Attach_4_CDC_Deployment_Health_and_Safety_Policy.pdf

CDC1 has revised the Deployment Health and Safety Policy

1. Reason for Revision: CDC has revised the Deployment Health and Safety Policy to ensure the health, safety, and resiliency of its personnel during deployments, including routine and emergency deployment, domestic and international deployments, long-term and short-term deployments (assignments/details) and temporary duty (TDY) assignments. Specifically, CDC has assessed the Deployment Health and Safety Program and made changes in such areas as emergency and routine deployment clearance requirements.

2. Summary of Policy: Because of the increased number of deployments and personnel deployed, and increased associated risks, CDC has developed a more systematic Deployment Health and Safety Program to ensure the health and safety of CDC personnel as much as possible. The revised policy includes five new appendices:

OSHE Deployment Clearance System

Emergency Deployment Clearance Requirements

Routine Deployment Clearance Requirements

Medical and Respirator Clearance Guide

Special Notes for Atlanta-Based, Non Atlanta-Based and Commissioned Corps

This policy determines training and screening procedures for personnel to be deployed. This policy was developed by the Office of Safety, Health and Environment in collaboration with other stakeholders and delineates responsibilities for various CIOs, managers and supervisors, and deployed personnel.

3. Related Issuances: CDC Health, Safety and Environmental Policy, CDC November 2004

4. Responsible Organization: Office of Safety, Health and Environment

5. Material Superseded: None

6. Recertification: This document is scheduled for recertification on or before the last working day of December 2016.

7. Point of Contact: Cheryl Graves, Senior Policy Analyst, Management Analysis and Services Office, 770 488-4748

To go directly to the policy, enter the following URL into the location line of your browser:

http://aops-mas-iis.cdc.gov/Policy/Doc/policy463.pdf

/s/Allison Tanner Acting Deputy Chief Operating Officer

References to CDC also apply to the Agency for Toxic Substances and Disease Registry (ATSDR) http://aops-mas-iis.cdc.gov/Policy/Doc/policy463.pdf

Category: Safety Management

CDC

-SM-2005-02

Date of Issue: 08/01/2005, Update 12/23/2011 Proponent: Office of Safety, Health, and Environment (OSHE)

CDC DEPLOYMENT HEALTH AND SAFETY POLICY

Sections: 1. PURPOSE AND SCOPE

2. BACKGROUND

3. POLICY

4. RESPONSIBILITIES

5. REFERENCES

6. ABBREVIATIONS AND ACRONYMS

7. DEFINITIONS

Attachment: CDC FORM 0.304, CDC/ATSDR INCIDENT REPORT

Appendices: A. OSHE DEPLOYMENT CLEARANCE SYSTEM

B. EMERGENCY DEPLOYMENT CLEARANCE REQUIREMENTS

C. ROUTINE DEPLOYMENT CLEARANCE

REQUIREMENTS

D. MEDICAL AND RESPIRATOR CLEARANCE GUIDANCE

E. GUIDELINES FOR OBTAINING DEPLOYMENT CLEARANCES

1. PURPOSE AND SCOPE

This document establishes the Centers for Disease Control and Prevention (CDC) [1] policy for the Deployment Health and Safety Program (DHSP).

This policy applies to CDC personnel deployed by, or at the direction of CDC, including routine and emergency deployments, domestic and international deployments, long-term and short-term deployments (assignments/details) and temporary duty (TDY) assignments to worksites other than CDC-owned or-leased facilities. This policy does not apply to contractor personnel.

The objective of this policy is to ensure: (1) the health and safety of all deployed CDC personnel through utilization of the Deployment Health and Safety Program preparation and support system that consists of pre-deployment preparation, during deployment support and post-deployment services, and (2) compliance with all applicable federal, state, and local health and safety regulations.

References to CDC also apply to the Agency for Toxic Substances and Disease Registry (ATSDR) http://intraspn.cdc.gov/maso/EForms/PDF/0304.pdf http://aops-mas-iis.cdc.gov/policy/Doc/Policy1833.pdf http://aops-mas-iis.cdc.gov/policy/Doc/Policy1834.pdf http://aops-mas-iis.cdc.gov/policy/Doc/Policy1835.pdf http://aops-mas-iis.cdc.gov/policy/Doc/Policy1835.pdf http://aops-mas-iis.cdc.gov/policy/Doc/Policy1836.pdf http://aops-mas-iis.cdc.gov/policy/Doc/Policy1837.pdf http://intraspn.cdc.gov/maso/policy/Doc/policy463.htm#_ftn1

2. BACKGROUND

CDC deploys hundreds of personnel each year on long-term assignments, details, and TDY to all parts of the United States and around the world. Many of these deployments are routine and special preparation is not required (domestic TDY for meetings and consultations). Others are routine but require some amount of special preparation when there is adequate time before deployment. This includes (domestic state and local assignments as well as overseas long-term and short-term assignments and overseas TDY).

A significant number of personnel are deployed to respond to CDC-recognized emergencies such as disease outbreaks and disasters of various kinds (biological, chemical, radiological, natural, and humanitarian) which are identified as “emergency deployments”. Emergency deployments are carried out more effectively when prepared personnel are used. Certain hazards and risks associated with deployments may be directly related to the reason for the deployment (infectious disease outbreak, disaster), or incidental to the deployment (endemic diseases, lack of medical facilities, and physical security hazards such as street crime and terrorism at the deployment location). In most cases, risks can be reduced to an acceptable level when specific hazards are identified and appropriate control measures implemented.

At CDC facilities many hazards can be eliminated or mitigated through the use of engineering controls. However, because deployment involves travel and work at sites not controlled by CDC, more reliance must be placed on administrative controls such as education, training and protocols; the appropriate use of personal protective equipment; and the careful attention to personal actions and behaviors.

Several categories of deployments, e.g., emergency, routine, long term, short term, and short term TDY are recognized based upon the reason for the deployment, types of hazards/risks that may be encountered, whether or not special preparation is required and the amount of time available for deployment.

CDC has developed a more systematic Deployment Health and Safety Program because of the increased number of deployments, and personnel deployed, and the increased risks associated with some deployments. This will help ensure, to every extent possible, the health and safety of CDC deployed personnel. DHSP provides the conceptual framework for optimizing health readiness and protecting CDC personnel. Please see CDC Deployment Health and Safety Program (http://intranet.cdc.gov/oshe/dhsp/index.htm) for additional information related to deployments.

3. POLICY

The health, safety, and resiliency of deployed personnel is a high priority for CDC. CDC’s policy is to ensure, to every extent possible, the health and safety of deployed CDC personnel by putting a system in place for personnel to successfully complete all required preparations. This will eliminate or reduce health and safety risks associated with deployments. CDC’s ultimate goal is to accomplish the mission while protecting the health of CDC personnel. Personnel deployed in response to CDC-recognized emergencies must have completed all the elements of the state of readiness process including fitness for duty and deployment, deployment medical clearance, respirator clearance (if needed), training on using appropriate personal protective equipment, and other specialized training (if needed). CDC programs supplement CDC-wide general guidance and procedures with program- and project-specific information. CDC contractors who deploy at CDC’s request must work through their contracting agency, not CDC, to meet medical and http://intranet.cdc.gov/oshe/dhsp/index.htm respirator clearance requirements. All personnel, regardless of employer, should go through the clearance process before their actual deployment.

A. Policy Record of Changes

The CDC Deployment Health and Safety Policy is a living document that should reflect changes in safety and health operations of CDC deployed personnel, to include both routine and emergency, and national and international responses. The Office of Safety, Health, and Environment (OSHE), Office of the Director is responsible for ensuring the safety and health of CDC deployable workforce, maintenance of the Deployment Health and Safety policy and the supporting attachments, as well as for Record of Changes, when revisions are required.

OSHE’s Policy Team works in collaboration with subject matter experts (SMEs) across CDC to annually review the Deployment Health and Safety Policy and to ensure that the policy remains accurate and up-to-date. Approved changes are made in the master document and the version number is updated. The most up-to-date version is stored on the MASO portal http://aops-mas-iis.od.cdc.gov/Policy/Doc/policy463.htm.

B. OSHE Deployment Clearance System

1) Medical and Respirator Clearance Process

The OSHE medical and respirator clearance process has changed. Previously the medical and respirator clearances were combined as a collective requirement for deployment. However, they are now separate requirements for readiness because CDC recognizes that not all deployments require the use of respiratory protection. As a result, a new medical and respirator clearance process has been implemented. See Appendix A for further information on the OSHE Deployment Clearance System.

2) Emergency Deployment Clearance Requirements

OSHE has established Emergency Deployment and Clearance Requirements based on the following CDC Response Tier System:

Tier 1: CDC personnel not working within the CDC Emergency Operations Center (EOC) or not sent out to the field as responders

Tier 2: Personnel assigned to fill a functional seat in the CDC EOC during a response operation

Tier 3: Personnel assigned to a field location and those who may be deployed as a field responder

Tier 4: Personnel activated to the Incident Management System (IMS) leadership and liaison roles or deployed in leadership positions to the field

See Appendix B for information on CDC Emergency Deployment Clearance Requirements.

3) Routine Deployment Clearance Requirements

CDC has established Routine Deployment Clearance requirements based on the following categories of deployment:

Long Term Deployment - Assignment/detail of 1-2 years http://aops-mas-iis.od.cdc.gov/Policy/Doc/policy463.htm http://aops-mas-iis.od.cdc.gov/Policy/Doc/policy463.htm

Short Term Deployment - Assignment (TDY) of less than 1 year, (typically 2 days to less than 3 months in length).

Short Term TDY - TDY of less than 30 days

See Appendix C for information on CDC Routine Deployment Clearance Requirements.

4. RESPONSIBILITIES

This section lists the responsibilities of noted individuals and organizations in the implementation of this policy.

A. Director, CDC, responsibilities with respect to the health and safety of deployed personnel policy:

1) Oversees and ensures the implementation of this policy and assesses the development and fielding of new and existing technologies and programs to support deployment health and safety activities.

2) Holds managers and supervisors accountable for the implementation of this policy to ensure the health and safety of their personnel, both at CDC and deployment locations.

B. Office of Safety, Health and Environment (OSHE) responsibilities with respect to the health, safety, and resiliency of deployed personnel policy:

1) Provides leadership, service, and oversight in establishing and implementing the

Deployment Health and Safety Policy to ensure the health and safety of all CDC deployed personnel and compliance with all applicable federal, state and local health and safety regulations

2) Oversees and ensures the implementation of this policy and assesses the development and fielding of new and existing technologies and programs to support deployment health, safety, and resilience activities

3) Provides guidance on the utilization of the CDC deployment health and safety system that consists of pre-deployment preparation, intra-deployment support, and post-deployment services based on the best available information and protective measures

4) With respect to emergency deployments, OSHE coordinates and collaborates with the Division of Emergency Operations (DEO) to ensure that all health and safety requirements are identified and satisfied for personnel deployed in response to CDC-recognized emergencies

5) Conducts risk assessments to determine required protection measures for responders (respiratory protection, gloves, prophylaxis, etc.)

6) Provides consultation to managers, supervisors, and deployed personnel regarding safe deployment practices and procedures; and assists in the implementation of new regulatory requirements applicable to deployment health and safety

7) Assists with the development and implementation of DHSP training curricula training courses and exercises and ensures maintenance of training records

8) Ensures the availability of:

An effective pre-deployment medical screening and clearance process. At a minimum, the screening and clearance process will include physical examinations, health screenings, travel kits and medications, and other medical interventions/countermeasure such as immunizations, prophylaxes and other pharmaceutical interventions

Appropriate personal protective equipment and other safety equipment

Consultation on medical issues during deployment, including medical evacuation procedures

Mental health services through the maintenance of employee assistance programs (EAP) and other professional referrals

Resilience-building programs to promote necessary skills, knowledge and abilities that enhance responders’ emotional and mental health and wellbeing before, during, and after deployments

9) Provides or ensures designation of a Safety Officer or other safety and health professional to staff the Emergency Operations Center, IMS/Safety/OSHE desk during all activations, exercises and drills

10) Provides health and safety information for CDC Preparedness Workforce Management System (PWMS) Tracking System, or subsequent similar systems, and ensures that it is accurate and up-to-date

11) Encourages and assists in the reporting of all exposures, injuries, illnesses, and incidents or potential exposures without known injury occurring as a result of deployment with completion of CDC 0.304 CDC/ATSDR Incident Report (See Attachment), as soon as possible after the occurrence

12) Establishes a process for reviewing recommendations from CIOs, and the EOC regarding the granting of exceptions (waivers) for medical clearance including a mechanism to track and archive all approved or denied waivers and the conditions requiring the waivers

13) Serves as the final approval authority for exceptions to the medical clearance (waivers) made pursuant to the procedures in this Instruction

14) Provides a uniform reporting system for tracking of medical and respirator clearance

15) Coordinates with the EOC and CIOs to make deployment health-related information available to support all deployments

16) Ensures field deploying personnel meet all the deployment health and safety requirements when notified of the deployment

17) Ensures deploying personnel are briefed on deployment safety and health threats and are trained and equipped with necessary countermeasures. This includes participating in the pre-deployment briefings to cover safety, health and resilience

C. Manager’s and supervisor’s responsibilities with respect to the health and safety of

CDC deployed personnel policy:

1) Identifies personnel who may be deployed in response to emergencies and provide their names to the EOC, Emergency Personnel Staffing Section for rostering and CDC Occupational Health Clinic, and cooperates fully in the activities required to bring them to a state of readiness for deployment

2) Identifies personnel who are to be deployed on routine deployments. Provide their names to the CDC Occupational Health Clinic, cooperates fully in the activities required to bring them to a state of readiness for deployment

3) Ensures contracts, interagency agreements, or other agreements through which personnel deployed must contain appropriate provisions to require compliance with the applicable requirements of this policy

4) Consults with OSHE to ensure necessary occupational health services, training, briefings, equipment, and other information are provided to personnel before actual deployment http://intraspn.cdc.gov/maso/EForms/PDF/Form1082.pdf

5) Consults with OSHE to nominate individuals from their respective work units who could successfully participate in and complete the Deployment Safety and Resiliency Team (DSRT) training

6) Consults with CGH, EOC, DEO/EPSS, and Office of Security and Emergency Preparedness (OSEP), and others for training, briefings, and other information for personnel before actual deployment

7) Cooperates fully with OSHE in the development and operation of CDC’s deployment health and safety policy

8) Ensures that deployed personnel adhere to all applicable CDC health and safety requirements

9) Takes corrective action if health and safety deficiencies are identified before, during or after deployment

10) Ensures that CDC personnel are appropriately assessed by OSHE Occupational Health Clinic before all deployments, in accordance with emergency and routine clearance requirements

11) Ensures that non-Atlanta based personnel who work at locations with access to onsite occupational health clinic services, use their contract local clinics to obtain clearance services, if needed

12) Ensures that non-Atlanta based personnel who work at locations that do not have an onsite clinic, use the Federal Occupational Health or other occupational health services provider to obtain clearance services. Personnel must receive authorization from OSHE for these services, if needed

13) Ensures that personnel under their direction meet the medical requirements of OHC when individuals and their leaders deploy in support of CDC mission. As these requirements may differ by assignment (routine or emergency), they must be coordinated separately for each deployment

14) Ensures that personnel under their direction meet the respiratory protection requirements (if needed) of the Occupational Safety and Health Administration (OSHA) respiratory protection standard when individuals and their leaders, under their direction, deploy in support of CDC mission. As these requirements may differ by assignment (routine or emergency), they must be coordinated separately for each deployment

15) Documents, in writing, if personnel are deployed without fully meeting all deployment health and safety requirements, the decision and its rationale, and any additional precautions taken to protect those deployed

D. Deployed Personnel - responsibilities with respect to proper application of this policy:

1) Know and comply with all requirements of this policy, the CDC Health, Safety, and

Environment Policy, and any other applicable Center-specific guidance and procedures

2) Attend all pre-deployment trainings and briefings as required by CDC

3) Report to supervisors and/or OHC, as soon as practicable, following exposures, illnesses, and injuries that occur during deployment

4) Participate in OSHE-sponsored post-deployment operational debriefings as requested

5) Inform supervisors and/or medical personnel assessing fitness for deployment of medical conditions or limitations that might impair their ability to work safely during the deployment, as such conditions become known

6) CDC personnel in deployable positions will be responsible for meeting the medical and physical requirements of their deployment-specific tasks and/or tier assignment http://intraspn.cdc.gov/maso/policy/Doc/policy352.htm http://intraspn.cdc.gov/maso/policy/Doc/policy352.htm

7) CDC personnel who are selected for deployment opportunities outside of their chain of supervision will be responsible for meeting and maintaining the medical requirements identified for the deployment by the OHC

E. Division of Emergency Operations (DEO), Office of Public Health Preparedness and Response (OPHPR) - responsibilities with respect to proper application of this policy:

1) Notify OSHE Deployment Health and Safety Coordinator/Designee, during activation of the EOC in support of a CDC emergency response, of any employees identified to fill field deplorer positions and request OSHE services by notifying the Deployment Health and Safety Coordinator/Designee

2) Provide CDC Occupational Health Clinic with a list of all employees deploying to the field during an EOC activation in support of a CDC emergency response

3) Coordinate with OSHE to confirm that all employees deploying to the field during an EOC activation in support of a CDC emergency response meet all health and safety requirements outlined in this policy and implementing guidance and procedures, unless responsible CDC senior leadership direct otherwise

4) Manage the PWMS Tracking System used to record and track all actions taken to prepare personnel for deployment and the status and location of deployed personnel

5) Report to OSHE any unsafe or unhealthful conditions related to deployment activities which are identified before, during, or after deployments

6) Provide assistance with training and educational efforts related to safe and healthful actions by CDC personnel in the emergency response setting

F. Center for Global Health (CGH) - responsibilities with respect to proper application of this policy:

1) Provides consultation and services supporting all international deployments including:

a. Pre-deployment trainings and briefings

b. Logistical support and guidance for international travel

c. Assistance with emergency medical interventions in partnership with the U.S.

Department of State

2) Coordinates with OSHE on the implementation of all health and safety requirements for international deployments

3) Provides to all international travelers, OSHE instructions for reporting exposures, illness, or injury and for requesting a health and safety consultation

G. Office of Security and Emergency Preparedness (OSEP) - responsibilities with respect to proper application of this policy:

1) Provide advice and training to assist individuals in ensuring their physical security while deployed

2) Provide security briefings and other training for all individuals who hold a national security clearance on all long-term and short-term overseas assignments/details and

TDY

3) Please see CDC Foreign Travel and Contacts Policy (http://aops-mas-iis.cdc.gov/Policy/Doc/policy458.pdf) for further safety and security information related to deployments http://aops-mas-iis.cdc.gov/Policy/Doc/policy458.pdf

H. Human Capital Management Office (HCMO), CDC University - responsibilities with respect to proper application of this policy:

1) Assists with the development of training activities in support of the DHSP

2) When requested, provides technical assistance in the initiation and maintenance of a

Deployment Safety Certificate Program that encompasses all required DHSP training

3) Maintains a listing of mandatory training for deploying personnel in accordance with CDC’s

Mandatory Training Policy (http://aops-mas-iis.cdc.gov/Policy/Doc/policy458.pdf)

I. Information Technology Services Office (ITSO) - responsibilities with respect to proper application of this policy:

1) Provides information resources and technology support to fully implement the CDC

DHSP

2) Assists with logistical support of the PWMS Tracking System

5. REFERENCES

A. Federal Agency Safety Programs and Responsibilities, Occupational Safety and Health Act of 1970, as amended through January 1, 2004 B. CDC Health, Safety and Environmental Policy, CDC November 2004 C. Basic Program Elements for Federal Employees, OSHA D. CDC Guide to International Operation, CDC E. CDC Guide to International Operations Supplement 1 - Briefing for Overseas Service, CDC

November 2001 F. 0Federal Civilian Personnel, Occupational Safety and Health Programs for Federal

Employees

6. ABBREVIATIONS AND ACRONYMS

CGH – Center for Global Health CIO – Centers/Institute/Offices DEO – Division of Emergency Operations DHSP – Deployment Health and Safety Program DSRT - Deployment Safety and Resiliency Team EOC – Emergency Operations Center EPSS – Emergency Personnel Staffing Section HCMO – Human Capital Management Office IMS – Incident Management System ITSO – Information Technology Services Office OHC – Occupational Health Clinic OPHPR – Office of Public Health Preparedness and Response OSEP – Office of Security and Emergency Preparedness OSHA – Occupational Safety and Health Administration OSHE – Office of Safety, Health and Environment PWMS – Preparedness Workforce Management System SME – subject matter expert TDY – temporary duty USPHS – United States Public Health Service http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=OSHACT&p_id=3373 http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=OSHACT&p_id=3373 http://www.cdc.gov/nccdphp/dnpao/hwi/downloads/HSE_policy.pdf http://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1&p_part_number=1960 http://intranet.cdc.gov/cgh/opsguide/w2wfrm.htm http://intranet.cdc.gov/cgh/opsguide/s1.pdf http://intranet.cdc.gov/cgh/opsguide/s1.pdf http://www.archives.gov/federal-register/codification/executive-order/12196.html http://www.archives.gov/federal-register/codification/executive-order/12196.html

7. DEFINITIONS

CDC- recognized emergency – External incident or event to which CDC responds by activating its emergency response process, including emergency deployment of CDC personnel.

Certificate program – Formal offering of a pre-determined set of training and instruction undertaken to increase competence in a given area or subject matter and recorded in an official record system such as the HHS Learning Management System.

Contingency - An event that might occur in the future, especially a problem, emergency, or expense that might arise unexpectedly and therefore must be prepared for the event.

Contractors – Personnel performing specific contractual services on-site or off-site in furtherance of CDC’s mission.

Deployable for emergencies – CDC personnel who have been identified for possible emergency deployment, prepared in advance for identified types of deployments and who can be deployed on short notice.

Deployed personnel – CDC personnel assigned, detailed or on TDY at sites other than CDC-owned or -leased facilities.

Deployment – The period of time personnel are away from CDC-owned or -leased locations on emergency or routine deployments, domestic or international, long-term or short-term assignments/details or temporary TDY.

Deployment Safety and Resiliency Team (DSRT) Member - A member of a deployment team who is assigned, as a primary or collateral duty, responsibility for monitoring and ensuring the health, safety, and resiliency of the team members.

Deployment Safety Officer – A member of a deployment team who is assigned, as a primary or collateral duty, responsibility for monitoring and ensuring the health and safety of the team members.

Deployment worksite – Any physical location, other than CDC-owned or -leased facilities, where CDC personnel carry out their responsibilities, including emergency and routine, long-term and short-term assignments, details and official travel.

Emergency Personnel Staffing Section (EPSS) - Team managed by the Emergency Operation Center (EOC) which ensures all personnel identified by the CDC programs for emergency deployments are brought to a state of readiness before being deployed or other designated official(s) to whom this responsibility is delegated.

Emergency deployment – TDY deployment in response to an incident or situation that CDC recognizes as an emergency, which may or may not be hazardous, for which special preparation may be required, very little time is available for preparation of personnel to be deployed (usually a week or less) and the CDC emergency response processes are activated.

Employee – Person employed by CDC (either civil service or Commissioned Corps).

Long-Term Deployment – One- to two-year routine assignment or detail. At the option of the supervisor, extended TDY of 3 months or more may be treated as a long-term assignment for training and medical requirements.

Personnel – CDC employees (civil service, Commissioned Corps) and in some instances, working visitors, and contractors.

Physical security – Protection from injury to CDC-deployed personnel caused by interpersonal violence, street crime, terrorism, or other sources of violence incidental to the work being performed.

Post deployment – The period following a deployment when deployed personnel may be provided follow-up assessment and services such as physical examinations, medical monitoring, and resiliency services.

Pre deployment – The period of time before an actual deployment.

Resiliency – The capacity to maintain mental equilibrium under the pressures and stresses of deployment and the enhanced ability to respond to cultural and situational challenges. Also, the ability to recover quickly from illness, change or misfortune; buoyancy.

Respirator clearance - Respirator medical exam, respirator selection, training, and fit testing based on OSHA standard CFR 1910.134.

Responder pool – Cadre of pre-selected and prepared CDC personnel who respond on short notice, at the Division of Emergency Operations’ (DEO) or other CDC program’s direction, to CDC-recognized emergencies.

Routine deployment – Non-emergency deployment that may or may not require special preparation, and which may or may not be hazardous, for which there is sufficient time to satisfy all applicable requirements before deployment, including long-term and short-term domestic and international assignments, and short term domestic and international TDY.

Preparedness Workforce Management System (PWMS)– An automated system that is managed by the DEO and is used to record and maintain all state of readiness data for the deployment coordination Team or similar groups.

Short Term Assignment – TDY of less than 1 year, (typically 2 days to less than 3 months in length).

Short Term TDY – TDY of less than 30 days

Special requirement – Preparation specific to certain types of deployment that requires lead time to complete (e.g., obtaining immunizations, acquiring respirators, receiving special training).

State of readiness process – The process managed by the DEO designed to ensure all CDC personnel deployed in response to emergencies are at an acceptable level of readiness to optimally perform their duties safely (fitness for duty and deployment, responder readiness clearance, receipt of immunizations, training on personal protective equipment, and receipt of other specialized training).

Working visitor – A visitor who is not a CDC employee or contractor who needs access to CDC facilities and/or select agent areas for more than 5 cumulative days within a 90-day period. A working visitor includes a guest researcher, visiting scientist, student, or non-CDC employee fellow, or volunteer.