{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T16:51:36Z","timestamp":1772556696963,"version":"3.50.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T00:00:00Z","timestamp":1504569600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The incident command system (ICS) provides a common structure to control and coordinate an emergency response, regardless of scale or predicted impact. The lessons learned from the application of an ICS for large infectious disease outbreaks are documented. However, there is scant evidence on the application of an ICS to manage a local multiagency response to a disease cluster with environmental health risks. The Sydney Local Health District Public Health Unit (PHU) in New South Wales, Australia, was notified of 5 cases of Legionnaires\u2019 disease during 2 weeks in May 2016. This unusual incident triggered a multiagency investigation involving an ICS with staff from the PHU, 3 local councils, and the state health department to help prevent any further public health risk. The early and judicious use of ICS enabled a timely and effective response by supporting clear communication lines between the incident controller and field staff. The field team was key in preventing any ongoing public health risk through inspection, sampling, testing, and management of water systems identified to be at-risk for transmission of legionella. Good working relationships between partner agencies and trust in the technical proficiency of environmental health staff aided in the effective management of the response. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2018;12:539\u2013542)<\/jats:p>","DOI":"10.1017\/dmp.2017.102","type":"journal-article","created":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T08:42:32Z","timestamp":1504600952000},"page":"539-542","source":"Crossref","is-referenced-by-count":9,"title":["Lessons Learned From Implementing an Incident Command System During a Local Multiagency Response to a Legionnaires\u2019 Disease Cluster in Sydney, NSW"],"prefix":"10.1017","volume":"12","author":[{"given":"Emma","family":"Quinn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travers","family":"Johnstone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeina","family":"Najjar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toni","family":"Cains","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoff","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Essi","family":"Huhtinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Nilsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Burgess","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Dunn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leena","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,9,5]]},"reference":[{"key":"S1935789317001021_ref13","doi-asserted-by":"publisher","DOI":"10.2807\/ese.17.49.20331-en"},{"key":"S1935789317001021_ref15","doi-asserted-by":"crossref","unstructured":"Moynihan DP . The network governance of crisis response: case studies of incident command systems. J Public Adm Res Theory. 2009;19:895\u2013915. http:\/\/dx.doi.org10.1093\/jopart\/mun033.","DOI":"10.1093\/jopart\/mun033"},{"key":"S1935789317001021_ref17","first-page":"24","article-title":"Preventing Legionnaires\u2019 disease: environmental health expertise is key","volume":"79","author":"Kunz","year":"2016","journal-title":"J Environ Health"},{"key":"S1935789317001021_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2007.03.010"},{"key":"S1935789317001021_ref16","doi-asserted-by":"crossref","first-page":"80","DOI":"10.69554\/BBDO3668","article-title":"Integrating an incident command system and business continuity into a healthcare response to a flu pandemic and other infectious disease emergencies","volume":"1","author":"Bone","year":"2006","journal-title":"J Bus Contin Emerg Plan"},{"key":"S1935789317001021_ref14","first-page":"1","article-title":"A critical evaluation of the Incident Command System and NIMS","volume":"3","author":"Buck","year":"2006","journal-title":"J Homel Secur Emerg Manag"},{"key":"S1935789317001021_ref8","unstructured":"Aubusson K . Legionnaires\u2019 disease CBD outbreak: health authorities probe earlier cases for possible link. Sydney Morning Herald. 2016 http:\/\/www.smh.com.au\/nsw\/legionnaires-disease-cbd-outbreak-health-authorities-probe-earlier-cases-for-possible-link-20160310-gnfmli.html. Published March 11, 2016. Accessed September 2, 2016."},{"key":"S1935789317001021_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2004.030783"},{"key":"S1935789317001021_ref11","unstructured":"NSW Health Policy Directive. Public health emergency response preparedness minimum standards. PD2013_039; 2013. http:\/\/www1.health.nsw.gov.au\/pds\/ActivePDSDocuments\/PD2013_039.pdf. Accessed May 2017."},{"key":"S1935789317001021_ref1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.114496"},{"key":"S1935789317001021_ref9","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.01144"},{"key":"S1935789317001021_ref7","unstructured":"NSW Health. NSW Code of Practice for the Control of Legionnaires\u2019 Disease. Second Edition. Gladesville: NSW Health; 2004. http:\/\/www.health.nsw.gov.au. Accessed September 2, 2016."},{"key":"S1935789317001021_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1446.2008.00715.x"},{"key":"S1935789317001021_ref6","unstructured":"NSW Health. Legionnaires: Control Guidelines for Public Health Units. Online; 2014. http:\/\/www.health.nsw.gov.au\/Infectious\/controlguideline\/Pages\/legion.aspx. 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