The looming threat to an unsung hero

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The looming threat to an unsung hero

Saline solution is one of the unsung heroes of the hospital setting, hanging from IV lines all over tiny rooms and fluorescent hallways without much fanfare. But the clear, liquid-filled bags are essential to deliver all kinds of medication.

They're also made largely in Puerto Rico by Baxter International Inc. where logistics could easily become a problem if another major hurricane like Maria were to hit, particularly as hospitals in some parts of the U.S. are overrun with Covid-19 patients.

Baxter lost power at its plants in Puerto Rico during Hurricane Maria in 2017, worsening saline supply issues and causing an extreme shortage. The company now has back up, since then having gained clearance from the Food and Drug Administration to make the saline bags internationally should the need arise.

A nurse applies a saline wash through an IV at a hospital in Utah.

Saline, though, is typically shipped by boat to save money given the weight of the bags. But that could take a while if you're coming from somewhere in Europe, meaning Baxter would likely call up air support, something it already did during the pandemic when New York City needed dialysis supplies, Lauren Russ, a spokeswoman, said.

But even air travel isn't certain these days.

"The majority comes in the belly of a passenger plane," David Gaugh, senior vice president at the Association for Accessible Medicines, the lobby group for generic drugmakers, said of typical medicine transport pre-pandemic.

This has left makers of all kinds of drugs relying on FedEx and UPS at rates as much as five times more than normal given the dip in commercial flights at the start of the pandemic that hasn't fully bounced back, Gaugh said.

For example, hitching a ride in a 777 used to cost a couple hundred thousand dollars, but using one just for your product cost more like $1.5 million, he said.

The trade organization for brand-name drugmakers, PhRMA, has tried to advocate to Congress for help as companies scramble to charter their own flights. They've yet to see the government take action. In the meantime, the fragile supply chain carries on as hurricanes lurk and an uncertain fall looms on the horizon.--Anna Edney and Riley Griffin

Track the virus

Cases Continue to Surge in U.S.

A Covid-19 testing site in Long Beach, California, on Thursday.

Photographer: Mario Tama/Getty Images

Southern U.S. Sun Belt states are continuing to experience a sharp increase in new cases of the coronavirus. Keep track of case counts and the latest developments with our interactive graphic.

What you should read

How Georgia Massaged Its Outbreak Data
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China's Beauty Boom
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Migrant Blind Spots Sparked Melbourne Crisis
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The Best Ad Slogans to Get Us to Wear Masks
Just wear the damn mask.

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