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I. PURPOSE: <br />This plan describes the process for requesting, receiving, managing, distributing, and dispensing <br />medication in an emergency, including any supplies from State, Federal, or private sources. The <br />US Department of Homeland Defense and US Centers for Disease Control and Prevention <br />(CDC) manage the Strategic National Stockpile (SNS) at the national level; the Washington <br />State Department of Health (DOH) manages the SNS at the Washington State level, and KCPHD <br />manages the SNS within Kittitas County. <br />II. ASSUMPTIONS AND LIMITATIONS: <br />A. From the time DOH receives the request for supplies, it will take approximately 6 to 18 hours <br />to distribute its contents to the local health jurisdiction (LHJ). Managed inventory deployed <br />from the federal level would take from 12 to 24 hours. <br />B. Additional staffing, supplies, and logistical resources will be needed in a large scale <br />emergency in Kittitas County to implement medical countermeasures. <br />C. A successful large-scale distribution of medical resources requires the involvement and <br />participation of a wide-range of community organizations, businesses, and volunteers. <br />D. Deployment of medical countermeasures is dependent on an accurate and timely <br />identification of the disease or bio-terrorist agent that constitutes the public health threat. <br />E . The number of medical personnel qualified to administer vaccine or dispense <br />pharmaceuticals, and the number of available volunteers to perform support functions, will <br />dictate the rate at which residents are treated. Residential estimates within Kittitas County 2014 <br />are as follows: <br />Unincorporated 18,890 <br />Incorporated 23,210 <br />Cle Elum 1,870 <br />Ellensburg 18,440 <br />Roslyn 895 <br />South Cle Elum 530 <br />F. KCPHD lacks the staffing needed to operate all Points of Dispensing (PODs) required in <br />immunizing or administering chemoprophylaxis to Kittitas County residents. <br />G. When chemoprophylaxis supplies are limited, KCPHD will develop a prioritization plan in <br />accordance with recommendations from the CDC and/or from DOH. The health officer will <br />coordinate this prioritization. <br />III. COMMAND AND CONTROL: <br />A. Specific recommended policies for LHJs and Tribes for the State of Washington concerning <br />emergency medical countermeasures are listed as follows: <br />45