Volume 15, Issue 4

Since the establishment of the Incident Command System (ICS), many discussions have centered on its design, using the failure or success of disaster response to evaluate the effectiveness of this system. However, even prior to implementation, there are certain pre-conditions that must be first satisfied by responders. Two major factors underlying these pre-conditions, that strongly influence the eventual design and consequent functioning of the ICS, are pre-disaster established trust and relationships. This research utilizes qualitative methods to explore the importance of pre-disaster established trust and relationships in the implementation of the ICS. Twenty-eight in-depth qualitative interviews were completed and analyzed. From looking at how ICS users make a variety of different decisions regarding the establishment of the incident command, the setting up of overall response goals and objectives, the implementation of the Incident Action Plan, the selection of new ICS leaders, and the working arrangements made with volunteers, it can be observed that relationship and trust are two very important factors that dictate the successful implementation of the ICS. Based on this analysis, three conclusions could be drawn in this research: (1) any thorough evaluation of the ICS should also include an analysis of any existing pre-conditions, (2) future ICS training should cover strategies to build relationships and trust between response organizations, and (3) additional research should be conducted to understand other factors that influence the implementation of the ICS at scene of disaster.

This study focuses on household disaster preparedness in New York City (NYC) prior to Superstorm Sandy occurrence on October 25, 2012. The purpose of our analysis is to explain the level and patterns of disaster preparedness before a relatively rare natural disaster event occurred and to investigate the factors that influenced the capacity of NYC households to prepare for emergencies and disasters. A random telephone (RDD) survey comprised of 2001 NYC residents across all five boroughs was conducted by the NYC Department of Health and Mental Hygiene and completed before Sandy struck the City. These data were explored using frequencies, cross-tabs, and factor analysis to build a path model of household disaster preparedness. Findings indicate that household disaster preparedness levels in NYC are high, especially regarding the acquisition of emergency supplies and communication resources. A trust in local government and assistance from one’s social network are the strongest predictors of general household preparedness. Exogenous variables in our model – low income households and those with functional and access needs residents – will be more vulnerable during an actual disaster since they are less able to access communication technologies to search for self-protective disaster information and to communicate their needs during an emergency.

The Command and Control (C2) Agility theory developed by experts from the Command and Control Research Program based upon analysis of military operations, posits that a C2 approach is characterized by three dimensions: (1) allocation of decision rights, among entities, (2) patterns of interaction, and (3) distribution of information. An entity’s C2 approach is agile when these three dimensions can be changed as required due to a change in circumstances. The Institute for Defense Analyses has produced a handbook C2 by Design to guide operationalization of the C2 Agility theory. C2 agility becomes salient as complexity increases; and the complex, dynamic nature of disaster response environments suggests the applicability of C2 Agility theory to emergency management. This article builds on early NATO study panel findings that used disaster response case studies to validate C2A theory, and draws on existing case literature to identify what factors influenced C2A during Hurricane Katrina and explore how lessons learned from that response impacted C2A during the subsequent US response to Hurricane Sandy. The analysis uses C2A assessment factors from C2 by Design to examine these cases and recommends how the US government can achieve improved C2A during future responses to complex disasters.

This research hypothesizes that changes in command and control along with increased levels of trust and training led to a stronger response in Colorado’s 2013 Black Forest fire than that of the 2012 Waldo Canyon fire. Because the fires were categorized as the worst in the region’s history, and because they occurred in very close succession, in roughly the same area, involving many of the same responders, the fires provide valuable insights into how the response system adapted, or failed to adapt, to overcome key events under both scenarios. The study found that the ability to tailor command and control and supporting response structures to a particular event instead of using traditional rigid frameworks were instrumental to a more effective response. The study goes on to suggest that even though the Black Forest fire was met with an improved response, a systems approach is needed to better accommodate increasingly complex future events.

Introduction In May 2016, the Texas Department of State Health Services Public Health Region 7, in partnership with the local health departments in their region, designed and conducted a full-scale exercise (FSE) with a real-time epidemiologic phase leading to full-scale medical countermeasures distribution. Methods The exercise was designed to be a plausible scenario with a biologic agent that occurs naturally in Texas, Bacillus anthracis , and align with the Homeland Security Exercise and Evaluation Program (HSEEP) recommendations. After Action Reports (AAR) were reviewed and key informant interviews were conducted and content analyzed for themes through inductive coding. Results Themes identified include: benefits to exercising epidemiology’s role in public health preparedness; identification of gaps in real-time communication between public health and epidemiology; need to incorporate epidemiology into future exercises; importance of exercising realistic epidemiology scenarios in real-time; and identification of strengths and weakness in exercise coordination and logistics. Conclusion There is value in exercising epidemiology capabilities in real-time and in an operational full-scale context. Fully incorporating epidemiology into public health emergency preparedness exercises is one way to strengthen the relationship between these two disciplines and ensure well-coordinated rapid responses to public health threats.