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Strategic National Stockpile
SNS Overview
Objectives
• Define the Strategic National Stockpile
Program
• State the SNS Mission
• Explain SNS Components
• Explain the Associated Programs of SNS
• Explain the SNS Response process
Strategic National Stockpile
“A national repository of lifesaving
pharmaceuticals and medical supplies used
to augment federal, state and local public
health and emergency response agencies
supplies in the event of a terrorist attack,
emergency or natural disaster.”
Background
• Created in 1999 by
Department for Health
and Human Services
(HHS) and Centers for
Disease Control and
Prevention (CDC).
• Arrives within 12 hours
of the federal decision
to deploy.
SNS Mission
• Mission: to provide
large quantities of
essential medical
supplies in an
emergency.
–
Prophylaxis for 500,000
for ten days
–
Medical supplies
–
Medical Equipment
–
Airway Management
SNS Components
• 12-hour Push Package
– Designed to be the initial
Federal response for medical
materiel
– Arrives within 12 hours of the
federal decision to deploy
– Weighs over 50 tons
– 130 Containers
– Requires 12-15 thousand
square feet
– 10 day antibiotic regimens for
500 thousand people
SNS Components
• Managed Inventory (MI)
– Stockpile & Vendor MI – (Accounts for 94-96% of
SNS Assets)
– Shipments tailored for specific threat
– Government-owned inventory stored in
warehouses
– Used when event exceeds capacity of 12-hour
Push Package
– CDC has contracted with manufacturers to
transport MI to arrive within 24-36 hours
Associated Programs
• Cities Readiness Initiative (CRI)
– Federal program designed to give major metropolitan
areas additional support.
• Federal Medical Station (FMS)
– Provides a low to mid acuity of care platform for Disaster
Medical Assistance Team (DMAT) response.
• CHEMPACK
– Forward placement of Federal repositories of nerve agent
antidotes.
CRI Objectives
• Strengthen preparedness capabilities of large
populated U.S. cities and their Metropolitan
Statistical Areas.
• Decrease the time it takes to dispense
prophylaxis by increasing Points of
Distribution (PODs) throughout and offering
alternate modalities of dispensing.
Federal Medical Station (FMS)
• Supplies and
equipment to establish
a temporary medical
care facility with 250
beds
• FMS Capabilities:
 Functional Needs
Shelters
 Quarantine function
 Alternate care facility
CHEMPACK
• Sustainable
repositories of nerve
agent antidotes
– Federal materiel
– Local control
• Increases local
jurisdictions’ ability to
respond quickly to a
nerve agent event.
How SNS Works
SNS Deployment
• A single confirmed
case of disease due to
specific agents
• A credible threat of a
terrorist attack
• Natural or Man-Made
Disaster
SNS Request
Need for
medicines and
medical supplies
exceeds county
resources
SNS augments
local/state medical
supplies
The county
requests state
assistance
How SNS
assets are
deployed
The Centers for
Disease Control
and Prevention
(CDC) deploys
SNS assets
Need for
medicines and
medical supplies
exceeds state
resources
The state requests
federal assistance
Federal SNS Response
• 12 hour Push Pack
– Delivered to Receive,
Stage, Store (RSS)
– Within 12 hours
– Stockpile Services
Advance Group
(SSAG) deploys to
support
State SNS Response
• Activate RSS
• Allocate medical
materiel
• Distribute to Regional
Distribution Node
(RDN)
• Track inventory
• Manage requests
• Plan for future
Requests
Local SNS Response
• Activate RDNs and
Points of Dispensing
(PODs)
• Distribute from RDNs to
PODs
• Distribute to the Public
• Track inventory
• Plan for future requests
Questions?