The Strategic National Stockpile SNS Program

1
Mike Staley Lockheed Martin Division of Strategic
National Stockpile
2

• Agenda

• Mission/Vision
• Evolution
• Chain of Command
• SNS Formulary
• Response
• CHEMPACK
• Cities Readiness Initiative
• Evolving Missions
• Federal Medical Stations
• Pandemic Flu

3

• Emergency Response Magic Numbers

81
62
36
200
828
130
138
4

• Mission
• Deliver critical medical assets to the site of a
  national emergency
• Vision
• The nations premier medical materiel
  preparedness and response organization  we
  deliver the right assets where they are needed,
  when they are needed

62
5
DSNS Evolution
645 million
400 million
483.7 million
1.1 billion
FY02
FY06
FY03
FY04
FY05

• FOCUS
• 12-hour Push Packages
• VMI/SMI
• Vaccines
• Chempack
• Unit of Use
• Rotation
• Public Health Emergencies
• International Support
• CRI

• FOCUS
• Distribution Network
• BioShield
• Strategic Planning
• IntraGovernmental Committee (IGC)

• FOCUS
• 12-hour Push Packages
• Bulk
• SLEP
• Start up Costs

50 million
FY99
FY01
FY00
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Chain of Command
President
Department of Health and Human
Services (DHHS)
Centers for Disease Control and
Prevention (CDC)
Coordinating Office for Terrorism Preparedness
and Emergency Response (COTPER)
Division of Strategic National
Stockpile (DSNS)
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Formulary Composition

• Contents
• Pharmaceuticals
• Medical Supplies
• Medical Equipment
• Vaccines
• Botulinum Antitoxin
• 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

200
8
Emergency Response Concept
(1 of 4)

• 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 SNS materiel during an event

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Emergency Response Concept
(2 of 4)

• 12-hour Push Packages
• Pre-packed and configured materiel in
  transport-ready containers
• Pre-positioned in secure facilities near major
  transportation hubs
• Delivered rapidly by world class transport
  partners
• Color coded and numbered for rapid identification
  by state and local authorities

130
10
Emergency Response Concept
(3 of 4)

• Specific Item Support
• Managed Inventory
• Stockpile Managed (SMI) 90
• Vendor Managed (VMI) 4
• Vaccines and Antitoxins
• Buying Power/Surge Capacity
• Federal Medical Stations (FMS)

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Emergency Response Concept(4 of 4)

• Technical Advisory Response
• Unit (TARU)
• Comprised of public health,
• emergency responders and
• logistics experts
• Provides advice technical
• assistance regarding use of SNS
• materiel
• Team deploys with the 12-hour
• Push Package

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CHEMPACK Program
A nationwide project for the forward placement
of nerve agent antidotes to provide state and
local governments a sustainable resource that
increases their capacity to respond quickly to a
nerve agent
828

• Current Fielding Status
• 828 containers fielded across the country
  throughout 20 project areas
• Fielding was suspended in late 2005 due to
  funding and product availability
• Fielding will resume in Feb 2006 with reduced
  container capacity

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CRI

• Goal Major metropolitan areas are prepared to
  dispense life-saving medicine to 100 of the
  population within 48 hours
• Federal Partners HHS, DHS, USPS, DOJ
• Funding
• Technical Assistance
• Assessments
• FY 2004 - Year 1
• 21 Pilot Cities
• 27,000,000 Funding
• FY 2005 Year 2
• 3 Groups
• Group 1 Original 21 Pilot Cities
• Group 1 Expansion Includes Metropolitan
  Statistical Areas
• Group 2 Additional 15 cities added for initial
  planning
• Funding - 40,181,000

36
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Evolving Mission

• Federal Medical Stations

138
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Evolving Mission

• Pandemic Influenza

81
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Evolving Mission

• Natural Disaster/Humanitarian Aid Packages

17

• Emergency Response Magic Equation

1,475
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• Emergency Response Magic Equation

Team Effort
1