1. EDS Security Tabletop Exercise [Exercise Location] [Exercise Date] [Insert Logo Here]

2. Welcome and Overview

3. 3 Purpose The purpose of this exercise is to provide participants an opportunity to evaluate current response concepts, plans, and capabilities for a response to a bioterrorism event in [Jurisdiction]. The exercise will focus on local emergency responder command and control coordination, security, and critical decisions necessary to save lives and protect public health and safety.

4. 4 Scope The exercise will focus on the role of [Jurisdiction] in response to potential consequences of a bioterrorist event Processes and decision-making are more important than minute details The emphasis is on coordination, integration of capabilities, problem identification and resolution

5. Target Capability: Public Safety and Security

6. 6 Objectives Discuss the activation of security personnel to the EDS by the Security Branch Chief, during a biological terrorism incident in accordance with standard operating procedures and the EDS Safety and Security Plan. Assess the process of mobilizing and deploying security resources and personnel to the EDS by the Security Branch Chief upon notification of a biological terrorism incident according to existing standard operating procedures and the EDS Plan. Discuss the ability of security personnel to address traffic and crowd control issues, as well as scene security challenges at an EDS during a biological terrorism incident in accordance with standard operating procedures and the EDS Safety and Security Plan.

7. 7 Objectives Examine the procedure for security personnel to demobilize and return to normal operations at an EDS following a biological terrorism incident in accordance with existing protocols and the EDS Safety and Security Plan. Evaluate the process for security personnel to transport/escort and secure SNS materials en route or at an EDS during a biological terrorism incident, in accordance with existing standard operating procedures and the EDS Safety and Security Plan. Assess the process for security personnel to credential response staff during a biological terrorism incident, according to existing standing operating procedures and the EDS Safety and Security Plan.

8. 8 Participants Players –Respond to situations presented Observers –Support players as they develop responses to the scenario Facilitators –Provide situational updates and moderate discussions Evaluators –Observe and record discussions

9. 9 Exercise Structure & Guidelines Four modules, each comprised of… –Multimedia situation updates –Moderated group discussion of response issues This is an open, low-stress, no-fault environment. Varying viewpoints, even disagreements, are expected Consider different approaches and suggest improvements Base your responses on the current capabilities of your agency Feel free to visit other participants

10. 10 Assumptions & Artificialities The scenario is plausible, and events occur as they are presented. There is no “hidden agenda”, nor any trick questions. All players receive information at the same time.

11. 11 Agenda [Time] Registration Welcome and Overview Introduction Module 1: Detection and Activation Module 2: Response Underway Module 3: On-going Operations Module 4: Demobilization Hot Wash

12. Module 1: Detection and Activation

13. 13 [Month, Day, Hour] Credible intelligence at home and abroad has projected the possibility of a terrorist attack on U.S. soil. Intelligence and Health Care Communities have heightened awareness and surveillance measures. A white powder incident in [Your Town/City] is confirmed by the State Lab as Anthrax. Mass prophylaxis is needed to treat those exposed within 48 hours. [Your Town/City] has deployed resources to open an initial Emergency Dispensing Site (EDS) at [name of an EDS] at [EDS address].

14. Discussion

15. Module 2: Response Underway

16. 16 [Month, Day, Hour] An initial truck load of pharmaceutical supplies has entered [Your Region] and is nearing [Your Town/City]. The intense media coverage of the terrorist attack has drawn attention to the shipment of supplies and the EDS facility. [Your City/Town] Police Department has raised concerns regarding the growing line waiting outside of the EDS. Clients have questions and appear to be losing patience as the frustration is mounting.

17. Discussion

18. Module 3: On-going Operations

19. 19 [Month, Day, Hour] Several hundred [Your Town/City] residents are waiting in line outside of the facility. The adjacent parking lots have become gridlocked with traffic and the nearby thoroughfare is backed up with in coming vehicles. A small argument has escalated into a physical altercation between two men. During the fight a bystander is pushed to the curb.

20. 20 [Month, Day, Hour] An MRC volunteer has just radioed the EDS Manager requesting assistance with a citizen who is demanding extra medication and is refusing the leave the clinic. The EOC has just radioed the EDS Manager to notify her that a truck load of support supplies are en route to [EDS name] and are set to arrive within the hour. The EOC has advised all responders to be on the look out for three potential suspects who were seen leaving the site of Anthrax attack.

21. Discussion

22. Module 4: Demobilization

23. 23 [Month, Day, Hour] Federal, State and Local officials have agreed that it is safe to stand down the dispensing operations at [EDS name]. The [Your Health Department] has started the demobilization process. The doors at [EDS name] are set to close at [Time].

24. Discussion

25. Hot Wash

26. 26 Hot Wash Strengths Areas for Improvement Next Steps for [Your City/Town]

27. Thank you for participating! [Department name] [Phone #] [Email address] [Insert Logo Here]