Declaration Under the Public Readiness and Emergency Preparedness Act, 61866-61869 [E8-24735]

Agencies

• Office of the Secretary
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 73, Number 202 (Friday, October 17, 2008)]
[Notices]
[Pages 61866-61869]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-24735]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Declaration Under the Public Readiness and Emergency Preparedness 
Act

October 10, 2008.
AGENCY: Office of the Secretary (OS), Department of Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: Declaration pursuant to section 319F-3 of the Public Health 
Service Act (42 U.S.C. 247d-6d) to provide targeted liability 
protections for Acute Radiation Syndrome countermeasures based on a 
credible risk that the threat of high dose radiation exposure following 
the deliberate detonation of a nuclear device, unintentional nuclear 
release, or other radiological events and the Acute Radiation Syndrome 
resulting from such exposures constitutes a public health emergency.

DATES: This notice and the attached declaration are effective as of the 
date of signature of the declaration.

FOR FURTHER INFORMATION CONTACT: RADM W.C. Vanderwagen, Assistant 
Secretary for Preparedness and Response, Office of the Secretary, 
Department of Health and Human Services, 200 Independence Avenue, SW., 
Washington, DC 20201, Telephone (202) 205-2882 (this is not a toll-free 
number).

SUPPLEMENTARY INFORMATION: Acute Radiation Syndrome (ARS) is an acute 
illness that occurs when the entire body (or most of it) receives a 
high dose of radiation, usually over a short period of time. Radiation 
exposure can adversely affect a variety of cells, tissues, and organ 
systems, including the hematopoietic (or blood) system, the 
gastrointestinal (GI) tract, skin (cutaneous) system, and, at higher 
radiation levels, the lung or kidney and cerebrovascular/central 
nervous system (CNS).

HHS Secretary's Declaration for Utilization of Public Readiness and 
Emergency Preparedness Act for Acute Radiation Syndrome

    Whereas the risk of a deliberate detonation of a nuclear device in 
the United States intended to cause harm to the general population, 
unintentional radioactive release, or other radiological/nuclear events 
are considered a credible threat to public health;
    Whereas the Secretary of the Department of Homeland Security has 
determined that radiological and nuclear agents present a material 
threat against the United States population sufficient to affect 
national security;
    Whereas Acute Radiation Syndrome (ARS) resulting from such 
incidents could cause potentially severe adverse human health effects, 
including damage to the following organ systems: Hematopoietic (blood-
forming),

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gastrointestinal, cutaneous, pulmonary, and cerebrovascular/central 
nervous systems;
    Whereas there are Covered Countermeasures to treat, identify, or 
prevent adverse health consequences or death from ARS;
    Whereas such acute radiation syndrome countermeasures for pre-
exposure and post-exposure prevention and treatment, diagnostics to 
identify such exposure, and additional countermeasures for treatment of 
adverse effects arising from use of these acute radiation syndrome 
countermeasures exist, or may be the subject of research and/or 
development;
    Whereas such countermeasures may be used and administered in 
accordance with Federal contracts, cooperative agreements, grants, 
interagency agreements, and memoranda of understanding, and may also be 
used and administered at the Regional, State, and local level in 
accordance with the public health and medical response of the Authority 
Having Jurisdiction;
    Whereas the possibility of governmental program planners obtaining 
stockpiles from private sector entities except through voluntary means 
such as commercial sale, donation, or deployment would undermine 
national preparedness efforts and should be discouraged as provided for 
in section 319F-3(b)(2)(E) of the Public Health Service Act (42 U.S.C. 
247d-6d(b)) (``the Act'');
    Whereas immunity under section 319F-3(a) of the Act should be 
available to governmental program planners for distributions of Covered 
Countermeasures obtained voluntarily, such as by (1) donation; (2) 
commercial sale; (3) deployment of Covered Countermeasures from Federal 
stockpiles; or (4) deployment of donated, purchased, or otherwise 
voluntarily obtained Covered Countermeasures from State, local, or 
private stockpiles;
    Whereas the extent of immunity under section 319F-3(a) of the Act 
afforded to a governmental program planner that obtains Covered 
Countermeasures except through voluntary means is not intended to 
affect the extent of immunity afforded other covered persons with 
respect to such Covered Countermeasures;
    Whereas in accordance with section 319F-3(b)(6) of the Act, I have 
considered the desirability of encouraging the design, development, 
clinical testing or investigation, manufacturing, labeling, 
distribution, formulation, packaging, marketing, promotion, sale, 
purchase, donation, dispensing, prescribing, administration, licensing, 
and use of such countermeasures with respect to the category of disease 
and population described in sections II and IV below, and have found it 
desirable to encourage such activities for the Covered Countermeasures; 
and
    Whereas to encourage the design, development, clinical testing or 
investigation, manufacturing and product formulation, labeling, 
distribution, packaging, marketing, promotion, sale, purchase, 
donation, dispensing, prescribing, administration, licensing, and use 
of medical countermeasures with respect to the category of disease and 
population described in sections II and IV below, it is advisable, in 
accordance with section 319F-3(a) and (b) of the Act, to provide 
immunity from liability for covered persons, as that term is defined at 
section 319F-3(i)(2) of the Act, and to include as such covered persons 
such other qualified persons as I have identified in section VI of this 
declaration.
    Therefore pursuant to section 319F-3(b) of the Act, I have 
determined there is a credible risk of an unintentional radioactive 
release, a deliberate detonation of a nuclear device, or other 
radiological nuclear incident and the resulting incidence of ARS 
constitutes a public health emergency.

I. Covered Countermeasures (As required by section 319F-3(b)(1) of the 
Act)

    Covered countermeasures are defined at section 319F-3(i) of the 
Act.
    At this time, and in accordance with the provisions contained 
herein, I am recommending the manufacture, testing, development, and 
distribution of ARS countermeasures, as defined in Section IX below; 
and, with respect to the category of disease and the population 
described in Sections II and IV below, the administration and usage of 
countermeasures against ARS. The immunity specified in section 319F-
3(a) of the Act shall only be in effect with respect to: (1) Present or 
future Federal contracts, cooperative agreements, grants, interagency 
agreements, memoranda of understanding or other documented Federal 
cooperative arrangements involving countermeasures that are used and 
administered in accordance with this declaration and (2) activities 
authorized in accordance with the public health and medical response of 
the Authority Having Jurisdiction to prescribe, administer, deliver, 
distribute or dispense the Covered Countermeasure following a 
declaration of an emergency, as defined in section IX below. In 
accordance with section 319F-3(b)(2)(E) of the Act, for governmental 
program planners, the immunity specified in section 319F-3(a) of the 
Act shall be in effect to the extent they obtain Covered 
Countermeasures through voluntary means of distribution, such as (1) 
Donation; (2) commercial sale; (3) deployment of Covered 
Countermeasures from Federal stockpiles; or (4) deployment of donated, 
purchased, or otherwise voluntarily obtained Covered Countermeasures 
from State, local, or private stockpiles. For all other covered 
persons, including other program planners, the immunity specified in 
section 319F-3(a) of the Act shall, in accordance with section 319F-
3(b)(2)(E) of the Act, be in effect pursuant to any means of 
distribution.
    This declaration shall subsequently refer to the countermeasures 
identified above as ``Covered Countermeasures.''
    This declaration shall apply to all Covered Countermeasures 
administered or used during the effective period of the declaration.

II. Category of Disease (As required by section 319F-3(b)(2)(A) of the 
Act)

    The category of disease, health condition, or threat to health for 
which I am recommending the administration or use of the Covered 
Countermeasure is ARS resulting from an unintentional radioactive 
release, a deliberate detonation of a nuclear device, or other 
radiological/nuclear events.

III. Effective Time Period (As required by section 319F-3(b)(2)(B) of 
the Act)

    With respect to Covered Countermeasures administered and used in 
accordance with present or future Federal contracts, cooperative 
agreements, grants, interagency agreements, or memoranda of 
understanding, the effective period of time of this Declaration 
commences on signature of the declaration and extends through December 
31, 2015.
    With respect to Covered Countermeasures administered and used in 
accordance with the public health and medical response of the Authority 
Having Jurisdiction, the effective period of time of this Declaration 
commences on the date of a declaration of an emergency and lasts 
through and includes the final day that the emergency declaration is in 
effect including any extensions thereof.

IV. Population (As required by section 319F-3(b)(2)(C) of the Act)

    Section 319F-3(a)(4)(A) of the Act confers immunity to 
manufacturers and distributors of the Covered

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Countermeasure, regardless of the defined population.
    Section 319F-3(a)(3)(C)(i) of the Act confers immunity to covered 
persons who may be a program planner or qualified persons with respect 
to the Covered Countermeasure only if a member of the population 
specified in the declaration as persons who use the Covered 
Countermeasure or to whom such a Covered Countermeasure is 
administered, is in or connected to the geographic location specified 
in this declaration, or the program planner or qualified person 
reasonably could have believed that these conditions are met.
    The populations specified in this declaration are all persons who 
use a Covered Countermeasure or to whom a Covered Countermeasure is 
administered in accordance with this declaration, including, but not 
limited to: (1) Any person conducting research and development of 
Covered Countermeasures directly for the Federal government or pursuant 
to a contract, grant, or cooperative agreement with the Federal 
government; (2) any person who receives a Covered Countermeasure from 
persons authorized in accordance with the public health and medical 
emergency response of the Authority Having Jurisdiction to prescribe, 
administer, deliver, distribute, or dispense the Covered 
Countermeasure, and their officials, agents, employees, contractors, 
and volunteers following a declaration of an emergency; (3) any person 
who receives a Covered Countermeasure from a person authorized to 
prescribe, administer or dispense the countermeasure or who is 
otherwise authorized under an Emergency Use Authorization; and (4) any 
person who receives a Covered Countermeasure in human clinical trials 
being conducted directly by the Federal government or pursuant to a 
contract, grant, or cooperative agreement with the Federal government.

V. Geographic Area (As required by section 319F-3(b)(2)(D) of the Act)

    Section 319F-3(a) of the Act applies to the administration and use 
of a Covered Countermeasure without geographic limitation.

VI. Qualified Persons (As Required by Section 319F-3(i)(8)(b) of the 
Act)

    With regard to the administration or use of a Covered 
Countermeasure, section 319F-3(i)(8)(A) of the Act defines the term 
``qualified person'' as a licensed individual who is authorized to 
prescribe, administer, or dispense the Covered Countermeasure under the 
law of the State in which such Covered Countermeasure was prescribed, 
administered or dispensed.
    Additional persons who are qualified persons pursuant to section 
319F-3(i)(8)(B) are the following: (1) Any person authorized in 
accordance with the public health and medical emergency response of the 
Authority Having Jurisdiction to prescribe, administer, deliver, 
distribute or dispense Covered Countermeasures, and their officials, 
agents, employees, contractors and volunteers, following a declaration 
of an emergency, and (2) Any person authorized to prescribe, 
administer, or dispense Covered Countermeasures or who is otherwise 
authorized under an Emergency Use Authorization.

VII. Additional Time Periods of Coverage After Expiration of 
Declaration (As Required by Section 319F-3(b)(3)(B) of the Act)

    I have determined that, upon expiration of the time period 
specified in Section III above, an additional twelve (12) months is a 
reasonable period to allow for manufacturers to arrange for disposition 
and covered persons to take such other actions as are appropriate to 
limit the administration or use of the Covered Countermeasure, and the 
liability protection of section 319F-3(a) of the Act shall extend for 
that period.

VIII. Amendments

    This declaration has not previously been amended. Any future 
amendment to this declaration will be published in the Federal 
Register, pursuant to section 319F-3(b)(4) of the Act.

IX. Definitions

    For the purpose of this declaration, including any claim for loss 
brought in accordance with section 319F-3 of the PHS Act against any 
covered persons defined in the Act or this declaration, the following 
definitions will be used:
    Acute Radiation Syndrome (ARS): an acute illness that occurs when 
the entire body (or most of it) receives a high dose of radiation, 
usually over a short period of time. Radiation exposure can adversely 
affect a variety of cells, tissues, and organ systems, including the 
hematopoietic (or blood-forming) system, the gastrointestinal (GI) 
tract, skin (cutaneous) system, and, at higher radiation levels, the 
lung (pulmonary) or and cerebrovascular/central nervous system (CNS).
    Acute Radiation Syndrome Countermeasure: Any vaccine; 
antimicrobial/antibiotic, other drug or antitoxin; or diagnostic or 
device to identify, prevent or treat acute radiation syndrome or 
adverse events from such countermeasures (1) licensed under section 351 
of the Public Health Service Act; (2) approved under section 505 or 
section 515 of the Federal Food, Drug, and Cosmetic Act (FDCA); (3) 
cleared under section 510(k) of the FDCA; (4) authorized for emergency 
use under section 564 of the FDCA; (5) used under section 505(i) of the 
FDCA or section 351(a)(3) of the PHS Act, and 21 CFR Part 312; or (6) 
used under section 520(g) of the FDCA and 21 CFR part 812.
    Administration of a Covered Countermeasure: As used in Section 
319F-3(a)(2)(B) of the Act, includes, but is not limited to, public and 
private delivery, distribution, and dispensing activities relating to 
physical administration of the Covered Countermeasures to patients/
recipients, management and operation of delivery systems, and 
management and operation of distribution and dispensing locations.
    Authority Having Jurisdiction: The public agency or its delegate 
that has legal responsibility and authority for responding to an 
incident, based on political or geographical (e.g., city, county, 
tribal, State, or Federal boundary lines) or functional (e.g., law 
enforcement, public health) range or sphere of authority.
    Covered Persons: As defined at section 319F-3(i)(2) of the Act, 
include the United States, manufacturers, distributors, program 
planners, and qualified persons. The terms ``manufacturer,'' 
``distributor,'' ``program planner,'' and ``qualified person'' are 
further defined at sections 319F-3(i)(3), (4), (6), and (8) of the Act.
    Declaration of an Emergency: A declaration by any authorized local, 
regional, State, or Federal official of an emergency specific to events 
that indicate an immediate need to administer and use ARS 
countermeasures, with the exception of a Federal declaration in support 
of an emergency use authorization under section 564 of the FDCA unless 
such declaration specifies otherwise.

    This 10th day of October, 2008.
Michael O. Leavitt,
Secretary of Health and Human Services.

Appendix I

List of U.S. Government Contracts

[[Page 61869]]



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             Contract                    Manufacturer         Covered countermeasure         Pub. L. 85-804
----------------------------------------------------------------------------------------------Coverage\*\-------
797BPA0013.......................  Amgen...................  Neupogen................  No.
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* Status of indemnification coverage under Pub. L. 85-804 (An Act to authorize the making, amendment and
  modification of contracts to facilitate the national defense.)

[FR Doc. E8-24735 Filed 10-14-08; 4:15 pm]
BILLING CODE 4150-37-P