The Pacific NorthWest Border Health Alliance (PNWBHA is a cross border collation of: the states of Alaska, Idaho, Montana, Oregon and Washington: the province of British Columbia and Saskatchewan: and the Yukon Territory. PNWBHA's primary goal is to provide leadership in the integration of public health preparedness and response initiatives at all levels of government, including Tribal and First Nations, throughout the Pacific Northwest.VisionA seamless cross border and cross jurisdictional public health surveillance and emergency response network in the Pacific Northwest.MissionTo provide a forum for inter-jurisdictional collaboration in the identification and promotion of "best practices" in addressing the capability of Parties to prepare for, respond to and recover from the impacts of any public health or other emergencies or disasters.GoalsTo provide a governance structure that provides leadership in the integration of public health preparedness and response initiatives at all levels of government, including Tribal and First Nations, throughout the Pacific Northwest.To prevent and/or mitigate the potential impact of a catastrophic health event , such as; a naturally-occurring pandemic; a devastating environmental or geological event; or a terrorist attack with chemical, biological or radiological weapons, through dynamic and open collaboration.To respond to surge capacity demands on health systems and health resources efficiently and in a cost effective manner when public health emergencies arise in any jurisdiction party to this MOU; andTo assess current and explore future areas of collaboration that could result in efficiencies when providing health services in all Alliance jurisdictions.