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?