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as pertussis, chronic health problems if exposed to hazardous materials, as well as mental health <br />issues resulting from disasters. <br />G. People with disabilities or people who experience health inequities may be disproportionately <br />impacted by emergencies. <br />H. Govemmental agencies and officials will respond as outlined in the appropriate Revised Code <br />of Washington (RCW) and Washington Administrative Code (WAC). <br />I. In situations not specifically addressed in this plan, KCPHD and other emergency management <br />officials will improvise and carry out their responsibilities to the best of their abilities using the <br />Kittitas County Comprehensive Emergency Management Plan/Emergency Operations Plan. <br />J. Memoranda Agreements and Mutual Aid Agreements will be in place and honored between the <br />organizations named in this plan and between neighboring govemmental agencies. <br />K. 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 />l. 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 Sheriff s Department/Emergency Management <br />3. KITTCOM - Kittitas County 9l l <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 Sheriff s Office, Region7 Partners, <br />and Washington State Department of Health. Notification of a potential incident or epidemic <br />disease could happen in several ways: <br />l. 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 notifr 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 />LT