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China’s manufacturing industry struggles to keep up with demand for ventilators, masks amid coronavi

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China’s manufacturing industry struggles to keep up with demand for ventilators, masks amid coronavirus outbreak

NATHAN VANDERKLIPPE
ASIA CORRESPONDENT
BEIJING
PUBLISHED MARCH 23, 2020

For days now, Li Fengwei has been on the receiving end of a “hysterical” number of phone calls, some 200 a day, from all over the world.

The callers want what his company makes: ventilators, the mechanical devices that can assist breathing and have been among the keys to saving the lives of people with severe cases of COVID-19, which has now killed more than 16,000 people.

“The problem is that the need has surpassed China’s production capacity,” said Mr. Li, a manager at Tianjin Sendi Hengsheng Technology Development Co. Ltd. The company has struggled to secure raw materials from Japan, and local pandemic lockdowns have kept some personnel from returning to work. The company currently has fewer than 10 employees on site.

What’s happening in the market at the moment is “terrifying,” he said. “We are facing huge pressure now and are hoping to extend our capacity because we want to help people out. But it’s not something that can happen overnight.”

China boasts the largest manufacturing industry on Earth, with a fast-growing capacity to build medical devices and a history of making the goods the world needs at record speed.


But as the world struggles to amass the supplies and equipment needed to arm health-care workers and breathe life into the ill, Chinese manufacturers and international buyers are warning against placing too much faith in China’s manufacturing colossus.


“They’re meeting the demands of the Chinese people. But is there any extra for the rest of the world? There is, but there’s not much,” said Stephen Budisa, a Canadian-Australian who owns Panxi Trading Co., which has sought to source protective masks and suits. Shortages of key components – such as the pumps for bottles of hand sanitizer or the infrared sensors in thermometer guns – have hampered output in China.

Government interventions have further complicated matters. In the midst of the deadly outbreak in China, authorities posted officials at factories around the country to ensure that every mask they made was used for domestic government priorities, Mr. Budisa said. On Monday, one of his suppliers told him those officials would remain in place until April 15.

Elsewhere in China, authorities are shouldering out private buyers to secure supplies for foreign countries hand-picked by Beijing.

One buying agent in China, Michael Michelini, was working to secure 60 million masks for the Mexican government. On Monday morning, however, he received notice that his services were no longer required. “The Mexican government is going directly to the Chinese government now,” he said. The Chinese government “is getting more and more actively involved in taking control of the supply chain in China,” said Mr. Michelini, who is host of the Global From Asia podcast.

Those moves are set against a massive effort under way in China to increase the supply of goods such as masks. Makers of clothing, LED lights and e-cigarettes have all shifted to manufacturing masks. Automaker BYD is now making five million masks and 300,000 bottles of hand sanitizer a day. Inside China, the effect is evident: Masks are now available online and in grocery stores.

In Canada, however, shelves stand empty.

The World Health Organization warned on Feb. 7 about a chronic shortage of personal protective equipment. More than six weeks later, doctors and nurses in Canada have raised the alarm about domestic shortages of masks, gloves and other such equipment.

The Canadian government has put out a call for companies that can supply critical medical supplies and services. In China, Canadian diplomats have sent out requests on the messaging app WeChat for supplier recommendations. Among those who have responded is the group Alumni of Canadian Universities, which includes thousands of former students. Together they have collected the names of more than 20 suppliers of masks, ventilators and other supplies, said Frank Jin, a McGill University alumnus.

“Definitely, Chinese people are working right now to help Canada,” he said. It’s not clear, however, whether orders have already been placed in China.

“We have already purchased a broad range of personal protective equipment and supplies, including swabs, tests kits, gloves, masks and gowns,” said Stéfanie Hamel, a spokesperson at Public Services and Procurement Canada. “We continue to work with available suppliers, domestically and internationally, who have the capacity to respond to Canada’s needs.”


Other countries have aggressively sought needed gear. Israel has turned to Mossad, its foreign spy service, to secure test kits, local media have reported, while the Israeli Defence Ministry has bought 2,500 ventilators. In the United States, Italy and Britain, the aerospace industries, automakers and vacuum cleaner manufacturers have been pressed to build ventilators.

Tan Xiaohua, the international trade business manager at Micomme Medical, which makes ventilators, has fielded inquiries from Italy, Brazil and France – but not Canada. One of the obstacles is certification: The company believes its products meet international standards, but it is not certified for use in North America – and completing that paperwork takes time. Other countries should consider relaxing certification requirements if they want products from companies such as his, Mr. Tan said. ”Exporting ventilators is no longer just a question of business, it’s a matter of saving people’s lives,” he said.

Even then, there are limits to how much China has to offer.

BMC Medical Co. Ltd. is a Chinese industry leader that has FDA certification and, after months supplying domestic needs, is now sending virtually everything it makes to foreign markets. It has boosted output to 500 ventilators a day by extending daily work hours and calling workers in on weekends. Even so, an order placed today may not be filled until early May, said Jiang Dong, who oversees the company’s marketing department.

And merely making the ventilators may not be enough, as airlines cancel flights around the world. “Figuring out how to deliver each order is getting harder and harder,” he said. Air freight prices have jumped, too, although that’s a secondary concern.

“We can deal with higher prices,” he said. “But if there’s no flight, there’s nothing at all we can do.”

https://www.theglobeandmail.com/wor...ndustry-struggles-to-keep-up-with-demand-for/
 
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China’s Factories Work 24/7 to Build Ventilators for Milan, New York
In the U.S., automakers GM, Ford and Tesla have all volunteered to assist in manufacturing the life-support machines.

Bloomberg
MAR 23, 2020

About a 40-minute drive to the east of China’s capital, Beijing Aeonmed Co. has been working around the clock since Jan. 20.

After meeting the country’s needs two weeks ago, its factory lines have been working flat out on orders from overseas for its lifesaving ventilators. With three shifts and even research and development staff on the production line, the company’s machines have been going non-stop.

“There’s literally no country in the world that doesn’t want to buy a ventilator from China right now.” said Li Kai, director of Beijing Aeonmed, “We have tens of thousands of orders waiting. The issue is how fast we can make them.”

As the global coronavirus death toll inches toward 15,000, doctors from Milan to New York are desperately seeking ventilators. In severe cases, the availability of a ventilator that can help a Covid-19 patient breathe can determine if he lives or dies. Late last week, New York Governor Andrew Cuomo said the state, which has about 5,000 to 6,000 ventilators, might need 30,000 of them.

“It’s ventilators, ventilators, ventilators,” Cuomo told reporters. “That is the greatest need.” The state “has people in China shopping for ventilators,” he said.

Overall in the U.S., the Society of Critical Care Medicine estimates that 960,000 patients would need ventilator support due to Covid-19, but the nation only has about 200,000 such machines. In Italy, the country with the most number of fatalities from the pandemic, a severe ventilator shortage has forced doctors to triage patients.

The mad scramble for scarce medical supplies comes as China and the U.S. try to deflect blame for their handling of the disease. China has been seeking to claw back an international leadership role after early cover-ups helped the virus spread well beyond its borders. The country has sought to brand itself as Europe’s savior in the fight against the pathogen, providing masks and other supplies to the region’s virus hot spots.

For companies like Beijing Aeonmed, though, it’s roaring business as orders pour in from dozens of countries, many of which are chartering planes or using military aircraft to pick up the machines. Aeonmed isn’t the only Chinese company racing against the clock to build ventilators.

“All the ventilator factories in China have reached their maximum capacity, occupied fully by foreign demand,” said Wu Chuanpu, director of supply chain at Vedeng.com, one of the main platforms in China connecting medical equipment suppliers and buyers.

The factories have orders to keep them at full capacity until May, according to Wu. Vedeng is still getting more than 60 to 70 new orders every day, each asking for hundreds or thousands of such machines, he said. Many are from governments.

Ventilators pump oxygen into the lungs and remove carbon dioxide from the body. Many patients inflicted by the coronavirus need the machine because their blood oxygen level drops precipitously -- a condition called hypoxemia -- which can cause organ damage and be potentially life threatening.

The ventilator demand is so great that U.S. President Donald Trump has given automakers the green light to reconfigure their plants to make the machines.

Ford Motor Co., General Motors Co. and Tesla Inc. have been given the “go ahead” to make ventilators, Trump said in a tweet Sunday.

However, unlike face masks or thermometers, where companies can quickly ramp up production, ventilators have a higher barrier to entry, making a rapid expansion of production more difficult, Wu said.

“The expansion of the production line is very time-consuming and resources-intensive,” he said. “It also involves personnel training. It is too cumbersome.”

The dramatic increase in demand for the machines is in stark contrast to their need in normal times. Ordinarily, hospitals have a few dozen machines that are required for only critical cases. Now, it may need them for every bed in its intensive care unit.

China’s Ministry of Industry and Information Technology said earlier this month that as of March 3, the country’s main manufacturers delivered about 14,000 non-invasive ventilators and 2,900 invasive ones to Hubei, the region where the coronavirus outbreak originated. That compares with the nationwide demand for ventilators in 2018 of 14,700, according to Huajing Research.

Meanwhile, as the orders come in, Beijing Aeonmed expects to ring in sales that are several times more than last year.

“The epidemic is not a problem of just one country,” said Li. “The global fight against the pandemic is a test of made-in-China speed and quality.”

https://www.industryweek.com/supply...k-247-to-build-ventilators-for-milan-new-york
 
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