Transcript THE NATIONAL PHARMACEUTICAL STOCKPILE (NPS)

THE NATIONAL PHARMACEUTICAL
STOCKPILE (NPS) PROGRAM
2001
Centers for Disease Control and Prevention
National Center for Environmental Health
Division of Emergency and Environmental
Health Services
Program Review
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Role of the NPS Program
Contents of the NPS
Capacity of the NPS
Transportation Operations/ Logistics
Accessing the NPS
Obtaining Technical Assistance
Role of the
National Pharmaceutical
Stockpile (NPS) Program
“to maintain a national repository of
life-saving pharmaceuticals and medical
materiel that will be delivered to the site
of a chemical or biological terrorism
event in order to reduce morbidity and
mortality in civilian populations.”
What’s in the NPS?
Pharmaceuticals
 Antibiotics
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doxycycline
ciprofloxacin
gentamicin
erythromycin
 Chemical agent antidotes
 atropine
 pralidoxime (2PAM)
 diazepam
Pharmaceuticals
 Other Medications
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dopamine
epinephrine
methylprednisolone
albuterol inhaler
morphine
lorazepam
Medical / Surgical Supplies
 IV Administration Supplies
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Sterile Water For Injection
NaCl flush
Syringes/needles/catheters
Y site administration sets
IV solutions
Gloves
Tape/ dressings/ gauze/
tourniquets
 Alcohol pads, betadine
swabs, antibiotic ointment
Medical/Surgical Supplies
 Airway Management Supplies
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ET tubes/ stylettes
NG tubes
Oropharyngeal airways
Laryngoscopes
Oxygen masks/ tubing
Manual resuscitators (bag-valve-mask)
Ventilators and suction units
Pediatric and adult sizes where applicable
Medical/Surgical Supplies
 Other
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Tablet counting machines
Power strips
Extension cords
Duct tape
Zip lock baggies
Other Pertinent Information
 Patient information sheets, provider
information sheets, data collection sheets
How is the NPS Packaged?
NPS Components
A Two-Tiered Response
• 12-Hour Push Packages:
– Ready for deployment to reach designated airfield within 12
hours of Federal activation
– Pre-positioned in environmentally controlled and secured
facilities
– Pre-configured for rapid identification and ease of distribution
• Vendor Managed Inventory (VMI) Packages:
– Will be shipped to arrive within 24 and 36-hour periods
– Are comprised of pharmaceuticals and supplies that are
delivered from one or more VMI sources
– “Tailored" to provide specific materiel depending upon
suspected or confirmed agent
How Many People Can a
12-hour Push Package
Care for?
Capacity for Treatment:
(Plague, Tularemia, Anthrax)
• One 12-hour Push Package can provide:
Prophylaxis for:
357,000 people X 7 days.
Therapeutic treatment for:
6,000 people X 7 days.
• The Push Package is designed to be followed by
VMI
• Number of days of medication is scenario driven
Note- Therapeutic Tx: treatment of symptomatic persons
Prophylaxis: preventive treatment of asymptomatic persons
What Does a 12-hour Push
Package Look Like?
What will a 12-hour Push Package look
like when it’s delivered?
Each NPS 12-hour Push
Package:
• Occupies 124 cargo containers
• Weighs 94,424 pounds
• Measures 10,329 cubic feet
• Requires 5,000 square feet
ground/floor space for proper
staging and management
How Do We Get the NPS?
Readiness/Response
How NPS Assets are Deployed
1.
Need for Drugs and
Medical Supplies Exceeds
Local & State Resources
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Augments
Local/State
Medical
Materiel
Resources
National
Pharmaceutical
Stockpile (NPS)
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State Requests
Federal Assistance
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Director of
CDC
Deploys
NPS Assets
In Consultation with the Surgeon General,
Secretary HHS, HHS Office of Emergency
Preparedness (OEP), FEMA and the FBI
“One State’s View” *
Request for Push Package
State
Local
• Reception
•Dispensing
• Initial breakdown
•Identify PODs
• Repackaging
•Set-up PODs
• Resource mgt/
allocation
•Staffing
• Distribution to
•Security
•Equipment
Points of
Dispensing (POD)
* Adapted from the State of Colorado
Delivery to Public
Will Someone from the CDC be at
the Airfield to Help with the
National Pharmaceutical Stockpile?
Readiness/Response
NPS Technical Advisors
• Advisors include pharmacists,
public health experts, and
emergency response specialists
• Hand-off materiel to authorized state representative (in
accordance with state plan)
• Assist in distribution of materiel to the state/local point(s)
of dispensing (PODs)
• Coordinate closely with incident command structure
(State and Federal EOCs)
• Maintain continuous contact with the CDC NPS Program
Operations Center
• Available for a range of technical assistance
Are there any Guidelines for
Planning for the NPS?
• In Draft form:
“State Planning Guidance for
Receiving, Organizing, Repackaging
and Distributing the National
Pharmaceutical Stockpile”
• Premise: Approved Deployment of the
National Pharmaceutical Stockpile
– Deployment Algorithm
• Distributing vs. Dispensing
Next Steps
• How to Reach Us (non-emergency)
• Points of Contact: 770-488-7516
• Ken Archer
• Steve Reissman
• Steve Skowronski
• Secure List Serv
• Training Opportunity with NPS (IPA)
Additional Information
State / Local Issue:
Distribution of Materiel from Airport
• Personnel/Equipment to
– Unload Cargo
Containers
– Load trucks
• Vehicles (public, private, military)
• Personnel to drive vehicles
• Methods/Distribution/Bulk Product
Breakdown points
• Security of materiel and personnel
• Identifying key personnel contacts
State/Local Issue:
Storage and Handling of Materiel
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Climate control
Security
Ease of identification
Location of Materiel
– Proximity to patient treatment
site[s] (selected hospitals)
– Proximity to mass prophylaxis
dissemination site[s] (not
hospitals)
– Proximity to airport
• Controlled Substances
State/Local Issue:
Treatment Protocols
• SOPs for treatment of adults,
children, immunosuppressed and
geriatric populations
• Patient Information Sheet/Care
Instructions
• Transfer of symptomatic patients
from treatment site to definitive
care site
• Mass prophylaxis and/or
immunization of at-risk
asymptomatic populations
• Patient tracking/follow-up