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1 Introduction, Background, and Context
Pages 1-6

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From page 1...
... When disaster strikes, states can request deployment of SNS assets to augment resources available to state, local, tribal, or territorial public health agencies. CDC works with federal, state, and local health officials to identify and address their specific needs and, according to the stated mission of the SNS, ensure that the right resources reach the right place at the right time (CDC, 2017)
From page 2...
... .2 SNS STANDING COMMITTEE In 2015, the National Academies of Sciences, Engineering, and Medicine established a standing committee to help inform decision making by DSNS by providing a venue for the exchange of ideas among federal, state, and local governmental agencies, the private sector, and the academic community, as well as other relevant stakeholders involved in emergency preparedness and emergency response services. SNS Standing Committee members have included state and local public health officials, representatives of medical manufacturing and distribution companies, logistics managers, representatives of emergency medical services and emergency medicine practitioners, and experts in relevant fields, such as risk modeling and Food and Drug Administration (FDA)
From page 3...
... The Standing Committee has also supported efforts by DSNS to define and implement a comprehensive communications strategy encompassing the broad spectrum of stakeholders in SNS operations, including policy makers, private-sector partners, public health officials, clinicians, and the general public. Thus, their second public workshop, convened on August 28, 2017, at the National Academy of Sciences building in Washington, DC, explored the current state of the global medical supply chain as it relates to SNS assets, and the role of communications in mitigating supply chain risks and in enhancing the resilience of MCM distribution efforts (see Box 1-1, Workshop Statement of Task)
From page 4...
... Specifically, the workshop will feature invited presentations and discussions that will: • Provide a broad overview of the global supply chain related to medical countermeasures; • Explore vulnerabilities and risks associated with security, transportation, the availability of raw materials and intermediates, and challenges experi enced by suppliers, distributors, and receivers; • Discuss the impact of supply and demand expectations on the availability of MCMs, medical supplies, and equipment during a significant event; • Examine opportunities to enhance communication with the public, providers, and state and local public health and emergency management officials to assist in managing reaction and compliance with an unfamiliar product or situation; and • Explore the operational, communications, and planning requirements nec essary to facilitate altered standards of care during an emergency. A proceedings of the presentations and discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.
From page 5...
... However, she added, few have accurately characterized the role of the SNS within a complex system of systems by which medical supplies -- nearly all of which are manufactured overseas -- are distributed along the competitive, for-profit, global medical supply chain. In the case of SNS assets, this chain extends to the delivery of MCMs from state health departments to people who need them, the so-called last mile.
From page 6...
... Because it is widely acknowledged that state health departments lack the resources needed to conduct drills to prepare for emergency events, she said, CDC "has been struggling to come up with some way of measuring capability and keep the state and local health departments moving forward without unduly burdening them or asking for the impossible." With Hurricane Harvey acting as a testament to the variety of events for which the SNS and its state and local partners must be prepared to fulfill its mission -- partners including but not limited to health departments, hospitals, clinicians, and caregivers -- she urged workshop participants to discuss gaps in the medical supply chain.


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