Presentation on theme: "Strategic National Stockpile (SNS)"— Presentation transcript:
1Strategic National Stockpile (SNS) Confidential Not For Public Release
2Learning Objectives Understanding of SNS Strategic National Stockpile RSS Receiving, Staging andStoragePOD Point of Distribution
3Ocean County Health Department Emergency Preparedness and Response Our Mission:Ensure a coordinated, timely, and effective response to a bioterrorist event, natural disaster, or other public health emergency in Ocean County.
4Current Threats Man-made (CBRNE) Chemical, Biological, Radiological, Nuclear, ExplosiveNaturally occurringInfluenza pandemic, SARS, anthrax,natural disastersA natural disasterAfter the flooding caused by Hurricane Katrina along the Gulf Coast, a number of people received emergency vaccinations against diseases like Hepatitis A and Hepatitis B at mass distribution sites.An act of terrorismTerrorism can take the form of biological, chemical or radiological agents. For instance, some people who worked in places where the anthrax-contaminated envelopes were received in fall 2001 received the antibiotic Ciprofloxacin to try and prevent their developing anthrax.
5Public Health Threat is Identified In order to respond effectively to an outbreak, the threat needs to be identifiedSurveillance ( ED, Epicenter, etc)Bio Watch (bio- surveillance , 30 metros)
6Local Government Responds Local jurisdiction will attempt to manage a public health emergency by first utilizing local resourcesIf local resources are or are believed to be insufficient then a request will be made by Ocean County for the deployment of state assets
7State Government Responds State government will respond by providing additional resourcesMay include antibiotics, equipment, medical supplies and other suppliesIf state assets are believed to become insufficient then a request is made for the deployment of federal assets ie SNS
8The Strategic National Stockpile, or “SNS,” was previously known as the National Pharmaceutical Stockpile. The SNS is a national repository of antibiotics, chemical antidotes, antitoxins, life-support medications, IV administration, airway maintenance supplies, and medical/surgical items. The SNS is designed to supplement and re-supply state and local public health agencies in the event of a national emergency anywhere and at anytime within the U.S. or its territories.
9Strategic National Stockpile Pre-positioned pharmaceutical stockpiles located throughout the United States
10What does the Stockpile Contain? PharmaceuticalsMedical SuppliesMedical EquipmentVaccinesAntitoxinsAntidotes
11Strategic National Stockpile (SNS) 12 Hour Push PackageVendor Managed InventoryThe SNS program is comprised of two possible deliveries in response to an event. Components to a Two-Tiered Response:12-Hour Push Packages:Ready for deployment to reach designated airfield within 12 hours of Federal activationPre-positioned in environmentally controlled and secured facilitiesPre-configured for rapid identification and ease of distributionVendor Managed Inventory:Are comprised of pharmaceuticals and supplies that are delivered from one or more VMI sourcesWill be shipped to arrive within 24 and 36-hour periods“Tailored" to provide specific material depending upon suspected or confirmed agent1111
1212- Hour Push Package 12 because it will arrive in 12 hours or less push because a state need only ask for help not for specific items andpackage because the Program will ship a complete package of medical material to include nearly everything a state will need to respond to a broad range of threats.The SNS is organized for flexible response. The first line of support lies within the immediate response 12 hour Push Packages. These are caches of pharmaceuticals, antidotes, and medical supplies designed to provide rapid delivery of a broad spectrum of assets for an ill defined threat in the early hours of an event. These Push Packages are positioned in strategically located, secure warehouses ready for immediate deployment to a designated site within 12 hours of the decision to deploy SNS assets.READ SLIDE
13Strategic National Stockpile Each Push-Pack…Occupies 130 cargo containersWeighs 94,424 poundsMeasures 10,329 cubic feetRequires 5,000 square feetTHE CDC IS RESPONSIBLE FOR THE MOBILIZATION AND DELIVERY OF THE NPS TO AN OPEN COMMERCIAL AIRPORT CLOSEST TO THE AFFECTED AREA.THE STATE OR LOCAL AUTHORITIES ARE SUBSEQUENTLY RESPONSIBLE FOR THE MOVEMENT AND DISTRIBUTION OF NPS material FROM THE AIRFIELD TO THAT AFFECTED AREA.BUT CDC WILL ASSIST IN THE DISTRIBUTION OF MEDICAL material.EACH AIR CARGO CONTAINER WILL BE CLEARLY LABELED AND CODED TO EASE DISTRIBUTION AT THE AIRFIELD.1313
14Vendor Managed Inventory (VMI) arrive within 24 to 36 hourstailored to provide pharmaceuticals supplies and/or products specific to the suspected or confirmed agentIf the incident requires additional pharmaceuticals and /or medical supplies, follow-on vendor managed inventory (VMI) supplies will be shipped to arrive within 24 to 36 hours. If the agent is well defined, VMI can be tailored to provide pharmaceuticals, supplies and/or products specific to the suspected or confirmed agent. In this case, the VMI could act as the first option for immediate response from the SNS program.
15CHEMPACK in New Jersey Fielded 58 CHEMPACKS. Primarily in acute care hospitals.Provide State-wide coverage housed at (34) sites with the ability to treat up to 40,000 victims.Requires ongoing coordination with CDC and management by NJDOH.
16Receiving, Staging, and Storage (RSS) The Strategic National Stockpile is shipped to a Receiving, Staging, and Storage facility for distribution.
17RSS Locations Ocean County has identified two locations Primary: Lakewood Public WorksBack-up: Ocean County Voter Technology Building, LakewoodThe locations have the appropriate size and layout to accommodate the SNS assetsEach location can be secured (security assessment)
18Ocean County RSS Site Reallocate & Repack Distribute 2 Sites (primary and alternateOCHD personnel, Sheriff’s Officers, MRC/CERT Volunteers
20What is a POD?Point Of Distribution (POD) - a place where a vaccine, antibiotic or other medication is dispensed quickly to a large group of people in the event of a Public Health Emergency
21Ocean County Points of Distribution 6- PODs ( MOU with Schools)POD for prevention not treatmentOCHD employeesMRC/CERT/DRCCSheriff’s Officers
22Ocean County POD Site Selection LocationSecurityParking (accessible by public transport)RefrigerationTriage areaRestrooms, Water, ElectricityHeat/Air Conditioning (68°-77°F)Work station area
23POD Layout SampleRegistration: Here individuals check in. They are given forms to complete that include their medical history. Registration: Here individuals check in. They are given forms to complete that include their medical history. Registration: Here individuals check in. They are given forms to complete that include their medical historyTriage: At this station staff members review the patient-completed forms to identify people who require further medical and/or mental health evaluation. Generally if they check 'yes' for any of the medical conditions listed on the medical history form, they are sent to the medical evaluation station. People who do not need further evaluation can proceed directly to the distribution station.Medical evaluation: Appropriately credentialed providers (physician, nurse practitioner, physician assistant) determine whether the person should receive the medication or vaccination, should receive an alternative medication or vaccination, or should not receive any medication or vaccination. Those who are to receive a medication or vaccination would go to the distribution station. Others would exitdistribution: Staff members at this station give the medications or vaccinations. This process may be fairly simple or more complicated depending on the nature of the PODEducation: Staff members give individuals information about how to take medications, what side effects they might expect, what follow-up they need to do, etc. This information may be in writing, verbally, or both. In some PODs, education will be done before registration as well as after distribution.
24Roles and Responsibilities Ocean County Health Department Develop, maintain and update SNS PlanTrain and or Exercise SNS Plan at least every year(call-down, RSS site setup, POD setup, etc)Ensure training of assigned primary and backup personnel in key positionsOrganize and Chair multi disciplinary planning meeting to review and update SNS Plan
25County of Ocean Department of Human Services Provide psychological first aid to public/first responders (DRCC)Provide support to first line staff at medical facilitiesProvide online/hotline crisis response resources to general population
26Ocean County Prosecutor’s Office Conduct site assessment for primary and secondary RSS and POD sitesAssist with joint security for RSS/POD sitesCoordinate law enforcement activities with County and local law enforcement agencies.
27County of Ocean Sheriff’s Office Assist with coordination of law enforcement officers with OC Prosecutors office/local law enforcementAssist with joint security of primary and secondary RSS siteAssist with escort of SNS supplies between RSS and PODs
28County of Ocean Sheriff’s Office of Emergency Management Activate OC EOC on public health emergency declarationAssist with coordination and support for Incident ManagementAssist with providing multi level agency coordinationAssist with identification of at- risk homebound/special needs population
29County of Ocean Sheriff’s Office of Emergency Management Activate OC EOC on public health emergency declarationAssist with coordination and support for Incident ManagementAssist with providing multi level agency coordinationAssist with identification of at- risk homebound/special needs population
30County of Ocean (Transportation Needs) Assist in the transport of target population/special needs to PODS (Ocean Ride)Assist in transport of supplies to the PODsAssist with medication distribution to PODs
31Lakewood Township Public Works Provide access to primary RSS SiteEnsure all equipment and supplies related to RSS operations are available (pallet jacks, fork lift, etc)Ensure assigned staff is trained and available