centers for disease control and prevention tm presenter name presenter title, sns
TRANSCRIPT
Centers for Disease Control and PreventionTM
Presenter name
Presenter Title, SNS
Centers for Disease Control and PreventionTM
SNS ProgramSNS Program
President
Department of Health and HumanServices (DHHS)
Centers for Disease Control and Prevention (CDC)
Coordinating Office of Terrorism Preparedness and Emergency Response (COTPER)
Strategic NationalStockpile (SNS) Program
Centers for Disease Control and PreventionTM
MissionMission
Deliver critical medical assets to the site of a national emergency
Centers for Disease Control and PreventionTM
Vision Vision The nation’s premiere medical materiel preparedness
and response organization: we deliver the rightassets where they are needed, when they are
needed.
ProfessionalismReliabilityService
Stewardship
Values Values
Centers for Disease Control and PreventionTM
Evolution of Response and PreparednessEvolution of Response and Preparedness
$50million
FY99 FY00 FY01
FOCUS Push Packages Bulk SLEP Start up Costs
$645million
$400million
FY03 FY04
9/119/11
AnthraxAnthrax
FY02
FOCUS Push Packages VMI/SMI Vaccines Unit of Use SLEP Rotation BT Grants Alert Levels Public Health EmergenciesOCONUS CRI
FY05
FOCUS Distribution Network BioShield Strategic Planning
Centers for Disease Control and PreventionTM
Management ApproachManagement Approach
• SNS Program serves as managing partner**– Purchase support
VA Pharmaceutical manufacturers Equipment manufacturers
– Material storage and maintenance Commercial distributors DoD
– Rapid movement of people, materiel, equipment Commercial carriers
• Materiel coordination with DoD and VA
Centers for Disease Control and PreventionTM
OrganizationalOrganizationalStructureStructure
Centers for Disease Control and PreventionTM
Program StructureProgram Structure
• Program Planning and Evaluation • Science• Logistics• Operations • Program Preparedness• Administrative Services• Security
Centers for Disease Control and PreventionTM
Program Planning and Program Planning and EvaluationEvaluation
Centers for Disease Control and PreventionTM
Program Planning and EvaluationProgram Planning and Evaluation
• Strategic Planning• Business Planning• Current Good Manufacturing Practices
(cGMP)
Centers for Disease Control and PreventionTM
ScienceScience
Centers for Disease Control and PreventionTM
ScienceScience Drives the SNS Program Drives the SNS ProgramFormulary ContentsFormulary Contents
• Pharmaceuticals • Medical Supplies• Medical Equipment• Vaccines
• Botulinum Antitoxin
Centers for Disease Control and PreventionTM
ScienceScience Drives the SNS Program Drives the SNS Program Formulary DevelopmentFormulary Development
• Based on Category A Threat Agents Smallpox, anthrax, botulism, viral hemorrhagic fevers,
plague & tularemia
Chemical nerve agents
• Recommended by Subject Matter Experts Government and non-government representation
Experts in:Biological, chemical, and radiological threats
Other medical specialties
PUBLIC HEALTHEMERGENCY
Centers for Disease Control and PreventionTM
LogisticsLogistics
Centers for Disease Control and PreventionTM
Logistics ChallengeLogistics Challenge
• 199 lines – $1 billion inventory– 600 tons
• Products– Pharmaceuticals – Medical Supplies – Medical Equipment– Vaccines, Antitoxins, Antidotes
• Distribution network: multiple sites ~ 500,000 sq. ft. warehouse space
Centers for Disease Control and PreventionTM
OperationsOperations
Centers for Disease Control and PreventionTM
• Operational Response Planning• Technical Advisory Response Unit (TARU) Training• SNS Program Exercises • State Exercise Participation• Operations Center Training• Operations Center Management• SNS Basic Course
Operational ResponsibilitiesOperational Responsibilities
Centers for Disease Control and PreventionTM
• 9/11 NYC
– Advisors on the ground - 5 hrs
– First materiel - 7 hours
– 100,000 N95 masks purchased/delivered for ground zero workers - 24 hrs
• Fall 2001 anthrax attacks
– First materiel in Florida - 8 hrs
– Multiple shipments to 10 states
Operational ResponseOperational Response Track Record Track Record
Centers for Disease Control and PreventionTM
Operational ResponseOperational ResponseTrack RecordTrack Record
• Smallpox Phase 1 (Jan-Feb 03)
• DHS Orange Alert (Dec 03-Jan 04)
• Olympics (Aug 04)
• National Security Special Events (04-05)
• International Support
– Guam – Jan 04
– Haiti – Sep 04
Centers for Disease Control and PreventionTM
Program PreparednessProgram Preparedness
Centers for Disease Control and PreventionTM
State/Local Support and State/Local Support and EvaluationEvaluation
• Assistance to state and local authorities in 62 projects– 50 states– 4 cities (Chicago, DC, LA, NYC)– Puerto Rico & Virgin Islands– Pacific Basin Jurisdictions (Guam, American Samoa,
Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, the Marshall Islands, and the Republic of Palau)
Centers for Disease Control and PreventionTM
State/Local Support and State/Local Support and EvaluationEvaluation
• Assistance includes:– $65 million to develop infrastructure and plans– Assignment of primary and secondary consultants– Site visits to provide technical assistance and to
evaluate readiness– Tools & Training – Exercise Support
Centers for Disease Control and PreventionTM
SecuritySecurity
Centers for Disease Control and PreventionTM
SecuritySecurity
• Physical Security• Asset Protection• Area Assessments• United States Marshal Service (USMS)
Centers for Disease Control and PreventionTM
Response ConceptResponse Concept
Centers for Disease Control and PreventionTM
Emergency Response ConceptEmergency Response Concept• Provide rapid delivery of a
broad spectrum of support for an ill-defined threat in the early hours of an event
• Provide large shipments of specific materiel when a threat is known
• Provide technical assistance to receive and distribute Program materiel during an event
Centers for Disease Control and PreventionTM
Emergency Response OptionsEmergency Response Options
Broad Spectrum Support:
12-Hour Push Packages
Specific Item Support:
Types of Inventory Vendor Managed Inventory
Stockpile Managed Inventory
Vaccines
Buying Power/Surge Capacity
Centers for Disease Control and PreventionTM
Broad Spectrum Support:Broad Spectrum Support:12-Hour Push Packages12-Hour Push Packages
• Pre-packed and configured materiel in transport-ready containers
• Pre-positioned in secure facilities near major transportation hubs
• Delivered rapidly by our world class transport partners
• Color coded and numbered containers for rapid identification by state and local authorities
Centers for Disease Control and PreventionTM
12-Hour Push Packages 12-Hour Push Packages
Centers for Disease Control and PreventionTM
External SupportExternal Support
Centers for Disease Control and PreventionTM
PartnershipsPartnerships
• Federal Purchasing support from the VA Collaboration with the Federal Medical Materiel
Coordination Group with DoD, VA, DHS and DoJ
• Private Sector Materiel storage and maintenance by commercial vendors Rapid movement to an event by commercial carriers Pharmaceutical manufacturers Medical supply and equipment manufacturers
Centers for Disease Control and PreventionTM
BioShieldBioShield
• $6.5 Billion• Timeframe – 10 years• New BS II Legislation Proposal• New Frontiers
– Devices– Drugs
Treatment Prevention
Centers for Disease Control and PreventionTM
Questions?Questions?