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National Pharmaceutical Stockpile. NPS is a massive stockpile of medicines, vaccines, medical supplies, equipment and other items to augment the local supplies of critical medical items in the event of a: Terrorist attack using a weapon of mass destruction (chemical, biological, or blast), or
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National Pharmaceutical Stockpile • NPS is a massive stockpile of medicines, vaccines, medical supplies, equipment and other items to augment the local supplies of critical medical items in the event of a: • Terrorist attack using a weapon of mass destruction (chemical, biological, or blast), or • Large scale natural disaster or technological accident • State/local jurisdictions will rapidly deplete supplies of medical items, so this national supply can be requested to help
NPS Deployment • Requesting the NPS • State/local health official contacts Tennessee Dept. of Health and Commissioner of Health • TDH Commissioner notifies Governor • Governor requests NPS from CDC • CDC Director deploys NPS to Tennessee • State specifies the delivery site within Tennessee
National Pharmaceutical Stockpile • 12 “Push Packages” located strategically throughout the US in secret locations • One Push Pack : • Can arrive anywhere in US in 12 hours or less • Contains items necessary to respond to a broad range of threats: antibiotics and other medicines, medical supplies and equipment • CDC team of 5-7 technical advisors will deploy at the time of the shipment • Technical Advisory Response Team (TARU) • Pharmacist, logisticians, and NPS operations experts
National Pharmaceutical Stockpile • Push Pack can be followed within 24-36 hours by “Vendor Managed Inventory” (VMI) • Stored by major pharmaceutical vendors • Contains items necessary to deal with a specific threat
National Pharmaceutical Stockpile • NPS may arrive via Federal Express or United Parcel Service transport jet • Or it may arrive on seven 48-foot tractor trailers (16-18 cargo containers in each truck) • One push package weighs 50 tons, and occupies 5000 square feet when offloaded
National Pharmaceutical Stockpile • Contains enough resources to: • Protect 1 million people with full 60-day course of antibiotics to prevent anthrax, and treat 100,000 people who are already sick • Protect similar numbers of people against tularemia and plague and treat those with symptoms
Repackaging Drugs • Repackaging a Push Pack’s bulk tablets will protect another 148,800 people with a 10-day course of antibiotics, or 496,000 people with a 3-day course • 300 Volunteer pharmacists working 8-10 hours a day would be needed to repackage the bulk supplies of antibiotics