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2. The Kittitas County Public Health Department will be responsible for the following <br />medication distribution activities: <br />a. Request needed resources via Kittitas County Emergency Management <br />b. Identify POD locations to be utilized <br />c. Prepare POD locations for operation <br />d. Dispense medications to and/or immunize residents <br />e. Coordinate security and management for resources deployed to Kittitas County <br />f. Follow guidelines from DOH and the CDC regarding dissemination of <br />resources and medication including priority distribution. <br />E. KCPHD will utilize local and county law enforcement for POD site security, perimeter <br />control, and facility access. <br />F. POD site selection will be determined by the local Health Officer. Because several locations <br />in Kittitas County are identified for possible consideration as medical countermeasure Points of <br />Dispensing sites (Attachment A) a list of POD site/agency partnerships from previous POD sites <br />is supplied (Attachment B). These sites provide for distribution of medication/vaccines and <br />other supplies in both the upper and lower portions of the county. <br />Depending upon the disease being addressed and the overall situation, the local Health Officer, <br />or designee, may decide to immunize or provide chemoprophylaxis for populations at risk or the <br />entire population of Kittitas County. The decision to use any of the mass vaccination/mass <br />dispensing site or PODs will be dictated by the needs of the emergency, the population to be <br />served, staffing requirements, and the availability of sites. <br />Incident Command staff, in conjunction with the local Health Officer may also consider utilizing <br />alternative push and pull dispensing methods, such as a drive-thru pharmacy, drive thru clinic, <br />in-house dispensing (large employers, hospital, etc.) or on-site dispensing (jail, nursing homes, <br />etc.) <br />G. Site setup will be handled by the appointed Inventory Leader. The Inventory Leader will <br />manage reception, storage, and maintenance of the supplies provided to the PODs. The number <br />of vaccination/dispensing stations needed at a site may change depending on the affected <br />population. <br />H. Certain pharmaceuticals require proper storage in order to maintain potency. All vaccines <br />will be kept at the advised temperature, ensuring no breaks in the temperature chain. <br />Refrigeration for pharmaceuticals will be accomplished by utilizing refrigerators on site at <br />facilities, by utilizing mobile refrigeration units, or by using temperature monitored (with a <br />thermometer) Styrofoam containers containing ice packs. The method will vary based on POD <br />location. <br />I. The Reception, Storage, and Staging (RSS) facility operated by the Washington State <br />Department of Health will be responsible for labeling pharmaceuticals. Individual unit of use <br />bottles are pre-labeled and any bulk material will be repackaged at the RSS or a contractor and <br />appropriate labeling affixed prior to shipment. The local Health Officer or designee will be <br />identified as the prescriber. <br />48