Coordination of Multiple States and Federal Agencies

Although most outbreaks are confined to a local jurisdiction, the number of multijurisdictional outbreaks (i.e., involving multiple geographic areas, widely distributed contaminated food or pharmaceutical products, or multiple government agencies) is increasing. In such cases, a clear and effective management system for the response must be established promptly. The roles and expectations of all involved responders should be clearly defined and closely monitored. Partners should be in regular communication throughout the response. Procedures and mechanisms for sharing of appropriate data and protecting sensitive information should be established from the onset of the investigation. Public communication about the investigation and response should be closely coordinated among agencies and preferably handled by a single spokesperson. Following the established procedures of the Incident Command System is often appropriate for large-scale or multijurisdictional outbreak responses.