Strategic National Stockpile
Encyclopedia
The Strategic National Stockpile (SNS) is the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

' national repository of antibiotic
Antibiotic
An antibacterial is a compound or substance that kills or slows down the growth of bacteria.The term is often used synonymously with the term antibiotic; today, however, with increased knowledge of the causative agents of various infectious diseases, antibiotic has come to denote a broader range of...

s, vaccine
Vaccine
A vaccine is a biological preparation that improves immunity to a particular disease. A vaccine typically contains an agent that resembles a disease-causing microorganism, and is often made from weakened or killed forms of the microbe or its toxins...

s, chemical antidote
Antidote
An antidote is a substance which can counteract a form of poisoning. The term ultimately derives from the Greek αντιδιδοναι antididonai, "given against"....

s, antitoxins and other critical medical equipment and supplies. In the event of a national emergency involving bioterrorism
Bioterrorism
Bioterrorism is terrorism involving the intentional release or dissemination of biological agents. These agents are bacteria, viruses, or toxins, and may be in a naturally occurring or a human-modified form. For the use of this method in warfare, see biological warfare.-Definition:According to the...

 or a natural pandemic
Pandemic
A pandemic is an epidemic of infectious disease that is spreading through human populations across a large region; for instance multiple continents, or even worldwide. A widespread endemic disease that is stable in terms of how many people are getting sick from it is not a 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 jointly run by the Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

 (CDC) and the Department of Homeland Security.

Operations

The Division of the Strategic National Stockpile (DSNS) successfully deployed 12-hour "Push Packages" to New York City
New York City
New York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...

 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
2001 anthrax attacks
The 2001 anthrax attacks in the United States, also known as Amerithrax from its Federal Bureau of Investigation case name, occurred over the course of several weeks beginning on Tuesday, September 18, 2001, one week after the September 11 attacks. Letters containing anthrax spores were mailed to...

. 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
Hurricane Katrina
Hurricane Katrina of the 2005 Atlantic hurricane season was a powerful Atlantic hurricane. It is the costliest natural disaster, as well as one of the five deadliest hurricanes, in the history of the United States. Among recorded Atlantic hurricanes, it was the sixth strongest overall...

 and Rita
Hurricane Rita
Hurricane Rita was the fourth-most intense Atlantic hurricane ever recorded and the most intense tropical cyclone ever observed in the Gulf of Mexico. Rita caused $11.3 billion in damage on the U.S. Gulf Coast in September 2005...

 on the Gulf coast of Mississippi
Mississippi
Mississippi is a U.S. state located in the Southern United States. Jackson is the state capital and largest city. The name of the state derives from the Mississippi River, which flows along its western boundary, whose name comes from the Ojibwe word misi-ziibi...

 and Louisiana
Louisiana
Louisiana is a state located in the southern region of the United States of America. Its capital is Baton Rouge and largest city is New Orleans. Louisiana is the only state in the U.S. with political subdivisions termed parishes, which are local governments equivalent to counties...

 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 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
2009 flu pandemic
The 2009 flu pandemic was an influenza pandemic, and the second of the two pandemics involving H1N1 influenza virus , albeit in a new version...

in the United States, as of April 27, 2009, 1PM.
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