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JDR Vol.16 No.5 pp. 874-881
(2021)
doi: 10.20965/jdr.2021.p0874

Paper:

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Description of the Use of the Incident Command System Among Public Health Agencies Responding to COVID-19

Sarah Elizabeth Scales, Roxanna Fouladi, and Jennifer A. Horney†

University of Delaware
100 Discovery Blvd, Room 731, Newark, Delaware 19713, USA

†Corresponding author

Received:
February 16, 2021
Accepted:
March 29, 2021
Published:
August 1, 2021
Creative Commons License
Keywords:
incident command systems, emergency preparedness, COVID-19, disaster preparedness
Abstract

The utilization of Incident Command Systems (ICS) and Emergency Operations Centers (EOCs) in public health emergency and disaster response are cornerstones of the capabilities prescribed for Public Health Emergency Preparedness (PHEP). To assess the use of ICS and EOCs by public health agencies during the COVID-19 response, we conducted a content analysis of online materials available from 62 health departments funded by the Centers for Disease Control and Prevention for PHEP. Bivariate associations between evidence of ICS utilization in COVID response were assessed using relative risk regression. Risk ratios (RR) and 95% confidence intervals (95% CI) were reported. 58% (36 of 62) of PHEP grantees had accessible information regarding the use of ICS in COVID-19 public health response. PHEP grantees with online information about PHEP, Hospital Preparedness Program linkages, public health seats at state or jurisdictional EOCs, exercises, and ICS generally were more likely to have COVID-specific ICS information. COVID-19 has placed significant strain on the operational response capacity of public health agencies. Given that this is the most significant event in which PHEP Capabilities have been tested, both in terms of geographic spread and duration, assessment of both preparedness and response capacities is critical for recognizing strengths and addressing shortcomings to improve PHEP operations in future incidents.

Cite this article as:
S. Scales, R. Fouladi, and J. Horney, “Description of the Use of the Incident Command System Among Public Health Agencies Responding to COVID-19,” J. Disaster Res., Vol.16 No.5, pp. 874-881, 2021.
Data files:
References
  1. [1] Centers for Disease Control and Prevention (CDC), “Public Health Emergency Preparedness (PHEP) Cooperative Agreement,” November 10, 2020, https://www.cdc.gov/cpr/readiness/phep.htm [accessed February 15, 2021]
  2. [2] C. Nelson et al., “Conceptualizing and Defining Public Health Emergency Preparedness,” Am. J. Public Health, Vol.97, No.S1, pp. S9-S11, doi: 10.2105/AJPH.2007.114496, 2007.
  3. [3] Institute of Medicine, “Biological Threats and Terrorism: Assessing the Science and Response Capabilities: Workshop Summary,” The National Academies Press, doi: 10.17226/10290, 2002.
  4. [4] N. Calonge, L. Brown, and A. Downey (Eds.), “Evidence-Based Practice for Public Health Emergency Preparedness and Response,” The National Academies Press, 2020.
  5. [5] A. S. Khan, “Public Health Preparedness and Response in the USA Since 9/11: A National Health Security Imperative,” The Lancet, Vol.378, Issue 9794, pp. 953-956, doi: 10.1016/S0140-6736(11)61263-4, 2011.
  6. [6] Centers for Disease Control and Prevention (CDC), “Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health,” January 25, 2021, https://www.cdc.gov/cpr/readiness/capabilities.htm [accessed February 15, 2021]
  7. [7] Federal Emergency Management Agency (FEMA), “National Incident Management System,” 3rd Edition, p. 133, 2017.
  8. [8] D. A. Rose et al., “The Evolution of Public Health Emergency Management as a Field of Practice,” Am. J. Public Health, Vol.107, No.S2, pp. S126-S133, doi: 10.2105/AJPH.2017.303947, 2017.
  9. [9] E. Quinn et al., “Lessons Learned from Implementing an Incident Command System During a Local Multiagency Response to a Legionnaires’ Disease Cluster in Sydney, NSW,” Disaster Med. Public Health Prep., Vol.12, No.4, pp. 539-542, doi: 10.1017/dmp.2017.102, 2018.
  10. [10] N. Lurie, J. Wasserman, and C. D. Nelson, “Public Health Preparedness: Evolution or Revolution?,” Health Aff., Vol.25, No.4, pp. 935-945, doi: 10.1377/hlthaff.25.4.935, 2006.
  11. [11] J. Hegle et al., “Lessons Learned from North Carolina Public Health Regional Surveillance Teams’ Regional Exercises,” Biosecur. Bioterror. Vol.9, No.1, pp. 41-47, doi: 10.1089/bsp.2010.0061, 2011.
  12. [12] M. Fishbane, A. Kist, and R. A. Schieber, “Use of the Emergency Incident Command System for School-Located Mass Influenza Vaccination Clinics,” Pediatrics, Vol.129, No.Supplement 2, pp. S101-106, doi: 10.1542/peds.2011-0737J, 2012.
  13. [13] A. M. Freedman et al., “Addressing the Gap Between Public Health Emergency Planning and Incident Response: Lessons Learned from the 2009 H1N1 Outbreak in San Diego County,” Disaster Health, Vol.1, No.1, pp. 13-20, doi: 10.4161/dish.21580, 2013.
  14. [14] A. J. Levy et al., “Applying the 15 Public Health Emergency Preparedness Capabilities to Support Large-Scale Tuberculosis Investigations in Complex Congregate Settings,” Am. J. Public Health, Vol.107, No.S2, pp. S142-S147, doi: 10.2105/AJPH.2017.303946, 2017.
  15. [15] E. H. Adams et al., “Utilization of an Incident Command System for a Public Health Threat: West Nile Virus in Nassau County, New York, 2008,” J. Public Health Manag. Pract., Vol.16, No.4, pp. 309-315, doi: 10.1097/PHH.0b013e3181bb8392, 2010.
  16. [16] I. A. Perry, R. S. Noe, and A. Stewart, “Use of Medical Countermeasures in Small-Scale Emergency Responses,” Am. J. Public Health, Vol.108, No.S3, pp. S196-S201, doi: 10.2105/AJPH.2018.304491, 2018.
  17. [17] E. Banerjee et al., “Containing a Measles Outbreak in Minnesota, 2017: Methods and Challenges,” Perspect. Public Health, Vol.140, No.3, pp. 162-171, doi: 10.1177/1757913919871072, 2020.
  18. [18] N. Maki, “How Can We Collect and Summarize Information About Emergency Response Operations?,” J. Disaster Res., Vol.9, No.2, pp. 198-205, doi: 10.20965/jdr.2014.p0198, 2014.
  19. [19] M. Ohara and H. Sawano, “Current Issues Regarding the Incident Command System in the Philippines,” J. Disaster Res., Vol.10, No.2, pp. 238-245, doi: 10.20965/jdr.2015.p0238, 2015.
  20. [20] S. Akitomi et al., “A Study on Disaster Medical Response During the Great East Japan Earthquake Disaster Based on the Emergency Support Function – Nine Days at Iwate Prefecture from Hyperacute to Subacute Phase –,” J. Disaster Res., Vol.15, No.1, pp. 41-52, doi: 10.20965/jdr.2020.p0041, 2020.
  21. [21] A. Y.-H. Lai and S. L. Tan, “Impact of Disasters and Disaster Risk Management in Singapore: A Case Study of Singapore’s Experience in Fighting the SARS Epidemic,” D. P. Aldrich, S. Oum, and Y. Sawada (Eds.), “Resilience and Recovery in Asian Disasters: Community Ties, Market Mechanisms, and Governance,” pp. 309-336, Springer, doi: 10.1007/978-4-431-55022-8_15, 2014.
  22. [22] M.-Y. Yen et al., “From SARS in 2003 to H1N1 in 2009: Lessons Learned from Taiwan in Preparation for the Next Pandemic,” J. Hosp. Infect., Vol.87, No.4, pp. 185-193, doi: 10.1016/j.jhin.2014.05.005, 2014.
  23. [23] P. Spiegel et al., “Responding to Epidemics in Large-Scale Humanitarian Crises: A Case Study of the Cholera Response in Yemen, 2016–2018,” BMJ Glob. Health, Vol.4, No.4, Article No.e001709, doi: 10.1136/bmjgh-2019-001709, 2019.
  24. [24] A. Farcas et al., “Use of Incident Command System for Disaster Preparedness: A Model for an Emergency Department COVID-19 Response,” Disaster Med. Public Health Prep., pp. 1-6, doi: 10.1017/dmp.2020.210, 2020.
  25. [25] J. L. Arnold et al., “Recommended Modifications and Applications of the Hospital Emergency Incident Command System for Hospital Emergency Management,” Prehosp. Disaster Med., Vol.20, No.5, pp. 290-300, doi: 10.1017/S1049023X00002740, 2005.
  26. [26] P. K. Tosh et al., “Elements of an Effective Incident Command Center,” Mayo Clin. Proc., Vol.95, No.9, Supplement, pp. S3-S7, doi: 10.1016/j.mayocp.2020.06.026, 2020.
  27. [27] J. Cook, “Incident Command in the Time of COVID-19,” Lab. Med., Vol.51, No.6, pp. e78-e82, doi: 10.1093/labmed/lmaa073, 2020.
  28. [28] E. S. Grange et al., “Responding to COVID-19: The UW Medicine Information Technology Services Experience,” Appl. Clin. Inform., Vol.11, No.2, pp. 265-275, doi: 10.1055/s-0040-1709715, 2020.
  29. [29] N. Kalyanaraman and M. R. Fraser, “Containing COVID-19 Through Contact Tracing: A Local Health Agency Approach,” Public Health Rep., Vol.136, No.1, pp. 32-38, doi: 10.1177/0033354920967910, 2021.
  30. [30] F. M. Burkle Jr. et al., “Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-Scale Bioevent Disasters Within the Existing ICS,” Disaster Med. Public Health Prep., Vol.1, No.2, pp. 135-141, doi: 10.1097/DMP.0b013e3181583d66, 2007.
  31. [31] A. T. Mignone Jr. and R. Davidson, “Public Health Response Actions and the Use of Emergency Operations Centers,” Prehosp. Disaster Med., Vol.18, No.3, pp. 217-219, doi: 10.1017/s1049023x00001084, 2003.
  32. [32] S. R. Lavinghouze, K. Snyder, and P. P. Rieker, “The Component Model of Infrastructure: A Practical Approach to Understanding Public Health Program Infrastructure,” Am. J. Public Health, Vol.104, No.8, pp. e14-e24, doi: 10.2105/AJPH.2014.302033, 2014.
  33. [33] M. Seid et al., “Quality Improvement in Public Health Emergency Preparedness,” Annu. Rev. Public Health, Vol.28, pp. 19-31, doi: 10.1146/annurev.publhealth.28.082206.094104, 2007.
  34. [34] J. B. Flinn et al., “The Role of Dedicated Biocontainment Patient Care Units in Preparing for COVID-19 and Other Infectious Disease Outbreaks,” Infect. Control Hosp. Epidemiol., Vol.42, No.2, pp. 208-211, doi: 10.1017/ice.2020.451, 2020.
  35. [35] National Emerging Special Pathogens Training and Education Center (NETEC), “Annual Report FY2020,” 2020, https://netec.org/wp-content/uploads/2020/12/NETEC-FY20-Annual-Report_12.2020.pdf [accessed January 21, 2021]
  36. [36] S. Madad et al., “NYC Health + Hospitals’ Rapid Responses to COVID-19 Were Built on a Foundation of Emergency Management, Incident Command, and Analytics,” 2020, https://www.healthaffairs.org/do/10.1377/hblog20200609.171463/full/ [accessed February 15, 2021]
  37. [37] D. B. Banach et al., “Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals,” Infect. Control Hosp. Epidemiol., Vol.38, No.12, pp. 1393-1419, doi: 10.1017/ice.2017.212, 2017.
  38. [38] J. Iskander et al., “Pandemic Influenza Planning, United States, 1978–2008,” Emerg. Infect. Dis., Vol.19, No.6, pp. 879-885, doi: 10.3201/eid1906.121478, 2013.
  39. [39] Centers for Disease Control and Prevention (CDC), “Toolbox,” September 21, 2020, https://www.cdc.gov/cpr/readiness/healthcare/toolbox.htm [accessed February 3, 2021]
  40. [40] Centers for Disease Control and Prevention (CDC), “Pan Flu Scramble,” September 21, 2020, https://www.cdc.gov/cpr/readiness/healthcare/panfluscramble.htm [accessed February 3, 2021]
  41. [41] K. W. Stone et al., “Evaluating the Effectiveness of a Full-Scale Exercise of Epidemiologic Capacity for Bioterrorism Response,” J. Homel. Secur. Emerg. Manag., Vol.15, No.4, Article No.20170061, doi: 10.1515/jhsem-2017-0061, 2018.
  42. [42] P. D. Biddinger et al., “Public Health Emergency Preparedness Exercises: Lessons Learned,” Public Health Rep., Vol.125, No.Suppl 5, pp. 100-106, doi: 10.1177/00333549101250S514, 2010.
  43. [43] J. A. Horney et al., “How Health Department Contextual Factors Affect Public Health Preparedness (PHP) and Perceptions of the 15 PHP Capabilities,” Am. J. Public Health, Vol.107, No.S2, pp. S153-S160, doi: 10.2105/AJPH.2017.303955, 2017.
  44. [44] T. Klaiman and J. K. Ibrahim, “State Health Department Structure and Pandemic Planning,” J. Public Health Manag. Pract., Vol.16, No.2, pp. e1-7, doi: 10.1097/PHH.0b013e3181b83475, 2010.
  45. [45] C. J. Strickland, I. M. Karaye, and J. A. Horney, “Associations Between State Public Health Agency Structure and Pace and Extent of Implementation of Social Distancing Control Measures,” J. Public Health Manag. Pract., Vol.27, No.3, pp. 299-304, doi: 10.1097/phh.0000000000001215, 2021.

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