Federal agencies warned of ventilator shortages for nearly two decades

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The overwhelming number of coronavirus patients flooding hospitals across the U.S. has resulted in a shortage of ventilators for those experiencing difficulty breathing.

But while President Trump has faced criticism from states, like New York, for the short supply, federal agencies have been predicting the need for more ventilators for nearly two decades. Reports from various government offices have been sounding the alarm over the course of at least three successive presidencies dating back to the George W. Bush administration.

“GAO found that most hospitals lack the capacity to respond to large-scale infectious disease outbreaks,” concluded the U.S. Government Accountability Office in a 2003 report after the SARS outbreak, noting that “few hospitals have adequate medical equipment, such as the ventilators that are often needed for respiratory infections such as SARS, to handle the large increases in the number of patients that may result.”

A 2005 Congressional Research Service report examining avian flu also noted that the U.S. was unlikely to be prepared for a pandemic due to that virus’ effect on the lungs.

“If this strain were to launch a pandemic and retain this trait, large numbers of victims may require intensive care and ventilatory support, likely exceeding national capacity to provide this level of care,” that report said. “In any event, such specialized care is not available in most developing countries, and access to it is uneven within the United States.”

Later that same year, the Department of Health and Human Services released an extensive report on the plan for an influenza pandemic. A key item on their list of actions to take for a “health care and emergency response” was to “assess surge capacity” of medical systems including ventilators, noting the necessity for maintaining an emergency stockpile.

“Despite planning and preparedness, however, in a severe pandemic it is possible that shortages, for example of mechanical ventilators, will occur and medical care standards may need to be adjusted to most effectively provide care and save as many lives as possible,” the report warned, noting the likelihood of a significant increase in the demand for ventilators in the event of a large-scale outbreak.

The need for ventilators – and other resources – is repeatedly discussed in this report, even referencing a CDC spreadsheet that could help predict the potential need for ventilators at different stages of a pandemic. – READ MORE

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