Strategic National Stockpile (SNS)

Confidential Not For Public Release

Learning Objectives

Understanding of SNS Strategic National Stockpile RSS Receiving, Staging and Storage POD Point of Distribution

Ocean County Health DepartmentEmergency Preparedness and Response

Our Mission:

Ensure a coordinated, timely, and effective response to a bioterrorist event, natural disaster, or other public health emergency in Ocean County.

Current Threats

Man-made (CBRNE) Chemical, Biological, Radiological, Nuclear, Explosive

Naturally occurring Influenza pandemic, SARS, anthrax, natural disasters

Public Health Threat is Identified

In order to respond effectively to an outbreak, the threat needs to be identified

Surveillance ( ED, Epicenter, etc)Bio Watch (bio- surveillance , 30 metros)

Local Government Responds

Local jurisdiction will attempt to manage a public health emergency by first utilizing local resources

If local resources are or are believed to be insufficient then a request will be made by Ocean County for the deployment of state assets

State Government Responds

State government will respond by providing additional resources

May include antibiotics, equipment, medical supplies and other supplies

If state assets are believed to become insufficient then a request is made for the deployment of federal assets ie SNS

Strategic National Stockpile

Pre-positioned pharmaceutical stockpiles located throughout the United States

What does the Stockpile Contain?

PharmaceuticalsMedical SuppliesMedical EquipmentVaccinesAntitoxinsAntidotes

11

12 Hour Push Package

Vendor Managed Inventory

Strategic National Stockpile (SNS)

12- Hour Push Package

12 because it will arrive in 12 hours or less

push because a state need only ask for help not for specific items and

package because the Program will ship a complete package of medical material to include nearly everything a state will need to respond to a broad range of threats.

13

Each Push-Pack…

Occupies 130 cargo containers Weighs 94,424 pounds Measures 10,329 cubic feet Requires 5,000 square feet

Strategic National Stockpile

Vendor Managed Inventory (VMI)

arrive within 24 to 36 hourstailored to provide pharmaceuticals supplies

and/or products specific to the suspected or confirmed agent

CHEMPACK in New Jersey

Fielded 58 CHEMPACKS.Primarily in acute care hospitals.Provide State-wide coverage housed at (34)

sites with the ability to treat up to 40,000 victims.

Requires ongoing coordination with CDC and management by NJDOH.

Receiving, Staging, and Storage (RSS)

The Strategic National Stockpile is shipped to a Receiving, Staging, and Storage facility for

distribution.

RSS Locations

Ocean County has identified two locations Primary: Lakewood Public Works Back-up: Ocean County Voter Technology Building, LakewoodThe locations have the appropriate size and layout to

accommodate the SNS assets Each location can be secured (security assessment)

Ocean County RSS Site

Reallocate & Repack Distribute 2 Sites (primary and

alternate OCHD personnel,

Sheriff’s Officers, MRC/CERT Volunteers

OC RSS

NJ RSS

CDC

POD

POD POD

POD

POD

What is a POD?

Point Of Distribution (POD) - a place where a vaccine, antibiotic or other medication is dispensed quickly to a large group of people in the event of a Public Health Emergency

Ocean County Points of Distribution

6- PODs ( MOU with Schools)

POD for prevention not treatment

OCHD employees MRC/CERT/DRCCSheriff’s Officers

Ocean County POD Site Selection

Location SecurityParking (accessible by

public transport)RefrigerationTriage areaRestrooms, Water,

ElectricityHeat/Air Conditioning

(68°-77°F)Work station area

POD Layout Sample

Roles and ResponsibilitiesOcean County Health Department

Develop, maintain and update SNS PlanTrain and or Exercise SNS Plan at least every

year(call-down, RSS site setup, POD setup, etc)Ensure training of assigned primary and backup

personnel in key positionsOrganize and Chair multi disciplinary planning

meeting to review and update SNS Plan

County of Ocean Department of Human Services

Provide psychological first aid to public/first responders (DRCC)

Provide support to first line staff at medical facilities

Provide online/hotline crisis response resources to general population

Ocean County Prosecutor’s Office

Conduct site assessment for primary and secondary RSS and POD sites

Assist with joint security for RSS/POD sites Coordinate law enforcement activities with

County and local law enforcement agencies.

County of Ocean Sheriff’s Office

Assist with coordination of law enforcement officers with OC Prosecutors office/local law enforcement

Assist with joint security of primary and secondary RSS site

Assist with escort of SNS supplies between RSS and PODs

County of Ocean Sheriff’s Office of Emergency Management

Activate OC EOC on public health emergency declaration

Assist with coordination and support for Incident Management

Assist with providing multi level agency coordination

Assist with identification of at- risk homebound/special needs population

County of Ocean Sheriff’s Office of Emergency Management

Activate OC EOC on public health emergency declaration

Assist with coordination and support for Incident Management

Assist with providing multi level agency coordination

Assist with identification of at- risk homebound/special needs population

County of Ocean (Transportation Needs)

Assist in the transport of target population/special needs to PODS (Ocean Ride)

Assist in transport of supplies to the PODsAssist with medication distribution to PODs

Lakewood Township Public Works

Provide access to primary RSS SiteEnsure all equipment and supplies related to RSS

operations are available (pallet jacks, fork lift, etc)Ensure assigned staff is trained and available