Challenges and Strategies Ahead to Promote Healthy Sleep Among Frontline Forces in CBRNE Attacks

Frontline forces responding to Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) attacks operate under extreme conditions that severely disrupt sleep patterns, jeopardizing their health and effectiveness. Prolonged shifts, high-stress environments, physical discomfort, and cultural stigmas against rest create significant barriers to healthy sleep. Chronic sleep deprivation not only impairs immediate performance but also increases long-term risks of physical and mental health issues. Addressing these challenges requires a multifaceted approach, including structured rest protocols, sleep-friendly environments, technological tools for sleep monitoring, mental health support, and efforts to combat stigma through education. By prioritizing sleep health, organizations can enhance the resilience and operational readiness of frontline forces, ensuring they are better equipped to handle the demands of CBRNE incidents. This Letter highlights the critical importance of sleep in disaster response and calls for systemic changes to support the well-being of those on the front lines.