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Paramilitary Provision of Adequate Disaster Response and Advancement of Public Health: The Case of the Texas State Guard and Operation Lone Star.

OBJECTIVE: This article reports on State Defense Forces (SDFs) as tools for providing coordinated, disciplined, trained, and uniformed volunteers to augment civilian disaster response and advance public health.

METHODS: This report draws on and describes the example of the Texas State Guard's Medical Brigade and its Operation Lone Star.

RESULTS: Although SDFs have downsides, since they are largely self-sufficient, they are far less expensive and burdensome yet nonetheless effective alternatives.

CONCLUSIONS: Future avenues for further inquiry are suggested. (Disaster Med Public Health Preparedness. 2017;11:412-416).

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