{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:21:05Z","timestamp":1777677665878,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2005,10,1]],"date-time":"2005-10-01T00:00:00Z","timestamp":1128124800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2005,10]]},"abstract":"<jats:p>Public health preparedness is a multifaceted planning process that becomes grounded in a response plan and in effective communications, internal and external. This article describes an incident when the presence of anthrax spores was detected in a postal facility within Kansas City, Missouri, and discusses the communications issues faced by the Kansas City Health Department (KCHD). This incident provided the KCHD the first opportunity to operationalize its Incident Management System\u2013based response plan. However, accompanying its implementation were unforeseen issues related to both internal and external communications. These issues and the lessons learned are discussed.<\/jats:p>","DOI":"10.1177\/1524839905278474","type":"journal-article","created":{"date-parts":[[2005,10,6]],"date-time":"2005-10-06T17:33:39Z","timestamp":1128620019000},"page":"424-429","source":"Crossref","is-referenced-by-count":5,"title":["When Bioterrorism Strikes: Communication Issues for the Local Health Department"],"prefix":"10.1177","volume":"6","author":[{"given":"Christine","family":"Riederer-Trainor","sequence":"first","affiliation":[{"name":"Division of Health Education and Health Communication at the Kansas City Health Department in Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Division of Communicable Disease Prevention and Public Health Preparedness at the Kansas City Health Department in Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D.","family":"Snook","sequence":"additional","affiliation":[{"name":"Community Health Initiatives Program, Division of Health Education and Health Communication, at the Kansas City Health Department in Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald L.","family":"Hoff","sequence":"additional","affiliation":[{"name":"Office of Epidemiology and Community Health Monitoring at the Kansas City Health Department in Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Griffin","sequence":"additional","affiliation":[{"name":"Division of Communicable Disease Prevention and Public Health Preparedness at the Kansas City Health Department in Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rex","family":"Archer","sequence":"additional","affiliation":[{"name":"Kansas City Health Department in Kansas City, Missouri."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,10,1]]},"reference":[{"key":"atypb1","volume-title":"A primer on health risk communication principles and practices","author":"Agency for Toxic Substances and Disease Registry","year":"2000"},{"key":"atypb2","first-page":"10","volume-title":"The Public Health Communicator","year":"2002"},{"key":"atypb3","volume-title":"Nearly 2-yearold letter contains mild traces of anthrax: Public health risk negligible[Press release]","author":"Arkansas Department of Health","year":"2003"},{"key":"atypb4","volume-title":"Model emergency response communications plan for infectious disease outbreaks and bioterrorist events","author":"Association of State and Territorial Directors of Health Promotion","year":"2000"},{"key":"atypb5","volume-title":"Organizational aspects of health communication campaigns: What works?","author":"Backer, T. 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