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CDC's Emergency Management Program Activities - Worldwide, 2013-2018.

Adriana Rico, Cecelia A Sanders, Amber S Broughton

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    The Centers for Disease Control and Prevention (CDC) managed 253 emergency activities from 2013-2018, with infectious diseases like Ebola and Zika being the most frequent threats. This analysis informs future public health emergency preparedness and response efforts.

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    Area of Science:

    • Public Health Emergency Preparedness
    • Infectious Disease Outbreak Response
    • Emergency Management

    Background:

    • The Centers for Disease Control and Prevention (CDC) continuously evaluates its Emergency Management Program (EMP) to ensure readiness for diverse public health threats.
    • Evaluating EMP activities, including Incident Management System (IMS) activations, utilizations, and exercises, is crucial for documenting preparedness and informing future responses.
    • Accreditation by the Emergency Management Accreditation Program (EMAP) underscores the CDC's commitment to robust emergency management capabilities.

    Purpose of the Study:

    • To characterize the scope and nature of CDC's Emergency Management Program (EMP) activities between January 1, 2013, and December 31, 2018.
    • To identify the most common threats and types of EMP activities undertaken by the CDC during the specified period.
    • To provide data-driven insights for optimizing resource allocation and preparedness strategies for future public health emergencies.

    Main Methods:

    • Conducted a retrospective analysis of operational activity logs from the CDC's Emergency Management Program (EMP).
    • Categorized activities into Incident Management System (IMS) activations, EMP utilizations, and exercises.
    • Analyzed the frequency and types of threats, focusing on domestic and international events.

    Main Results:

    • A total of 253 domestic and international EMP activities were recorded, including 12 IMS activations, 147 EMP utilizations, and 94 exercises.
    • Infectious diseases represented the most common threat, accounting for 58% of IMS activations and 52% of EMP utilizations.
    • Significant responses included the 2014 Ebola epidemic and the 2016 Zika outbreak, each requiring approximately two years of sustained effort and collaboration.

    Conclusions:

    • Understanding trends in EMP activities and common threats is vital for effective resource allocation and preparedness.
    • The CDC's experience with major outbreaks highlights the need for ongoing evaluation and adaptation of its emergency management strategies.
    • The CDC's consistent EMAP accreditation demonstrates its sustained capacity to address domestic and global public health threats.