National Veterinary Stockpile Outreach Strategy

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National Veterinary StockpileOutreach Strategy

• Lee M. Myers, DVM, MPH, Dipl. ACVPM
• State Federal Liaison
• National Veterinary Stockpile
• Animal and Plant Health Inspection Service
• U.S. Department of Agriculture

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National Veterinary Stockpile

• What is it and why do we need it?
• What is the role of USDA and state agriculture
  officials?
• What has been accomplished so far?
• Where do we go from here?

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National Veterinary StockpileWhat Is It ?

• Homeland Security Presidential Directive 9 in
  2004 directed Secretary
• of Agriculture to work with federal, state, and
  local governments, and
• the private sector to develop the NVS
• Containing sufficient amounts of animal vaccine,
  antiviral, or therapeutic products to
  appropriately respond to the most damaging animal
  diseases
• Capable of deployment within 24 hours of an
  outbreak
• Leveraging where appropriate the mechanisms and
  infrastructure of the Strategic National
  Stockpile at CDC

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National Veterinary StockpileWhat Is It?

• The National Veterinary Stockpile (NVS) is the
• national repository of critical veterinary
  supplies,
• equipment, and services necessary to respond to
• the most damaging animal diseases affecting
• human health and the economy.
• Part of the USDA Food and Agriculture Defense
  Initiative and managed by USDA APHIS VS
• National resource for states in the event of a
  dangerous animal disease outbreak

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Strategic National Stockpile

• Established in 1999
• Managed by CDC
• Massive quantities of human medicines and
  supplies for a public health emergency (terrorist
  attack, flu outbreak, earthquake) severe enough
  to deplete local supplies
• Medicines delivered to any state within 12 hours
• Each state has plans to receive and distribute
  SNS
• Congressional funding FY2008 552M
• Collaboration with NVS since inception

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National Veterinary StockpileWhy Do We Need It?

• Must defend animal agriculture against large
  scale, dangerous animal diseases caused by
  agroterrorism or natural causes
• Simultaneous multiple attacks by terrorists, or
• Accidental introduction and natural spread
• Epidemics of catastrophic proportion
• Must prepare massive quantities of provisions for
  strategic delivery to the right place at the
  right time for as long as necessary

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17 Most Dangerous Animal Disease Threats
H5N1 Avian Influenza Virus Source PHIL CDC

• 1. High Pathogenic AI (F)
• 2. Foot-and-Mouth Disease
• 3. Rift Valley fever (F)
• 4. Exotic Newcastle Disease
• 5. Nipah and Hendra virus (F)
• 6. Classical swine fever
• 7. African swine fever
• 8. Bovine spongiform encephalopathy (?)
• 9. Rinderpest
• 10. Japanese encephalitis (F)

• 11. African horse sickness
• 12. Venezuelan equine (F) encephalitis
• 13. Contagious bovine pleuropneumonia
• 14. Ehrlichia ruminantium (Heartwater)
• 15. Eastern equine encephalitis (F)
• 16. Coxiella burnetii (F)
• 17. Akabane virus

Zoonotic diseases (F) fatal (?) possible
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National Veterinary StockpileWhat is the role of
USDA?

• USDA is to
• Provide countermeasures against 17 most dangerous
  animal diseases
• Develop plans, guidelines, and procedures
• Exercise national plans to test level of
  readiness
• Work with states prior to an event to plan and
  exercise
• Work with states during an event to successfully
  deploy NVS
• Serve as broker for states on contracting for
  depop/disp/decon
• Identify gaps and needs to enhance capability

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National Veterinary StockpileWhat is the role of
USDA?
USDA Business Approach to Providing
Countermeasures
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National Veterinary StockpileWhat is the role
States?

• State agriculture officials are to
• Develop best practices to utilize NVS when
  readily available resources are insufficient
• Plan to request, receive, store, stage, manage,
  distribute, recover NVS
• Exercise state plans to test level of readiness
• Identify gaps and needs to enhance capability

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National Veterinary StockpileWhat is the role of
States?

• State agriculture officials need to know how
  they would
• Request NVS deployment
• Receive stockpile at specified location
• Store stockpile (including temporary
  refrigeration)
• Stage stockpile for delivery to multiple outbreak
  sites
• Manage inventory for efficacy and replenishment
• Distribute supplies to outbreak sites
• Recover unused and reusable stockpile assets

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National Veterinary Stockpile What has been
accomplished so far?
Current Deployable Capabilities

• Personal Protective Equipment
• Antivirals
• AI vaccine
• AI field test kits
• Portable satellite communication equipment (voice
  and data)
• Portable vaccine shipment / storage containers
• Disinfectants
• Service contracts for depopulation, disposal, and
  disinfection (3D)

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National Veterinary StockpileWhat has been
accomplished so far?

• Significant Events
• Mar 04 Initial meeting NVS Steering Committee
• Apr 06 NVS Director established
• May 06 Ready to deploy personal protective
  equipment
• Jul 06 NVS exercise program begins (NC 7/06,
  GA 10/06)
• Nov 06 Ready to deploy AI vaccine
• Apr 07 Deploy to WV within 24 hours for LPAI
  in Turkeys
• May 07
• First GAO report on NVS favorable
• Outreach begins NVS guide prepared
• Jun 07 Establish 3D contract support
• Aug 07 3D contractors respond to NY, VA
• Oct 07 Exercise with Iowa
• Jan 08 Establish State Federal Liaison
• Mar 08 Planned exercise with CA
• Sep 08 Planned exercise with SC

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National Veterinary Stockpile Where Do We Go
From Here?

• Future NVS Capabilities
• Coordinated inventory management system
• Vaccines and test kits for non AI threats
• Animal handling depopulation equipment for all
  threats
• Expanded warehouse capabilities
• Multiple cold storage locations
• Improved cargo containers and packaging
• Acquire countermeasures against all 17 disease
  threats

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National Veterinary StockpileWhere Do We Go From
Here?

• Work Together to
• Participate in NVS Outreach Working Group
• Review NVS planning documents
• Identify gaps and necessary resources to
  accomplish the mission
• Develop model NVS State Plan Template, including
  model exercise plans, timelines and budget
• Package into NVS Toolkit for States

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National Veterinary StockpileWhat Does This Mean
to You?

• Each State Agriculture Office and State
• Veterinarians Office needs to be involved!
• Each State needs a Veterinary Stockpile contact
  person to work with NVS
• Each State needs a Veterinary Stockpile Plan
• Each State needs to exercise their plan

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National Veterinary StockpileConclusions

• NVS part of national animal health emergency
  management system
• NVS is a resource for states and tribes
• Great progress since inception (2004)
• NVS and States need to work closely as partners
• NVS and States need to continue to enhance
  capabilities

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National Veterinary Stockpile
Using Science Based Logistics as a Weapon
Against Animal Disease
Lee.M.Myers_at_aphis.usda.gov 301-910-7336