Article 4. Medical Disasters of California Health And Safety Code >> Division 2.5. >> Chapter 3. >> Article 4.
In cooperation with the Office of Emergency Services, the
authority shall respond to any medical disaster by mobilizing and
coordinating emergency medical services mutual aid resources to
mitigate health problems.
The authority shall coordinate, through local EMS
agencies, medical and hospital disaster preparedness with other
local, state, and federal agencies and departments having a
responsibility relating to disaster response, and shall assist the
Office of Emergency Services in the preparation of the emergency
medical services component of the State Emergency Plan as defined in
Section 8560 of the Government Code.
(a) The director and the State Public Health Officer may
jointly appoint a regional disaster medical and health coordinator
for each mutual aid region of the state. A regional disaster medical
and health coordinator shall be either a county health officer, a
county coordinator of emergency services, an administrator of a local
EMS agency, or a medical director of a local EMS agency. Appointees
shall be chosen from among persons nominated by a majority vote of
the local health officers in a mutual aid region.
(b) In the event of a major disaster which results in a
proclamation of emergency by the Governor, and in the need to deliver
medical or public and environmental health mutual aid to the area
affected by the disaster, at the request of the authority, the State
Department of Public Health, or the Office of Emergency Services, a
regional disaster medical and health coordinator in a region
unaffected by the disaster may coordinate the acquisition of
requested mutual aid resources from the jurisdictions in the region.
(c) A regional disaster medical and health coordinator may develop
plans for the provision of medical or public health mutual aid among
the counties in the region.
(d) No person may be required to serve as a regional disaster
medical and health coordinator. No state compensation shall be paid
for a regional disaster medical and health coordinator position,
except as determined appropriate by the state, if funds become
(a) In each operational area the county health officer
and the local EMS agency administrator may act jointly as the medical
health operational area coordinator (MHOAC). If the county health
officer and the local EMS agency administrator are unable to fulfill
the duties of the MHOAC they may jointly appoint another individual
to fulfill these responsibilities. If an operational area has a
MHOAC, the MHOAC in cooperation with the county office of emergency
services, local public health department, the local office of
environmental health, the local department of mental health, the
local EMS agency, the local fire department, the regional disaster
and medical health coordinator (RDMHC), and the regional office of
the Office of Emergency Services, shall be responsible for ensuring
the development of a medical and health disaster plan for the
operational area. The medical and disaster plans shall follow the
Standard Emergency Management System and National Incident Management
System. The MHOAC shall recommend to the operational area
coordinator of the Office of Emergency Services a medical and health
disaster plan for the provision of medical and health mutual aid
within the operational area.
(b) For purposes of this section, "operational area" has the same
meaning as that term is defined in subdivision (b) of Section 8559 of
the Government Code.
(c) The medical and health disaster plan shall include
preparedness, response, recovery, and mitigation functions consistent
with the State Emergency Plan, as established under Sections 8559
and 8560 of the Government Code, and, at a minimum, the medical and
health disaster plan, policy, and procedures shall include all of the
(1) Assessment of immediate medical needs.
(2) Coordination of disaster medical and health resources.
(3) Coordination of patient distribution and medical evaluations.
(4) Coordination with inpatient and emergency care providers.
(5) Coordination of out-of-hospital medical care providers.
(6) Coordination and integration with fire agencies personnel,
resources, and emergency fire prehospital medical services.
(7) Coordination of providers of nonfire based prehospital
emergency medical services.
(8) Coordination of the establishment of temporary field treatment
(9) Health surveillance and epidemiological analyses of community
(10) Assurance of food safety.
(11) Management of exposure to hazardous agents.
(12) Provision or coordination of mental health services.
(13) Provision of medical and health public information protective
(14) Provision or coordination of vector control services.
(15) Assurance of drinking water safety.
(16) Assurance of the safe management of liquid, solid, and
(17) Investigation and control of communicable disease.
(d) In the event of a local, state, or federal declaration of
emergency, the MHOAC shall assist the agency operational area
coordinator in the coordination of medical and health disaster
resources within the operational area, and be the point of contact in
that operational area, for coordination with the RDMHC, the agency,
the regional office of the agency, the State Department of Public
Health, and the authority.
(e) Nothing in this section shall be construed to revoke or alter
the current authority for disaster management provided under either
of the following:
(1) The State Emergency Plan established pursuant to Section 8560
of the Government Code.
(2) The California standardized emergency management system
established pursuant to Section 8607 of the Government Code.