Anonymous ID: 9464d1 March 20, 2020, 3:42 p.m. No.8494035   🗄️.is 🔗kun   >>4063 >>4111

You are watching a movie.

 

The impeachment distraction is a disgrace.

If we are not fully prepared, the blame lies solely in the democrats laps.

 

https://docs.house.gov/meetings/IF/IF02/20191204/110278/HHRG-116-IF02-Wstate-KadlecMDMTMHMSR-20191204.pdf

 

Written Testimony

House Committee on Energy and

Commerce, Subcommittee on Oversight

and Investigations

Flu Season: U.S. Public Health

Preparedness and Response

Statement of

Robert Kadlec, MD, MTM&H, MS

Assistant Secretary For Preparedness and Response

 

To identify potential gaps in preparedness and, where possible, make improvements, ASPR manages a

robust exercise and evaluation process. Related to pandemic influenza, August 13-16, 2019, ASPR led the

Crimson Contagion 2019 Functional Exercise (Crimson Contagion). Crimson Contagion exercised a

nationwide pandemic influenza response, testing current plans, policies, and procedures, as well as the

nation’s core capability to respond. This exercise was the largest pandemic exercise to date and included 12

Federal departments/agencies, 12 states, 96 local jurisdictions, 24 Native American Tribes, 87 hospitals,

and more than 100 private sector partners. The exercise found that, in the event of a pandemic:

 If vaccine development and procurement for medical countermeasures is needed above current

capacity, additional funding would likely be required.

 The U.S. lacks sufficient domestic manufacturing capacity and/or raw materials for almost all

pandemic influenza medical countermeasures, including vaccines and therapeutics, the needles and

syringes needed to administer them, and personal protective equipment, including masks, needles,

and syringes. Further, in a pandemic, global manufacturing capacity will likely not be sufficient to meet demand, resulting in an inability to import adequate quantities of medial countermeasures.

To that point, supply chain issues are among the most significant challenges to preparing for an influenza

pandemic as well as other infectious diseases. Today, we are dependent on receipt of active ingredients in

America’s pharmaceutical and over the counter drugs come from China and India; this dependency also

extends beyond pharmaceuticals and includes auxiliary medical supplies such as syringes and gloves3

. This

dramatic shift in the manufacture of medicines is very recent in origin. In the 1990s the U.S., Europe, and

Japan manufactured ninety percent of the global supply of the key ingredients for the world’s medicines

and vitamins. Now, China is the largest global supplier. In a pandemic environment, this dependence could

become a matter of national security, as we witnessed during the H1N1 pandemic of 2009. Countries with

influenza vaccine manufacturing facilities restricted exports to satisfy their domestic requirements first.

Anonymous ID: 9464d1 March 20, 2020, 3:50 p.m. No.8494111   🗄️.is 🔗kun

>>8494035

ASPR’s Accomplishments to Date

President Trump signed the Executive Order on Modernizing Influenza Vaccines in the United States to

Promote National Security and Public Health on September 19, 2019. This the Executive Order (EO)

directs ASPR, and three specific agencies within HHS – the Centers for Disease Control and Prevention

(CDC), the National Institutes of Health (NIH), and the Food and Drug Administration (FDA) – to

accelerate the adoption of improved influenza vaccine technologies. Specific to ASPR, the EO directs HHS

to: estimate the cost of expanding and diversifying domestic vaccine-manufacturing capacity using

innovative, faster, and more scalable technologies; estimate the cost of expanding domestic productions

capacity of adjuvants; estimate the cost of expanding domestic fill-and-finish capacity; estimate the cost of

developing, evaluating, and implementing delivery systems; evaluate incentives for the deployment and

production of vaccines by private manufacturers and public-private partnerships; support, in coordination

with the Departments of Defense, and Veterans Affairs, as well as with NIH a suite of clinical studies

featuring different adjuvants; and, in coordination with other relevant public health agencies, research

agenda to dramatically improve the effectiveness, efficiency, and reliability of influenza vaccine

production. Utilizing the supplemental appropriations in 2005-2006 and 2009, ASPR has supported many

efforts to build capacity and enhance overall preparedness for pandemic influenza. With the EO in place,

ASPR will push forward to continue to move preparedness forward and meet the intent of the requirements

included in the EO.