In 1989, the Centers for Disease Control and Prevention (CDC) brought together a group of subject matter experts to form the Radiation Studies Branch (RSB). CDC tasked the RSB staff with assessing potential environmental health impacts of radiation released from US Department of Energy nuclear weapons production facilities. Shortly after the September 11, 2001 attacks, however, the mission of the RSB expanded to include (and to focus on) preparing the nation’s public health community, healthcare providers and citizens for intentional (i.e., terrorism-related) radiological incidents, accidents involving exposures to radiation, and unintentional environmental releases of radioactive materials. In late 2006, an event occurred in the UK for which the RSB was uniquely suited to respond. The radioactive isotope polonium-210 (Po) was deliberately used as a weapon against one person and, perhaps accidentally, released into the environment. Initially, it was unclear how many bystanders might have been unintended victims of the radioactive chemical. Some of those bystanders included American citizens travelling abroad at the time. The health physics and medical staff of the RSB promptly responded to requests for assistance from the US Department of State and the Health Protection Agency (HPA) of the UK to screen American citizens who had possibly come into contact with Po during their travel abroad. RSB staff also provided guidance and advice to individual citizens and to their physicians, to the US Department of Health and Human Services, to the media, and to the public at large about potential risks of adverse health effects from internal contamination. Finally, RSB staff helped coordinate the collection of biological specimens from concerned US citizens and provided interpretation of those results. In the autumn of 2006, residents of and visitors to London were held hostage by something they could not see, hear, smell, or taste: the radioactive isotope, Po. The apparent target of this deadly substance was a single individual—a former KGB agent who was an outspoken critic of the Russian government, Alexander Litvinenko. Indeed, approximately 3 weeks after the isotope had been smuggled into England and poured into his tea, Mr. Litvinenko succumbed to Po poisoning. But although this Russian dissident was the specific target, by the end of November, British officials had identified others who had been contaminated—presumably inadvertently—with this radioactive material. In the interim, other officials were discovering a forensic trail of Po throughout London and its suburbs. The spread of radiological material into the environment (whether by means of explosion or by simple dispersion) is what defines a radiological dispersal device (RDD) event. Inadvertent releases of radiological material may reasonably be classified as RDD “type” events as well. In Goiânia, Brazil (1987), for example, metal scavengers