Virginia Department of Health Office Of Emergency Preparedness

Virginia Department of Health Office Of Emergency Preparedness CINDY SHELTON DONNA RUTH KELLY PARKER

The Strategic National Stockpile Presented by Cindy Shelton, Assistant Director Office of Emergency Preparedness 2017 VEMS

Purpose v Provide an understanding of the operational characteristics and capabilities of the Strategic National Stockpile (SNS) during a public health event/incident

Strategic National Stockpile v A large stockpile of medical countermeasures to protect the American public if there is a public health emergency severe enough to cause local supplies to run out.

SNS Supplied Medical Countermeasures v Biologic/Pharmaceutical • Category A threat agents • Antibiotics (oral and IV) • Nerve agency antidotes • Vaccines • Antivirals • Radiation Countermeasures v Non Pharmaceutical (Medical) Supplies • IV Administration • PPE • Airway Management

CHEMPACK v Pre-positioned locally v Federal (CDC) asset v Contains nerve agent antidotes and related materials to respond to a nerve agent release

The Process: State Resources Exceeded CDC SNS Assets VA EOC (VDEM) Discussions with Governor/ Secretary Local & Regional Resources Exceeded Local EOC Health Dept Local PODs VDH VA RSS

What is RSS? Receive Store Stage

RSS Facilities 3 RSS Facilities in Virginia • Primary: • Sandston • Secondary: • Chesterfield • Fairfax

Dispensing/Vaccination Sites DONNA RUTH EMERGENCY HEALTH COORDINATOR VDH - PORTSMOUTH HEALTH DISTRICT EMERGENCY PREPAREDNESS PROGRAM

Objectives v Define “POD” and identify the purpose and function of a POD. v Describe the difference between a Closed and Open POD v Define a Quick Delivery Center

What happens at a POD or QDC? v Mass medication dispensing or vaccination to prevent or treat illness. v Provide alternate/additional source of education to the community.

Point Of Dispensing Open POD v. Available to general public, regardless of city of residence v. Must process many people quickly v. Maximizes the use of the facility v. Minimizes the use of staff v. Capable of being “medical” or “nonmedical” v. Staffed by LHD and others

Point Of Dispensing Closed POD v Restricted/limited access v Receives direct shipment of countermeasures from RSS v Signed MOU strongly preferred v Must meet VDH/LHD guidelines v Accountable for countermeasure reporting v Staffed by the supporting entity v Generally only “non-medical” mode

Types of Closed PODs v v v v Military Bases or Installations Hospitals Nursing Homes and other LTCF Jails/Prisons City Services – Critical infrastructure Police, Fire, EMS Large Businesses Hotels

Quick Delivery Centers v v v Used primarily for initial anthrax dispensing Considered “non-medical” May be used in combination with other dispensing modalities Speed is of the essence Minimal staffing to support high volume May convert to open POD after initial dispensing

Why open a QDC first?

Anthrax Exposure: Proportion of Population Saved DELAY in Initiation DURATION of Campaign Immed. 1 Day 2 Days 3 Days 4 Days 5 Days 6 Days 7 Days 10 Days 84% 78% 71% 62% 54% 45% 36% 28% 7 Days 95% 91% 85% 78% 69% 59% 49% 39% 6 Days 97% 94% 89% 83% 75% 65% 54% 43% 5 Days 98% 96% 92% 87% 80% 71% 60% 49% 4 Days 99% 98% 95% 91% 85% 76% 66% 54% 3 Days 100% 99% 97% 94% 89% 81% 72% 60% 2 Days 100% 99% 98% 96% 92% 86% 77% 66% 1 Day 100% 99% 97% 94% 89% 82% 72%

Historical Example Smallpox vaccinations New York City, 1947. (AP Photo/Tony Camerano

Materials v Supplies are being stockpiled locally. • MMRS – Metropolitan Medical Response System • Local Health Districts v Strategic National Stockpile (SNS) • 12 Hour Push Pack • Managed Inventory (MI)

em. POWER Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) Kelly Parker Director, Emergency Preparedness Virginia Hospital & healthcare Association

How can federal health data inform and support preparedness, response, and recovery?

em. POWER Initiative Three initiatives developed between ASPR and the Center for Medicaid and Medicare Services (CMS). 1. HHS em. POWER Map 2. HHS em. POWER Initiative’s Emergency Planning Datasets 3. HHS em. POWER Initiative’s Outreach Response Individual Datasets

em. POWER Map Integrates de-identified Medicare data with real-time NOAA weather tracking and GIS interactive mapping to highlight the number of people who use electrically dependent medical equipment in a geographic area.

em. POWER Emergency Planning Datasets v This data set provides more granular deidentified data • Medicare totals by type of DME and healthcare services v Sample Use Cases • Inform power restoration prioritization decision making at all levels • Identify optimal locations, support, and power needs for multiple devices in shelters • Assessing potential transportations needs for evacuating or transport to healthcare providers (e. g. dialysis)

em. POWER Initiative’s Outreach Response Individual Datasets v Purpose is to conduct outreach prior to, during, or after an incident, public health emergency, or disaster that may adversely impact atrisk populations v Public Health authorities that meet HIPAA requirements can submit a request to HHS via their ASPR Regional Administrator/Emergency Coordinator • Declaration • Winter Storm Jonas

Virginia Healthcare Alerting and Status System (VHASS) initiative Integrating em. POWER data into VHASS GIS map

Questions? Contacts: Cynthia T. Shelton, MEP Assistant Director/State SNS Coordinator Office of Emergency Preparedness Virginia Department of Health 109 Governor Street, Rm. 1328, Richmond, VA 23219 phone: 804. 864. 7486 cindy. shelton@vdh. virginia. gov Donna M. Ruth Emergency Coordinator Portsmouth Health District Virginia Department of Health 1701 High Street, Suite 102 Portsmouth, VA 23704 donna. ruth@vdh. virginia. gov Office - 757 -393 -8585, ext. 8518 Kelly Parker Director, Emergency Preparedness Virginia Hospital & Healthcare Association Kparker@vhha. com Office: 804 -965 -1225 Cell: 804 -229 -6643