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b. Type 4 -Command/general staff activated, only as needed. <br />c. Type 3 -Some or all Command/general staff activated. Written Incident <br />Action Plan (IA) may be required. <br />d. Type 2 -Regional resources required. Many Command/general staff positions <br />filled. lAP required for each operational period. <br />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 />10. Patient isolation and quarantine may be used per WAC 246-100-040 "Procedures for <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, 2417 Laboratory Procedures. <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 Sheriff s Office. (Emergency Contact List in Annex E/ Attachment C) <br />C. Recovery Phase <br />1. Environmental 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 or Health Officer designee. Determination will be <br />based on CDC protocols for the organism or agent involved. The County Health Officer <br />will give final approval for all protocols performed. <br />D. Surge Capacity <br />1. All KCPHD staff may be expected to respond to provide surge capacity. Training will <br />be provided to personnel using Just in Time (JIT) training during the initial briefing. lIT <br />will be performed by the Incident Commander or designee and will include relevant <br />safety information as well as other necessary instructions. <br />2. Training to prepare KCPHD personnel will be completed via FEMA independent <br />study courses. Additional training may include exercises with Region 7 partners, <br />KCPHD annual emergency exercise, or additional FEMA trainings. <br />3. A staffing list for surge capacity to provide staffing needed and how KCPHD will <br />fulfill those needs is provided in <br />VI. ORGANIZATION AND ASSIGNMENT OF RESPONSIBILITIES: <br />12