REQUESTING STRATEGIC NATIONAL STOCKPILE ASSETS Presented by: Tom Klewin Public Health Preparedness Representative twk01@health.state.ny.us 518-402-7713
Point of Distribution The Strategic National Stockpile Program (Formerly The National Pharmaceutical Stockpile) Receipt Staging & Storage Staging Regional Receipt Staging & Storage Mobilization SNS Medical Emergency Response Cache Limited supplies maintained by NYS 2 locations (2 additional planned) 4-hour response DSNS Push Package MUST BE REQUESTED BY STATE Emergency Response - 12 hrs or less Prepackaged and configured Pharmaceuticals, Medical Supplies, Medical Equipment Managed Inventory MUST BE REQUESTED BY STATE Maintained by Manufacturer or DSNS Specific items to combat specific threats. Issues products to Mobilization sites POD EVENT Local Hospitals Local stocks MERC State stockpile DSNS Push Package Within 12 hours after request MI Resupply as Push Package is consumed.
THE REQUEST TO CDC Questions Raised by CDC Case Definition Percentage of Children Ill Mortality Percentage Requiring Ventilation IND Issues Projected Needs PUSH PACKAGE MI VACCINES
Lesson 2. New York State SNS Process Decision to Request SNS Supplies These are reasons to request SNS supplies: Overt release of a chemical or biological agent Claim of release by intelligence or law enforcement Indication from intelligence or law enforcement of a likely attack Clinical or epidemiological indications Laboratory results Unexplainable increase in emergency medical service requests Unexplained increase in antibiotic prescriptions or over-the-counter medication use
NYS SNS PROCESS State/Local/ Regional Discussions Request SNS NO YES State/ Regional Assistance Deploy MERC Request State Assistance NO Manage with Local Assets Public Health Crisis PODs Treatment Centers State State// Regional Partnership
NYS SNS PROCESS State/Local/ Regional Discussions Request SNS NO YES Select Mobilization Site Albany Clinton Suffolk / Nassau Monroe Broome Onondaga Orange Erie Activate Mobilization Site Receive SNS Request State/Federal Assets YES NO Manage with Local Assets State/ Regional Assistance Deploy MERC Host PODs Host Treatment Centers Break Down SNS Ship SNS Public Health Crisis PODs Treatment Centers Staging Site By Affected as needed State State// Regional Partnership
NYS SNS Mobilization Sites SNS Statewide Coverage -Albany -Clinton -Suffolk/Nassau -Onondaga -Broome -Erie -Monroe -Orange
THE EVENT POTENTIAL FOR OR ACTUAL CHEMICAL / BIOLOGICAL / MASS CASUALTY NATURAL OR MAN-MADE
THE DELIVERY Delivered by seven 53ft tractor trailers SNS security by USMS Mob Site security - NYSP Mobilization Site Controlled access Anonymous site Security presence BUT WHILE THIS IS GOING ON..
COUNTY ACTIONS PLANNING What do I need to operate my PODs? What do my Hospitals and other treatment centers need to continue to treat patients? How many people do I have to treat? How many PODs to I need? REQUEST One request for the Sent to NYS Emergency Coordination Center
Lesson 2. New York State SNS Process Communication Between State and State Leadership State ECC Regional Offices Leadership EOC State Mobilization Site Local Staging Site Points of Dispensing & Treatment Centers
Oral Antibiotics and Supplies Containers 1-38 Intravenous Drugs and Supplies Containers 39-101 Chemical Antidotes and Related Supplies Containers 102-103 Airway Supplies Containers 105-119 PEDIATRIC Supplies Containers 120-128 Medical/Surgical Supplies Container 130
POINTS OF DISPENSING TREATMENT CENTERS MOBILIZATION SITE NYS STAGING SITE
CDC Suggestion - V.10 Appendix N
Example: Empire Emergency
Lesson 4. SNS Coordinator Example: Empire Emergency NOT AN EXACT SCIENCE!
Example: Empire Emergency Lesson 4. SNS Coordinator
Example: Empire Emergency Lesson 4. SNS Coordinator
ARRIVAL AT THE POD STORAGE Normal Storage between 57-86 degrees F Refrigerated Storage for vaccines Secure Area/Security ACCOUNTABILITY By Lot Number May be more than one lot number By Amount AND NOW IT REALLY BEGINS.
Lesson 4. SNS Coordinator HOSPITAL EMERGENCY RESPONSE DATA SYSTEM The hospitals will access and enter their Push Packet Asset data into HERDS. Hospitals HERDS The PODs will access and enter their Push Packet Asset data into HERDS 2. PODs Counties The counties will access HERDS 2 to view the hospital and POD Push Packet Request Forms as well as the Total Count Report. HERDS HERDS and HERDS 2 will communicate in the backend to extract the hospital data to be used to create the Total Count Report and to make the hospital Push Packet requests available for the county to see on HERDS 2. * The hospital, POD and Total Count Push Packet requests can be downloaded into excel to be faxed or emailed. Surveillance System SNS The SNS mobilization site will access HERDS 2 to view the Total Report and the hospital/pod Push Packet requests for the mobilization site county. ECC The ECC will access HERDS 2 to view and approve the Total Report.