 since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what are the general roles and responsibilities of various agencies during an outbreak since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what individual roles should the outbreak response team consist of and what are their responsibilities since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what equipment supplies documents toolkits and other resources should a response team have since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what communication needs should an outbreak response team be prepared for since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department how should an outbreak response team manage their records since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department when should an outbreak response team ask for help and who can provide it since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what is an incident command center since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department what other legal ethical or privacy concerns should be considered since states organize their governmental public health systems in diverse ways the relative roles of local and state health departments will vary in states where governance is centralized responsibility for conducting outbreak investigations rests primarily with state health departments conversely in jurisdictions where governance is decentralized home rule states this responsibility may rest primarily with the local health department how can an outbreak response team plan for recovery and follow up 