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Recommended Infrastructure Standards for Mass Antibiotic Dispensing

Cover: Recommended Infrastructure Standards for Mass Antibiotic Dispensing

By: Christopher Nelson, Edward W. Chan, Anita Chandra, Paul Sorensen, Henry H. Willis, Katherine Comanor, Hayoung Park, Karen A. Ricci, Leah B. Caldarone, Molly Shea, John A. Zambrano, Lydia Hansell

Since 2001, the U.S. government has spent more than $7 billion to enhance state and local preparedness for bioterrorism attacks, natural disasters, disease outbreaks, and other large-scale public health emergencies. A central component of this effort involves the ability to dispense antibiotics and other life-saving medical countermeasures to large populations under short timelines. This report presents recommended standards for points of dispensing (or PODs), locations where the public would receive life-saving antibiotics or other medical countermeasures during a large-scale public health emergency. The standards, which are designed to apply to widely divergent jurisdictions, rely on expert panel evaluations, current POD planning practices, and computer-modeled scenarios.

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Contents

Chapter One:
Introduction

Chapter Two:
Approach to Standards Development

Chapter Three:
Recommended Standards on the Number and Location of PODs

Chapter Four:
Recommended Standards for Internal POD Operations

Chapter Five:
Recommended Standards for POD Staffing

Chapter Six:
Recommended Standards on POD Security

Chapter Seven:
Next Steps

Appendix A:
Instrument for Data Collection from CRI Sites

Appendix B:
List of Panelists

Appendix C:
Location Modeling and Analysis

Appendix D:
Modeling and Analysis of POD Operations and Staffing

This work was sponsored by the Department of Health and Human Services and was carried out within the RAND Center for Domestic and International Health Security. RAND Health is a division of the RAND Corporation.

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