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Rx Response Coalition
Manufacturers Distributors Dispensers

http://tinyurl.com/9y3wpwv

http://tinyurl.com/8gb3pjj http://tinyurl.com/9ry5poa

Pharmaceutical Supply Chain

Public-Private and Non-Profit Collaboration

Public Sector

State Emergency Management State Public Health

DHS, HHS (CDC, ASPR, FDA) Boards of Pharmacy

Professional Associations

Non-Profit Sector

Key Issues

Access & Credentialing

Medical Countermeasures

Disaster-related Shortages

Appropriate Donations

Pandemic Influenza & Emerging Infectious Disease

Pharmacies as Public Health Infrastructure

Situational Awareness

Weapons of Mass Destruction

Business Continuity

Appropriate Donations

Medical Countermeasures
IOM Forum on Medical and Public Health Preparedness for Catastrophic Events

Crisis Standards of Care Medical countermeasure distribution & dispensing Pediatric countermeasure equity Planning for mass casualty events

Emergency Services Coalition for Medical Preparedenss

Increasing access to medical countermeasures for first responders

Pandemic Influenza Planning

2009: Pharmacies as H1N1 Vaccination sites Ongoing projects, with CDC, ASTHO and NACCHO:
Antiviral distribution Nurse triage lines Pharmacy collaborative practice agreements Emergency Prescription Assistance Program
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Information Sharing News Page

News articles Blog posts
Business Continuity

Disaster Response Pharmacy services

Newsletters Twitter feed RSS feed

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2013 Discussion-based Exercise

Scenario: Earthquake in SF

Secondary Chlorine gas release

Companies and agencies tested plans

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Participants
Private sector

Public/Non-profit

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Rx Response Resources

Rx On the Run
Web-fillable printable wallet card

InfoCenter
Private website Situation reports Information & product requests

Rx Open
Mapping of open pharmacies in disasters

EOC Deployment
SME available to staff state Health or Business EOC

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Events: Type & Activation status

2007 2008 2009 2010 2011 2012 2013
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Response Activities: Situational Awareness

Website Situation Report Push notifications Conference Calls Industry & Govt Social Media / Twitter

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Response Activities: H1N1 Pandemic Influenza

Emergency Page on InfoCenter

Conference Calls
CDC/HSCC/DHS PO Member Calls (Coordinating Body)

Information Clearinghouse
Antiviral Inventory Requests Allocation RFIs ASTHO Operational Framework

Lessons Learned
Severity vs. Widespread Measures

Need to Exercise!
World News: http://article.wn.com/view/2009/04/25/Mexico_flu_a_potential_pandemic/?template=c heetah-worldphotos%2Findex.txt

Pandemic Planning Continues through efforts with the CDC on the distribution of SNS assets

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Response Activities: Hurricane Sandy in Numbers

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Days mapping tool open

>10,000
Pharmacy statuses mapped

11 + DC
States mapped

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Regulatory changes for Pharmacy

60+
Requests for information

71
Unique after action items

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Restoration of Pharmacy Services

Shown are the percent of participating pharmacies that were reported as open based on prescription billing following Superstorm Sandy for the New York & New Jersey counties that were most affected (<80% of open participating pharmacies) the day following landfall (10/30/12 18

Response Activities: Moore Tornadoes

Restoration of Pharmacy Services: Moore Tornadoes 5/20/2013
Percent Participating Pharmacies Open
100% 95% 90% 5/21/2013 85% 80% 75% 70% 5/22/2013 5/23/2013

Cleveland County

Lincoln County McClain County

Oklahoma County

Pottawatomie County

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Take Aways
Normal Business Processes Can Aid Response
Lessen reporting burden of affected businesses Reduce analysis burden for each interested audience

Community Resilience
Members of the pharmaceutical supply chain are resilient partners in community response after disaster

Situational Awareness & Information Sharing

Credentialing, Power, Transportation, Water Regulatory changes must be widely communicated

Public-Private Partnerships
Struggle for national/regional companies to manage differing state-by-state expectations
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Rx Response ContactUs@RxResponse.org 866-247-2694 www.RxResponse.org www.RxOpen.org Twitter: @RxResponse

Erin Mullen emullen@RxResponse.org 202-572-7790 (office) 202-510-2698 (cell)

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