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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Impact of the Global Medical Supply Chain
on SNS Operations and Communications

PROCEEDINGS OF A WORKSHOP

Alison Mack, Rapporteur

Board on Health Sciences Policy

Health and Medicine Division

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THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by Contract No. 200-2011-38807 with the Centers for Disease Control and Prevention. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-47774-1
International Standard Book Number-10: 0-309-47774-3
Digital Object Identifier: https://doi.org/10.17226/25149

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the global medical supply chain on SNS operations and communications: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25149.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×

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Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×

PLANNING COMMITTEE ON THE IMPACT OF THE GLOBAL MEDICAL SUPPLY CHAIN ON SNS OPERATIONS AND COMMUNICATIONS1

TARA O’TOOLE (Chair), Executive Vice President, In-Q-Tel

MARY PAT COUIG, Intermittent Program Manager for Special Projects and Public Health Emergency Preparedness, Office of Nursing Services, Department of Veterans Affairs

MICHELE DAVIDSON, Senior Manager, Pharmacy Technical Standards, Development and Policy, Government Relations, Walgreen Company

LARRY GLASSCOCK, Senior Vice President, Global Accounts, MNX Global Logistics

JAMES G. HODGE, JR., Director, Public Health Law and Policy Program and Professor, Public Health Law and Ethics, Sandra Day O’Connor College of Law, Arizona State University

LINDA ROUSE O’NEILL, Vice President of Government Affairs, Health Industry Distributors Association

PAUL PETERSEN, Director, Emergency Preparedness Program, Tennessee Department of Health

IRWIN REDLENER, Director, National Center for Disaster Preparedness and Professor, Health Policy and Management and Pediatrics, Mailman School of Public Health, Columbia University

KAREN REMLEY, Executive Director and Chief Executive Officer, American Academy of Pediatrics

LEWIS RUBINSON, Assistant Chief Medical Officer for Critical Care, University of Maryland Medical Center, and Associate Professor, University of Maryland School of Medicine

Health and Medicine Division Staff

SCOTT H. WOLLEK, Senior Program Officer

BEN KAHN, Research Associate

REBECCA RAY, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

Consultant

ALISON MACK, Consulting Writer

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

MARGARET BRANDEAU, Stanford University

JAMES G. HODGE, JR., Arizona State University

NICOLETTE LOUISSAINT, Healthcare Ready

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by LINDA DEGUTIS, The Henry M. Jackson Foundation for the Advancement of Military Medicine. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×

Acronyms and Abbreviations

AAP

American Academy of Pediatrics

ABC

AmerisourceBergen Corporation

ACIP

Advisory Committee on Immunization Practice

API

active pharmaceutical ingredient

ASPR

Office of the Assistant Secretary of Preparedness and Response

BARDA

Biomedical Advanced Research and Development Authority

BD

Becton, Dickinson and Company

CBRN

chemical, biological, radiological, and nuclear

CDC

Centers for Disease Control and Prevention

DSNS

Division of Strategic National Stockpile

ESF#8

Emergency Support Function Eight

FACA

Federal Advisory Committee Act

FDA

Food and Drug Administration

FEMA

Federal Emergency Management Agency

HELP

U.S. Senate Committee on Health, Education, Labor, and Pensions

HHS

Department of Health and Human Services

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
×
HIDA

Healthcare Industry Distributors Association

IQT

In-Q-Tel

JIC

Joint Information Center

MCM

medical countermeasure

MOU

memorandum of understanding

NACDS

National Association of Chain Drug Stores

NCPDP

National Council of Prescription Drug Programs

NETEC

National Ebola Training and Education Center

NGO

nongovernmental organization

OPHPR

Office of Public Health Preparedness and Response

PAHPRA

Pandemic and All-Hazards Preparedness Reauthorization Act

PHEMCE

Public Health Emergency Medical Countermeasures Enterprise

PPE

personal protective equipment

PSCN

Pandemic Supply Chain Network

SNS

Strategic National Stockpile

UNGM

United Nations Global Marketplace

UNICEF

United Nations Children’s Fund

WHO

World Health Organization

WMD

weapon of mass destruction

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the Global Medical Supply Chain on SNS Operations and Communications: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25149.
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The Centers for Disease Control and Prevention (CDC) established the Strategic National Stockpile (SNS) with a focus on procuring and managing medical countermeasures (MCM) designed to address chemical, biological, radiological, and nuclear events and attacks by weapons of mass destruction. The stockpile is a repository of antibiotics, chemical antidotes, antitoxins, vaccines, antiviral drugs, and other medical materiel organized to respond to a spectrum of public health threats. Over time, the mission of the SNS has informally evolved to address other large-scale catastrophes, such as hurricanes or outbreaks of pandemic disease, and rare acute events, such as earthquakes or terror attacks. When disaster strikes, states can request deployment of SNS assets to augment resources available to state, local, tribal, or territorial public health agencies. CDC works with federal, state, and local health officials to identify and address their specific needs and, according to the stated mission of the SNS, ensure that the right resources reach the right place at the right time.

On August 28, 2017, the National Academies of Sciences, Engineering, and Medicine convened a workshop to explore the current state of the global medical supply chain as it relates to SNS assets, and the role of communications in mitigating supply chain risks and in enhancing the resilience of MCM distribution efforts. This publication summarizes the presentations and discussions from the workshop.

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