National Pharmaceutical StockpileNational Pharmaceutical Stockpile NPS is a massive stockpile of medicines, NPS is a massive stockpile of medicines,

vaccines, medical supplies, equipment and vaccines, medical supplies, equipment and other items to augment the local supplies other items to augment the local supplies of critical medical items in the event of a:of critical medical items in the event of a:• Terrorist attack using a weapon of mass Terrorist attack using a weapon of mass

destruction (chemical, biological, or destruction (chemical, biological, or blast), or blast), or

• Large scale natural disaster or Large scale natural disaster or technological accidenttechnological accident

State/local jurisdictions will rapidly deplete State/local jurisdictions will rapidly deplete supplies of medical items, so this national supplies of medical items, so this national supply can be requested to helpsupply can be requested to help

NPS DeploymentNPS Deployment

Requesting the NPSRequesting the NPS• State/local health official contacts State/local health official contacts

Tennessee Dept. of Health and Tennessee Dept. of Health and Commissioner of HealthCommissioner of Health

• TDH Commissioner notifies GovernorTDH Commissioner notifies Governor• Governor requests NPS from CDCGovernor requests NPS from CDC• CDC Director deploys NPS to TennesseeCDC Director deploys NPS to Tennessee• State specifies the delivery site within State specifies the delivery site within

TennesseeTennessee

National Pharmaceutical StockpileNational Pharmaceutical Stockpile

12 “Push Packages” located strategically 12 “Push Packages” located strategically throughout the US in secret locationsthroughout the US in secret locations

One Push Pack :One Push Pack :• Can arrive anywhere in US in 12 hours or lessCan arrive anywhere in US in 12 hours or less• Contains items necessary to respond to a Contains items necessary to respond to a

broad range of threats: antibiotics and other broad range of threats: antibiotics and other medicines, medical supplies and equipmentmedicines, medical supplies and equipment

CDC team of 5-7 technical advisors will CDC team of 5-7 technical advisors will deploy at the time of the shipment deploy at the time of the shipment • Technical Advisory Response Team (TARU)Technical Advisory Response Team (TARU)• Pharmacist, logisticians, and NPS operations Pharmacist, logisticians, and NPS operations

expertsexperts

National Pharmaceutical StockpileNational Pharmaceutical Stockpile

Push Pack can be followed within 24-Push Pack can be followed within 24-36 hours by “Vendor Managed 36 hours by “Vendor Managed Inventory” (VMI)Inventory” (VMI)• Stored by major pharmaceutical vendorsStored by major pharmaceutical vendors• Contains items necessary to deal with a Contains items necessary to deal with a

specific threatspecific threat

National Pharmaceutical StockpileNational Pharmaceutical Stockpile

NPS may arrive via Federal Express or NPS may arrive via Federal Express or United Parcel Service transport jetUnited Parcel Service transport jet

Or it may arrive on seven 48-foot tractor Or it may arrive on seven 48-foot tractor trailers (16-18 cargo containers in each trailers (16-18 cargo containers in each truck)truck)

One push package weighs 50 tons, and One push package weighs 50 tons, and occupies 5000 square feet when offloadedoccupies 5000 square feet when offloaded

National Pharmaceutical StockpileNational Pharmaceutical Stockpile Contains enough resources to:Contains enough resources to:

• Protect 1 million people with full 60-day Protect 1 million people with full 60-day course of antibiotics to prevent anthrax, course of antibiotics to prevent anthrax, and treat 100,000 people who are and treat 100,000 people who are already sickalready sick

• Protect similar numbers of people Protect similar numbers of people against tularemia and plague and treat against tularemia and plague and treat those with symptomsthose with symptoms

Repackaging DrugsRepackaging Drugs

Repackaging a Push Pack’s bulk Repackaging a Push Pack’s bulk tablets will protect another 148,800 tablets will protect another 148,800 people with a 10-day course of people with a 10-day course of antibiotics, or 496,000 people with a antibiotics, or 496,000 people with a 3-day course3-day course

300 Volunteer pharmacists working 300 Volunteer pharmacists working 8-10 hours a day would be needed to 8-10 hours a day would be needed to repackage the bulk supplies of repackage the bulk supplies of antibioticsantibiotics