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Monkeypox Crisis Response

Creating a robust disaster response plan is a primary responsibility of leadership in most public health organizations. There are significant considerations and constraints in crafting such a plan. In last week's activity, you described an organization or agency (and its partners) tasked with delivering vaccination services. In this assignment, you identify your priorities as the leader of that organization tasked with an initial response to a Monkeypox outbreak.

Make sure to read and reflect upon the resources on this topic in this week's studies and discussion.

Scenario
Part 1: Leadership Response to a Monkeypox Outbreak.
Imagine you are responsible for emergency preparedness and response for the organization that you identified in the previous activity. Several cases of Monkeypox have recently been reported in your area. You are concerned, very concerned, as this is a rare, virulent, and dangerous virus. In your role, you have been tasked with prioritizing actions that would inform an official initial response to the growing crisis.

Part 2 - Prioritizing Vaccine Distribution
It has become apparent that the demand for vaccines is outpacing supply by a significant margin. You need to ration the doses. There are important considerations when faced with this scarcity. Many are ethical, but others such as logistics, risk, distribution (and its timing), and adoption, are pragmatic. You need to weigh these considerations (and more) as well as specific characteristics of the disease to make decisions. A tall order indeed . . . and time is short. What decision will you make? You know that you will have to justify your choices.

Instructions
Part 1: Leadership Response to a Monkeypox Outbreak
Consider the mission of your organization and the scenario and do the following in 2-3 pages:

List and justify the importance of your initial top 5 priorities to address the outbreak based upon information detailed in the scenario. Consider the mission, population, nature of the disease, access to medicine, et cetera. State any assumptions that you make (if any) that inform your decision.
Justify your recommendation of 3 initial steps to effectively address ONE of your priorities (2-3 paragraphs). Cite supporting evidence to support your recommendation.
Part 2: Prioritizing Vaccine Distribution
Consider the scarcity of vaccines described in Part 2 of the scenario and other relevant factors to create a list that prioritizes who gets access to the vaccine. Do the following:

Justify your choice of 5 vital vaccine distribution criteria (Two examples would be population exposure risk or ease of distribution - there are many. Choose your own.) that would be effective for identifying populations for vaccine distribution.
Apply your vaccine distribution criteria to justify prioritizing populations or groups (rank them 1-5) to receive the vaccine.

The initial scenario assumes a rare, virulent, and dangerous virus, reflecting the high concern level during the early stages of the 2022 global outbreak, particularly before Mpox was better understood by the public. We will focus on immediate actions to control the spread of the virus, which is characterized by person-to-person transmission through close contact.

Top 5 Initial Priorities

My initial top five priorities are listed and justified based on the CPHD's mission and the nature of the crisis:

Priority	Justification
1. Establish Centralized Incident Command Structure (ICS)	In any emergency, the first step is organizing the response. ICS ensures clear communication, defined roles, and accountability across all partnering agencies (hospitals, schools, law enforcement). Given the high virulence assumption, immediate, unified command is essential to prevent chaos and wasted effort.
2. Aggressive Case Identification and Contact Tracing	This is the core containment strategy for a contact-spread virus. Rapidly finding every case and tracing all contacts allows for ring vaccination or post-exposure prophylaxis (PEP), which is crucial for limiting exponential spread before widespread supply is available.
3. Immediate and Clear Risk Communication	Mpox is "rare, virulent, and dangerous," causing public fear. The CPHD must immediately issue clear, consistent, and culturally sensitive messaging to manage panic, educate the public on transmission pathways, and counter misinformation. This is vital for maintaining public trust and encouraging compliance with isolation and testing procedures.

Sample Answer

Initial Response and Vaccine Prioritization for a Monkeypox Outbreak

This response outlines the initial priorities and vaccine distribution strategy for a Monkeypox (Mpox) outbreak, assuming the organization responsible for delivering vaccination services is a large County Public Health Department (CPHD) serving a metropolitan area.

Part 1: Leadership Response to a Monkeypox Outbreak

Organizational Assumption: The organization is a County Public Health Department (CPHD) located in an urban/suburban area with established relationships with community clinics, federally qualified health centers (FQHCs), and local hospitals. The CPHD's mission is to protect and promote the health of the public through prevention, preparedness, and response.