1. John Erickson Special Assistant Washington State Department of Health Responding to Emergencies in the Pacific Northwest Cross-Border Agreements

2. Objectives  Considerations of federal law governing of state cross-border agreements  Summarize existing Canadian/State agreements  Examine the Pacific Northwest Emergency Management Arrangement

3. Federal Law  US Constitution, Article 1 section10 Clause 1: “no state shall enter into any Treaty, Alliance or Confederation.” Clause 3: “no state shall, without the consent of the congress,… enter into any Agreement or Compact with another state, or with a foreign power.”

4. Existing Cross-Border Agreements  Agreement between Eastern Canadian Provinces and New England States  Great Lakes Forest Fire Protection Agreement  Cross Border Contingency Plan between Ontario and New York  Pacific Northwest Emergency Management Arrangement

5. Feedback Poll Are you familiar with the Pacific Northwest Emergency Management Arrangement (PNEMA)? A. Yes B. No

6. Pacific Northwest Emergency Management Arrangement  Alaska  Oregon  British Columbia  Idaho  Yukon Territory  Washington

7. Principles of Cooperation  Seek advice, cooperation or assistance in any civil emergency matter  Facilitate the move- ment of evacuees, refugees, equipment, civil emergency personnel, or other resources

8. Amendments This arrangement may be amended (and additional Annexes may be added) by agreement of the signatories.

9. Annex B International Emergency Management Assistance Memorandum of Understanding

10.  Formulate plans and programs  Request assistance  Consult among jurisdiction officials  Limitations Annex B (continued)

11. Annex “X” Draft Public Health Annex The purpose of this Annex is to address public health issues that arise during a public health emergency.

12. Feedback Poll Do you think such an agreement is necessary? A. Yes B. No

13. Annex “X”  Dissemination of health data  Movement of laboratory samples and data  Movement or retention of evacuees or refugees  Requesting health care personnel

14. We’re living in the age of the “new normal” of emerging health threats. Julie Gerberding, Director of the Centers for Disease Control and Prevention (CDC)