{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T03:05:13Z","timestamp":1767150313175,"version":"build-2238731810"},"reference-count":5,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":3132,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2003,12]]},"abstract":"Abstract<\/jats:title>\n The smallpox virus is a high-priority, Category-A agent that poses a\n global, terrorism security risk because it: (1) easily can be disseminated\n and transmitted from person to person; (2) results in high mortality rates\n and has the potential for a major public health impact; (3) might cause\n public panic and social disruption; and (4) requires special action for\n public health preparedness. In recognition of this risk, the Los Angeles\n County Department of Health Services (LAC-DHS) developed the Smallpox\n Preparedness, Response, and Recovery Plan for LAC to prepare for the\n possibility of an outbreak of smallpox.<\/jats:p>\n A unique feature of the LAC-DHS plan is its explicit use of the\n Standardized Emergency Management System (SEMS) framework for detailing the\n functions needed to respond to a smallpox emergency. The SEMS includes the\n Incident Command System (ICS) structure (management, operations,\n planning\/intelligence, logistics, and finance\/administration), the\n mutual-aid system, and the multi\/interagency coordination required during a\n smallpox emergency. Management for incident command includes setting\n objectives and priorities, information (risk communications), safety, and\n liaison. Operations includes control and containment of a smallpox outbreak\n including ring vaccination, mass vaccination, adverse events monitoring and\n assessment, management of confirmed and suspected smallpox cases, contact\n tracing, active surveillance teams and enhanced hospital-based surveillance,\n and decontamination. Planning\/intelligence functions include developing the\n incident action plan, epidemiological investigation and analysis of smallpox\n cases, and epidemiological assessment of the vaccination coverage status of\n populations at risk. Logistics functions include receiving, handling,\n inventorying, and distributing smallpox vaccine and vaccination clinic\n supplies; personnel; transportation; communications; and health care of\n personnel. Finally, finance\/administration functions include monitoring\n costs related to the smallpox emergency, procurement, and administrative\n aspects that are not handled by other functional divisions of incident\n command systems.<\/jats:p>\n The plan was developed and is under frequent review by the LAC-DHS\n Smallpox Planning Working Group, and is reviewed periodically by the LAC\n Bioterrorism Advisory Committee, and draws upon the Smallpox Response Plan\n and Guidelines of the Centers for Disease Control and Prevention (CDC) and\n recommendations of the Advisory Committee on Immunization Practices (ACIP).\n The Smallpox Preparedness, Response, and Recovery Plan, with its SEMS\n framework and ICS structure, now is serving as a model for the development\n of LAC-DHS plans for responses to other terrorist or natural-outbreak\n responses.<\/jats:p>","DOI":"10.1017\/s1049023x00001266","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T03:46:14Z","timestamp":1472010374000},"page":"313-320","source":"Crossref","is-referenced-by-count":14,"title":["Standardized Emergency Management System and Response to a Smallpox\n Emergency"],"prefix":"10.1017","volume":"18","author":[{"given":"Robert J.","family":"Kim-Farley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John T.","family":"Celentano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Gunter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica W.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rogelio A.","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond D.","family":"Aller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurene","family":"Mascola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon F.","family":"Grigsby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan E.","family":"Fielding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00001266_ref003","unstructured":"3. Special Districts Specialist Committee:\n Standardized Emergency Management System (SEMS) Guidance for Special\n Districts. Governor's Office of Emergency Service. Sacramento: 1999.\n Available at\n http:\/\/www.oes.ca.gov\/oeshomep.nsf\/all\/SEMS_SDguidance\/$file\/SDguidance.pdf.\n Accessed 02 April 2004."},{"key":"S1049023X00001266_ref005","first-page":"1","article-title":"Recommendations for using smallpox vaccine in a pre-event\n vaccination program: Supplemental recommendations of the ACIP and\n HICPAC","volume":"52","year":"2003","journal-title":"MMWR"},{"key":"S1049023X00001266_ref001","doi-asserted-by":"publisher","DOI":"10.3201\/eid0802.010164"},{"key":"S1049023X00001266_ref004","unstructured":"4. Centers for Disease Control and Prevention.\n Smallpox response plan and guidelines (Version 3.0). Atlanta: 2003.\n Available at\n http:\/\/www.bt.cdc.gov\/agent\/smallpox\/response-plan\/index.asp. Accessed\n 14 May 2003."},{"key":"S1049023X00001266_ref002","volume-title":"Los Angeles County Smallpox Preparedness, Response and\n Recovery Plan.","year":"2002"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00001266","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T05:49:37Z","timestamp":1658209777000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00001266\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,12]]},"references-count":5,"aliases":["10.1017\/s1049023x00000546"],"journal-issue":{"issue":"4","published-print":{"date-parts":[[2003,12]]}},"alternative-id":["S1049023X00001266"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00001266","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,12]]}}}