![]() For instance, DSNS was asked to supply PPE for hospitals and agreed to do so, given that they would also be useful for other EIDs. However, the experience revealed that the DSNS has a great reach into the commercial supply chain for many of the products required to deal with this type of threat. ![]() The 2014 outbreak of Ebola virus disease (EVD) was an emerging infectious disease (EID) event that did not fall within the original scope of the SNS, explained Burel. Burel said the experience exposed the need to better integrate the operations of the SNS during an emergency with the functions of the day-to-day medical supply chain, which requires educating state and local partners about what the supply chain does and how it operates. 2 The Division of Strategic National Stockpile's (DSNS's) role in the development of federal medical stations and the Cities Readiness Initiative (see Box 2-1) began in 2004, and the SNS also provided supplemental funds to stockpile pandemic influenza MCMs and personal protective equipment (PPE).īurel explained that in 2009, the H1N1 influenza pandemic triggered the largest deployment in SNS history when 12.5 million antiviral regimens were deployed across the country (a further 300,000 were deployed internationally), as well as 19.6 million pieces of PPE, 85.1 million N95 respirators, and 2,129 regimens of Peramivir IV (the latter were deployed in conjunction with BARDA). Push-package capability was expanded from 8 different types to 12 and the managed inventory of products expanded, currently sitting at more than $7 billion. The program was codified in the Public Health Service Act in 2002, which increased SNS funding to expand its capabilities. After those events, the scope of the SNS began to widen and has continued to grow, according to Burel. Both deployments consisted of 12-hour push packages with appropriate equipment and medical countermeasures (MCMs) the Strategic National Stockpile (SNS) also provided support via technical assistance staff. The system was designed to be able to reach any point in the United States or its territories within 12 hours from a decision to deploy.īurel explained that the first real deployments were during the events of September 11, 2001, and the Anthrax incident in 2001. 1 Push packages were loaded into specialized air cargo containers for rapid loading and air delivery, and were prepositioned in multiple secure facilities near major transportation hubs. This was built around the understanding that in most cases, public health professionals at the state or local level would be able to break down the packages and use them rapidly. In 2000, the first formulary was developed and it was configured as the initial “push-package,” that is, repacked and configured materiel assembled for rapid deployment to resupply overwhelmed local medical supplies. Burel provided historical context for the stockpile with reference to several landmark events in the history of the enterprise.
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