Friday, December 29, 2017

Now you have another reason to stay healthy

If it's not enough for you that Puerto Ricans (who are still not able to recover on their own from Hurricane Maria) are our American brothers and sisters, I hope you don't have to have an operation.
Dr. Gottlieb says the F.D.A. is watching the supply of about 30 drugs that are made on the island, in addition to medical devices. Most companies are still running on diesel generators, and manufacturers that have been able to connect to the power grid are still encountering an unpredictable supply of electricity, he said.

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Dr. Gottlieb said some companies had gotten down to a 24-hour supply of diesel fuel, and representatives for the medical-device industry had said some generators were beginning to break down, requiring emergency repair.

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Now, hospital pharmacists across the country are racing to find alternatives (to saline drip bags) — which themselves are becoming scarce — after Hurricane Maria halted production at the factory in Puerto Rico where Baxter, the manufacturer, makes the product.

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The impact has rippled throughout the clinic’s normal operations. Alternatives, such as injecting some drugs into an IV — known as an “IV push” — take more time for nurses, which divert them from attending to other needs. And the method is not appropriate for some drugs. “This has repercussions,” Mr. Knoer said.

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Some device and supply companies have already begun limiting shipments of certain items from the island, ranging from mesh for repairing hernias to surgical scalpels and tools used in orthopedic surgery.

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The bag shortage is the most significant to be directly linked to the effects of the hurricane but others are likely to follow. In addition to creating a humanitarian crisis on the island, the storm knocked out production at the Puerto Rican factories that make vital drugs, medical devices and medical supplies that are used around the world.

[...]

In a recent interview, Dr. Gottlieb said he was worried that if conditions don’t improve, more shortages — of both drugs and medical devices — might follow by early next year.

  NYT

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