National Veterinary Stockpile Plan Tabletop Exercise

Welcome and Opening Remarks

Exercise Schedule Welcome and Opening Remarks Module 1 – Requesting NVS Assistance Break Module 2 – Logistics Warehouse/Storage Facility Operations Lunch Module 3 – Alternative State Warehouse/Storage Facilities Module 4 – NVS 3D Response Support Services Hot Wash Closing Comments Adjourn

Administrative Details Safety and fire evacuation routes Silence electronic devices Lunch and breaks - food and drinks Restrooms Hot Wash conducted immediately following the exercise Submit Participant feedback forms

Exercise Overview Scope: Key State and APHIS VS personnel will use a simulated damaging animal disease scenario, current state and federal plans, policies, training, and procedures to validate the State NVS Plan. Mission area: Response Core Capability: Planning

Objectives Validate the State NVS Plan. Validate the emergency logistics support for a foreign animal disease (FAD) outbreak. Identify strengths, areas for improvement, and recommendations for corrective actions for the State NVS Plan.

Participant Roles & Responsibilities Players: Respond to situations presented based on current plans, policies, and procedures. Observers: Personnel who need a general understanding and situational awareness, but have little role or responsibility in implementing the State NVS plan. Facilitators: Provide situation updates and moderate discussions. Evaluators: Observe and document player discussions.

Exercise Structure Facilitated discussion-based exercise Scenario injects for each of the 4 Modules 1 – Requesting NVS Assistance 2 – Logistics Warehouse/Storage Facility Operations 3 – Alternative State Warehouse Facilities 4 – NVS 3D Response Support Services

Exercise Guidelines Dissemination of any exercise information, pictures, or materials must be coordinated in advance with the exercise point of contact. This is an open, low-stress, no-fault environment. Varying viewpoints, even disagreements, are expected. Base your responses on the current plans and capabilities of your organization. Decisions are not precedent setting; consider different approaches and suggest improvements. Issue identification is not as valuable as suggestions and recommended actions that could improve response efforts; problem-solving efforts should be the focus.

Exercise Guidelines continued Real-world emergencies take priority and will be announced. Facilitators may make changes as needed to best meet the objectives. Photos may be captured during the exercise. Participants may “opt out” of having their photo taken by notifying the exercise facilitators before the exercise begins. The exercise scenario is based on fictitious animal disease outbreaks in the state as they are presented to achieve exercise objectives. All players receive information at the same time.

Exercise Evaluation Written After Action Report /Improvement Plan Input based on Exercise objectives and expected outcomes identified by the exercise planning team, and documented in Exercise Evaluation Guides (EEGs). Hotwash – Participants have an opportunity to review the objectives. Voice their opinions on the exercise design and conduct. Participant Feedback forms. Evaluator observations, analysis, and recommendations.

Requesting NVS Assistance Module 1 Requesting NVS Assistance

Module 1 – Scenario Inject 1 Figure 1. Commercial broiler unit (orange) with respiratory signs.

Module 1 – Scenario Inject 1 continued Figure 2. Commercial operation (orange) and non-commercial operation (pink) with respiratory signs and/or sudden death in birds.

Module 1 – Scenario Inject 1 continued Table 2. County-Level Summary Table for Presumptive H5 Avian Influenza

Module 1 – Scenario Inject 1 continued Figure 3. Zone map for the presumptive H5 avian influenza in County A (blue points represent commercial operations)

Module 1 – Scenario Inject 1 Questions Who are the primary agencies and officials leading the emergency response effort? What support organizations are requested to be engaged now to assist with the logistics response and what support is needed from each, (i.e., what is their role)? What resources, both physical assets, (i.e., supplies and equipment) and response personnel, are readily available within the State? How is this determined? What role does the APHIS VS District play in the response organization at this point? What is the process to mobilize APHIS VS District personnel? How are the APHIS VS District physical assets mobilized?

Module 1 – Scenario Inject 2 Table 3. County-Level Summary Table for H5 Avian Influenza Outbreak

Module 1 – Scenario Inject 2 continued Figure 4. Revised zone map for the H5 avian influenza outbreak in County A (blue points represent commercial operations)

Module 1 – Scenario Inject 2 Questions What is the process to activate and organize the State’s Incident Command System (ICS) Supply Unit to manage warehouse/storage facility operations and perform the NVS mission? What positions in the ICS organizational chart are staffed with animal disease subject matter experts? What guidance does the ICS Supply Unit supporting the State NVS Plan require? What training does the ICS Supply Unit supporting the State NVS Plan require?

Module 1 – Scenario Inject 3 Table 4. County-Level Summary Tables for H5 Avian Influenza Outbreak

Module 1 – Scenario Inject 3 continued Figure 5. Zone map for the H5 avian influenza outbreak in County H (blue points represent commercial operations)

Module 1 – Scenario Inject 3 continued Table 5. Cumulative Summary Tables for H5 Avian Influenza Outbreak

Module 1 – Scenario Inject 3 Questions How quickly can the APHIS VS District mobilize field personnel? How many responders can the APHIS VS District provide? Would the State Emergency Operations Center (SEOC) be activated? If so, when and to what level? What role does the SEOC play in logistics support? What is the process to request agency/emergency support function (ESF) support at the SEOC? What agencies will be requested to staff ESFs at the SEOC? At what point will the ESFs be requested to support the emergency? What process concludes that NVS countermeasures are needed? What organizations and positions are involved in the decision?

Module 1 – Scenario Inject 3 Questions continued What role/actions does the State Veterinarian and the APHIS VS AD play/take in the NVS request process? What role/actions does the APHIS VS District Director (DD) play/take in the NVS request process? At what point is NVS assistance requested? What NVS physical countermeasures, (i.e., supplies and equipment) are requested first to support this emergency? What position is tasked as the Incident Command point of contact to coordinate NVS countermeasures deployment details with the NVS Deployment Management Team (DMT)?

Module 1 – Scenario Inject 4 Questions Who (what position) within the response organization will the DD inform that the NVS deployment has been approved and what process will he follow to ensure the ICS 213 RR NVS form is completed? Who (what position) within the response organization is tasked to complete the ICS 213 RR NVS form and submit it to the NVS DMT? What NVS countermeasures are requested in Section 4 of the ICS 213 RR NVS form?

Module 1 – Scenario Inject 4 Questions Section 5 of the ICS 213 RR NVS form describes the delivery location and Incident Command points of contact. Who within the response organization are the points of contact? What process activates the warehouse/storage facility to support this incident? Who within the State needs to know that NVS countermeasures have been deployed and who notifies these personnel?

Module 1 – Scenario Inject 5 Questions How does a Governor-declared emergency impact the level of logistics support provided by the support organizations? What impact does the Governor-declared emergency have on requests to and responses from support agencies - Would the process change?

Module 1 (Requesting NVS Assistance) Evaluation Strengths Areas for improvement Recommended solution(s) What office / agency would take the lead?

Logistics Warehouse/Storage Facility Operations Module 2 Logistics Warehouse/Storage Facility Operations

Module 2 – Scenario Inject 6 Questions What position(s) within the response organization will receive the NVS shipment file? What process setups the warehouse/storage facility to receive the NVS countermeasures? What is the floor design and storage system at the warehouse/storage facility? Other than the commercial/government bill of lading, what documentation is required for incoming shipments at the warehouse/storage facility? What just-in-time-training is conducted to prepare the response staff to receive the NVS shipment?

Module 2 – Scenario Inject 6 Questions continued Will NVS countermeasures be barcoded upon receipt? How are NVS countermeasures secured? How are field orders packed (e.g. pallet level, box level, etc.)? Where is NVS animal handling or depopulation equipment received and stored? If the APHIS VS and primary State agency unified command incident command post (ICP) is not collocated at the warehouse/storage facility, what processes and means are in place for the warehouse/storage facility to communicate with ICP? How is communication conducted inside the warehouse/storage facility?

Module 2 – Scenario Inject 7 Questions Where is animal vaccine received and stored? What kind of refrigeration equipment is used and what is the storage capacity? How and how often is the vaccine temperature monitored? What type of shipping container and cold chain management is used to transport vaccine to the field?

Module 2 – Scenario Inject 8 Questions Section 13 of the ICS 213 RR NVS form states that if human antiviral medication is requested, provide the contact information for the medically qualified person responsible for receiving, storing, prescribing, and dispensing. What agency and position is tasked as the point of contact and by whom? What process identifies the medically qualified person that oversees the receiving, storing, prescribing, and dispensing of human antiviral medication? What are the State pharmaceutical requirements to receive and store human antiviral medications, (e.g., pharmacy and/or professional licenses, security)? Where is human antiviral medication received and stored?

Module 2 – Scenario Inject 9 Managing Inventory Questions What system or tool will maintain inventory accountability of NVS countermeasures? What system or tool is used to maintain inventory of NVS deployed animal vaccine and human antiviral medication? What resource ordering processes will incident command follow to request additional support from the NVS?

Module 2 – NVS State Inventory Management File (IMF) Purpose Track on-hand (OH) inventory and issued material. Manage ordering, receiving, storing, and issuing supplies and equipment. Provide something better than paper and pencil. The NVS IMF is a Microsoft Office Access tool with the following capabilities: Warehouse storage location management Source of supply and supported customer management Receipt processing Pick sheet and packing slip creation Inventory management Simplified frequently used reports.

IMF Main Screen • NVS State Inventory Management File Training Presentation (ppt) – June 2015.

Module 2 – NVS State IMF continued How to obtained it? Visit the NVS http://www.aphis.usda.gov/nvs Request Approval as an NVS Planner Access the Restricted site - Information for NVS Planners 38

Information for Planners Training Materials NVS State Inventory Management File Training Presentation (ppt) June 2015 NVS State IMF - How to Create a Network Solution June 2015 NVS State IMF - Installer Read Me Guide June 2015 NVS State IMF - Item Management Guide June 2015 NVS State IMF - Quick Reference Guide June 2015 NVS State IMF - Scenario Guide June 2015 NVS State IMF - Shipment File Example June 2015 (password protected) NVS State IMF Practical Exercise Presentation (ppt) June 2015

Module 2 – Scenario Inject 10 Questions What method of distribution is used – Ground Support Unit delivery/Field team pickup/both? What processes, if any, are in place for in-transit security, if required? Will incident command establish incident bases to store readily- available equipment and supplies? What position in the operations section picks up animal vaccine from the warehouse/storage facility or receives it in the field? How is cold chain maintained during transport?

Module 2 – Scenario Inject 10 Questions continued What position within the response organization transports NVS animal handling or depopulation equipment into the field? What agency fills this role? What position within the response organization manages human antiviral medications in the field? What agency and position fills this role? What agency and position prescribes human antiviral medications to non-federalized employees? What agency and position dispenses human antiviral medications to non-federalized employees?

Module 2 – Scenario Inject 11 Questions The State department of health/public health is supporting the Governor-declared emergency for the outbreak. How does the State department of health/public health level of support change, if at all, in light of the new public health issues? How does the State department of health/public health prioritize support to both the animal outbreak and the new human impact?

Module 2 – Scenario Inject 12 Questions continued What processes identify and return NVS items from the field to the State warehouse/storage facility? What position within the response organization determines the cleaning and disinfection (C&D) procedures of NVS items before return to the State warehouse/storage facility? What quality control processes verify acceptable C&D? What position within the response organization transports the returnable NVS countermeasures from the field sites to the State warehouse/storage facility?

Module 2 (Logistics Warehouse/Storage Facility Operations) Evaluation Strengths Areas for improvement Recommended solution(s) What office / agency would take the lead?

Alternative State Warehouse/Storage Facilities Module 3 Alternative State Warehouse/Storage Facilities

Module 3 – Scenario Inject 13 Questions What agency is responsible for payment of expenses of the warehouse/storage facility? Is USDA providing funding? What agency is responsible for payment of expenses of the SEOC? Is USDA providing funding? What agency is responsible for payment of expenses of support agencies? Is USDA providing funding? Is the State National Guard requested to provide support? Is payment of expenses required for their participation? If yes, what agency is responsible for payment? Is USDA providing funding? How long does the warehouse/storage facility agree to support the primary State agency response to manage NVS assets without external funding?

Module 3 – Scenario Inject 14 Questions How does the warehouse/storage facility modify its processes to support all outbreak areas?

Module 3 – Scenario Inject 15 Questions How would the warehouse/storage facility support to the State agency incident be modified? How long can the warehouse/storage facility continue to support the State agency response activities?

Module 3 – Scenario Inject 16 Questions What process identifies alternate warehouse/storage facilities and who makes the determination? How quickly can alternate facilities, supply unit personnel, material handling equipment, and refrigeration capability be activated? What support organizations are available to provide the supply unit personnel and equipment (i.e., material handling equipment, refrigeration, etc.) at the alternate site? What process notifies and mobilizes the supply unit staff for the alternate warehouse/storage facility?

Module 3 – Scenario Inject 16 Questions continued What just-in-time-training is conducted to prepare the staff to receive the NVS shipment? What design and storage systems are used at an alternate warehouse/storage facility? What transportation or material handling equipment limitations, if any, are at the alternate warehouse/storage facility sites? Where is animal vaccine received and stored? Other than the commercial/government bill of lading, what documentation is required for incoming shipments at the alternate warehouse/storage facility location?

Module 3 – Scenario Inject 16 Questions continued What kind of refrigeration equipment is used and what is the storage capacity? Where is human antiviral medication received and stored? Where is NVS animal handling or depopulation equipment received and stored? If the incident command post is not collocated at the alternate warehouse/storage facility site, what processes are in place to communicate with the ICP? How will communications be conducted inside the warehouse/storage facility?

Module 3 (Alternative State Warehouse/ Storage Facilities) Evaluation Strengths Areas for improvement Recommended solution(s) What office / agency would take the lead?

NVS 3D Response Support Services Module 4 NVS 3D Response Support Services

Module 4 – Scenario Inject 17 Questions Who makes the decision to request NVS 3D contractors? What 3D response support services, if any, will be requested to support the outbreak? What position within the response organization completes the Statement of Work form? What position within the response organization checks in 3D contractors? What process integrates 3D contractors into the response organization? What position within the response organization supervises the 3D contractors, reviews, and signs the 3D contractor’s time and attendance records, validating their support?

Module 4 (3D Response Support Services) Evaluation Strengths Areas for improvement Recommended solution(s) What office / agency would take the lead?

Hotwash Other strengths, areas for improvement (gaps / issues / challenges) related to these three exercise objectives; not previously identified? Validate the State NVS Plan. Validate emergency logistics support for a foreign animal disease (FAD) outbreak. Identify strengths, areas for improvement, and recommendations for corrective actions for the State NVS Plan Evaluation Strengths Areas for improvement Recommended solution(s) What office / agency will take the lead?

Hotwash continued What questions about APHIS funding support during an outbreak need to be addressed to APHIS VS SPRS leadership?

Closing Comments Thank you for participating Please complete and submit your Participant Feedback form The exercise planning team will develop the exercise After Action Report and Improvement Plan.

Thank You For Supporting Your State’s Preparedness Efforts To Manage An NVS Deployment!