thevaccinereaction--2020-03-29--COVID-19 Related Drug Shortage in U.S. Because China Supplies Most Ingredients

The United States Food and Drug Administration ( FDA ) has reported its first shortage of a drug in the United States due to the novel coronavirus ( COVID-19 ) outbreak that began in China in December 2019 and , by March 11 , 2020 , had been declared a global pandemic by the World Health Organization ( WHO ) .1 2 The FDA has declined to publically disclose the name of the drug and has stated that the shortage is related to a manufacturing location in China that was impacted by the COVID-19 outbreak.1 Measures taken by Chinese officials @ @ @ @ @ @ @ viral infection has disrupted manufacturing businesses , causing drug shortages in the United States.3 According to the FDA ’ s website : A manufacturer has alerted us to a shortage of a human drug that was recently added to the drug shortages list .
The manufacturer just notified us that this shortage is related to a site affected by coronavirus .
The shortage is due to an issue with manufacturing of an active pharmaceutical ingredient used in the drug .
It is important to note that there are other alternatives that can be @ @ @ @ @ @ @ with the manufacturer as well as other manufacturers to mitigate the shortage.4 Many Drugs Used in the U.S are Sourced from China The U.S. is a major exporter of drugs from China .
It also relies on China for many active pharmaceutical ingredients ( APIs ) , the main ingredient in a drug and the part that produces the intended effects , such as acetaminophen included in Tylenol and other combination drugs.3 Marianne Udow-Phillips , executive director of the Center for Health and Research Transformation at the University of Michigan said that many @ @ @ @ @ @ @ a majority of ingredients used to manufacture finished drugs distributed in the U.S.5 Udow-Phillips says that , “ Supply chain disruptions could be truly serious for our access to drugs.
” 5 The FDA has said that it has been in contact with more than 180 drug manufacturers to remind them of legal requirements for notifying the FDA of any anticipated supply disruptions but also asking them to evaluate their entire supply chain , including APIs and other components manufactured in China.3 The agency has also identified about 20 other drugs distributed in @ @ @ @ @ @ @ solely source their APIs or finished drug products from China.4 The manufacturing of drugs is now a global enterprise .
Ingredients for one drug may be sourced from multiple countries , while the finished product may be completed elsewhere.3 The number of facilities overseas that manufacture active ingredients for pharmaceutical products distributed in the U.S. has increased , particularly in China .
There are several reasons for this , including cheaper labor costs and less stringent environmental and government regulations for manufacturing drug ingredients in China , which are then sold to other @ @ @ @ @ @ @ world ’ s largest supplier of generic drugs has restricted exports of 26 ingredients and drugs made using them .
One of the restricted drugs includes Paracetamol ( acetaminophen ) , one of the world ’ s most widely used drugs to relieve pain and reduce fevers.6 The restricted exports are related to measures taken to stop the spread of COVID-19 , which has closed down many API manufacturers in China .
India ’ s drug makers rely on China for almost 70 percent of the active ingredients in their medicines .
Analyst @ @ @ @ @ @ @ Group stated that , “ Even drugs that aren ’ t produced in China get their base ingredients from China .
Globally there could be a shortage if China and India both get hit.
” 6 In 2018 , drugs imported from India accounted for almost a quarter of U.S drugs and more than 30 percent of drug ingredients.6 Responding to potential drug supply chain issues due to COVID-19-related shutdown of manufacturing plants in China , legislation was recently introduced in the U.S House of Representatives addressing the drug shortage.7 The Preventing Drug @ @ @ @ @ @ @ was introduced on March 4 , 2020 by U.S. Representative Richard Hudson ( NC-08 ) joined by Representatives Scott Peters ( CA ) , Eliot Engel ( NY ) , Brett Guthrie ( KY ) , Anna G. Eshoo ( CA ) , Michael McCaul ( TX ) , Kurt Schrader ( OR ) , and Gus Bilirakis ( FL ) 8 The bill would help mitigate shortages by enhancing transparency throughout the drug supply chain process and strengthening FDA inter-agency efforts to avoid drug shortages .
The bill would also empower the @ @ @ @ @ @ @ drug and active pharmaceutical ingredient makers to identify and correct vulnerabilities in their supply chains.8 Americans Do Not Realize Where Prescription Drugs are Made The American consumer does not know exactly where the drugs that doctors prescribe for them to use are sourced.3 According to Erin Fox , PharmD , an associate professor at the University of Utah and an expert on drug shortages , “ It ’ s just literally the one thing that we buy in the US that we have literally no information about , ” She adds that , @ @ @ @ @ @ @ bottle that you ’ re going to buy or your clothing or your food than you know about purchasing a drug.
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