State and Federal Stockpiling of Tamiflu (oseltamivir)
The HHS plan for antiviral stockpiling is discussed at hhs.gov.
ANTIVIRAL DRUGS: FEDERAL AND STATE ACQUISITIONS
Another key goal in the HHS Pandemic Influenza Plan is to ensure the availability of antiviral treatment courses for 25 percent of the population, or 75 million individuals. By FY 2008, the Federal government will complete the 20 million course antiviral stockpile purchase to maintain the function of the health care system and protect first responders, and stockpile an additional 24 million treatment courses for treatment of pandemic influenza, for a total of 44 million treatment courses. In addition, the Federal government plans to stockpile 6 million treatment courses to attempt to contain no more than two local outbreaks at the outset of a pandemic in the U.S. To date, HHS has ordered more than 36 million courses of influenza antivirals for which 26 million courses have been delivered to the Strategic National Stockpile for pro rata distribution to States during a pandemic (Table 7). A small portion of the Federal stockpile has been deployed to eastern Asia to help contain a potential outbreak.
Additionally, the Implementation Plan calls for States to purchase 31 million antiviral treatment courses, for which the Federal government subsidizes at 25 percent of the cost ($170 M total).
In summer 2006, HHS announced two-year contract awards totaling $166 million that provided discounted prices for all 50 states, the District of Columbia, five U.S. territories, and the three Freely Associated States of the Pacific to purchase influenza antiviral drugs for State pandemic stockpiles. At the time, Secretary Leavitt commented, “Our ultimate goal is to stockpile sufficient quantities of antiviral drugs to treat 25 percent of the U.S. population. Helping the states develop their own medical stockpiles will facilitate quicker distribution of antiviral drugs in the event of a pandemic influenza outbreak.” To date 43 States have ordered ~11 million treatment courses and are committed to purchasing 30.6 million treatment courses by 2008. A complete table of projected antiviral purchases and subsidized allocations for all jurisdictions is posted online at http://www.pandemicflu.gov/state/antivirals.html.
A state intent survey published in Oct 2006 by the Association of State And Territorial Health Officials (ASTHO) can be found here.
An example of the state contract (in this case, Texas) for purchase can be found here.