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all across the region. The white powder has made its way into hundreds of homes in multiple counties and jurisdictions, potentially exposing thousands of people.

How can the limited health department staff contain the outbreak?

Those who have been potentially exposed must be treated — and fast. But setting up a central place to dispense medications and evaluate patients will require dozens, if not hundreds of people.

Prior to 2003, the Rappahannock-Rapidan Health District would have had a more difficult time dealing with such a health emergency. While there were stockpiles of vaccines and medications to help with various outbreaks, one key concern has always been manpower. And although any health emergency would still prove difficult to handle, health officials in the region, state and nationwide

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