Epidemic response coordination networks in “living documents”

Response plans developed thoroughly are suggestive of a successful action, but there is a gap in the literature with respect to the way concerted efforts among organizations are planned and change during crises. Using organizational network data extracted from the South Korean government's MERS response manuals, we examined the changes in the response coordination network planned during the epidemic's distinct stages. The greatest difference in predicting tie formation was found in the networks planned before the event and revised during the outbreak. Local and governmental actors tend to form more ties consistently in the revised manuals. Two actors that are intended to transfer medical and/or personnel resources tend to form more ties across all stages. These findings suggest that transferring material and/or human resources are key activities in the epidemic response and planners tend to increase the connection of local and governmental actors over time.