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state, and possibly federal assistance. If an incident results in the need for equipment or <br />personnel, requests are made to the Kittitas County Emergency Operation Center (EOC) <br />(Emergency Contact List in Annex E/ Attachment C) <br />Limitations for requests for personnel or equipment include the following: <br />1. Damage to facilities and infrastructure <br />2. Transportation services <br />3. Staff availability <br />4. Damage to or disruption of communication systems <br />5. Fiscal constraints <br />6. Possible civil unrest <br />7. Other County/Local Agency Limitations <br />8. Other hazards may exist that are not addressed by this plan <br />D. The use of Memorandums of Understanding (MOU) and Mutual Aid Agreements (MAA) can <br />mitigate some of the incident limitations. However, each situation or incident will dictate the <br />extent that agreements will be implemented. <br />IV. PLANNING ASSUMPTIONS: <br />A. There is a surveillance system in place for the prompt detection, identification, and reporting <br />of epidemic disease or a bioterrorism incident. <br />B. Individuals/institutions required to report disease are doing so within the time frame required <br />bylaw. <br />C. Potential outbreaks/epidemics of disease are being investigated promptly and as required by <br />statute. <br />D. KCPHD, Emergency Management, healthcare, law enforcement, emergency medical <br />response, and other agencies will work cooperatively to reduce the impact of epidemic <br />disease/bioterrorism in the community. <br />E. KCPHD staff is adequately trained to respond to epidemic disease . <br />F. Responders will be properly trained and issued the appropriate personal protective equipment, <br />and are aware of the threat of a secondary incident. Within Kittitas County, responders will most <br />likely be exposed to risks including physical injury, exposure to vaccine preventable diseases <br />such as pertussis, chronic health problems if exposed to hazardous materials, as well as mental <br />health issues resulting from disasters. <br />G. Governmental agencies and officials will respond as outlined in the appropriate Revised Code <br />of Washington (RCW) and Washington Administrative Code (WAC). <br />H. In situations not specifically addressed in this plan, KCPHD and other emergency <br />management officials will improvise and carry out their responsibilities to the best of their <br />10