Strategic National Stockpile

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• Strategic National Stockpile
• Pandemic Influenza Countermeasures

Todd Piester Response Branch Chief Division of
Strategic National Stockpile Coordinating Office
for Terrorism Preparedness and Emergency
Response Centers for Disease Control and
Prevention August 21, 2008
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Background

• Program started in January 1999.
• Result of a 51 million authorization for
  pharmaceutical and vaccine stockpiling in the
  fiscal year 1999 omnibus appropriation (P.L.
  105-277).
• Known as the National Pharmaceutical Stockpile
  until renamed to Strategic National Stockpile in
  2003.

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Background (cont.)

• Initially based on providing countermeasures
  against the category A threat agents.
• Grown to include radiological and chemical
  agents.
• Now includes countermeasures for pandemic
  influenza.
• Current inventory valued at 3.5 billion.

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How SNS RespondsThe Three Pillars of Support

• Rapid delivery of a broad spectrum for an
  ill-defined threat
• Large shipments of specific items when a threat
  is known
• Technical assistance

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Delivering Materiel to States

• Utilize commercial partnerships to deliver
  countermeasures to state Receive, Stage Store
  (RSS) sites.
• States assume responsibility for distribution and
  dispensing supplies past RSS location.
• Federal government provides technical assistance
  to state officials to aid distribution and
  dispensing efforts.

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Antiviral Drugs

• Tamiflu (oseltamivir)
• Relenza (zanamivir)
• Stockpiled at a ratio of 8020
• 50 million regimens on-hand
• 44 million regimens allocated pro rata
• 6 million regimens strategically reserved for
  containment

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Respiratory Protective Devices

• N95 respirators
• (105.9 million)
• Surgical masks
• (51.8 million)

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Personal Protective Equipment

• Face Shields
• Gowns
• Gloves

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Medical Supplies

• Levofloxacin and vancomycin
• Impact 754 model ventilators
• Puritan Bennett
• LP-10 ventilators
• Needles and syringes for pre-pandemic vaccine

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Federal Countermeasure DistributionSequential
Item
Part 1 100 Antiviral Drugs
Part 2 100 RPD
Part 3 100 PPE 100 Antibiotics
Respiratory Protective Devices (RPD) are N95
respirators and surgical masks. Personal
Protective Equipment (PPE) is face shields, gowns
and gloves.
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Federal Countermeasure DistributionMetered
Package
Part 1 25 Antiviral Drugs 25 RPD 25
PPE 25 Antibiotics
Part 2 25 Antiviral Drugs 25 RPD 25
PPE 25 Antibiotics
Part 3 50 Antiviral Drugs 50 RPD 50
PPE 50 Antibiotics
Respiratory Protective Devices (RPD) are N95
respirators and surgical masks. Personal
Protective Equipment (PPE) is face shields, gowns
and gloves.
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State Antiviral Drug Subsidy Program

• Federal goal is 81 million regimens.
• States asked to stockpile 31 million regimens.
• Program uses federal contracts for cost savings.
• Federal government subsidizes 25 percent of the
  cost.
• States are at 71.7 percent of 31 million regimen
  target.

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• Questions?