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abilities using the Kittitas County Comprehensive Emergency Management Plan/Emergency <br />Operations Plan. <br />I. Memoranda Agreements and Mutual Aid Agreements will be in place and honored between <br />the organizations named in this plan and between neighboring governmental agencies. <br />J. As KCPHD may not have sufficient staff to respond adequately to an emergency situation, <br />local agencies such as Kittitas Valley Fire and Rescue (KVFR) may partner with KCPHD to <br />provide both staff support and logistical support. <br />V. CONCEPT OF OPERATIONS: <br />A. The Pre-Incident Phase <br />The pre-incident phase of an incident may be activated in the following ways: <br />1. National Terrorism Advisory System (NTAS) <br />a. Elevated -no specific information about timing or location of credible threat. <br />b. Imminent -if the threat is impending or very soon. <br />2. Kittitas County Sheriffs Department/Emergency Management <br />3. KITTCOM-Kittitas County 911 <br />4. Kittitas County Public Works <br />5. Complaint from the general public <br />B. Rapid Detection and Response <br />KCPHD works with various partners to ensure rapid detection and response of public health <br />emergencies, including but not limited to the Kittitas County Sheriffs Office, Region7 Partners <br />along with Region 7 epidemiologist, and Washington State Department of Health, (Mutual Aid <br />Agreements (MAA) and Memorandum of Understanding (MOU) documents are attached in <br />Annex L). Notification of a potential incident or epidemic disease could happen in several <br />ways: <br />1. Notification from regional, state, or national level authorities. <br />2. Notification by healthcare provider. <br />3. Notification by general public. <br />4. Notification by a law enforcement agency. <br />5. Detection by KCPHD staff. <br />6. KCPHD staff will notify Washington State Department of Health (DOH) in a timely <br />manner of events or disease findings indicative of an emergency incident or an epidemic. <br />7. Increased surveillance may be necessary to confirm existence of an incident and <br />KCPHD will use local healthcare providers, regional partners and State DOH as needed. <br />8. If indicated, KCPHD may activate its Emergency Coordination Center (ECC) to <br />coordinate activities. The Incident Commander will be responsible for coordinating a <br />response within the department in an emergency. The Incident Commander will <br />determine the appropriate activation level, staffing, and roles. Incident Commander will <br />utilize the Federal Emergency Management Agency's (FEMA) Incident typing to <br />determine activation of the EOP or activation of the ECC. Response will act according to <br />the following incident types: <br />a. Type 5 -No incident Command System (ICS) staff activated. <br />11