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e. Type 1 -National resources required. All positions activated. Written lAP <br />required for each operational period. <br />9. If agencies other than KCPHD are needed to participate in disease control, the Health <br />Officer/Commander may request activation of the county Emergency Operation Center. <br />1 1"\ T\ .L. _.L ~ 1..1 • 1 t· b 1 , ..... T It. r"1 f"\ A r ... A A 1"\" A ""T"l 1 {"" 1 u. raLlem lSOtauOn ana quaran me may e usea per w 1-\.'-., L"fO-l UU-U"fU --rroceaures lOr <br />Isolation or Quarantine." (Annex B). <br />11. Procedures for requesting laboratory support for establishment of diagnoses and to <br />help determine the scope of the potential bioterrorism incident/epidemic disease are <br />found in Functional Annex A. <br />12. Healthcare support and mass casualty management: The Incident Commander will <br />coordinate with Kittitas Valley Healthcare (KVH) and Emergency Medical Service <br />providers to determine the ability of the local community to respond to the disease. If <br />community resources are about to be or are already overwhelmed, the Incident <br />Commander may request assistance through the Emergency Management Division. <br />Request for assistance is completed through the Emergency Management office via the <br />Kittitas County Sheriffs Office. (Emergency Contact List in Annex E/Attachment C) <br />c . Recovery Phase <br />1. Environ.rnental Restoration. Steps for environmental restoration may be determined at <br />the time of the incident by the Incident Commander and the Command Staff, based on the <br />Centers for Disease Control and Prevention (CDC) protocols for the organism or agent <br />involved. The County Health Officer will give final approval for all protocols performed. <br />2. Re-entry Authorization. Re-entry authorization will be determined at the time of the <br />incident by the County Health Officer. Determination will be based on CDC protocols <br />for the organism or agent involved. The County Health Officer will give final approval <br />for all protocols performed. <br />VI. ORGANIZATION AND ASSIGNMENT OF RESPONSIBILITIES: <br />All emergency response activities will follow the National Incident Management System (NIMS) <br />guidelines. <br />Health Officer: The Health Officer assumes a leading role during an incident involving <br />bioterrorism, infectious disease, or other medical emergency. The Health Officer in consultation <br />with the Public Health Administrator and Board of Health will decide policy, maintain contact <br />with other agencies, and develop public health priorities. In all other emergency incidences, the <br />Health Officer provides information and support to the Incident Commander as needed. <br />Other KCPHD Staff: Other KCPHD staff or trained volunteers, including Medical Reserve <br />Corps (MRC) volunteers, will assume the appropriate NIMS roles <br />Kittitas Valiey Healtb car e: KVH will activate its Emergency Operations Center (EOC) and will <br />be responsible for the coordination of the overall operations of the hospital in any disaster <br />12