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Cindy Shelton Donna Ruth Kelly parker

Learn about the Strategic National Stockpile (SNS) and how it provides a large stockpile of medical countermeasures during public health emergencies. Discover the SNS supplied medical countermeasures, the role of CHEMPACK, and the process of dispensing/vaccination sites.

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Cindy Shelton Donna Ruth Kelly parker

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  1. Virginia Department of Health Office Of Emergency Preparedness Cindy SheltonDonna RuthKelly parker

  2. The Strategic National Stockpile Presented by Cindy Shelton, Assistant Director Office of Emergency Preparedness 2017 VEMS

  3. Purpose • Provide an understanding of the operational characteristics and capabilities of the Strategic National Stockpile (SNS) during a public health event/incident

  4. Strategic National Stockpile • A large stockpile of medical countermeasures to protect the American public if there is a public health emergency severe enough to cause local supplies to run out.

  5. SNS Supplied Medical Countermeasures • Biologic/Pharmaceutical • Category A threat agents • Antibiotics (oral and IV) • Nerve agency antidotes • Vaccines • Antivirals • Radiation Countermeasures • Non Pharmaceutical (Medical) Supplies • IV Administration • PPE • Airway Management

  6. CHEMPACK • Pre-positioned locally • Federal (CDC) asset • Contains nerve agent antidotes and related materials to respond to a nerve agent release

  7. The Process: CDC SNS Assets VA EOC (VDEM) • State Resources Exceeded VA RSS VDH • Discussions with Governor/ Secretary • Local & Regional Resources Exceeded Local EOC Health Dept Local PODs

  8. What is RSS? • Receive • Store • Stage

  9. RSS Facilities • 3 RSS Facilities in Virginia • Primary: • Sandston • Secondary: • Chesterfield • Fairfax

  10. Dispensing/Vaccination Sites Donna RuthEmergency Health CoordinatorVDH - Portsmouth Health DistrictEmergency Preparedness PrograM

  11. Objectives • Define “POD” and identify the purpose and function of a POD. • Describe the difference between a Closed and Open POD • Define a Quick Delivery Center

  12. What happens at a POD or QDC? • Mass medication dispensing or vaccination to prevent or treat illness. • Provide alternate/additional source of education to the community.

  13. Available to general public, regardless of city of residence • Must process many people quickly • Maximizes the use of the facility • Minimizes the use of staff • Capable of being “medical” or “non-medical” • Staffed by LHD and others Point Of DispensingOpen POD

  14. Point Of Dispensing Closed POD • Restricted/limited access • Receives direct shipment of countermeasures from RSS • Signed MOU strongly preferred • Must meet VDH/LHD guidelines • Accountable for countermeasure reporting • Staffed by the supporting entity • Generally only “non-medical” mode

  15. Types of Closed PODs • Military Bases or Installations • Hospitals • Nursing Homes and other LTCF • Jails/Prisons • City Services – Critical infrastructure • Police, Fire, EMS • Large Businesses • Hotels

  16. Quick Delivery Centers • Used primarily for initial anthrax dispensing • Considered “non-medical” • May be used in combination with other • dispensing modalities • Speed is of the essence • Minimal staffing to support high volume • May convert to open POD after initial • dispensing

  17. Why open a QDC first?

  18. 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% Anthrax Exposure: Proportion of Population Saved

  19. Historical Example Smallpox vaccinationsNew York City, 1947. (AP Photo/Tony Camerano

  20. Materials • Supplies are being stockpiled locally. • MMRS – Metropolitan Medical Response System • Local Health Districts • Strategic National Stockpile (SNS) • 12 Hour Push Pack • Managed Inventory (MI)

  21. emPOWERDepartment of Health and Human Services (HHS)Office of the Assistant Secretary for Preparedness and Response (ASPR)Kelly ParkerDirector, Emergency PreparednessVirginia Hospital & healthcare Association

  22. How can federal health data inform and support preparedness, response, and recovery?

  23. emPOWER Initiative Three initiatives developed between ASPR and the Center for Medicaid and Medicare Services (CMS). HHS emPOWER Map HHS emPOWER Initiative’s Emergency Planning Datasets HHS emPOWER Initiative’s Outreach Response Individual Datasets

  24. emPOWER Map Integrates de-identified Medicare data with real-time NOAA weather tracking and GIS interactive mapping to highlight the number of people who use electrically dependent medical equipment in a geographic area.

  25. emPOWER Emergency Planning Datasets • This data set provides more granular de-identified data • Medicare totals by type of DME and healthcare services • Sample Use Cases • Inform power restoration prioritization decision making at all levels • Identify optimal locations, support, and power needs for multiple devices in shelters • Assessing potential transportations needs for evacuating or transport to healthcare providers (e.g. dialysis)

  26. emPOWER Initiative’s Outreach Response Individual Datasets • Purpose is to conduct outreach prior to, during, or after an incident, public health emergency, or disaster that may adversely impact at-risk populations • Public Health authorities that meet HIPAA requirements can submit a request to HHS via their ASPR Regional Administrator/Emergency Coordinator • Declaration • Winter Storm Jonas

  27. Virginia Healthcare Alerting and Status System (VHASS) initiative Integrating emPOWER data into VHASS GIS map

  28. Questions? Contacts: Cynthia T. Shelton, MEP Assistant Director/State SNS Coordinator Office of Emergency Preparedness Virginia Department of Health 109 Governor Street, Rm. 1328, Richmond, VA 23219 phone: 804.864.7486 cindy.shelton@vdh.virginia.gov Donna M. Ruth Emergency Coordinator Portsmouth Health District Virginia Department of Health 1701 High Street, Suite 102 Portsmouth, VA   23704 donna.ruth@vdh.virginia.gov Office - 757-393-8585, ext. 8518 Kelly Parker Director, Emergency Preparedness Virginia Hospital & Healthcare Association Kparker@vhha.com Office: 804-965-1225 Cell: 804-229-6643

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