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Suggested Citation:"7 Wrap-Up." National Academies of Sciences, Engineering, and Medicine. 2016. The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Efficiency, Effectiveness, and Sustainability of the CDC Strategic National Stockpile: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/23532.
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7

Wrap-Up

In bringing the workshop to a close, O’Toole invited all of the panelists to take seats at the table and spend several minutes highlighting areas that in their opinions needed additional exploration based on the workshop discussions. Several speakers raised the question of validating or confirming the scope and mission of the Strategic National Stockpile (SNS) in the current environment, with Inglesby commenting that an SNS focused only on chemical, biological, radiological, and nuclear (CBRN) threats pushes the bounds of sustainability, and that all hazards and emerging infectious diseases (EIDs) being included in the paradigm increases the pressure even further. Carlin expanded on the pressure caused by EIDs, adding “we need to think about what a stockpile for EID actually means though. It seems like we’re getting one a year at this stage, and how sustainable would having a stockpile for EID be?” Addressing the topic of scope and mission pressures from a different perspective, Parker provided that participants, therapies, and preventative measures can change over time as the science underpinning them evolves. Parker suggested that a “deep breath” was needed, that assumptions be reassessed and validated as part of any reviews of SNS products. Skivington took the revalidation idea in a parallel direction, suggesting that a similar administrative and governance “deep breath” might be of value in such a complex structure.

Other speakers raised the question of trade-offs in decision making as an enduring topic. Brandeau offered that it may be valuable to decision makers to frame the possible expansion of the SNS mission in terms of both financial and operational cost-benefit trade-offs, while Carlin suggested

Suggested Citation:"7 Wrap-Up." National Academies of Sciences, Engineering, and Medicine. 2016. The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Efficiency, Effectiveness, and Sustainability of the CDC Strategic National Stockpile: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/23532.
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that there may be ethical questions to be considered with some of those trade-offs as well.

O’Toole closed out the workshop by reminding participants that the threats and hazards that prompted the creation of the SNS remain as extant and challenging currently as they have ever been and suggested that continued enhancement of the SNS be considered from a national security perspective in addition to a public health perspective.

Suggested Citation:"7 Wrap-Up." National Academies of Sciences, Engineering, and Medicine. 2016. The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Efficiency, Effectiveness, and Sustainability of the CDC Strategic National Stockpile: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/23532.
×
Page 103
Suggested Citation:"7 Wrap-Up." National Academies of Sciences, Engineering, and Medicine. 2016. The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Efficiency, Effectiveness, and Sustainability of the CDC Strategic National Stockpile: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/23532.
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Page 104
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The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Efficiency, Effectiveness, and Sustainability of the CDC Strategic National Stockpile: Workshop Summary Get This Book
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Large catastrophic events, or rare acute events, may cause situations in which a local jurisdiction’s medicines and medical supplies are not sufficient to provide care to the population it serves. In these cases of natural or engineered disasters, such as a terrorist attack, influenza pandemic, or earthquake, state or local authorities can request that the federal government provide assets from the Strategic National Stockpile to augment the state and local jurisdictions’ resources.

The Centers for Disease Control and Prevention’s (CDC’s) Strategic National Stockpile (SNS) is the nation’s repository of antibiotics, chemical antidotes, antitoxins, vaccines, antiviral drugs, and other medical materiel designed to supplement and resupply state and local public health agencies in the event of an emergency. The materiel is intended to support national health security and is managed by the Office of Public Health Preparedness and Response’s (OPHPR’s) Division of Strategic National Stockpile (DSNS). The stated mission of the SNS is to prepare and support partners and provide the right resources at the right time to secure the nation’s health.

The National Academies of Sciences, Engineering, and Medicine organized a two-day public workshop to explore opportunities to improve the efficiency, effectiveness, and sustainable methods used by the CDC’s SNS to distribute medical countermeasures and other supplies during disasters and other public health emergencies, especially those which result in disruption of physical infrastructure such as the electrical grid, central roadways, bridges, and tunnels within the impacted community. Participants explored relevant distribution lessons learned from other federal agency stockpiles and the private sector as well as opportunities to develop public-private collaborations in the purchase, warehousing, management, and distribution of medical countermeasures. This report summarizes the presentations and discussions from the workshop.

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