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situation. KVH will have primary responsibility for staffing the hospital and will assist with any auxiliary areas created to manage the medical needs of the public during an emergency (i.e., mass casualties, quarantine and isolation, etc.). KVH will support an alternate care facility, if possible, through provision of medical expertise and resources. KITICOM (911): In a bioterrorist incident or other public health emergency in Kittitas County, the primary emergency service agencies, including public health, shall be notified of the situation byKITTCOM. Kittitas County Emergency Medical Services System (EMS): Kittitas County Emergency Medical Services (EMS) System will facilitate the county's transportation and pre hospital medical needs. The system consists of 11 licensed EMS agencies (primarily local fire departments) and 5 affiliated-level services. Coordination between licensed EMS agencies to meet the local EMS needs will be facilitated through KITTCOM and based on the Regional County Patient Care Operating Procedures and the Kittitas County Mass Casualty Incident Plan (MCI Run Cards). These documents are part of the South Central Region Trauma Plan, available through Kittitas County EMS. Emerg ncy Management: If a bioterrorism incident is suspected, KCPHD will make prompt notification to the Kittitas County Sheriff as the Director of Emergency management for Kittitas County. The Sheriff or his designee will direct the county EOC with the Health Officer assisting with direction, control, and management of the emergency as appropriate. Emergency Management will attempt to acquire the resources and supplies needed to respond to an incident when local resources are exceeded. Local, County. and State Law Entbrcement: Local and county law enforcement, Search and Rescue (SAR), and Fire District #1 will assist KVH and KCPHD with site security, perimeter control, and facility access. In an evacuation of the hospital, local, county, and state law enforcement agencies may be called upon to assist in the coordination of the evacuation. Should the need for an alternate care facility (quarantine or mass vaccination, etc.) or mass dispensing operations arise in Kittitas County, local, county, and state law enforcement may be requested to assist with site security, perimeter control, facility access, isolation and quarantine orders, and for the maintaining of order. Washington tate DepaJtment of Health (DOR): DOH will coordinate statewide emergency planning and preparedness efforts and statewide surveillance activities. Samples collected by KCPHD will be tested by the public health laboratory network operated by DOH. DOH will coordinate with CDC and disseminate appropriate data and situation updates to KCPHD. DOH will coordinate development and implementation of disease containment strategies across multiple counties and regions within the state. DOH will supplement and support local effort to educate and inform the public about public health emergencies and preventative measures. 13