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Ramsey County │ Annex D: Public Health and Medical 3 • A significant emergency of natural, technological, or human-caused origin has the potential to impact the county in a manner in which a county or region-wide coordination of health, medical, and environmental activities is required to assure an efficient and effective response. • Health and medical emergencies may involve casualties requiring varying levels of treatment. • Health care facilities may be overtaxed, overutilized, or inaccessible. Hospitals and other medical facilities may be taxed to their maximum capacity and their ability to receive patients may be hindered. • Health care related supplies may be overutilized or unavailable. • Support agencies will provide emergency services to the best of their abilities. Personnel available to provide full support functions may be limited by injury, illness, personal concerns/needs, or by limited access to or compromise of the facilities where they work. • Infrastructure supporting health care facilities may be interrupted, causing water, power, gas, food, and other supplies and services to be impaired. • An emergency may require the triage and treatment of large numbers of individuals, which will have a direct impact on regional hospitals and health care facilities. • An emergency may require the isolation or quarantine of individuals in their homes or in temporary facilities. • An emergency may require the implementation of public health measures to contain and control a communicable disease or spread of environmental hazards. • Each agency responding to emergencies under the Public Health and Medical Annex will contribute to the overall response capability but will retain control over its own resources and personnel. • Depending on the scope and scale of the incident, the SPRCPH DOC may operate in conjunction with the RCEOC. • The response to a public health emergency could stretch over a period of days to years and could be multi-jurisdictional and multi-disciplinary, requiring coordination of local, state, and federal agencies as well as nongovernmental organizations. • A public health emergency can happen concurrently with another incident and/or occur as a secondary incident. • Individuals with DAFN are often disproportionally impacted to a greater degree and will require additional assistance during emergencies. 2. Preparedness Targets To achieve an effective public health and medical response, the following Preparedness Targets are suggested for each municipality’s emergency management agency and for RCEMHS: