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The chain of command within a public health agency ICS mirrors the jurisdiction-wide chain of command. During a measles outbreak, school health nurses would most likely be kept in place in the schools so as to continue ongoing school surveillance, while the DOH may decrease restaurant inspections and direct that staff to case investigation duties. This chain of command structure also recognizes the need to keep some essential public health programs running even while responding to the emergency. The number and type of units that are opened will be determined by the nature and the extent of the event.

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ICS can also be activated solely within the public health agency for events that do not require jurisdiction-wide response, but do require unusual deployment of resources within the public health agency in order to respond to a public health event.

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