RHODE ISLAND MEDICAL EMERGENCY DISTRIBUTION SYSTEM

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RHODE ISLAND MEDICAL EMERGENCY DISTRIBUTION
SYSTEM (MEDS)
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BLOCK ISLAND
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• SUPPLY ASSETS
• Strategic National Stockpile
• CHEMPACK
• Veterans Administration Supplies
• Providence Metropolitan Medical Response System
  Supplies
• RI EMA Stocks
• Local Pharmaceutical Company Resources
• Others (?)

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• SYSTEM REQUIREMENTS
• Manage supplies at state level receive,
  organize, distribute with appropriate guidance
  and materials.
• Distribute at local/facility level
• If necessary reach all 1 million of the
  population
• Distribute antibiotics/inoculate everyone
  within 3 days
• Conduct these operations in the middle of a
  local/state/national disaster
• Conduct all operations with as much safety as
  possible and within appropriate medical practice

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Populations

• Emergency Responders and Essential Workers
• Hospitals
• Prisons
• Nursing Homes
• VA Hospital
• Navy Base
• Federal Workers
• Required Workers (Airport, Funeral Homes, Clergy,
  etc)
• Tourists
• Ethnic/Linguistic Populations
• Block Island

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Concept of Operations
Warehouse
Controlled Substances Hospitals
Equipment (Hospitals)
Pharmaceuticals
Bulk Individual (Institutions)
Doses
Level I Level
II(Emergency Force) (Public)
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RHODE ISLAND MEDICAL EMERGENCY DISTRIBUTION
SYSTEM (MEDS) Exercise Program
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Exercise Program

• Live events
• Meningitis
• Flu Clinics
• Postal system planning
• Oct 2002 Dispensing Clinic
• 2003 Multi-part Exercise
• August 2003 state-wide exercise w/TED
  deployment
• April 2004 University of RI Dispensing
  Exercise

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RI MEDS Exercise 2003

• SCENARIO A deliberate communicable disease
  event is started in the state.
• TIMELINE
• 17 August Deliberate release of agent
• 18/19 August Patients begin to appear at area
  hospitals. Epidemiological Investigation (14
  July table top)
• Public Information efforts (17 June table top)
• Lab Response (23 June Exercise)
• 19 August Emergency recognized, investigation
  begun, emergency meeting at Health Dpt (16 July
  table top), MEDS activated, SNS requested,
  communications with partners. (Selected
  communications on or before 19 August)
• 20 August Arrival of SNS. Training of local
  distribution sites.
• 21 August Establishment of distribution
  clinics. Distribution of supplies.

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RI MEDS Exercise Main Participants
RI Department of Health, RIEMA, RI State
Police, RI DOT, RI MHRH, RI National
Guard Salvation Army, Red Cross, RI Medical
Reserve Corps, Hospital Association of RI 12
Hospitals, 10 Municipalities Federal
Resources CDC, DHS (Boston), FEMA
(Boston) Multiple Evaluators from throughout the
country Multiple Observers from within and
outside the state.
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URI DISPENSING EXERCISE April 2004
CONCEPT Establish a dispensing site for a
large population. Use the exercise as a training
opportunity for students in various health fields
of study. Make this available as a training
event for other state, regional and national
teams working on similar plans. Conduct
semi-annual drills as a state-wide training
event. Use this as an opportunity to test
state-level systems for activating a dispensing
function.
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Special Issues/Subjects

• Special Sites Pastore Complex, National
  Guard, HEALTH dispensing team
• Community Health Clinics and Universities/Colleg
  es
• URI exercises, TED exercises
• Volunteers, MRC, etc
• Community physician support/activities

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RI MEDS Plan Things to Do Ongoing Needs
Identify Warehouse sites (X3) Clarify and
improve state-level command and control
systems Clarify and improve process, forms,
training Create/Improve Municipal and Hospital
Plans Identify Special Partners and Create
Dispensing Plans Continue to Develop Supply
Resources and Plans (VA etc)
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Exercise Program

• Future Activities
• Semi-annual URI drill
• Summer 2005 Full-scale exercise
• TOPOFF III?

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GREG BANNER RI DPT OF HEALTH 3 CAPITOL HILL,
ROOM 209 PROVIDENCE, RI 02908 GREGORYB_at_DOH.STATE
.RI.US 401-222-6868