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Strategic National StockpilePandemic Influenza Countermeasures

Todd PiesterResponse Branch Chief

Division of Strategic National StockpileCoordinating Office for Terrorism Preparedness and Emergency Response

Centers for Disease Control and PreventionAugust 21, 2008

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Background Program started in January 1999.

Result of a $51 million authorization for “pharmaceutical and vaccine stockpiling” in the fiscal year 1999 omnibus appropriation (P.L. 105-277).

Known as the National Pharmaceutical Stockpile until renamed to Strategic National Stockpile in 2003.

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Background (cont.) Initially based on providing countermeasures

against the category A threat agents.

Grown to include radiological and chemical agents.

Now includes countermeasures for pandemic influenza.

Current inventory valued at $3.5 billion.

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Rapid delivery of a broad spectrum for an ill-defined threat

Large shipments of specific items when a threat is known

Technical assistance

How SNS Responds:The Three Pillars of Support

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Delivering Materiel to States

Utilize commercial partnerships to deliver countermeasures to state Receive, Stage Store (RSS) sites.

States assume responsibility for distribution and dispensing supplies past RSS location.

Federal government provides technical assistance to state officials to aid distribution and dispensing efforts.

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Antiviral Drugs Tamiflu® (oseltamivir) Relenza™ (zanamivir) Stockpiled at a ratio of

80:20 50 million regimens on-

hand 44 million regimens

allocated pro rata 6 million regimens

strategically reserved for containment

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Respiratory Protective Devices

N95 respirators

(105.9 million)

Surgical masks

(51.8 million)

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Personal Protective Equipment

Face Shields

Gowns

Gloves

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Medical Supplies

Levofloxacin and vancomycin

Impact 754 model ventilators

Puritan Bennett

LP-10 ventilators Needles and

syringes for pre-pandemic vaccine

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Federal Countermeasure DistributionSequential Item

Part 1

100% Antiviral Drugs

Part 2

100% RPD*

Part 3

100% PPE**100% Antibiotics

*Respiratory Protective Devices (RPD) are N95 respirators and surgical masks.

**Personal Protective Equipment (PPE) is face shields, gowns and gloves.

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Federal Countermeasure DistributionMetered Package

Part 1

25% Antiviral Drugs25% RPD*25% PPE**

25% Antibiotics

Part 2

25% Antiviral Drugs25% RPD*25% PPE**

25% Antibiotics

Part 3

50% Antiviral Drugs50% RPD*50% PPE**

50% Antibiotics

*Respiratory Protective Devices (RPD) are N95 respirators and surgical masks.

**Personal Protective Equipment (PPE) is face shields, gowns and gloves.

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State Antiviral Drug Subsidy Program

Federal goal is 81 million regimens. States asked to stockpile 31 million regimens. Program uses federal contracts for cost

savings. Federal government subsidizes 25 percent of

the cost. States are at 71.7 percent of 31 million

regimen target.

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Questions?