recommended notification procedures for local and state public health department leaders in the event of a bioterrorist incident Local Health Officer is informed of a bioterrorist incident or threat 1 First: • Notify FBI • Notify local law • enforcement Next: Notify & involve State Health Department and other response partners, per a pre-established notification list State Health Department notifies the CDC   Local health officer suspects that cases of illness may be due to a bioterrorist incident2 First: Inform & involve State Health Department. Health Department notifies CDC. Conduct investigation.  Is BT incident confirmed or thought to be probable? «--- OR ---» Yes Notify FBI. Notify other pre-determined response partners. No Continue investigation