TYB
Urban Outbreak 2019
https://digital-commons.usnwc.edu/civmilresponse-program-sims-uo-2019/
US Navy did a 2 day simulation of a viral pandemic in a fictional 21 million population last September. Their summary seems realistic. Naval War College "Urban Outbreak 2019" wargame scenario document is a 14 page pdf by Mr Davies. Appendix III provides a summary of the war game results and copied below. (published 4/01/2020)
https://digital-commons.usnwc.edu/cgi/viewcontent.cgi?article=1001&context=civmilresponse-program-sims-uo-2019
Appendix III
Urban Challenges and Areas of Inquiry in Urban Outbreak 2019 Scenario
Round One: Outbreak
• Concept of employing informal public health providers in the response
• Concept of informal governance/security for access or mobility for vulnerable populations in key dense urban areas
• Establishing role of private security
• Determining differential access to resources based on social strata and location
• Assessment data from rural mountainous region
• Self-interested government officials and private sector actors
• Prostitution as a vector
• False information/suspicion concerning the outbreak and response
Round Two: Cascading Failures
• Loss of power, utilities, dockworkers, security, etc.
• Failure of existing medical system
• All other medical services severely affected
• Logistical capacity stretched for outbreak response purposes at the expense of all else
• Hoarding, theft, and black market becomes extremely lucrative
• Increased international military role
• Challenges for responder security and ROE for military
• Ambiguous role of the national government
• Role of informal transit for response
• Flight of populations
• Quarantine/roadblocks
• Mortuary affairs
• PPE and medical demand
Round Three: Cleanup Wish List
• Pre-transition change in priorities
• Engineering, heavy lift or logistics from international military before transition begins/departure
• Reviving broken livelihoods
• Mortuary affairs
• Refuse in urban areas
• Security - rise of gangs and religious groups
• Badly damaged infrastructure
• Hobbled workforce
• Extreme needs associated with fractured health system (public health emergencies associated with those failures)