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<br />e <br /> <br />Be cel1ain that tile local public health department has the information and <br />communications lechnology it needs to respond effectively in a public health <br />emergency, These include surveillance technology, e-mail, high-speed Internet <br />access, fax capahility and reliable and secure alternative voice communication <br />services - such as radios, <br />2, Strengthen Working Relationships and Communications <br />Strengthen the local health department's working relationships and <br />communications capabilities with local community stakeholders and Ihe health <br />care community, and with state health department and federal agencies, <br />Examples of potential partners are FEMA, EPA, the FBI, The V,S, Department of <br />Juslice, the CDC, the state health departmenl, state and local offices of emergency <br />management, regional councils of government, neighboring local health <br />departments, emergency medical services, hospitals, primary care medical offices <br />and clinics, <br />3. Educate Health Care and Emergency Response Community about <br />Identification of Bioterrorist Attacks and Agents <br />Be certain that the local health care and emergency response community is <br />familiar with possible biological agents that could be used in terrorist attacks; Ihe <br />signs and symploms of infectious diseases most likely to be caused by those <br />agents; appropriate disease surveillance procedures; the indications of a covert <br />biological attack, such as an unusually large number of affected people with <br />similar illnesses or Ihe occurrence of an unusual illness; and the appropriate <br />protocol for reporting unusual disease aClivity to local and/or state public health <br />departments, <br />4, Educate Health Care and Emergency Response Community about Medical <br />Treatment and Prophylaxis for Possible Biological Agents <br />Be certain that the local health care and emergency response community is <br />familiar with the appropriate protocols for caring for victims of biological attacks <br />and providing prophylaxis to people who were exposed but are not yet ill, Have <br />written and current prolocols readily available for reference, <br />5, Educate local health department about state and federal requirements and <br />assistance <br />Be certain thai the local health department is familiar with the appropriate <br />challilels for reporting disease outbreaks to Ihe state health department and <br />requesting state and federal assistance with management of infectious disease <br />outbreaks, <br />6, Maintain Locally Accessible Supply of Medications, Vaccines and Supplies <br />Be certain thai the local heailh departmenl knows which medications, vaccines <br />and supplies will be needed for each potenlial biological agent, and maintains, or <br />has arrangemenls to immedialely access, a stockpile ofthose materials in the <br />event of an infectious disease oulbreak. Have easily accessible, up to date, <br />written inventories of materials and their locations, Consider making advance <br />arrangements to obtain materials from other facililies and vendors in an <br />emergency. Do not rely solely on federal sources (such as the National <br />Phannaceutical Stockpile Program) for materials that can be assembled in <br />advance from olher sources, <br /> <br />. <br /> <br />. <br />