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5 Reviewing Challenges and Potential Opportunities
Pages 39-46

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From page 39...
... The looming threat of Hurricane Harvey, Redlener noted, highlighted "every possible scenario of how people live in America all under one disaster umbrella." The days ahead would offer important lessons for responding to future disasters, if carefully studied, he advised. Equally astounding to Redlener as the extent and complexity of the SNS mission are the details of the supply chain, he said, and the realization that apparently arcane glitches can create widespread havoc.
From page 40...
... Proposed funding cuts to the Public Health Emergency Preparedness Plan and the Hospital Preparedness Plan will dramatically curtail already strained local preparedness efforts. He noted that volunteers who currently staff dispensing clinics could be better used in other emergency capacities in the "last mile." Linda Rouse O'Neill focused on the supply chain.
From page 41...
... Lewis Grossman bemoaned a lack of consistency in emergency preparedness efforts at the state level, and in particular some states' inability to carry out the "last mile" of the SNS supply chain. "I think that the [federal government]
From page 42...
... He noted that although the sort of mass-casualty CBRN event that the SNS was created to address has not occurred since its inception, the West African Ebola epidemic was similarly large in scale and overwhelming to the health care systems in the region. The inadequacy of the international response to that outbreak raises concerns about the ability of the SNS and its partners to address a domestic infectious disease outbreak or other disaster, he observed.
From page 43...
... She urged careful study of the emergency response and attention to lessons learned. James Hodge, Jr., professor of law at the Sandra Day O'Connor College ­ of Law and director of the Center for Public Health Law and Ethics at Arizona State University, observed that the concept of a public health emergency recently expanded to include the steady attrition of the opioid epidemic, which cost approximately 60,000 American lives in 2016 (NCHS, 2017)
From page 44...
... However, she added, this problem extends well beyond the supply chain, which merely manifests a dangerous fixation on efficiency and cost control. Noting that the federal government appears poised to dramatically reduce most forms of public health spending, she warned that an "obsession with cost and profit has now infiltrated our sense of public health and how we are going to take care of each other in the most dire circumstances." "I have been uniformly impressed and moved by all of the private-sector people who have come in and given their time to participate in [the activities of]
From page 45...
... REVIEWING CHALLENGES AND POTENTIAL OPPORTUNITIES 45 Prior to concluding the workshop, O'Toole suggested that the SNS should continue to expand its engagement with the private sector, as exemplified by its work with HIDA, as a way to cultivate powerful advocates for the stockpile. "I don't want you to get bigger and bigger and bigger," she explained, "but a little bigger and a little bit more robust in your budget."


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