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Pediatric Terrorism and Disaster Preparedness

Public Health Emergency Preparedness

This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.

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Figure 3.1. National Response Plan (Text Description)

DHS = Department of Homeland Security
EOC = Emergency operations center
ERT = Emergency response team
ROC = Regional operations center

Graphic of National Response Plan flow chart, showing sequence of events and responsibilities.

  1. Disaster occurs.
  2. Local first responders, working with volunteer organizations, alert local authorities (Mayor/County executive).
  3. Mayor/County executive activates local EOC, requests aid from governor
  4. Governor:
    1. Activates State EOC.
    2. Notifies DHS Regional Director.
    3. Declares emergency/major disaster (if appropriate).
  5. DHS Regional Director reports DHS Director.
  6. DHS Director contacts President of the United States.
  7. President of the United States:
    1. Declares emergency/major disaster.
    2. Appoints Principal Federal Official (Coordinating Officer)
  8. Principal Federal Official:
    1. Sets up Disaster field office.
    2. Requests governor declare emergency/major disaster (if not already in place).
    3. Works with State Coordinating Officer to establish Interagency Incident Management Group.
    4. Works with State Coordinating Officer to set up Disaster Field Office.
  9. Disaster Field Office, through a Joint Field Office, supports Emergency Response Team, comprised of 26 Federal Agencies and the American Red Cross.
  10. Emergency Response Team provides Emergency Support Functions:
    1. Transportation
    2. Communications
    3. Public Works & Engineering
    4. Firefighting
    5. Information & Planning
    6. Mass Care
    7. Resource Support
    8. Health & Medical Services
    9. Urban Search & Rescue
    10. Hazardous Materials
    11. Food
    12. Energy
  11. Emergency Response Team, utilizing local, State and Federal resources, provides disaster field operations.

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