Howard K Himes Director Karen L. Smith, M.D., M.P.H. Public Health Officer 2344 Old Sonoma Road Building G Napa, California 94559 HHSA EMERGENCY OPERATIONS PUBLIC HEALTH PLAN (EOP) – APPENDIX 3 DIVISION and STATE PLAN REVISED May 2014 NAPA COUNTY HEALTH AND HUMAN SERVICES AGENCY (HHSA) ANNEX H - APPENDIX 3: HHSA STRATEGIC NATIONAL STOCKPILE PLAN Revised May 2014 Intentionally Blank Page NAPA COUNTY HHSA PUBLIC HEALTH DIVISION page ii ANNEX H - APPENDIX 3: HHSA STRATEGIC NATIONAL STOCKPILE PLAN Revised May 2014 ACKNOWLEDGEMENTS AND SOURCES Procedures included in this plan are intended as guidelines for response. Actual actions will vary depending on the requirements of the emergency and available resources. This plan is based on guidelines from the California Department of Public Health. The plan was originally published in 2005 and updated in January 2009, August 2010, January 2011, May 2012 and May 2014. PLAN APPROVAL This plan has been reviewed and approved by the Napa County Health and Human Services Agency Director and the Public Health Officer and is the official Bioterrorism Countermeasure Distribution Plan for Napa County. The plan is effective as of January 31, 2010. RECORD OF CHANGES, UPDATES AND REVISIONS Plan Section Description of Change Date Signature and Page #. Sections 2, Updated to reflect the State of California’s May 2012 3.4, 3.5, and Medical/Health Emergency Operations Appdx A Manual and related guidance for the MHOAC program. Cover Page Updated HHSA Director’s name May 2014 NAPA COUNTY HHSA PUBLIC HEALTH DIVISION page iii ANNEX H - APPENDIX 3: HHSA STRATEGIC NATIONAL STOCKPILE PLAN Revised May 2014 NAPA COUNTY HHSA PUBLIC HEALTH DIVISION page iv ANNEX H - APPENDIX 3: HHSA STRATEGIC NATIONAL STOCKPILE PLAN Revised May 2014 CONTENTS 1. INTRODUCTION ...................................................................................................................... 1 1.1 Purpose .................................................................................................................................. 1 1.2 Scope of the Plan .................................................................................................................. 2 1.3 Assumptions .......................................................................................................................... 2 2. CONCEPT OF OPERATIONS .................................................................................................. 4 3. OPERATIONAL AREA RSS ORGANIZATION ........................................................................... 6 3.1 Op Area RSS Organization Roles and Responsibilities ...................................................... 7 4. REQUESTING THE STRATEGIC NATIONAL AND STATESTOCKPILE ................................ 8 4.1 Detection ................................................................................................................................ 8 4.2 Investigation .......................................................................................................................... 9 4.3 Consultation .......................................................................................................................... 9 4.4 Requesting the SNS ............................................................................................................ 10 4.5 Accessing Local, Regional and State Resources .............................................................. 10 4.6 Receiving, Storing And Staging (RSS) The Stockpile ....................................................... 13 4.7 State transfer of resources ................................................................................................. 13 4.7.1 Designated Operational Area Officials .................................................................................... 13 4.7.2 Transfer Documents ................................................................................................................. 13 4.8 RSS Warehouse ................................................................................................................... 14 4.9 RSS Warehouse Functions ................................................................................................. 14 4.9.1 Receive ....................................................................................................................................... 14 4.9.2 Managing Controlled Substances ........................................................................................... 15 4.9.3 Repackaging Of Bulk Medications .......................................................................................... 15 4.10 Sort and Store ...................................................................................................................... 15 4.10.1 Materiel Storage and Handling ................................................................................................. 16 4.10.2 Environmental............................................................................................................................ 16 4.11 Staging and Quality Control ............................................................................................... 16 4.12 Dispatch/Delivery ................................................................................................................ 16 4.13 OA RSS Staffing .................................................................................................................. 17 4.13.1 Staffing OA RSS ........................................................................................................................ 17 4.14 OA RSS Distribution and Transportation of Resources .................................................... 18 NAPA COUNTY HHSA PUBLIC HEALTH DIVISION page v ANNEX H - APPENDIX 3: HHSA STRATEGIC NATIONAL STOCKPILE PLAN Revised May 2014 4.15 OA RSS Credentials/Badging for Entry to the RSS Site .................................................... 19 4.16 Security for the OA RSS Site, Transportation, and Points of Distribution ....................... 19 4.17 OA RSS Communications ................................................................................................... 21 5. OA RSS INVENTORY CONTROL AND TRACKING .............................................................. 22 5.1 Non-medical Supplies ......................................................................................................... 23 6. OPERATIONAL AREA OFFICIALS AUTHORIZED TO SIGN FOR THE SNS ....................... 23 7. RSS WAREHOUSE SET UP EQUIPMENT & SUPPLIES LIST .............................................. 24 8. POSITION CHECKLISTS FOR RSS PERSONNEL ............................................................... 27 8.1 Op Area RSS BRANCH DIRECTOR ..................................................................................... 27 8.2 Op Area RSS MATERIEL UNIT LEADER ............................................................................. 28 8.3 RSS INVENTORY CONTROL PERSONNEL ......................................................................... 29 8.4 RSS RECEIVING PERSONNEL ............................................................................................ 30 8.5 RSS SORTING AND STORING PERSONNEL ...................................................................... 31 8.6 RSS STAGING/QUALITY CONTROL PERSONNEL ............................................................. 32 8.7 Op Area RSS TRANSPORTATION UNIT LEADER ............................................................... 33 8.8 Op Area RSS COMMUNICATIONS UNIT LEADER .............................................................. 34 8.9 Op Area RSS COMMUNICATIONS/ IS COORDINATOR ...................................................... 35 8.10 Op Area RSS SECURITY UNIT LEADER ............................................................................. 36 8.11 SECURITY for OA RSS FACILITY ........................................................................................ 37 8.12 Op Area RSS SAFETY OFFICER ........................................................................................ 38 9. PUBLIC HEALTH EMERGENCY ASSESSMENT CRITICAL DATA WORKSHEETS ............ 39 10. SNS INVENTORY FORMS ..................................................................................................... 41 10.1 SNS State to Local Transfer Form ...................................................................................... 41 10.2 RSS SNS Inventory FORMS ................................................................................................ 43 10.2.1 SNS RSS Tracking Forms’ Flow Charts .................................................................................. 43 10.2.2 SNS Receiving Verification Form ............................................................................................ 44 10.2.3 Distribution Pick List Form ...................................................................................................... 44 11. MORE ABOUT THE STRATEGIC NATIONAL STOCKPILE .................................................. 45 12. INVESTIGATIONAL NEW DRUG/EMERGENCY USE AUTHORIZATION ............................. 48 12.1 Emergency Use Authorization (EUA) ................................................................................. 48 12.1.1 Background ................................................................................................................................ 48 NAPA COUNTY HHSA PUBLIC HEALTH DIVISION page vi ANNEX H - APPENDIX 3: HHSA STRATEGIC NATIONAL