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B. According to the Hazardldentification 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 />SherifPs Office (KCSO), in addition to partners within Region 7. ln 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 />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 of <br />epidemic disease or a bioterrorism incident. <br />B. Individuals/institutions required to report disease are doing so within the time frame required <br />by law. <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 response, <br />and other agencies will work cooperatively to reduce the impact of epidemic disease/bioterrorism <br />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 such <br />10