title: Epidemic and bioterrorism preparation among emergency medical services systems.
abstract: BACKGROUND
  The purpose of this research was to determine the preparedness of emergency medical services (EMS) agencies in one US state to cope with a massive epidemic event.
  
  
  METHODS
  Data were collected primarily through telephone interviews with EMS officials throughout the State. To provide a comparison, nine out-of-state emergency services agencies were invited to participate.
  
  
  RESULTS
  Emergency medical services agencies from nine of the 23 counties (39%) provided responses to some or all of the questions in the telephone survey. Seven of the nine out-of-state agencies provided responses to the survey. Most of the EMS agencies do not have broad, formal plans for response to large-scale bio-terrorist or pandemic events.
  
  
  CONCLUSIONS
  The findings indicate that EMS agencies in this state fundamentally are unprepared for a large-scale bioterrorism or pandemic event. The few existing plans rely heavily on mutual aid from agencies that may be incapable of providing such aid. Therefore, EMS agencies must be prepared to manage a response to these incidents without assistance from any agencies outside of their local community. In order to accomplish this, they must begin planning and develop close working relationships with public health, healthcare, and elected officials within their local communities.
authors: The Center for Emergency Education and Disaster Research, Department of Emergency Health Services, University of Maryland, Baltimore County, Baltimore, Maryland 21250, USA. maguire@umbc.edu
authors: Brian J
authors: BJ
authors: Maguire
authors: Stephen
authors: S
authors: Dean
authors: Richard A
authors: RA
authors: Bissell
authors: Bruce J
authors: BJ
authors: Walz
authors: Andrew K
authors: AK
authors: Bumbak
mesh_terms: D023482:Bioterrorism; D004189:Disaster Planning / Q000379:methods / Q000592:standards*; D004196:Disease Outbreaks; D004632:Emergency Medical Services / Q000379:methods / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D008396:Maryland / Q000453:epidemiology; D015397:Program Evaluation; D014187:Transportation of Patients / Q000379:methods; D014481:United States / Q000453:epidemiology