Highlights of a Sample Annex (Who Does What)

Annex H (Health and Medical Services) is broken down into the following categories:

  • Authority
  •  Purpose
  • Explanation of Terms, Situation and Assumptions
  •  Concept of Operations
  •  Organization and Assignment Responsibilities
  •  Direction and Control
  •  Readiness Levels
  • Administration and Support
  •  Annex Development and Maintenance
  •  References (Appendix 1 to Annex H lists local health and medical facilities)  


The Concept of Operations contains the bulk of information regarding effective management of actual or potential public health or medical situations to ensure the health and welfare of its citizens.  Provisions must be made for the following:

  • establishment of a medical command post at the disaster site
  • coordinating health and medical response team efforts
  • triage of the injured and medical care and transport for the injured
  • identification, transportation and disposition of the deceased
  • holding and treatment areas for the injured
  • isolating, decontaminating and treatment of victims of hazardous materials or infectious diseases
  • identifying hazardous materials or infectious diseases
  • controlling their spread and reporting their presence to the appropriate authorities
  • issuing health and medical advisories to the public on such issues as drinking water precautions, waste disposal, the need for immunizations, and food protection techniques
  • conducting health inspections of congregate care and emergency feeding facilities 
Appropriate disaster mental health services will need to be made available for disaster victims, survivors, bystanders, responders and their families, and other community caregivers during response and recovery operations.  The Department of State Health Services (DSHS) when requested can provide health and medical advice and assistance during emergency situations.    TX-1 Disaster Medical Assistance Team (DMAT) is a federal and state response asset based in Texas.  Cities, however, must request assistance from the county before requesting assistance from the state.    TX-1 DMAT can be activated by the State to respond to emergency events that may not be severe enough to warrant a federal response.  Disaster Mortuary Services Team (DMORT) provides mortuary and victim identification services following major or catastrophic disasters.  Damage Assessment is performed by the local Health Authority (appointed by the County); DSHS; Texas Commission on Environmental Quality (TCEQ) in cooperation with public works; and other county officials.  www.txdps.state.tx.us