Strategic National Stockpile (SNS)

What is the SNS? The mission of the Strategic National Stockpile is to provide the right materials, at the right place, at the right time, to secure the Nation’s health. Nation’s largest supply of pharmaceuticals and medical supplies for use in a public health emergency. https://www.youtube.com/watch?v=I5a1nTYXWX8

What is the SNS? The stockpile contains: Antibiotics Chemical Antidotes Antitoxins Vaccines Antiviral Drugs Personal Protective Equipment Other Medical Supplies https://www.youtube.com/watch?v=I5a1nTYXWX8

What is the SNS? Stockpile materials may be used for: Anthrax Plague Smallpox Chemical Threats Radiation Threats Pandemics (Influenza) Natural Disasters / Public Health Emergencies https://www.youtube.com/watch?v=I5a1nTYXWX8

What is the SNS? 12 Hour Push Package First line of support from the SNS. 50 tons of a broad range of medical resources pre-packaged into transport containers. Can arrive anywhere in the U.S. within 12 hours. Managed Inventory The majority of the stockpile is managed inventory of medications and medical supplies for specific health threats. May be requested first if the specific disease or agent is known. May be requested to follow a push pack. https://www.youtube.com/watch?v=I5a1nTYXWX8

What can trigger a request for SNS? Bioterrorism Indicators: Public Health Lab test results. Arkansas Fusion Center. Arkansas National Guard Civil Support Team. Hospital reporting.

What can trigger a request for SNS? Large Disaster / Public Health Emergency Request from the CDC to activate. Request from the State Emergency Operations Center (SEOC).

Requesting SNS Many actions are taken when the SNS is requested. Some of which are: ADH will request SEOC activation and request assistance from other Emergency Support Functions (ESFs). ADH would notify critical partners for SNS operations. FBI, AR Fusion Center, HHS, CDC, USMS, Etc. ADH would request a push pack, MI, or other materials as needed from the CDC.

Arrival of the SNS Materials will arrive in multiple trucks or will be flown and offloaded. U.S. Marshals Service (USMS) provides security for SNS movement to the State. Arkansas State Police (ESF 13) provides security for SNS movement from state line or arrival point to a pre-identified Receipt, Stage, and Store (RSS) location within the state.

Receipt, Stage, Store (RSS) Volunteer partners along with potential ESF support will staff the RSS and breakdown the material by county using population data kept on file and maintained by epidemiologists at ADH. Arkansas Department of Transportation (ESF 1) transports county bundles from the RSS to Regional Distribution Sites (RDS) across the state. Arkansas State Police provides security for this movement.

Regional Distribution Site County transportation and security resources pick up their bundle at the RDS, and transports it to a pre-identified site for further distribution to Points of Dispensing (PODs).

County Identified Site Point of Dispensing partners pick up their bundle at the pre-identified county location.

Points of Dispensing There are two types of PODs: Open PODs – Open to serve the general public. Closed PODs – Not open to the general public. Intended to serve a pre-identified population. ADH is currently working to finalize an updated training course for Closed PODs. This training will be required to become a Closed POD.

Dispensing Everyone that may have been exposed to the disease or agent will receive an initial supply of medical countermeasures (MCM). For example, with an Anthrax event, the initial supply will be 10 days of medication.

Dispensing Epidemiologists along with multiple response and public health partners will be working to better define the impacted population.

Dispensing Those determined to be in the impacted population will receive an additional supply of MCM. For example, those determined to be impacted by an Anthrax event will receive an additional 50 day supply of medication.

ADH Closed POD Training Pilot Phase – still developing Step program – process begins with contacting LHU Requirements – attending training, develop plan and sign MOA Training – one day course Certificate – upon completion Renewal – every 2 years

Any Questions? Donald Minster ADH Planning Section Chief 501-516-6358 Donald.Minster@arkansas.gov Torie Simmons Logistics Coordinator 501-614-5364 Torie.Simmons@arkansas.gov