National Pharmaceutical Stockpile NPS is a massive stockpile of medicines, vaccines, medical supplies, equipment and other items to augment the local supplies of critical medical items in the event of a: NPS is a massive stockpile of medicines, vaccines, medical supplies, equipment and other items to augment the local supplies of critical medical items in the event of a: Terrorist attack using a weapon of mass destruction (chemical, biological, or blast), orTerrorist attack using a weapon of mass destruction (chemical, biological, or blast), or Large scale natural disaster or technological accidentLarge scale natural disaster or technological accident State/local jurisdictions will rapidly deplete supplies of medical items, so this national supply can be requested to help State/local jurisdictions will rapidly deplete supplies of medical items, so this national supply can be requested to help

NPS Deployment Requesting the NPS Requesting the NPS State/local health official contacts Tennessee Dept. of Health and Commissioner of HealthState/local health official contacts Tennessee Dept. of Health and Commissioner of Health TDH Commissioner notifies GovernorTDH Commissioner notifies Governor Governor requests NPS from CDCGovernor requests NPS from CDC CDC Director deploys NPS to TennesseeCDC Director deploys NPS to Tennessee State specifies the delivery site within TennesseeState specifies the delivery site within Tennessee

National Pharmaceutical Stockpile 12 “Push Packages” located strategically throughout the US in secret locations 12 “Push Packages” located strategically throughout the US in secret locations One Push Pack : One Push Pack : Can arrive anywhere in US in 12 hours or lessCan arrive anywhere in US in 12 hours or less Contains items necessary to respond to a broad range of threats: antibiotics and other medicines, medical supplies and equipmentContains items necessary to respond to a broad range of threats: antibiotics and other medicines, medical supplies and equipment CDC team of 5-7 technical advisors will deploy at the time of the shipment CDC team of 5-7 technical advisors will deploy at the time of the shipment Technical Advisory Response Team (TARU)Technical Advisory Response Team (TARU) Pharmacist, logisticians, and NPS operations expertsPharmacist, logisticians, and NPS operations experts

National Pharmaceutical Stockpile Push Pack can be followed within hours by “Vendor Managed Inventory” (VMI) Push Pack can be followed within hours by “Vendor Managed Inventory” (VMI) Stored by major pharmaceutical vendorsStored by major pharmaceutical vendors Contains items necessary to deal with a specific threatContains items necessary to deal with a specific threat

National Pharmaceutical Stockpile NPS may arrive via Federal Express or United Parcel Service transport jet NPS may arrive via Federal Express or United Parcel Service transport jet Or it may arrive on seven 48-foot tractor trailers (16-18 cargo containers in each truck) Or it may arrive on seven 48-foot tractor trailers (16-18 cargo containers in each truck) One push package weighs 50 tons, and occupies 5000 square feet when offloaded One push package weighs 50 tons, and occupies 5000 square feet when offloaded

National Pharmaceutical Stockpile Contains enough resources to: Contains enough resources to: Protect 1 million people with full 60-day course of antibiotics to prevent anthrax, and treat 100,000 people who are already sickProtect 1 million people with full 60-day course of antibiotics to prevent anthrax, and treat 100,000 people who are already sick Protect similar numbers of people against tularemia and plague and treat those with symptomsProtect similar numbers of people against tularemia and plague and treat those with symptoms

Repackaging Drugs Repackaging a Push Pack’s bulk tablets will protect another 148,800 people with a 10-day course of antibiotics, or 496,000 people with a 3-day course Repackaging a Push Pack’s bulk tablets will protect another 148,800 people with a 10-day course of antibiotics, or 496,000 people with a 3-day course 300 Volunteer pharmacists working 8-10 hours a day would be needed to repackage the bulk supplies of antibiotics 300 Volunteer pharmacists working 8-10 hours a day would be needed to repackage the bulk supplies of antibiotics