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10 <br /> <br />B. According to the Hazard Identification and Vulnerability Assessment (HIVA) 2012, completed <br />by the Kittitas County Emergency Management, focus areas of potential emergency incidences <br />range from civil disturbance to wild land fire. <br />C. KCPHD does not have adequate staff to respond to a community wide epidemic. KCPHD <br />expects to receive assistance from local emergency management located within the Kittitas County <br />Sheriff’s Office (KCSO), in addition to partners within Region 7. In the event of a pandemic or <br />large incident, local response will be quickly overwhelmed and require mutual aid, state, and <br />possibly federal assistance. If an incident results in the need for equipment or personnel, requests <br />are made to the Kittitas County Emergency Operation Center (EOC) (Emergency Contact List in <br />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 /> <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 /> <br />IV. PLANNING ASSUMPTIONS: <br /> <br />A. There is a surveillance system in place for the prompt detection, identification, and reporting of <br />epidemic disease or a bioterrorism incident. <br /> <br />B. Individuals/institutions required to report disease are doing so within the time frame required <br />by law. <br /> <br />C. Potential outbreaks/epidemics of disease are being investigated promptly and as required by <br />statute. <br /> <br />D. KCPHD, Emergency Management, healthcare, law enforcement, emergency medical response, <br />and other agencies will work cooperatively to reduce the impact of epidemic disease/bioterrorism <br />in the community. <br /> <br />E. KCPHD staff is adequately trained to respond to epidemic disease. <br /> <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 such