While the Monongalia County Health Department in West Virginia does not have a nuclear powerplant in its community, the region has a long-running collaboration and history around preparing for a radiation emergency. Since at least 2015, it has done discussion-based and operations-based types of exercises to test their Radiation and Community Reception (CRC) response plans. Eight people at the health department currently have training at various levels in radiation response.
Read the full profile on their radiation emergency preparedness from NACCHO.