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Commentary: This Is Not a Drill.

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    The first US novel coronavirus (SARS-CoV-2) case was confirmed January 21, 2020. The Texas Department of State Health Services activated its State Medical Operations Center on January 31 to prepare for the virus.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Infectious Disease

    Background:

    • The Centers for Disease Control and Prevention (CDC) confirmed the first U.S. case of novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), on January 21, 2020.
    • The Texas Department of State Health Services (DSHS) recognized the imminent threat of SARS-CoV-2 reaching Texas.

    Purpose of the Study:

    • To document the initial response of the DSHS to the emerging SARS-CoV-2 threat.
    • To outline the proactive measures taken by the DSHS in anticipation of the virus's arrival in Texas.

    Main Methods:

    • Activation of the DSHS State Medical Operations Center on January 31, 2020.
    • Implementation of preparedness protocols for an impending public health crisis.

    Main Results:

    • The DSHS initiated a coordinated response to the novel coronavirus outbreak.
    • Preparedness measures were established prior to the virus's confirmed arrival in Texas.

    Conclusions:

    • Early activation of public health emergency operations is crucial for effective crisis management.
    • Proactive state-level preparedness is essential to mitigate the impact of novel infectious diseases.