Ib qho kev mob uas tsis tau muaj dua los ntawm Asmeskas cov kab ke kho mob yuav tsum ua kom tsis zoo.
Lori Lee siv sijhawm ntau los sim ua kom Connecticut cov kab ke noj qab haus huv loj tshaj plaws nrog cov khoom siv kho mob los ntawm IV kab mus rau cov ntaub qhwv ntaub qhwv. Nws yog ib txoj hauj lwm uas tau txais kev nyuaj zuj zus raws li qhov tsis tau muaj dua snarls tau khi cov saw hlau hauv cov pob caus.
Lee hais tias, "Tej zaum muaj ntau pua qhov kev puas tsuaj ntawm cov khoom uas peb xaj kom tsis txhob tuaj," hais tias Lee, tus lwm thawj coj ntawm kev kho mob ntawm Yale New Haven Health, uas muaj nyiaj tau los txhua xyoo ntawm $ 5.6 billion thiab tsev kho mob hauv Bridgeport thiab Greenwich. Nws hais tias cov npe tsis txaus suav nrog cov hauv paus xws li IV tubing thiab catheters, uas tau siv tas li hauv tsev kho mob.
Nrog rau kev txiav txim raws sijhawm nkaus xwb, cov kab ke kev noj qab haus huv tso siab rau cov neeg xa khoom xa khoom sai dua li cov tsev kho mob khaws cia hauv Tshuag. Lee hais tias, "Ntau yam ntawm cov khoom no txhua hnub tsis tshwm sim," Lee hais. Nws tau siv nws pab pawg kws kho mob thiab cov kws saib xyuas neeg mob tshawb nrhiav cov neeg hloov pauv, uas yuav tsum muaj kev cob qhia cov kws saib mob hauv qhov sib txawv me ntsis ntawm lawv yuav ua haujlwm li cas. Lee hais tias "Qhov no tsis zoo li Coke thiab Pepsi," Lee hais. "Nws yog ib qho kev siv zog loj heev txhua hnub uas peb tau tawm tsam tiag tiag."
Tsoomfwv Meskas txoj kev saib xyuas kev noj qab haus huv tau ntsib cov khoom tsis txaus uas cuam tshuam txog cov teeb meem uas tau ntsib thaum ntxov ntawm Covid-19 kis thoob qhov txhia chaw, thaum xav tau cov cuab yeej tiv thaiv tus kheej, xws li lub qhov ncauj qhov ntswg thiab ris tsho, yuav luag tsis tuaj yeem tuaj. Tom qab ntawd, kev tsis txaus yuav ua tau sai dua, tab sis cov teeb meem niaj hnub no suav nrog ntau yam khoom siv dav dav. Lawv tuaj yeem taug qab mus rau cov khoom tsis txaus, cov chaw nres nkoj rov qab, kev thauj mus los tsis zoo thiab kev kaw cia hauv Suav teb txhawm rau tiv thaiv kev sib kis ntawm Covid-19. Ntau qhov kev saib xyuas ntawm cov khoom lag luam teeb meem tau tsom mus rau cov tuam txhab tsheb thiab cov khoom siv hluav taws xob cuam tshuam nrog lub Hoobkas kaw hauv cov chaw tsim khoom xws li Shenzhen thiab Shanghai, tab sis qhov cuam tshuam los ntawm kev nyuaj nrhiav cov khoom siv kho mob thiab cov khoom siv hnyav, ib yam nkaus, thiab cuam tshuam rau cov kws kho mob cov chaw ua haujlwm thiab chav ua haujlwm thoob plaws Tebchaws Meskas
cov daim ntawv teev ntawm cov khoom tsis tshua muaj ntev. Nws suav nrog cov hnab looj tes yas thiab yas tshuaj, hnab looj tes phais, kuaj cov tshuaj reagents, cov khoom siv kuaj cov khoom siv, cov tshuaj ntsev-kua dej yaug thiab cov khoom lag luam ntsig txog kev lim ntshav, raws li US Food and Drug Administration.
Hauv daim duab no, lub logo Owens & Minor Healthcare tau pom tshwm rau ntawm lub xov tooj smartphone.
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Owens & Minor, lub tuam txhab kev noj qab haus huv logistics nrog $ 8.5 nphom hauv cov nyiaj tau los txhua xyoo, hais tias 45% ntawm cov khoom uas nws tuav yog nyob rau hauv qee txoj hauv kev txwv. Lawv suav nrog cov koob tshuaj hypodermic thiab flush syringes, cov hlab ntshav sau, daim kab xev phais, hnab looj tes phais, lub hnab ntim khoom, cov tshuaj IV, cov tshuaj lim ntshav, ntau yam khoom siv kho mob, cov thawv ntim, catheters thiab cov khoom noj khoom haus rau cov neeg laus thiab menyuam yaus.
"Nws loj heev," hais tias Jeff Jochims, Owens & Minor tus thawj coj ua haujlwm ntawm cov khoom thiab cov kev pabcuam kev noj qab haus huv.
Medline, lwm lub tuam txhab muab kev kho mob loj, hais tias tsev kho mob, chaw phais mob, tsev laus thiab cov kws kho mob txhua tus tau hnov qhov kev sib tsoo. "Vim tias muaj kev cuam tshuam ntawm kev lag luam thoob plaws hauv kev lag luam, kev khaws cia tau dhau los ua qhov tseem ceeb rau kev noj qab haus huv," Medline tus lwm thawj coj Jim Boyle tau hais los ntawm email. Txhawm rau ntxiv dag zog rau nws tus kheej cov khoom lag luam, lub tuam txhab tau qhib tsib lub chaw faib khoom tshiab nrog ob lub sijhawm ntxiv rau kev ua tiav xyoo no, suav nrog ib qho hauv Richmond Hill, Georgia, ze ntawm qhov chaw nres nkoj Savannah.
Qee qhov tsis txaus yog cuam tshuam ncaj qha rau kev sib kis. Kev siv zog ntawm kev txhaj tshuaj loj, piv txwv li, cov khoom muag ntawm cov koob txhaj tshuaj thiab koob. Lwm tus yog vim raug kaw hauv Suav teb. Cov kev kaw no tseem tsis tau ua tiav tag nrho lawv txoj hauv kev los ntawm cov khoom siv kho mob thiab cov khoom siv kho mob, txhais tau hais tias cov khoom siv txwv tsis pub tuaj yeem ua rau lub caij ntuj sov no zuj zus, tshwj xeeb tshaj yog tias qhov kev kaw cia rub tawm.
"Peb tau txais cov khoom tsis raug hauv qhov chaw tsis raug nrog kev xa khoom tsis raug," hais tias Abe Eshkenazi, tus thawj coj ntawm Lub Koom Haum rau Kev Tswj Xyuas Khoom Siv Khoom. "Nws tsis yog ib qho kev cuam tshuam, nws yog kev cuam tshuam ntau."
Rau cov khoom siv feem ntau, cov khoom lag luam uas xav tau los kho cov neeg mob, kev lag luam tag nrho siv los ua tus nqi ntawm 96% mus rau 98%, txhais tau tias tsuas yog feem pua ntawm cov xaj tseem tsis tau ua tiav. Niaj hnub no, Jochims hais tias, kev lag luam tus nqi sau rau cov khoom no yog nyob rau hauv siab 80s. Nws tau hais tias "Nws tau dhau los ua cov tsev kho mob yuav cuam tshuam nrog 50 txog 100 cov khoom xaj rov qab hauv ib hnub," nws hais. "Muaj ntau lub koom haum uas tam sim no tau cuam tshuam nrog 800 txog 1,000 rov qab xaj ib hnub."
Nws tsis yog khoom siv kho mob nkaus xwb. Muaj cov teeb meem zoo sib xws nrog cov kws kho mob ntev ntev, ntau yam uas vam khom cov khoom xyaw tseem ceeb los ntawm Asia. Cov tshuaj siv tshuaj loog, tshuaj tua kab mob, tshuaj kho mob, khoom noj khoom haus thiab cov khoom siv electrolyte thiab cov tshuaj tua kab mob feem ntau tsis txaus, raws li kev tshawb fawb los ntawm Mayo Foundation rau Kev Kawm Kho Mob thiab Kev Tshawb Fawb. Tus naj npawb ntawm cov khoom siv hluav taws xob ntau hauv kev kho mob tau tso cov khoom xws li defibrillators thiab cov tshuab ntsuas qhov tsis zoo rau cov khoom siv hluav taws xob tib yam li cov khoom siv hluav taws xob.
Txawm hais tias cov khoom tsim nyob rau hauv Teb Chaws Asmeskas, thoob ntiaj teb cov saw hlau tau ua rau muaj kev puas tsuaj vim cov khoom siv tawv tawv kom tau txais los ntawm Asia thiab lwm qhov. Owens & Minor's Jochims hais tias rau cov khoom siv sab hauv, qee zaum nws pom tus nqi sau ntawm 50% lossis qis dua, txawm tias qhov ntawd tau rov qab los me ntsis. Nws hais tias, "Peb ua tib yam li peb cov neeg siv khoom," nws hais.
"Nws yog ib qho kev siv zog loj heev txhua hnub uas peb tau tawm tsam tiag tiag."
Kev tsim N95 qhov ncauj qhov ntswg, piv txwv li, yuav tsum tau cov hlau me me los pwm hla tus choj ntawm tus neeg hnav lub qhov ntswg. Churning tawm syringes yuav tsum tau ob leeg yas resin (uas tau luv luv, nrog tus nqi nce) txhawm rau pwm lub cev ntawm cov koob txhaj tshuaj, thiab koob cov lus qhia rau kev txhaj tshuaj. Jochims hais tias "Yog tias koj tsis tuaj yeem tau txais cov yas yas los pwm lub cev koob tshuaj, ces koj tau txais qhov tsis txaus," Jochims hais. “Yog tias koj tsis tuaj yeem tau txais cov lus qhia koob, ces koj tsis tau siv koj lub koob txhaj tshuaj txawm tias koj tuaj yeem tau txais cov yas. Nws yog ib qho nyuaj heev ntawm kev sib tw uas peb tab tom pom tam sim no. "
Tuam Tshoj txoj kev kaw muaj lub sij hawm lag luam ntawm 45 mus rau 90 hnub ua ntej lawv cov teebmeem tshwm sim hauv Asmeskas, yog li Jochims cov ntaub ntawv hais tias cov khoom lag luam sib tw yuav txuas ntxiv mus rau xyoo 2023. Meanwhile, cov nqi nce mus rau cov khoom siv, kev thauj mus los thiab txawm tias cov khoom lag luam, qhov twg. Cov neeg muag khoom ib txwm tam sim no ntsib kev sib tw los ntawm Amazon thiab lwm tus neeg ua lag luam e-lag luam, uas tuaj yeem ua rau muaj kev nce nqi mus ntev.
Thaum lub sij hawm ntau xyoo cov tuam ntxhab ntawm cov cuab yeej kho mob thiab cov khoom siv tau tshawb nrhiav qhov chaw pheej yig tshaj plaws rau lawv cov chaw tsim khoom kom txo cov nqi, cov lej ntawd pib hloov. Aidan Madigan-Curtis, tus khub ntawm Eclipse Ventures hais tias "Muaj qhov kev npau taws no kom pom qhov txaus ntshai tshaj li tus nqi," hais tias Aidan Madigan-Curtis, tus khub ntawm Eclipse Ventures.
Mexico, uas twb yog tus tsim khoom tseem ceeb ntawm cov cuab yeej siv kho mob thiab tshuaj, tau pom kev xav tau ntau ntxiv los ntawm cov tuam txhab nrhiav kev tsim khoom nyob rau ntawd, hais tias Omar Troncoso, tus koom tes hauv Mexico City-based ntawm kev tswj xyuas tuam txhab Kearney. "Peb muaj cov neeg xa khoom nrog 50 qhov kev thov rau cov lus pom zoo tos cov lus teb," nws hais. "Kuv xav tias 48 yuav tsis teb."
Qhov kev daws teeb meem yog dab tsi? Xyoo 2020, National Academies of Sciences, Engineering thiab Medicine tau saib xyuas qhov ua rau ntawm kev kho mob-cov khoom tsis txaus thiab txoj hauv kev los txhim kho cov khoom siv kho mob, ob qho tib si hauv lub sijhawm ib txwm muaj thiab thaum muaj xwm txheej ceev rau pej xeem kev noj qab haus huv. Nws daim ntawv qhia 364-nplooj ntawv, Txhim kho Resilience rau hauv lub teb chaws cov khoom kho mob Supply Chains, uas tau tawm los ua ntej xyoo no, tau hu rau FDA kom tshaj tawm cov khoom siv, cov ntaub ntawv zoo, ntim thiab muaj peev xwm thiab tsim kom muaj cov ntaub ntawv pej xeem; rau cov kab ke kev noj qab haus huv suav nrog kev tsis ua haujlwm-rau-kev nplua rau hauv cov ntawv cog lus; thiab rau tsoom fwv teb chaws los txhim kho cov khoom muag khoom kom zoo los teb cov khoom kho mob tsis txaus, thiab lwm yam.
Tab sis tsis muaj ib qho kev txhim kho no yuav tshwm sim nyob rau lub sijhawm luv luv, thiab lub sijhawm no cov tsev kho mob thiab cov kab ke kev noj qab haus huv tau sim daws. "Qhov no yog qhov teeb meem hauv tebchaws," Yale New Haven Health's Lee hais. Thaum tsis txaus ntawm PPE raug daws, “txhua tus neeg zoo siab, suav nrog peb. Dab tsi tib neeg tsis paub yog tias tam sim no nws tau tsiv mus rau tag nrho cov lwm pawg thiab qhov ntawd yuav luag nyuaj dua. Koj tsis tuaj yeem khaws txhua yam. "
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Tau qhov twg los: https://www.forbes.com/sites/amyfeldman/2022/05/03/supply-chain-snags-create-shortages-of-life-saving-medical-supplies-in-us/