“…Likewise, the problems of coordination, oversight, and shared procedures, while disturbing, are no different than those experienced in Ontario during the 2002 SARS epidemic (Cameron, Schull, and Cooke 2006), Arkansas in applying bioterrorism preparedness protocols to a recent pertussis outbreak (Wheeler et al 2004), or those reported in other studies of emergency preparedness, where similar trends in improved planning are also seen. (Braun et al 2006;Braun et al 2004) This study found smaller, more rural areas less prepared and less capable of responding to a pandemic, likewise similar to other findings. (Manley et al 2006) This project began with the goal of developing a planning template for the use of alternate, non-hospital care sites to expand hospital surge capacity.…”