedures. All are free to download.

Emergency Alert and Warning Systems: Current Knowledge and Future Research Directions

Following a series of natural disasters, including Hurricane Katrina, that revealed shortcomings in the nation’s ability to effectively alert populations at risk, Congress passed the Warning, Alert, and Response Network (WARN) Act in 2006. …

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Integrating Social and Behavioral Sciences Within the Weather Enterprise

Our ability to observe and forecast severe weather events has improved markedly over the past few decades. Forecasts of snow and ice storms, hurricanes and storm surge, extreme heat, and other severe weather events are made with greater accuracy, …

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Communicating Science Effectively: A Research Agenda

Science and technology are embedded in virtually every aspect of modern life. As a result, people face an increasing need to integrate information from science with their personal values and other considerations as they make important life …

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Tsunami Warning and Preparedness: An Assessment of the U.S. Tsunami Program and the Nation’s Preparedness Efforts

Many coastal areas of the United States are at risk for tsunamis. After the catastrophic 2004 tsunami in the Indian Ocean, legislation was passed to expand U.S. tsunami warning capabilities. Since then, the nation has made progress in several …

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Public Response to Alerts and Warnings Using Social Media: Report of a Workshop on Current Knowledge and Research Gaps

Following an earlier NRC workshop on public response to alerts and warnings delivered to mobile devices, a related workshop was held on February 28 and 29, 2012 to look at the role of social media in disaster response. This was one of the first …

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Geotargeted Alerts and Warnings: Report of a Workshop on Current Knowledge and Research Gaps

Geotargeted Alerts and Warnings: Report of a Workshop on Current Knowledge and Research Gaps is the summary of a February, 2013 workshop convened by the Computer Science and Telecommunications Board of the National Research Council to …

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Engaging the Public in Critical Disaster Planning and Decision Making: Workshop Summary

Engaging the Public in Critical Disaster Planning and Decision Making is the summary of a workshop held in March 2013 to discuss the key principles of public engagement during the development of disaster plans, the response phase, and during the …

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Disaster Resilience: A National Imperative

No person or place is immune from disasters or disaster-related losses. Infectious disease outbreaks, acts of terrorism, social unrest, or financial disasters in addition to natural hazards can all lead to large-scale consequences for the nation …

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Revealing the Mysteries of Our Solar System

Photo credit: NASA

On January 3, a Chinese spacecraft made the first-ever landing on the far side of the moon. This milestone has the potential to help us understand more about our solar system and the universe beyond. Our reports provide an independent, authoritative forum for information and advice on all aspects of space science. All are free to download.

Solar and Space Physics: A Science for a Technological Society

From the interior of the Sun, to the upper atmosphere and near-space environment of Earth, and outward to a region far beyond Pluto where the Sun’s influence wanes, advances during the past decade in space physics and solar physics–the …

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Assessment of Planetary Protection Requirements for Spacecraft Missions to Icy Solar System Bodies

NASA’s exploration of planets and satellites during the past 50 years has led to the discovery of traces of water ice throughout the solar system and prospects for large liquid water reservoirs beneath the frozen ICE shells of multiple satellites …

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Review and Assessment of Planetary Protection Policy Development Processes

Protecting Earth’s environment and other solar system bodies from harmful contamination has been an important principle throughout the history of space exploration. For decades, the scientific, political, and economic conditions of space …

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Vision and Voyages for Planetary Science in the Decade 2013-2022

In recent years, planetary science has seen a tremendous growth in new knowledge. Deposits of water ice exist at the Moon’s poles. Discoveries on the surface of Mars point to an early warm wet climate, and perhaps conditions under which life …

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Visions into Voyages for Planetary Science in the Decade 2013-2022: A Midterm Review

In spring 2011 the National Academies of Sciences, Engineering, and Medicine produced a report outlining the next decade in planetary sciences. That report, titled Vision and Voyages for Planetary Science in the Decade 2013-2022, and …

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Exoplanet Science Strategy

The past decade has delivered remarkable discoveries in the study of exoplanets. Hand-in-hand with these advances, a theoretical understanding of the myriad of processes that dictate the formation and evolution of planets has matured, spurred on …

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An Astrobiology Strategy for the Search for Life in the Universe

Astrobiology is the study of the origin, evolution, distribution, and future of life in the universe. It is an inherently interdisciplinary field that encompasses astronomy, biology, geology, heliophysics, and planetary science, including …

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Searching for Life Across Space and Time: Proceedings of a Workshop

The search for life is one of the most active fields in space science and involves a wide variety of scientific disciplines, including planetary science, astronomy and astrophysics, chemistry, biology, chemistry, and geoscience. In December 2016, …

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25 Year Decline of Cancer Death Rate – What is the Future of Cancer Research, Diagnosis and Treatment?

On Tuesday, the American Cancer Society reported that cancer rates steadily declined between 1991 and 2016. Steady reductions in smoking and advances in early detection and treatment play a significant role in this achievement. The figure above illustrates the trends in cancer incidence and mortality rates in the United States over this time period. What can we do to ensure this trend continues? Our reports provide guidance to further cancer research and improve patient diagnosis and treatment. All are free to download.

Communities in Action: Pathways to Health Equity

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities …

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Improving Diagnosis in Health Care

Getting the right diagnosis is a key aspect of health care – it provides an explanation of a patient’s health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical …

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Ovarian Cancers: Evolving Paradigms in Research and Care

In an era of promising advances in cancer research, there are considerable and even alarming gaps in the fundamental knowledge and understanding of ovarian cancer. Researchers now know that ovarian cancer is not a single disease–several distinct …

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Cancer Care in Low-Resource Areas: Cancer Treatment, Palliative Care, and Survivorship Care: Proceedings of a Workshop

Though cancer was once considered to be a problem primarily in wealthy nations, low- and middle-income countries now bear a majority share of the global cancer burden, and cancer often surpasses the burden of infectious diseases in these …

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Long-Term Survivorship Care After Cancer Treatment: Proceedings of a Workshop

The 2006 Institute of Medicine (IOM) consensus study report From Cancer Patient to Cancer Survivor: Lost in Transition made recommendations to improve the quality of care that cancer survivors receive, in recognition that cancer survivors …

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Incorporating Weight Management and Physical Activity Throughout the Cancer Care Continuum: Proceedings of a Workshop

The National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a public workshop, Incorporating Weight Management and Physical Activity Throughout the Cancer Care Continuum, on February 13 and 14, 2017, in …

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Improving Cancer Diagnosis and Care: Patient Access to Oncologic Imaging and Pathology Expertise and Technologies: Proceedings of a Workshop

Rapid advances in cancer research, the development of new and more sophisticated approaches to diagnostic testing, and the growth in targeted cancer therapies are transforming the landscape of cancer diagnosis and care. These innovations have …

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Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis

In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the …

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