ness in general. Such issues would include quarantine, isolation, access to medical records, legal authority to mandate employees to work, emergency medical technicians’ scope of practice, etc.

Within the framework provided by the Ten Essential Public Health Services, this indicator corresponds to Essential Services 5 and 6.

Suggested Criteria
  • Are appropriate consent forms available and in use? (most relevant for scenario 1, and less for 2-4) (either state or local level, as appropriate)

  • Are copies of relevant public health law available in all appropriate agencies?

  • Is there documentation of thorough legal review to ensure that the jurisdiction’s law is current, including a record of changes and decisions made with policy-makers? (state level)

  • Is information about relevant public health laws included in new employee orientation handbooks? (state and local levels)

  • Is there documentation of legal authority for emergency licensing and credentialing?

  • Are there information sheets describing the relevant legal issues in appropriate language to all relevant stakeholders, including the general public? (state or local, depending on the state’s plan)

  • What evidence is there of a review of federal legislation and decisions made? (most important in scenario 4)

  • Have federal agencies provided state/local agencies with documentation of federal legal authority and described under what circumstances federal agencies would become involved and what they would do (or other material defining the transition from one level of authority to another)? (most important in scenario 4)

Indicator 1.3.3.1: Local and/or state public health has identified and secured governmental and nongovernmental agencies for surge capacity at mass distribution sites for medical countermeasures (e.g., vaccination).

Indicator 1.3.4.1: Local and/or state public health has trained governmental and nongovernmental agencies for surge capacity at mass distribution sites for medical countermeasures (e.g., vaccination).

Indicator 1.3.5.1: Local and/or state public health has identified and secured community resources for surge capacity as mass distribution for medical countermeasures (e.g., facilities).

The three indicators above can be easily grouped into one, because they are all related to preparation for mass distribution of vaccine (or other



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