The Strategic National Stockpile

1. The Strategic National Stockpile

2. Objectives • Define the Strategic National Stockpile Program • State the SNS Mission • Explain SNS Components • Explain the Associated Programs of SNS • Explain the SNS Response process

3. Strategic National Stockpile “A national repository of lifesaving pharmaceuticals and medical supplies used to augment federal, state and local public health and emergency response agencies supplies in the event of a terrorist attack, emergency or natural disaster.”

4. Background • Created in 1999 by Department for Health and Human Services (HHS) and Centers for Disease Control and Prevention (CDC). • Arrives within 12 hours of the federal decision to deploy.

5. SNS Mission • Mission: to provide large quantities of essential medical supplies in an emergency. • Prophylaxis for 500,000 for ten days • Medical supplies • Medical Equipment • Airway Management

6. SNS Components • 12-hour Push Package • Designed to be the initial Federal response for medical materiel • Arrives within 12 hours of the federal decision to deploy • Weighs over 50 tons • 130 Containers • Requires 12-15 thousand square feet • 10 day antibiotic regimens for 500 thousand people

7. SNS Components • Managed Inventory (MI) • Stockpile & Vendor MI – (Accounts for 94-96% of SNS Assets) • Shipments tailored for specific threat • Government-owned inventory stored in warehouses • Used when event exceeds capacity of 12-hour Push Package • CDC has contracted with manufacturers to transport MI to arrive within 24-36 hours

8. Associated Programs • Cities Readiness Initiative (CRI) • Federal program designed to give major metropolitan areas additional support. • Federal Medical Station (FMS) • Provides a low to mid acuity of care platform for Disaster Medical Assistance Team (DMAT) response. • CHEMPACK • Forward placement of Federal repositories of nerve agent antidotes.

9. CRI Objectives • Strengthen preparedness capabilities of large populated U.S. cities and their Metropolitan Statistical Areas. • Decrease the time it takes to dispense prophylaxis by increasing Points of Distribution (PODs) throughout and offering alternate modalities of dispensing.

10. Federal Medical Station (FMS) • Supplies and equipment to establish a temporary medical care facility with 250 beds • FMS Capabilities: • Functional Needs Shelters • Quarantine function • Alternate care facility

11. CHEMPACK • Sustainable repositories of nerve agent antidotes • Federal materiel • Local control • Increases local jurisdictions’ ability to respond quickly to a nerve agent event.

12. How SNS Works

13. SNS Deployment • A single confirmed case of disease due to specific agents • A credible threat of a terrorist attack • Natural or Man-Made Disaster

14. SNS Request How SNS assets are deployed

15. Federal SNS Response • 12 hour Push Pack • Delivered to Receive, Stage, Store (RSS) • Within 12 hours • Stockpile Services Advance Group (SSAG) deploys to support

16. State SNS Response • Activate RSS • Allocate medical materiel • Distribute to Regional Distribution Node (RDN) • Track inventory • Manage requests • Plan for future Requests

17. Local SNS Response • Activate RDNs and Points of Dispensing (PODs) • Distribute from RDNs to PODs • Distribute to the Public • Track inventory • Plan for future requests

18. Questions?