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STRATEGIC NATIONAL STOCKPILE. Presented to: California Indian Health Centers Presented by: Brian Tisdale. Goals. Discuss the role of the Strategic National Stockpile, how it is deployed and methods in which it is distributed throughout the population. . Strategic National Stockpile (SNS).

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strategic national stockpile

STRATEGIC NATIONAL STOCKPILE

Presented to:

California Indian Health Centers

Presented by:

Brian Tisdale

goals
Goals

Discuss the role of the Strategic National Stockpile, how it is deployed and methods in which it is distributed throughout the population.

strategic national stockpile sns
Strategic National Stockpile (SNS)
  • The SNS is “a national repository of antibiotics, chemical antidotes, vaccines, antitoxins, antivirals, life-support medications, IV and IV administration supplies, airway maintenance supplies and other medical/surgical items used to augment federal, state and local supplies in the event of a terrorist attack or other emergency”.
specific item support
Specific Item Support
  • Managed Inventory
  • Vaccines
  • Buying Power/Surge Capacity
formulary development
Based on Category A Threat Agents

Smallpox

Anthrax

Botulism

Viral Hemorrhagic Fevers

Plague

Tularemia

Chemical nerve agent antidotes

Formulary Development
formulary content
Pharmaceuticals:

Antibiotics (Oral and Intravenous)

Vaccines, Antivirals and Antitoxins

Other Emergency Medications

IV Administration Supplies

Airway Management Supplies: Pediatric and Adult

Items for Radiation, Burns and Blast

Wound Care Supplies

Formulary Content
sns commitment
SNS Commitment

SNS will:

  • Arrive in 12 hours or less with pharmaceuticals and other medical materiel and equipment
  • Continue to provide pharmaceutical support for as long as it is needed
  • Constantly update what is kept in stock to ensure it supports the needs of the County/State
  • Buy what is needed from the private sector if it is not stocked
  • Assistance in planning for and using the materiel the SNS provides
technical advisory response unit taru
Technical Advisory Response Unit (TARU)

TARU members respond with the Push Pack

  • Designed to be self-sufficient
    • Communications/IT
    • Security
    • Reference material
    • Medical Supplies
cities readiness initiative
Cities Readiness Initiative

Started in 2004, CRI is a U.S federally funded program to aid major U.S. cities in increasing their capacity to respond during a large-scale public health emergency, such as a bioterrorism attack. CRI’s primary objective is to avert mass casualties by dispensing needed drugs and medical supplies to the cities’ entire population within 48 hours.

cri planning assumptions
CRI Planning Assumptions
  • Response to an outdoor anthrax release drives planning
  • Must offer prophylaxis to the “population at risk” within 48 hours to avert mass casualties
  • In early hours of response, uncertainty in Epi & modeling likely to compel decision to offer broadly
  • The County or City Department of Public Health has the lead role in any CRI event
plausible scenarios

1

3

2

No Warning

At All

We are,

in fact

days

behind

Witnessed

Release

Potentially

Up to 48

Hours to

prophylax

Bio Watch

System

Potentially

Up to 24

Hours to

prophylax

PLAUSIBLE SCENARIOS

Methods of Detection

slide17

DELAYin Initiation

DURATION

of Campaign

Immed.

2 Days

3 Days

4 Days

5 Days

6 Days

7 Days

1 Day

10Days

84%

78%

71%

62%

54%

45%

36%

28%

7 Days

95%

91%

85%

78%

69%

59%

49%

39%

6 Days

97%

94%

89%

83%

75%

65%

54%

43%

5 Days

98%

96%

92%

87%

80%

71%

60%

49%

4Days

99%

98%

95%

91%

85%

76%

66%

54%

3Days

100%

99%

97%

94%

89%

81%

72%

60%

2Days

100%

99%

98%

96

92%

86%

77%

66%

1Day

100%

100%

99%

97%

94%

89%

82%

72%

AnthraxExposure: ProportionofPopulationSaved

sns planning
SNS Planning
  • Written plans
  • Names with job assignments
  • Maps and traffic flow plans
  • Security plans
  • Annual Assessments
how does it work
How does it work?
  • Pull Method
    • POD
  • Push Method
    • Prisons, jails, juvenile detention facilities, nursing homes, assisted living facilities
    • Universities, large corporations, other with the ability to distribute
  • Postal Plan
local challenges
Local Challenges
  • Large Populations
  • Locating PODS
  • Staff/Volunteers
  • Equipment
  • Security
summary
Summary

We discuss the role of the Strategic National Stockpile, how it is deployed and methods in which its contents can be distributed throughout the population.

contact information
CONTACT INFORMATION…

Brian Tisdale, MS

951-440-7495

btisdale@co.riverside.ca.us