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The World Trade Center Bombing in 1993 killed 6 and injured over 1,000 people. One month after the Tokyo subway attack, the Murrah Federal Building in Oklahoma City was bombed, killing 168 people and injuring more than 750. The U.S. government realized that terror could strike at America’s heartland.  Americans are at risk at home and abroad. The rules of engagement have changed.  - In June 1996, the bombing of Khobar Towers in Dharhan killed 19 U.S. airmen.   - A bomb attack at the Olympic Centennial Park in - Atlanta altered our sense of security.  - First responders (fire, EMS and law enforcement) were targeted for the first time in the U.S. while responding to terrorist attacks. A secondary device was aimed at responders in the 1997 bombings of an Atlanta clinic and a nightclub.   - This raises the possibility that any healthcare provider, including hospitals and clinics may be targetted for such attacks.