Strategic National Stockpile
The Strategic National Stockpile (SNS) is the United States' national repository of antibiotics, vaccines, chemical antidotes, antitoxins, and other critical medical equipment and supplies. In the event of a national emergency involving bioterrorism or a natural pandemic, the SNS has the capability to supplement and re-supply local health authorities that may be overwhelmed by the crisis, with response time as little as 12 hours. The SNS is managed by the Centers for Disease Control and Prevention (CDC) with support from other agencies in the Department of Health and Human Services and the U.S. Government. The SNS represents a pillar of the United States biological defense program.
The Division of the Strategic National Stockpile (DSNS) successfully deployed 12-hour "Push Packages" to New York City and Washington, D.C. in response to 9/11 and Managed Inventory (MI) to numerous locations in response to the anthrax terrorist attacks of 2001. These so-called push packages are warehoused in a dozen, classified, non-descript facilities under 24-hour, contractor armed guard protection. Geographically situated to allow rapid delivery anywhere in the Continental U.S., material will deploy by unmarked trucks and/or airplanes within 12 hours of the receipt of the request by CDC. The U.S. Marshal provides armed security from these federal sites to local destinations.
Following landfall of Hurricanes Katrina and Rita on the Gulf coast of Mississippi and Louisiana in September 2005, CDC deployed SNS assets, technical assistance and response units, plus federal medical contingency stations to state-approved locations near or in the disaster areas. Disaster responses to Hurricane Katrina included new "Federal Medical Stations" (FMS) – austere, rapidly deployed, minimal care medical kits capable of housing, triaging and holding displaced patients for whom local acute care systems are incapacitated.
FMS-equipped facilities are not designed for routine, comprehensive community care. FMCS (Federal Medical Contingency Station) is intended to offer last-resort care and life support for critical-care patients during situations in which normal, day-to-day operations are disrupted. CDC is now developing rules under which staff operations can surge from normal 8-hour days to unrestricted work hours; rules governing the scope of care FMCS was designed to support, and systems to standardize and automate CDC business processes.
The SNS released one-quarter of its antiviral drug inventory (Tamiflu and Relenza), personal protective equipment (PPE) and respiratory protection devices to help every US state respond to the H1N1 Influenza 2009 swine influenza outbreak in the United States.
Section 403 of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (H.R. 307; 113th Congress) reauthorized the Strategic National Stockpile for FY2014-FY2018. It required the Secretary of Health and Human Services to:
- (1) submit to the appropriate congressional committees, to the extent that the disclosure of such information does not compromise national security, the annual review of the contents of the Stockpile; and
- (2) review and revise the contents of the Stockpile to ensure that the potential depletion of countermeasures currently in the Stockpile is identified and appropriately addressed, including through necessary replenishment.
- Strategic National Stockpile (SNS), Centers for Disease Control and Prevention. Retrieved on 2009-04-18.
- Whitworth, Mark H. (November–December 2006). "Designing the Response to an Anthrax Attack". Interfaces (INFORMS) 36 (6): 562–568. doi:10.1287/inte.1060.0241. Retrieved April 18, 2009.
- "2009 H1N1 Flu". Retrieved 2009-04-27.
- "H.R. 307". United States Congress. Retrieved April 10, 2013.