IIC Journal of Innovation 10th Edition | Page 54

Improving the Reliability and Security of Global Cold Chain Logistics can be replaced, but the cascading delays can cause irreversible damage to patients and severe loses in utilization of medical personnel, equipment and facilities. whenever possible to meet green standards needed to be ethical participants in sustainable supply chains. S UGGESTED I MPROVEMENTS TO G LOBAL C OLD C HAINS Diminished or Unknown Efficacy Assets managed via a cold chain may either be completely unusable after sustaining damage or the asset may have some alternate usefulness. For many vaccines, excessive heat reduces the efficacy but does not destroy them completely. The damaged vaccines can still be administered to patients within certain age ranges and yield expected efficacy for those patients. However, the same damaged vaccines would not be effective if administered to patients outside of this age range. While the maintenance of a global cold chain is challenging, new technologies afford ways to improve the reliability and immediacy of monitoring goods. Additionally, distributed ledgers allow for increased trust by all participants in the cold chain. Combining immediacy and trustworthiness opens new possibilities for how we can improve the reliability of cold chains while reducing risks and costs. Trusted Handoff Spaces The ability of IoT to provide more granular monitoring provides more resilience to the cold chain by identifying the lots or individual assets that have been minorly damaged yet can still continue within the cold chain to deliver expected results without compromising other assets or patients. Varied lot sizes, transport modalities and regionalized data laws makes it unlikely that we will ever be able to have a single, standard way to move goods. As such, there will be a continued need to hand off a shipment from one party to another. During this handoff, we should provide redundant environmental isolation, such as a refrigerated crate being transferred within a refrigerated loading dock. These double- sealed locations can be designated as trusted places to take actions that would otherwise be deemed a breaking of the cold chain. For example, a tamper-resistant seal on a container owned by one party might need to be broken to shift goods to another container. Additional documentation and Energy Consumption The energy costs for maintaining a cold chain can be significant. 11 Without detailed sensing and asset tracking, the participants in the cold chain will either have to use far more energy than is necessary, or they will be taking on unacceptable risk for spoilage. The survival of assets is paramount, but we must also strive for reducing energy usage 11 Chen, S. and Lan, H. (2016). The cold chain logistics enterprise's green level evaluation. 2016 International Conference on Logistics, Informatics and Service Sciences (LISS). IIC Journal of Innovation - 50 -