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During the incident, the Kansas Department of Health and   EPCRA Section 301 requires each state to create a State Emergency
        Environment (KDHE) initiated syndromic surveillance through the   Response Commission (SERC) composed of individuals with
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                                               116
        National Syndromic Surveillance Program (NSSP).   The NSSP   expertise in emergency response.   It also requires each
        system enables public health agencies at all levels to immediately   SERC to set forth emergency planning districts, each of which
                                                                                                              123
        communicate and share health information to increase    must have a Local Emergency Planning Committee (LEPC).
        awareness of, and respond to, hazardous events and outbreaks.     LEPCs must be composed of elected state and local officials;
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        Epidemiologists at KDHE used the system to search the health   police, fire, civil defense, public health, transportation, and
        effects associated with the chemicals involved in the reaction   environmental professionals; representatives of facilities

        and, within two hours of the incident, began sharing information   subject to EPCRA emergency planning requirements;
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        with state and local health departments and hospitals. 118  community groups; and the media.   While SERCs supervise
                                                                and coordinate the activities of LEPCs, establish procedures
        Following the incident, the AAR & IP identified the     for receiving and processing public requests for information,
        need for more operational coordination and a liaison    and review local emergency response plans, LEPCs develop
        to communicate exposure information during similar      community emergency response plans, review the plans
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        incidents. Less than two months after the incident, MGPI   annually, and provide information to the public.
        hosted training with local emergency responders, including
        a representative from Atchison Hospital, to discuss the   Community emergency response plans are developed by LEPCs
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        hazards of the chemicals used at Mod B (Section 5.5.2.1).  with stakeholder participation.   The plans must (1) identify
                                                                facilities and transportation routes of extremely hazardous
        5.5.2   STATE AND LOCAL EMERGENCY PLANNING              substances; (2) describe emergency response procedures, onsite

        Intended to address concerns about local preparedness for   and offsite; (3) designate a community coordinator and facility
        chemical emergencies and to ensure public access to information,   coordinators to implement the plan; (4) outline emergency
        the Emergency Planning and Community Right-to-Know Act   notification procedures; (5) explain the means to determine the
        (EPCRA) of 1986, established a framework for states to organize   probable area and population affected by chemical releases;

        resources to pre-plan for chemical accidents.   EPCRA is divided   (6) describe local emergency equipment and facilities and the
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        into four parts: (1) emergency planning (§§ 301-303), (2)   people responsible for them; (7) outline evacuation plans;
        emergency release notification (§ 304), (3) hazardous chemical   (8) provide a training program for emergency responders
        inventory reporting (§§ 311-312), and (4) toxic chemical release   (including schedules); and (9) detail methods and schedules
                      120
        reporting (§ 313).   The chemicals covered by each section of   for exercising emergency response plans.   Facilities covered
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                                                          121
        EPCRA are different, as are the quantities that trigger reporting.     by Section 311 must also submit Emergency and Hazardous
                                                                Chemical Inventory forms to their SERCs, LEPCs, and local fire
        116  National Syndromic Surveillance Program. Chemical Spill in Kansas: Importance of
            Sharing Information across Sites. CDC February 2017. https%3A%2F%2Fwww.cdc.
            gov%2Fnssp%2Fdocuments%2Fsuccess-story-chemical-spill-20170201.pdf&usg=AO
            vVaw2QLzSqlBWPlTpKez3akXCg (accessed October 30, 2017).
                                                                   October 31, 2017).
        117  https://www.cdc.gov/nssp/overview.html
                                                                122  42 U.S.C. § 11001 (1986).
        118  National Syndromic Surveillance Program. Chemical Spill in Kansas: Importance of
            Sharing Information Across Sites. CDC February 2017. https%3A%2F%2Fwww.cdc.  123  42 U.S.C. § 11001 (1986).
            gov%2Fnssp%2Fdocuments%2Fsuccess-story-chemical-spill-20170201.pdf&usg=AO  124  EPA. The Emergency Planning and Community Right-to-Know Act. https://www.epa.
            vVaw2QLzSqlBWPlTpKez3akXCg (accessed October 30, 2017).  gov/sites/production/files/2015-05/documents/epcra_fact_sheet.pdf (accessed
                                                                   November 2, 2017).
        119  EPA. The Emergency Planning and Community Right-to-Know Act. https://www.epa.
            gov/sites/production/files/2015-05/documents/epcra_fact_sheet.pdf (accessed   125  EPA. The Emergency Planning and Community Right-to-Know Act. https://www.epa.
            November 2, 2017).                                     gov/sites/production/files/2015-05/documents/epcra_fact_sheet.pdf (accessed
                                                                   November 2, 2017).
        120  EPA. The Emergency Planning and Community Right-to-Know Act. https://www.epa.
            gov/sites/production/files/2015-05/documents/epcra_fact_sheet.pdf (accessed   126  EPA. Local Emergency Planning Committee. https://www.epa.gov/epcra/local-
            November 2, 2017).                                     emergency-planning-committees (accessed November 2, 2017).
        121  EPA. The Emergency Planning and Community Right-to-Know Act. https://www.epa.  127  EPA. Local Emergency Planning Committee. https://www.epa.gov/epcra/local-
            gov/sites/production/files/2015-05/documents/epcra_fact_sheet.pdf (accessed   emergency-planning-committees (accessed November 2, 2017).
        30  CSB MGPI Processing Case Study
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