Purpose: The Pandemic Influenza Tabletop Exercise is designed to help public health organizations create evidence-based practice, protocols, and policy around emergency communications. Toolkit Description: The tabletop exercise is a tool including materials to design a tabletop exercise which enables participants to identify the strengths and gaps in current policies, procedures, and resources related to communication systems during a pandemic influenza outbreak. It does so by simulating a major, multi-agency incident in a large county and teaches research-validated communication methods and strategies by focusing on the following learning objectives: - Identifying the agencys current strengths and gaps in emergency communication and coordination - Reviewing and listing the roles, plans, and procedures related to emergency communication - Identifying issues related to building effective communication channels between public health, health care, and the public, including vulnerable populations - Incorporating Northwest Preparedness and Emergency Response Research Center findings into the agencys communication practice, protocols, and policy Who should use it?: While the tabletop exercise is designed to help public health organizations, anyone with an interest in public health emergency communications at any level could benefit from this exercise (e.g., potential responders to a public health emergency). Additionally, the background information can be modified to better fit the realities and needs of local communities. Benefits: By assessing the performance of the communication systems for those involved, it is hoped that this tool will improve said plans and increase performance in the advent of a real pandemic. A link to the tabletop exercise materials can be found in the PDF file.