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  • The CDC’s Strategic National Stockpile is a depository of medicines, antidotes, medical supplies, and medical equipment necessary for states and communities to counter the effects of biological pathogens and chemical and nerve agents. It is ready for deployment and will arrive within 12 hours of the decision to release it. The first part of the SNS is the 12-Hour Push Pack. It contains 50 tons of medical materiel. It consumes 5,000 square feet of storage space, and fits in a jumbo jet, or in 7 or 8 tractor trailers. It will be delivered to a state’s predetermined RSS (Receive, Store, Stage) site. The second part of the SNS is Managed Inventory. Managed Inventory contains larger quantities of medical materiel and is directly shipped from vendors to specified sites.
  • Medication POD Schematic Diagram Heads of households are encouraged to pick up medication for household members. Line Staff review HOH Screening Forms to determine whether clients go the Screening Line or the Express Medication Line. Clients go to the Express Medication Line if they mark “No” in response to all questions pertaining to their family members , indicating that they can receive the adult form of the medication of first choice.
  • (click for Tom Mangan's slides)

    1. 1. ACHD TRCPA Update 2009 Tom Mangan Emergency Preparedness & Response Manager
    2. 2. Public Health Preparedness <ul><li>Funded by the Centers for Disease Control and Prevention (CDC) </li></ul><ul><ul><ul><li>Strategic National Stockpile (SNS) </li></ul></ul></ul><ul><li>Administered by the PA Department of Health (PA DOH) </li></ul><ul><ul><ul><li>Office of Public Health Preparedness (OPHP) </li></ul></ul></ul><ul><ul><ul><li>Bureau of Community Health Systems (BCHS) </li></ul></ul></ul><ul><li>Directed locally by the Allegheny County Health Department (ACHD) </li></ul>
    3. 3. Strategic National Stockpile <ul><li>CDC Asset </li></ul><ul><ul><ul><li>Depository of medicines, antidotes, medical supplies and medical equipment </li></ul></ul></ul><ul><ul><ul><li>Access to vendor managed supplies </li></ul></ul></ul><ul><li>Ready for rapid deployment </li></ul><ul><ul><ul><li>Initial “Push Pack” can arrive within 12 hours of the federal government’s decision to release it (requires an official request from the state) </li></ul></ul></ul>
    4. 4. SNS Components <ul><li>12 Hour Push Pack </li></ul><ul><ul><li>50 tons of ready-to-go, stockpiled medical materiel </li></ul></ul><ul><ul><ul><li>Occupies 5000 square feet of storage space </li></ul></ul></ul><ul><ul><ul><li>Fits in a jumbo jet or in 7 or 8 tractor trailers </li></ul></ul></ul><ul><ul><ul><li>Will be delivered to a state’s predetermined Receive, Store, Stage site (RSS) </li></ul></ul></ul><ul><ul><ul><li>Local Points of Dispensing (PODs) will receive shipments from the RSS </li></ul></ul></ul><ul><li>Managed Inventory </li></ul><ul><ul><li>Larger quantities of medical materiel </li></ul></ul><ul><ul><ul><li>Shipped directly from vendors to RSS or specified sites </li></ul></ul></ul>
    5. 5. SNS Push Pack
    6. 6. Points of Dispensing (PODs) <ul><li>Non-medical sites that have been pre-planned to be used for Mass Antibiotic Dispensing or Mass Vaccination </li></ul><ul><ul><ul><li>In Allegheny County, mostly public high schools </li></ul></ul></ul><ul><li>Scalable to the size of the event </li></ul><ul><ul><ul><li>Worst case: provide medical countermeasures to the entire population in 48 hours </li></ul></ul></ul><ul><ul><ul><li>Other cases: flu vaccination campaign (at the option of the local emergency management or public health officials) </li></ul></ul></ul>
    7. 7. Community PODs <ul><li>Concepts of Operation </li></ul><ul><ul><ul><li>Operated by Health Department and local community </li></ul></ul></ul><ul><ul><ul><li>Staffing augmented by Medical Reserve Corps (MRC) </li></ul></ul></ul><ul><ul><li>Mass Antibiotic Dispensing (BT scenario) </li></ul></ul><ul><ul><ul><li>Head of Household/Household Representative </li></ul></ul></ul><ul><ul><ul><ul><li>Can pick up for family members </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Reduces number of people reporting to POD </li></ul></ul></ul></ul><ul><ul><li>Mass Vaccination </li></ul></ul><ul><ul><ul><li>For practical reasons, everyone receiving a vaccination needs to be there in person </li></ul></ul></ul><ul><ul><ul><li>For H1N1, at the option of local emergency management and public health officials </li></ul></ul></ul>
    8. 8. Closed PODs <ul><li>First Responder PODs </li></ul><ul><ul><li>Operated by First Responder Agencies </li></ul></ul><ul><ul><ul><li>Process to provide medication to members of essential services involved in the overall response, and to their families </li></ul></ul></ul><ul><ul><ul><li>Allows responders to focus on critical response activities </li></ul></ul></ul>
    9. 9. Closed PODs <ul><li>Large Employer PODs </li></ul><ul><ul><li>Operated by Employer (health services) </li></ul></ul><ul><ul><ul><li>Process to provide medication to employees and families of large employers </li></ul></ul></ul><ul><ul><ul><li>Provides large employers a means to minimize disruption of critical operations </li></ul></ul></ul><ul><ul><ul><li>Reduces demand on Community PODs </li></ul></ul></ul>
    10. 10. POD Layout Medication Dispensing (Full-scale)
    11. 11. POD Layout Vaccination (Full-scale)
    12. 12. Exit Entrance to POD Detailed Screening & Pharmacist- Assisted drug Dispensing Forms Distribution and Completion Forms Screening Form Collection And Exit Education Express Drug Dispensing Line Staff Medical Staff
    13. 13. Point of Dispensing
    14. 14. Point of Dispensing
    15. 15. Point of Dispensing
    16. 16. Closed PODs <ul><li>Large Employers or First Responders </li></ul><ul><ul><li>Medical Direction (Employee Health) </li></ul></ul><ul><ul><li>Receive, manage, and distribute supplies </li></ul></ul><ul><ul><li>Perform required screening </li></ul></ul><ul><ul><ul><li>based on the medicine being provided (allergies, health conditions, etc.) </li></ul></ul></ul><ul><ul><ul><li>Employees and their Family Members </li></ul></ul></ul><ul><ul><li>Submit order totals for each medicine/vaccine to health officials </li></ul></ul><ul><ul><ul><li>For instance: H1N1 Provider Registration by PA DOH </li></ul></ul></ul>
    17. 17. Closed PODs <ul><li>Planning </li></ul><ul><ul><ul><li>Overall Process, Dispensing/Vaccination Sites, Personnel/Staffing </li></ul></ul></ul><ul><li>Communication and Education </li></ul><ul><li>Training and Exercising </li></ul><ul><ul><ul><li>Validate plan </li></ul></ul></ul><ul><ul><ul><li>Revise / improve plan </li></ul></ul></ul>
    18. 18. H1N1 Interim Advice <ul><li>Stay informed : </li></ul><ul><ul><ul><li>www.flu.gov </li></ul></ul></ul><ul><ul><ul><li>www.H1N1inPA.com </li></ul></ul></ul><ul><ul><ul><li>www.achd.net </li></ul></ul></ul><ul><li>Practice non-pharmaceutical interventions </li></ul><ul><ul><ul><li>Hand hygiene </li></ul></ul></ul><ul><ul><ul><li>Good housekeeping </li></ul></ul></ul><ul><ul><ul><li>Screening (self-screening) for influenza like illness </li></ul></ul></ul><ul><li>Consider vaccination </li></ul><ul><ul><ul><li>Seasonal Flu (available now) </li></ul></ul></ul><ul><ul><ul><li>H1N1 (when available) </li></ul></ul></ul>
    19. 19. For More Information <ul><li>Allegheny County Health Department </li></ul><ul><li>412-687-ACHD </li></ul><ul><li>(412-687-2243) </li></ul><ul><li>www.achd.net </li></ul><ul><li>Tom Mangan </li></ul><ul><li>[email_address] </li></ul>
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