1. WASHTENAW COUNTY HEALTH DEPARTMENT 555 TOWNER ST. YPSILANTI, MI 48197 734-544-6700 Strategic National Stockpile Overview: Volunteer Training

2. SNS Objectives Discuss what SNS is How it works Chain of authority Dispensing of material Roles for Volunteers

3. Definition A national repository of medical materials used to augment public health agencies in a disaster or emergency

4. Background Originated as the National Pharmaceutical Stockpile Program in 1999 Designed to assist the civilian population in responding to a terrorist attack In March of 2003 it was renamed the Strategic National Stockpile Program and is presently coordinated by the Department of Health and Human Services.

5. Content  Pharmaceuticals  Medical Supplies  Medical equipment

6. 2 Forms 12-hour Push Packs Managed Inventory

7. 12-Hour Push Package 12 undisclosed locations Designed for rapid delivery  12 hours or less  Contain all items within the SNS formulary

8. Managed Inventory  Arrives within 24-36 hours  97% of the SNS assets  Role:  Re-supply the Push Packages  Offers larger amounts of supplies  Contains extra items that Push Packs don’t have  In some cases, managed inventory may be sent instead of Push Package

9. SNS Use  In the event of a:  Major disease outbreak  Natural disaster  Terrorist attack  Other national emergency  When local resources are depleted or expected to be inadequate

10. Steps for Acquiring SNS Assets  Request for assistance  Receipt, Stage, Store of materials  Inventory Management of materials  Distribution of materials  Dispensing materials  Security of materials

11. Request 1. Collaborative decision process 2. Local  Health Officer/Director  Consultation with Wash. Co. Emergency Management Division 3. State  Notification to State Emergency Operation Center and Comm. Health Emergency Coord. Center  Governor formally requests SNS assets from the Centers for Disease Control

12. Flow of Supplies/Assets Federal State County

13. Transporting Assets

14. Receiving Federal role Deliver SNS assets to state RSS Provide technical assistance & personnel State: Receives & accepts custody of supplies from CDC  Supplies are staged and stored  Supplies are distributed to distribution node or treatment centers. County: Receives & accepts custody of supplies from the state

15. RSS: Staging Function  Breakdown the contents of the SNS containers  Materials placed on pallets for distribution

16. RSS: Storing Function  Materials are stored in the warehouse for easy identification and movement.  Supplies are stored until they are needed for repackaging and delivery to Distribution Nodes and Treatment Centers.

17. Spring H1N1 2009 – Warehouse Activities

18. Flow of Supplies/Assets: Distribution Nodes Federal State County

19. County Level: Distribution Node  State to County:  Local Health Department Distribution Nodes  Chain of Custody  Each site is secured

20. SNS Dispensing Function The Dispensing Function provides prophylactic medication to the general public. Responsibility of local health department. Mass dispensing of medications often relies heavily on local partnerships and volunteers like YOU!.

21. Point of Dispensing (PODs) Open PODs  Sites are open to the public  Large facilities with plenty of parking and space for crowd and traffic control  Strategically located within the local jurisdiction (by population and distance)  Rely heavily on volunteers to help staff the PODs Closed PODs  Pre-identified partnerships  Transfer custody of supplies to point of contact at facility  SNS supplies are dispensed to the agency’s staff, families of staff, and patients (if applicable).  The agency identifies personnel from within to dispense medications

22. H1N1 Indoor Open Dispensing Site

23. Seasonal Flu Drive-thru Dispensing Site

24. What You Should Know About SNS Meds The medicine is FREE for everyone Stockpile is large enough to protect people in several large cities at the same time There is a plan to ensure that there are enough supplies to protect all community members

25. Security Escort for transportation vehicles moving SNS assets Security at the State RSS site, local distribution nodes, and dispensing sites Security of volunteers and personnel

26. Possible Roles for Volunteers Medical Staff (e.g. doctors, nurses, EMT) Dispensing of medication Emergency transportation Security Directing traffic (vehicles or people) Data collection, signing people in, handing out wrist bands Handing out supplies Staffing the Points of Dispensing (PODs) Running errands Animal care (?)

27. Volunteers

28. Are there any questions we may answer?

29. Special Thanks Susan Cerniglia Jennifer Hankinson, Michigan Department of Community Health

30. Thank You Lisa Clarkson, MPH Health Educator Washtenaw County Health Department ClarksonL@ewashtenaw.org 734-544-2911