Medical Product Shortages During Disasters Opportunities to Predict, Prevent, and Respond: Proceedings of a Workshop—in Brief (2018) / Chapter Skim
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Medical Product Shortages During Disasters: Opportunities to Predict, Prevent, and Respond: Proceedings of a Workshop - in Brief
Medical Product Shortages During Disasters: Opportunities to Predict, Prevent, and Respond: Proceedings of a Workshop - in Brief
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W Craig Vanderwagen of East West Protection, LLC, and former Assistant Secretary for Preparedness and Response, explained the workshop's objectives: explore the current evidence base on the causes and effects of medical product shortages that result from disasters or other public health emergencies; discuss current efforts and innovative approaches to better predict, prevent, and respond to medical product shortages that result from disasters or other public health emergencies; examine strategies to ensure public health and health care providers can provide highquality patient care during shortages of medical products; and identify research needs and opportunities to provide public health officials and the general public with accurate information to support policy making and decision making to improve patient care.
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PowerPoint presentation at the Medical Product Shortages During Disasters workshop in Washington, DC. http://www.nationalacademies.org/hmd/~/media/Files/Activity%20Files/ PublicHealth/DisasterScience/DrugShortagesWorkshop/Berndt%20Ernst.pdf (accessed September 13, 2018)
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He explained that industry challenges around routine product shortages stem from supplier manufacturing issues, manufacturer pricing constraints, overall industry pressures, and regulatory obligations. He said that during response to an emergency industry partners encounter additional infrastructure challenges related to the availability of power, telecommunications, and fuel, as well as barriers to access such as curfews, roadblocks, and credentialing.
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Throckmorton noted that the amount of information available is directly related to the likelihood of accurately predicting a supply interruption in the broader manufacturing ecosystem. PREDICTING, PREVENTING, AND RESPONDING TO MEDICAL PRODUCT SHORTAGES: CURRENT EFFORTS AND CHALLENGES The objectives of this session were to provide an overview of the strengths and limitations of current efforts used to monitor, prevent, and control medical product shortages; discuss the advantages and disadvantages of the complex and multisector nature of medical product manufacturing; examine different stakeholder roles and evidence needs to support decision making; and identify the shared goals, challenges, and gaps to predicting, preventing, and responding to shortages.
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Vanderwagen said that in the context of disasters, ASPR and FDA could take the lead in that type of prioritization. The second panel discussed gaps and challenges in predicting, preventing, and responding to medical product shortages.
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Given that quality issues continue to drive most drug shortages, the report focused on other contributing factors such as continuity planning, market withdrawals, and dual sourcing. Sheldon Jacobson, University of Illinois at Urbana-Champaign, asked whether the supply chain's problems are metaphorically chronic or acute.
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Her research group has created a systems dynamics model that can be used to characterize and address the variation of different disruption patterns, as well as a general simulation framework that models the entire supply chain system and how it is shaped over time by human decision making. Eric Choy, DHS, explained that the Office of Infrastructure Protection coordinates and leads national programs and policies on critical infrastructure security and resilience and its Chemical Sector Coordinating Council membership includes 15 industry trade associations that can collaboratively leverage their cooperative expertise with respect to large global supply chains.
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However, the SNS can serve as a bridge when natural events cause shortages in medical products. The SNS focuses on establishing connections with both the overall supply side and the overall demand side to facilitate information sharing and improve prediction and response strategies.
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CIP is also revising its sector-specific plan to incorporate manufacturing and distribution. CLOSING REMARKS In his closing remarks, Robert Kadlec, Assistant Secretary for Preparedness and Response at HHS, emphasized the need for improved situational awareness about all elements of the supply chain to better predict, prevent, and respond to medical product shortages.
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