Healthcare Hygiene magazine April 2020 | Page 29

of Health and Human Services says as many as 300 million N95 masks will be required for healthcare workers.” Whether the global supply chain in general – and the medical supply chain in specific – is broken, is being debated by experts as the world watches the COVID-19 pandemic play out. Ednilson Bernardes, professor and program coordinator of global supply chain management at West Virginia University’s John Chambers College of Business and Economics, says that despite panic-buying and hoarding of certain products, the food and retail supply chain is still viable. However, the global supply chain overall, especially with medical and healthcare supplies, is under great stress. From medical equipment shortages to panic-buying, the links in supply chains are breaking but will serve as valuable learning lessons for the future, says Bernardes. “The new pandemic has stressed supply chains worldwide and we are seeing shutdowns unheard of in modern peacetime history,” he says. “The modern supply chain has become incredibly vulnerable to a threat like the COVID-19 pandemic. I am certain that there will be changes to the way we design and operate global supply chains once we emerge from the aftershocks.” Larry Giunipero, a professor at Florida State The modern University’s College of Business and an expert in supply chain purchasing and supply chain management, says has spoken with numerous companies that has become he source from and manufacture in China and many incredibly are watching closely how the U.S. government vulnerable to a responds to the COVID-19 pandemic. “People are that parts of the supply chain will be and are threat like the saying already broken,” he reports. “It can’t work without COVID-19 functioning inventory and supply end-to-end, and pandemic.” there is always going to be a weak spot; you may not — Ednilson source in China but your suppliers’ suppliers might.” Giunipero continues, “For the manufacturers Bernardes who have put a lot of their sourcing eggs in China, it’s going to break there and has already broken to some extent. However, now China is back to work and open for business. Interestingly, they now will face order cancelations or extensions in many sectors, given that the global spread of the epidemic has shut down domestic demand in other countries. The medical supply chain is a different story, there demand will be robust. The key question here is how long it will take to get to full production in their medical industries? In addition, how will they allocate this supply domestically and internationally. Is it to the highest bidder, the nations they want to help politically, or some other allocation system? The other part of the equation will be transportation, given the shortages of these supplies premium freight should not be an issue. Will the commercial airlines, People are Fed Ex or UPS come forward to bring the goods home. Whereas as medical device saying that the parts organizations who stayed more domestic of the supply chain with their supply base, will not encounter as many of these problems. However, they will be and are still need to trace their supply chains. For already broken.” example, the interwoven layer that traps — Larry Giunipero harmful vapors in the N95 masks is mostly sourced in China. People have been saying for years that sourcing in China exclusively is a big problem, but the savings trumped risk diversification. The challenge now is that, companies can’t change suppliers overnight, it takes time. Manufacturers with other product lines need to convert over So far, the and help ramp up production so we can return to normal faster.” “The only thing global effects on we know for certain is that conditions are supply chains have changing rapidly with this epidemic. No one knows how long it will take for supply resulted mostly from chains to get back to normal and what that the most serious new normal will look like.’" situation in China.” “So far, the global effects on supply — Goker Aydin chains have resulted mostly from the most serious situation in China,” says professor Goker Aydin from the Johns Hopkins University Carey Business School, who points to the impact it is having on the supply of inputs for many manufacturers and retailers globally. “China is a huge source of components and finished goods. The longer plants in China sit idle, the emptier the global pipeline of parts and components circling the globe, which is meant to feed manufacturers and retailers all over the world. So, if the disruption lasts longer, we may see many manufacturers, and maybe even retailers, suspending their operations, as they run out of the key inputs they need.” As we will see, that is currently happening, as manufacturers retrofit their production capabilities to address the shortage of critical equipment and supplies for healthcare providers and patients. Blood Products Impacted by COVID-19 W hile ventilators and PPE are the focus of shortages triggered by the COVID-19 pandemic, blood-product inventory is affected as well. Mike Schiller, senior director of supply chain for AHRMM, observes, “A reduction in the level of manufacturing and production of personal protective equipment (PPE) coupled together with a global demand has led to severe shortages of N95 masks, surgical, ear loop, and face shield masks, gowns and gloves. However, blood-product inventory levels have been drastically impacted as a result of COVID-19. Across the www.healthcarehygienemagazine.com • april 2020 blood industry, AABB has seen more than 4,000 blood drives cancelled, resulting in some 130,000 fewer blood donations due to coronavirus concerns.” As Schiller explains, the 4,000 number represents cancelled drives last week as well as the remainder of this month, and into April and May; the 130,000 number includes projections based on the number of cancelled drives and appointments. “Right now, inventories are down an estimated 30 percent to 40 percent depending on blood type from this same time last year, he says.”  29