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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 (2016) / Chapter Skim
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1 Introduction, Background, and Context
Pages 1-8

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From page 1...
... 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)
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From page 2...
... Through its programmatic initiatives, BARDA supports the SNS by leading the advanced development and procurement of drugs, vaccines, and other products considered to be priorities for national health security. SNS STANDING COMMITTEE The National Academies of Sciences, Engineering, and Medicine established a standing committee of experts to help inform decision making by CDC DSNS, including experts in state and local public health, MCM production, warehouse and product distribution, logistics management, emergency medical services, emergency medicine, risk communications, and FDA regulatory issues.
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From page 3...
... The back end, often referred to as the "last mile," involves the actual dispensing of MCMs to the public after DSNS has delivered them to state- and local-level public health authorities, O'Toole noted. She commented that the declining federal budget is constraining front-end decisions about inventory, even 5  According to Greg Burel, director of DSNS, CDC.
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From page 4...
... Specifically, the workshop will feature invited presentations and discussions that will: • Provide a broad overview of current efforts under way at CDC, the Depart ment of Defense (DoD) , and the Department of Veterans Affairs to distrib ute medical countermeasures and other supplies during a disaster or other public health emergency; • Review novel practices used by private industry to distribute medical prod ucts and supplies on a day-to-day basis as well as during an emergency; • Identify major gaps in currently available distribution methods in the public and private sectors; • Identify opportunities for collaboration and coordination between CDC and among relevant federal as well as industry programs to support effective and efficient medical countermeasure distribution; and • Examine opportunities to enhance the economic sustainability of the SNS in view of evolving mission expectations and new medical counter­ easures m research and development.
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From page 5...
... Resources were also needed to enable the necessary risk-informed decisions regarding the holdings and other management practices in order to ensure better CDC engagement, reinvigorate the PHEMCE process, and align the SNS efforts with the Public Health Emergency Preparedness Grant Program. CDC subject-matter experts were engaged with the PHEMCE process and managed by a medical officer; health care preparedness activities were moved to the SNS Division to better support health care and public health integration.
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From page 6...
... That is, the SNS should not only deliver MCMs to local public health authorities, but also support local-level dispensation efforts, provide clinical guidance about the use of MCMs, and implement the appropriate systems to monitor treatment compliance during adverse events. He suggested that the SNS is ideally placed within CDC to perform these additional functions, which should be made explicit in authorizing language and should be budgeted separately by the SNS.
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From page 7...
... Sosin called for the urgent need "to bring a scientific perspective, going beyond a performance audit and helping us match the resources that are realistic to expect for an SNS and put that against the potential to reduce the greatest amount of risk." Building a sustainable SNS to achieve these important roles will require prudent selection of targets, ensuring that the material and the capability built at the national level will be able to deliver effectively to the individual at the local level. Sally Phillips, deputy assistant secretary for policy, ASPR, HHS, reflected on the sustainability of the SNS and how investments are being made, noting that sustainability requires taking into consideration not only the amount of resources that go into procuring a stockpile, but also the costs involved in developing, procuring, storing, and deploying the stockpile, which are only a small fraction of the network of the stockpile's contributions.
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Key Terms

  • health emergency
  • medical countermeasures
  • health security
  • local public
  • medical countermeasure

  • strategic national
  • standing committee
  • health officials
  • sns standing
  • emergency preparedness

  • local health
  • health authorities
  • emergency medical
  • medical officer
  • tegic national

  • insufficient resources
  • phemce process
  • clinical guidance
  • catastrophic events
  • health medical

  • health agencies
  • support health
  • lic health
  • health integration
  • health preparedness

  • health emergencies
  • existing medical
  • national pharmaceutical
  • support national
  • nebraska medical


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