Hostname: page-component-7479d7b7d-qs9v7 Total loading time: 0 Render date: 2024-07-11T04:48:48.892Z Has data issue: false hasContentIssue false

Society for Healthcare Epidemiology of America position statement on pandemic preparedness for policymakers: mitigating supply shortages

Published online by Cambridge University Press:  05 June 2024

David Jay Weber*
Affiliation:
Division of Infectious Diseases, University of North Carolina, Chapel Hill, NC, USA
Anurag N. Malani
Affiliation:
Trinity Health Michigan, Ann Arbor, MI, USA
Erica S. Shenoy
Affiliation:
Mass General Brigham, Boston, MA, USA Massachusetts General Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA
David B. Banach
Affiliation:
University of Connecticut School of Medicine, Farmington, CT, USA Yale School of Public Health, New Haven, CT, USA
Lynne Jones Batshon
Affiliation:
Society for Healthcare Epidemiology of America (SHEA), Arlington, VA, USA
Westyn Branch-Elliman
Affiliation:
Harvard Medical School, Boston, MA, USA Veterans Affairs Boston Healthcare System, Boston, MA, USA
Ghinwa Dumyati
Affiliation:
University of Rochester Medical Center, Rochester, NY, USA Center for Community Health, Rochester, NY, USA
Sarah Haessler
Affiliation:
Baystate Medical Center, Springfield, MA, USA University of Massachusetts Chan Medical School – Baystate, Springfield, MA, USA
Vincent P. Hsu
Affiliation:
AdventHealth, Altamonte Springs, FL, USA Loma Linda University School of Medicine, Loma Linda, CA, USA
Robin L.P. Jump
Affiliation:
Geriatric Research Education and Clinical Center (GRECC), Pittsburgh Veteran Affairs Healthcare System, Pittsburgh, PA, USA University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Trini A. Mathew
Affiliation:
HealthTAMCycle3, PLLC, Troy, MI, USA Corewell Health, Taylor, MI, USA School of Medicine, Wayne State University, Detroit, MI, USA Oakland University William Beaumont, Rochester, MI, USA
Rekha K. Murthy
Affiliation:
Cedars-Sinai, Los Angeles, CA, USA David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
Steven A. Pergam
Affiliation:
Fred Hutchinson Cancer Research Center, Seattle, WA, USA University of Washington, Seattle, WA, USA Seattle Cancer Care Alliance, Seattle, WA, USA
*
Corresponding author: David Jay Weber; Email: dweber@unch.unc.edu

Abstract

The COVID-19 has had major direct (e.g., deaths) and indirect (e.g., social inequities) effects in the United States. While the public health response to the epidemic featured some important successes (e.g., universal masking ,and rapid development and approval of vaccines and therapeutics), there were systemic failures (e.g., inadequate public health infrastructure) that overshadowed these successes. Key deficiency in the U.S. response were shortages of personal protective equipment (PPE) and supply chain deficiencies. Recommendations are provided for mitigating supply shortages and supply chain failures in healthcare settings in future pandemics. Some key recommendations for preventing shortages of essential components of infection control and prevention include increasing the stockpile of PPE in the U.S. National Strategic Stockpile, increased transparency of the Stockpile, invoking the Defense Production Act at an early stage, and rapid review and authorization by FDA/EPA/OSHA of non-U.S. approved products. Recommendations are also provided for mitigating shortages of diagnostic testing, medications and medical equipment.

Type
SHEA Position Paper
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Johns Hopkins. Coronavirus Resource Center. Available at: https://coronavirus.jhu.edu/map.html. Published 2020. Accessed July 10, 2022.Google Scholar
Powe, NR, Cole, B, Arnone, WJ, Cook, FL. Understanding COVID-19’s Outcomes and Possible Trajectory: Implications for Social Insurance Programs. Washington, DC: National Academy of Social Insurance; 2021.Google Scholar
Henderson, DK, Haessler, S, Weber, DJ. The coronavirus disease 2019 (COVID-19) pandemic-looking back and looking forward. Infect Control Hosp Epidemiol 2021;42:12451250.CrossRefGoogle ScholarPubMed
COVID-19 Excess Mortality Collaborators. Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21. Lancet 2022;399:15131536.CrossRefGoogle Scholar
Siegel, JD, Rhinehart, E, Jackson, M, et al. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Available at: https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html. Published 2007. Accessed July 10, 2022.Google Scholar
Centers for Disease Control and Prevention. Infection Control in Healthcare Personnel. Available at: https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/index.html. Accessed July 10, 2022.Google Scholar
Weber, DJ, Babcock, H, Hayden, MK, et al. Universal pandemic precautions-an idea ripe for the times. Infect Control Hosp Epidemiol 2020;41:13211322.CrossRefGoogle ScholarPubMed
Weber, DJ, Al-Tawfiq, JA, Babcock, HM, et al. Multisociety statement on coronavirus disease 2019 (COVID-19) vaccination as a condition of employment for healthcare personnel. Infect Control Hosp Epidemiol 2022;43:311.CrossRefGoogle ScholarPubMed
Ranney, ML, Griffeth, V, Jha, AK. Critical supply shortages - the need for ventilators and personal protective equipment during the Covid-19 pandemic. N Engl J Med 2020;382:e41.CrossRefGoogle ScholarPubMed
Cheslack-Postava, K, Bresnahan, M, Ryan, M, et al. Occupational conditions associated with negative mental health outcomes in New York state health professionals during the COVID-19 pandemic. J Occup Environ Med 2022;64:e417e423.CrossRefGoogle ScholarPubMed
Cohen, J, Rodgers, YVM. Contributing factors to personal protective equipment shortages during the COVID-19 pandemic. Prev Med 2020;141:106263.CrossRefGoogle ScholarPubMed
Cohen, J, Rodgers, YVM. Contributing factors to personal protective equipment shortages during the COVID-19 pandemic. Prev Med 2020;141:106263.CrossRefGoogle ScholarPubMed
Kobayashi, LM, Marins, BR, Costa, PCDS, Perazzo, H, Castro, R. Extended use or reuse of N95 respirators during COVID-19 pandemic: an overview of national regulatory authority recommendations. Infect Control Hosp Epidemiol 2020;41:13641366.Google ScholarPubMed
Toomey, EC, Conway, Y, Burton, C, et al. Extended use or reuse of single-use surgical masks and filtering face-piece respirators during the coronavirus disease 2019 (COVID-19) pandemic: a rapid systematic review. Infect Control Hosp Epidemiol 2021;42:7583.Google ScholarPubMed
McDade, JE, Shepard, CC, Fraser, DW, Tsai, TR, Redus, MA, Dowdle, WR. Legionnaires’ disease: isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med 1977;297:11971203.CrossRefGoogle ScholarPubMed
Barré-Sinoussi, F, Chermann, JC, Rey, F, et al. Isolation of a T-lymphotropic retrovirus from a patient at risk for acquired immune deficiency syndrome (AIDS). Sci 1983;220:868871.CrossRefGoogle ScholarPubMed
Behnam, M, Dey, A, Gambell, T, Talwar, V. COVID-19: Overcoming supply shortages for diagnostic testing. Available at: https://www.mckinsey.com/industries/life-sciences/our-insights/covid-19-overcoming-supply-shortages-for-diagnostic-testing. Published 2020. Accessed July 11, 2022.Google Scholar
Food and Drug Administration Resilient Supply Chain Program (RSCP) Workshop. Building Medical Device Supply Chain Resilience: A Healthcare & Public Health Ecosystem-Wide Collaboration. Charlotte, NC: Premier; 2022.Google Scholar
Infectious Disease Society of America. IDSA Guidelines on the Treatment and Management of Patients with COVID-19. Available at: https://www.idsociety.org/practice-guideline/covid-19-guideline-treatment-and-management/. Published 2021. Accessed July 11, 2022.Google Scholar
National Institutes of Health. Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. Available at: https://www.covid19treatmentguidelines.nih.gov/. Accessed July 11, 2022.Google Scholar
Advisory Committee on Immunization Practices (ACIP). COVID-19 ACIP Vaccine Recommendations. Available at: https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/covid-19.html. Accessed July 11, 2022.Google Scholar
Schaffzin, JK, Murthy, ARK, Deloney, VM, et al. A guide to implementing COVID-19 vaccine as a condition of employment in healthcare facilities. Infect Control Hosp Epidemiol 2022;43:17531754.CrossRefGoogle ScholarPubMed
Belisle, CD, Anger, K, Kanaan, D, et al. Non-sterile to sterile compounding: an unconventional response during the COVID-19 pandemic. J Pharm Pract 2023;36:4652.CrossRefGoogle ScholarPubMed
Shukar, S, Zahoor, F, Hayat, K, et al. Drug shortage: causes, impact, and mitigation strategies. Front Pharmacol 2021;12:693426.CrossRefGoogle ScholarPubMed
Ventola, CL. The drug shortage crisis in the United States: causes, impact, and management strategies. P T 2011;36:740757.Google ScholarPubMed
Suda, KJ, Kim, KC, Hernandez, I, et al. The global impact of COVID-19 on drug purchases: a cross-sectional time series analysis. J Am Pharm Assoc (2003) 2022;62:766774.e6.CrossRefGoogle Scholar
Al Zoubi, S, Gharaibeh, L, Jaber, HM, Al-Zoubi, Z. Household drug stockpiling and panic buying of drugs during the COVID-19 pandemic: a study from Jordan. Front Pharmacol 2021;12:813405.CrossRefGoogle ScholarPubMed
Tu, LH, Miller, JE, Forman, HP. The critical shortage of iodinated contrast material - will value prevail? N Engl J Med 2022;387:491493.CrossRefGoogle ScholarPubMed
Mazer-Amirshahi, M, Fox, ER, Farmer, BM, Stolbach, AI. ACMT position statement: medication shortages during coronavirus disease pandemic. J Med Toxicol 2020;16:346348.CrossRefGoogle ScholarPubMed
Kuo, S, Ou, HT, Wang, CJ. Managing medication supply chains: lessons learned from Taiwan during the COVID-19 pandemic and preparedness planning for the future. J Am Pharm Assoc (2003) 2021;61:e12e15.CrossRefGoogle ScholarPubMed
Piatek, OI, Ning, JC, Touchette, DR. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages. Am J Health Syst Pharm 2020;77:17781785.CrossRefGoogle ScholarPubMed
Pulk, RA, Leber, M, Tran, L, et al. Dynamic pharmacy leadership during the COVID-19 crisis: optimizing patient care through formulary and drug shortage management. Am J Health Syst Pharm 2020;77:18741884.CrossRefGoogle ScholarPubMed
Emanuel, EJ, Persad, G, Upshur, R, et al. Fair allocation of scarce medical resources in the time of Covid-19. N Engl J Med 2020;382:20492055.CrossRefGoogle ScholarPubMed
Rosoff, PM, Patel, KR, Scates, A, Rhea, G, Bush, PW, Govert, JA. Coping with critical drug shortages: an ethical approach for allocating scarce resources in hospitals. Arch Intern Med 2012;172:14941499.CrossRefGoogle ScholarPubMed
Rosoff, PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth 2012;12:19 CrossRefGoogle ScholarPubMed
Berlinger, N, Wynia, M, Powell, T, et al. Ethical Framework for Health Care Institutions & Guidelines for Institutional Ethics Services Responding to the Coronavirus Pandemic: Managing Uncertainty, Safeguarding Communities, Guiding Practice. Philipstown, New York: The Hastings Center; 2020.Google Scholar
White, DB, Lo, B. A framework for rationing ventilators and critical care beds during the COVID-19 Pandemic. JAMA 2020;323:17731774.Google ScholarPubMed