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In 2005, the administration of President George W. Bush published a landmark “National Strategy for Pandemic Influenza.” The document, among other things, highlighted the need for plans to distribute necessary medical supplies from the nation’s Strategic National Stockpile and to support state and local efforts to “surge” medical personnel and facilities to handle an outbreak.
Medical equipment such as masks and protective clothing in particular were given high priority as planners recognized that doctors, nurses and other medical staff were most vulnerable.
After the swine flu epidemic in 2009, a safety-equipment industry association and a federally sponsored task force both recommended that depleted supplies of N95 respirator masks, which filter out airborne particles, be replenished by the stockpile, which is maintained by the U.S. Department of Health and Human Services.
That didn’t happen, according to Charles Johnson, president of the International Safety Equipment Assn.
The stockpile drew down about 100 million masks during the 2009 epidemic, Johnson said.
“Our association is unaware of any major effort to restore the stockpile to cover that drawdown,” he said.Last month, Health and Human Services Secretary Alex Azar said that available supplies included just 12 million N95 masks and 30 million surgical masks, a tiny fraction of the 3.5 billion masks one of Azar’s deputies later testified the nation’s healthcare system would need.
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The national stockpile used to be somewhat more robust. In 2006, Congress provided supplemental funds to add 104 million N95 masks and 52 million surgical masks in an effort to prepare for a flu pandemic. But after the H1N1 influenza outbreak in 2009, which triggered a nationwide shortage of masks and caused a 2- to 3-year backlog orders for the N95 variety, the stockpile distributed about three-quarters of its inventory and didn't build back the supply