This is not to say that the other leaders now involved in COVID response at top of government aren’t key. We need all of them that are there now because there are so many serious challenges and many more to come. 10/x
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Public health, scientific, research and clinical leaders in the fed govt should be focusing on those issues which they know so well. For the massive logistics work that is needed now, we need a huge logistics operation run by professionals who do logistics for a living. 11/x
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We need top possible logistics agency and leadership to maximize supply chain output across the full range of medical assets needed to cope with COVID – starting with N95s and surgical masks which are in desperate shortage around the country. 12/x
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We need to urgently protect HCWs around the country. Doctors and nurses from front lines are sending emails saying they have no more masks.
@CDCgov yesterday sent an email out telling nurses they should use bandanas when they run out of masks. 13/x3 replies 59 retweets 183 likesShow this thread -
We have thousands of hospitals around the country, all of which will have different needs and different moments. The idea of each one trying to do its own deals with manufacturers in competition with everyone else is awful. They need massive centralized help from fed gov. 14/x
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At minimum, this fed gov logistics effort should: identify all med items in shortage or soon to be; what does each hosp around country need – there are thousands of hosps of different sizes; and, create data management system to organize needs and track response to them. 15/x
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This fed logistics operation needs to maximize all possible w/ existing supply chain for items in shortage – how much more can a given Plant X produce if the fed govt is the guaranteed buyer? 16/x
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And this fed logistics operation needs to work with private sector to convert factories making other products into ones that make the critical med items the country will need to cope with this epidemic in the months ahead. 17/x
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In WWII, the US created the https://en.wikipedia.org/wiki/Office_of_Defense_Mobilization … as one of many major efforts to make what the country needed for the war effort. We now need the full logistics power of the USG to deal with terrible med supply shortages around the country. 18/x
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The US Defense Logistics Agency seems to have the size, professionalism, experience and capacity for this mission. 19/x
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