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Table 3 Common Challenges Observed Across Participating Health Departments

From: Designing and conducting tabletop exercises to assess public health preparedness for manmade and naturally occurring biological threats

Issue Area

Observed Challenges

Surveillance and investigation

• Notification of non-hospital health care providers

 

• Level and type of staff involvement

 

• Laboratory sample handling and processing

Communications

• Reactive, passive media contacts

 

• Reaching vulnerable populations

 

• Communicating with response partners

Command and control

• Full implementation of ICS and EOC

 

• Handoffs between local and state

 

• Expectations regarding the CDC

Medical surge capacity

• Concrete planning

 

• Accurately counting staff

 

• Recruiting, training, and mobilizing volunteers