Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Journal of Homeland Security and Emergency Management

Editor-in-Chief: Renda-Tanali, Irmak

Managing Editor: McGee, Sibel

4 Issues per year

IMPACT FACTOR 2017: 0.712

CiteScore 2017: 0.92

SCImago Journal Rank (SJR) 2017: 0.242
Source Normalized Impact per Paper (SNIP) 2017: 0.615

See all formats and pricing
More options …

Evaluating the Effectiveness of a Full-Scale Exercise of Epidemiologic Capacity for Bioterrorism Response

Kahler W. StoneORCID iD: http://orcid.org/0000-0002-1455-2039 / Bonnie F. Morehead / Ibraheem Karaye
  • Epidemiology and Biostatistics, Texas A&M University, 1266 TAMU, College Station, TX 77843, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Carol M. Davis / Jennifer A. HorneyORCID iD: http://orcid.org/0000-0003-3060-0894
Published Online: 2018-06-30 | DOI: https://doi.org/10.1515/jhsem-2017-0061



In May 2016, the Texas Department of State Health Services Public Health Region 7, in partnership with the local health departments in their region, designed and conducted a full-scale exercise (FSE) with a real-time epidemiologic phase leading to full-scale medical countermeasures distribution.


The exercise was designed to be a plausible scenario with a biologic agent that occurs naturally in Texas, Bacillus anthracis, and align with the Homeland Security Exercise and Evaluation Program (HSEEP) recommendations. After Action Reports (AAR) were reviewed and key informant interviews were conducted and content analyzed for themes through inductive coding.


Themes identified include: benefits to exercising epidemiology’s role in public health preparedness; identification of gaps in real-time communication between public health and epidemiology; need to incorporate epidemiology into future exercises; importance of exercising realistic epidemiology scenarios in real-time; and identification of strengths and weakness in exercise coordination and logistics.


There is value in exercising epidemiology capabilities in real-time and in an operational full-scale context. Fully incorporating epidemiology into public health emergency preparedness exercises is one way to strengthen the relationship between these two disciplines and ensure well-coordinated rapid responses to public health threats.

Keywords: epidemiology; bioterrorism; exercise; full-scale


About the article

Published Online: 2018-06-30

Citation Information: Journal of Homeland Security and Emergency Management, Volume 15, Issue 4, 20170061, ISSN (Online) 1547-7355, DOI: https://doi.org/10.1515/jhsem-2017-0061.

Export Citation

©2018 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in