It's really true everywhere. Think about: Setting up temporary hospitals; where is the available capacity, where is the existing capacity. Knowing where peopl

It's really true everywhere. Think about: Setting up temporary hospitals; where is the available capacity, where is the existing capacity. Knowing where people live and how they move around. Who in the area is most at risk and how can their needs best be met? Knowing what logistics capabilities exist. Speaking the local dialect and being able to effectively communicate emergency plans such that they're followed. Who do you talk to to mobilize some local resource? These are all things that are best implemented locally.