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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