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U.S. Department of Health and Human Services


This Playbook was not written with the liquid anthrax agent as proposed in National Planning Scenario #13- Food Contamination; however, Botulinum toxin was substituted in place of liquid anthrax as the food contamination agent. This Playbook is not intended to be an instruction of “how to” implement Emergency Support Function (ESF) #8 partnership missions at the operational or tactical level.

This Playbook does not exclude any population group. Throughout this playbook any reference to individual(s), person(s), patient(s), people, group(s), or population(s) also includes at-risk individuals as defined by the Pandemic and All-Hazards Preparedness Act (PAHPA) and special needs population as defined by the National Response Framework (NRF). Agencies or organizations that provide services need to take into account population subgroups and any additional assistance and communication requirements these groups may require when developing action plans.

This Playbook differentiates between States and Territories even though the Homeland Security Act of 2002 defines State as “any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, any possession of the United States. The term State, Local, Tribal, and Territorial will be abbreviated SLTT throughout this playbook.

This Playbook is a living document and may not reflecting current HHS or interagency plans or policies. Simultaneous planning processes and evolving policy decisions may result in some sections not being accurate, especially in regard to the integration of the many and varied State, Local, Tribal, and Territorial (SLTT) plans with ESF #8 partnership response concepts. ASPR is responsible for routine updating and ensuring the accuracy of this playbook.


  • This page last reviewed: March 20, 2012