kadlec or dr. redd. dr. kadlec, in your testimony you write that we have sufficient domestic vaccine manufacturing capacity to produce bulk vaccine for every american within six months but i want to ask either of you about the question of vaccine delivery and this comes from conversations with a manufacturer in connecticut which is one of the bigger syringe manufacturers. my understanding is that if you needed to get vaccine to everybody you'd need about 600 million drug delivery devices. b.d. is one of the biggest but it would take them six years to do 600 million units. what are our thoughts on preparation to make sure we not only have the right amount of vaccine but the right amount of vaccine delivery devices? >> thank you, sir. that is one of the issues in the problems that has to be addressed, quite frankly. i have my direct from barta if he wants to make a comment. part of the strategy we're looking at also is how can we innovate and either have better delivery devices or specifically can we make bett

kadlec and then go to dr. redd in terms of the hospital programs like hpv how did those programs intend to close the gap appeared in his among states and regions? >> thank you sir for the question. the point is the way we are structuring to promote health care coalition which are collections of hospitals as well as other entities like emergency medical services. that's why we would like to understand that effort. not only would it cover specific regions that it could develop a much stronger path to do this. the idea of basically building out the national academy of sciences basically a study on trauma systems which is worthy of reviewing because it highlights the important role and the foundational capability for the country not only for day-to-day routine activities but extraordinary events, train derailment. the state of washington as an example, an essential piece of that. to leverage all of those pieces together with some of the federal assets the vi identified identified. .. and they provide significant health

finally dr. redd the office of preparedness at the cdc it serves a number of rules under the framework building a strong relationship with state and local public health departments to prepare for and responding to emergency public health threats. cdc works to make sure we have the information we need in advance of the public health emerged. it houses an expansive epidemiology laboratory with data collection activities. we welcome all of you. let me say at the beginning that i believe the hurdle in our way is not innovation. the hurdle is government. clearly defining what it is and the certainty of a pathway for getting the approvals that we need for those to be deployed i keep along -- i hope you keep those in mind in the roles that you carry out to understanding on the front line to make this happen. >> good morning. distinguish members of the committee i assumed this role right before hurricane harvey struck texas it is been an interesting experience i appreciate the opportunity to appear before you