When you’re feeling under the weather, the last thing you want to do is trek from pharmacy to pharmacy searching for basic medicines like cough syrup and antibiotics. Yet many people across Europe — faced with a particularly harsh winter bug season— are having to do just that.
Since late 2022, EU countries have been reporting serious problems trying to source certain important drugs, with a majority now experiencing shortages. So just how bad is the situation and, crucially, what’s being done about it? POLITICO walks you through the main points.
How bad are the shortages?
In a survey of groups representing pharmacies in 29 European countries, including EU members as well as Turkey, Kosovo, Norway and North Macedonia, almost a quarter of countries reported more than 600 drugs in short supply, and 20 percent reported 200-300 drug shortages. Three-quarters of the countries said shortages were worse this winter than a year ago. Groups in four countries said that shortages had been linked to deaths.
It’s a portrait backed by data from regulators. Belgian authorities report nearly 300 medicines in short supply. In Germany that number is 408, while in Austria more than 600 medicines can’t be bought in pharmacies at the moment. Italy’s list is even longer — with over 3,000 drugs included, though many are different formulations of the same medicine.
Which medicines are affected?
Antibiotics — particularly amoxicillin, which is used to treat respiratory infections — are in short supply. Other classes of drugs, including cough syrup, children’s paracetamol, and blood pressure medicine, are also scarce.
Why is this happening?
It’s a mix of increased demand and reduced supply.
Seasonal infections — influenza and respiratory syncytial virus (RSV)first and foremost — started early and are stronger than usual. There’s also an unusual outbreak of throat disease Strep A in children. Experts think the unusually high level of disease activity is linked to weaker immune systems that are no longer familiar with the soup of germs surrounding us in daily life, due to lockdowns. This difficult winter, after a couple of quiet years (with the exception of COVID-19), caught drugmakers unprepared.
Inflation and the energy crisis have also been weighing on pharmaceutical companies, affecting supply.
Last year, Centrient Pharmaceuticals, a Dutch producer of active pharmaceutical ingredients, said its plant was producing a quarter lessoutput than in 2021 due to high energy costs. In December, InnoGenerics, another manufacturer from the Netherlands, was bailed out by the government after declaring bankruptcy to keep its factory open.
Commissioner Stella Kyriakides wrote to Greece’s health minister asking him to take into consideration the effects of bans on third countries | Stephanie Lecocq/EPA-EFE
The result, according to Sandoz, one of the largest producers on the European generics market, is an especially “tight supply situation.” A spokesperson told POLITICO that other culprits include scarcity of raw materials and manufacturing capacity constraints.They added that Sandoz is able to meet demand at the moment, but is “facing challenges.”
How are governments reacting?
Some countries are slamming the brakes on exports to protect domestic supplies. In November, Greece’s drugs regulator expanded the list of medicine whose resale to other countries — known as parallel trade — is banned. Romania has temporarily stopped exports of certain antibiotics and kids’ painkillers. Earlier in January, Belgium published a decree that allows the authorities to halt exports in case of a crisis.
These freezes can have knock-on effects. A letter from European Health Commissioner Stella Kyriakides addressed to Greece’s Health Minister Thanos Plevris asked him to take into consideration the effects of bans on third countries. “Member States must refrain from taking national measures that could affect the EU internal market and prevent access to medicines for those in need in other Member States,” wrote Kyriakides.
Germany’s government is considering changing the law to ease procurement requirements, which currently force health insurers to buy medicines where they are cheapest, concentrating the supply into the hands of a few of the most price-competitive producers. The new law would have buyers purchase medicines from multiple suppliers, including more expensive ones, to make supply more reliable. The Netherlands recently introduced a law requiring vendors to keep six weeks of stockpiles to bridge shortages, and in Sweden the government is proposing similar rules.
At a more granular level, a committee led by the EU’s drugs regulator, the European Medicines Agency (EMA), has recommended that rules be loosened to allow pharmacies to dispense pills or medicine doses individually, among other measures. In Germany, the president of the German Medical Association went so far as to call for the creation of informal “flea markets” for medicines, where people could give their unused drugs to patients who needed them. And in France and Germany, pharmacists have started producing their own medicines — though this is unlikely to make a big difference, given the extent of the shortfall.
Can the EU fix it?
In theory, the EU should be more ready thanever to tackle a bloc-wide crisis. It has recently upgraded its legislation to deal with health threats, including a lack of pharmaceuticals. The EMA has been given expanded powers to monitor drug shortages. And a whole new body, the Health Emergency Preparedness and Response Authority (HERA) has been set up, with the power to go on the market and purchase drugs for the entire bloc.
But not everyone agrees that it’s that bad yet.
Last Thursday, the EMA decided not to ask the Commission to declare the amoxycillin shortage a “major event” — an official label that would have triggered some (limited) EU-wide action— saying that current measures are improving the situation.
A European Medicines Agency’s working group on shortages could decide on Thursday whether to recommend that the Commission declares the drug shortages a“major event” — an official label that would trigger some (limited) EU-wide action. An EMA steering group for shortages would have the power to request data on drug stocks of the drugs and production capacity from suppliers, and issue recommendations on how to mitigate shortages.
At an appearance before the European Parliament’s health committee, the Commission’s top health official, Sandra Gallina, said she wanted to “dismiss a bit the idea that there is a huge shortage,” and said that alternative medications are available to use.
And others believe the situation will get better with time. “I think it will sort itself out, but that depends on the peak of infections,” said Adrian van den Hoven, director general of generics medicines lobby Medicines for Europe. “If we have reached the peak, supply will catch up quickly. If not, probably not a good scenario.”
Helen Collis and Sarah-Taïssir Bencharif contributed reporting.
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( With inputs from : www.politico.eu )
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[ad_1] Bourge అనేది పురుషులు మరియు మహిళలు ఇద్దరి కోసం స్పోర్ట్స్ షూస్, స్కూల్ షూస్, క్యాజువల్ షూస్, స్లైడర్లు, శాండిల్స్ మరియు స్లిప్పర్స్ యొక్క ప్రముఖ తయారీదారు. రన్నింగ్, ట్రైనింగ్ మరియు ఫిట్నెస్ వంటి విభాగాలలో పనితీరు మరియు క్రీడా-ప్రేరిత లైఫ్స్టైల్ ప్రోడక్ట్లను Bourge అందిస్తుంది. అధిక సాంకేతికత మరియు డిజైన్ ఆవిష్కరణలను ఉపయోగించి, Bourge నిరంతరం అవసరమైనది మాత్రమే కాకుండా కోరుకున్న దాన్ని కూడా తయారు చేస్తుంది. అన్నిBourge ప్రోడక్ట్లు అధిక పనితీరు, మన్నిక మరియు గొప్ప సౌకర్యాన్ని అందించడానికి ఉద్దేశించినవి. పురుషుల కోసం ఈ Bourge స్పోర్ట్స్ రన్నింగ్ షూ చాలా స్టైలిష్గా ఉంటాయి, వీటికి EVA బౌన్స్ బ్యాక్ సోల్ ఉంది, ఇది వాకింగ్, జాగింగ్, రన్నింగ్ మరియు విపరీతమైన ఆట పరిస్థితులలో అత్యంత సౌకర్యాన్ని ఇస్తుంది. ఈ ప్రోడక్ట్ అద్భుతమైన సౌకర్యం కోసం మృదువైన ఫోమ్ ఇన్సర్ట్ను కలిగి ఉంది. Bourgeలో విస్తృత శ్రేణి ఫ్లోటర్లు ఉన్నాయి, వీటిలో సందర్భానికి అనుగుణంగా ఎవరైనా ఎంచుకోవచ్చు. ట్రెండీగా ఉండటమే కాకుండా, ఇది సౌకర్యవంతంగా ఉంటుంది, చక్కగా గాలి ఆడేలా మరియు గ్రిప్ కలిగి ఉంటుంది.
Bourge is the leading manufacturer of sports shoes, school shoes, Casual Shoes, sliders, sandals and slippers, both for men’s & women’s. Bourge offers performance and sport-inspired lifestyle products in categories such as running, Training and Fitness. Using high technology and design innovation, Bourge continually creates what is aspired and not just what is necessary. All Bourge products are meant to deliver high performance, durability and great comfort. This Bourge sports Running shoe for men is extremely stylish It has eva bounce back sole which gives extreme comfort during walking, jogging, running and in extreme playing conditions.This product has soft foam insert for amazing comfort. Bourge has wide range of floaters, of which one can choose as per occasion. Apart form trendy, it’s also comfortable, has good breathability and grip.
পুরুষদের এবং মহিলাদের উভয়ের জন্যই স্পোর্টস জুত, স্কুল জুতা, ক্যাসুয়াল জুতা, স্লাইডার, স্যান্ডেল এবং চপ্পল প্রস্তুতকারক হলো Bourge দৌড়, প্রশিক্ষণ এবং ফিটনেসের মতো ক্যাটাগরি তে পারফরম্যান্স এবং খেলাধুলায় অনুপ্রাণিত করে লাইফ স্টাইল এর জন্য Bourge প্রোডাক্ট সরবরাহ করে. হাই টেকনোলজি এবং নতুন ডিজাইন ব্যবহার করে, Bourge ক্রমাগত যা প্রয়োজন তা নয় যা প্রয়োজনীয় তা নয়. সমস্ত Bourge প্রোডাক্ট গুলি উচ্চ কার্যকারিতা, টেকসই এবং দুর্দান্ত স্বাচ্ছন্দ্য পূর্ণ. পুরুষদের জন্য এই Bourge স্পোর্টস রানিং জুতো অত্যন্ত স্টাইলিশ এটি এভা বাউন্স ব্যাক সোল যা হাঁটাচলা, জগিং, দৌড়ানোর সময় এবং অতিরিক্ত খেলাধুলার ক্ষেত্রে অত্যন্ত আরাম দেয়, অত্যাধিক আরামের জন্য এই প্রোডাক্টটি নরম ফোম দেওয়া রয়েছে. Bourge রয়েছে ফ্লাটারের অত্যাধিক রেঞ্জ যা অনুষ্ঠান অনুযায়ী পছন্দ করতে পারা যায়. ট্রেন্ডি ছাড়াও, এটি আরামদায়কও রয়েছে, ভাল শ্বাস-প্রশ্বাস যুক্ত এবং গ্রিপ রয়েছে.
Bourge पुरुष आणि महिला दोघांसाठीही स्पोर्ट्स शूज, स्कूल शूज, कॅज्युअल शूज, स्लाइडर्स, सँडल आणि चप्पलचे आघाडीचे उत्पादक आहेत. Bourge कामगिरी आणि स्पोर्ट्स-प्रेरित जीवनशैली उत्पादने ऑफर करते जसे की धावणे, प्रशिक्षण आणि फिटनेस उच्च तंत्रज्ञान आणि डिझाइन इनोव्हेशनचा वापर करून, Bourge सतत महत्वाकांक्षी काय आहे ते तयार करते आणि फक्त आवश्यक तेच नाही. Bourge ची सर्व उत्पादने उच्च कार्यक्षमता, टिकाऊपणा आणि उत्तम आराम देण्यासाठी आहेत. पुरुषांसाठी असलेले हे Bourge स्पोर्ट्स रनिंग शूज अत्यंत स्टायलिश आहेत यात eva बाउन्स बॅक सोल आहे जे चालताना, जॉगिंग करताना, धावताना आणि खेळण्याच्या तीव्र परिस्थितीत अत्यंत आराम देते. या उत्पादनात आश्चर्यकारक आरामासाठी मऊ फोम इन्सर्ट आहे. Bourge मध्ये फ्लोटर्सची विस्तृत श्रेणी आहे, ज्यापैकी एखादी प्रसंगानुसार निवड करू शकते. ट्रेंडी व्यतिरिक्त, हे आरामदायक देखील आहे, चांगली श्वास घेण्याची क्षमता आणि पकड आहे.
Bourge പുരുഷന്മാർക്കും സ്ത്രീകൾക്കും വേണ്ടിയുള്ള സ്പോർട്സ് ഷൂസുകൾ, സ്കൂൾ ഷൂസുകൾ, കാഷ്വൽ ഷൂസുകൾ, സ്ലൈഡറുകൾ, ചെരുപ്പുകൾ, സ്ലിപ്പറുകൾ എന്നിവയുടെ മുൻനിര നിർമ്മാതാക്കളാണ്. ഓട്ടം, പരിശീലനം, ഫിറ്റ്നസ് തുടങ്ങിയ വിഭാഗങ്ങളിൽ പ്രകടനവും കായിക-പ്രചോദിത ജീവിതശൈലി ഉൽപ്പന്നങ്ങളും Bourge വാഗ്ദാനം ചെയ്യുന്നു. Bourge അതിന്റെ ഉയർന്ന സാങ്കേതികവിദ്യയും ഡിസൈനിലെ പുതിയ കണ്ടുപിടിത്തങ്ങളും ഉപയോഗിച്ച് അത്യാവശ്യമായത് മാത്രമല്ല നേരേ മറിച്ച് ആളുകൾ തീവ്രമായി ആഗ്രഹിക്കുന്ന ഉൽപ്പന്നങ്ങളും തുടർച്ചയായി നിർമ്മിക്കുന്നു. എല്ലാ Bourge ഉൽപ്പന്നങ്ങളും ഉയർന്ന പ്രവത്തനക്ഷമത, ഈട്, ഉയർന്ന സൗകര്യം എന്നിവ നൽകാൻ ഉദ്ദേശിച്ചുള്ളവ ആണ്. പുരുഷന്മാർക്കുള്ള ഈ Bourge സ്പോർട്സ് റണ്ണിംഗ് ഷൂ വളരെ സ്റ്റൈലിഷ് ആണ്, ഇതിന് eva ബൗൺസ് ബാക്ക് സോൾ ഉണ്ട്, ഇത് നടത്തം, ജോഗിംഗ്, ഓട്ടം, കഠിനമായ കളി സാഹചര്യങ്ങൾ എന്നിവയ്ക്ക് വളരെയധികം സുഖം നൽകുന്നു. ഈ ഉൽപ്പന്നത്തിന് അതിശയകരമായ സുഖസൗകര്യങ്ങൾക്കായി മൃദുവായ ഫോം ഇൻസെർട്ടുകളുണ്ട്. Bourge -ന് വിശാലമായ ശ്രേണിയിലുള്ള ഫ്ലോട്ടറുകൾ ഉണ്ട്, അതിൽ ഒന്ന് സന്ദർഭത്തിനനുസരിച്ചു തിരഞ്ഞെടുക്കാം. ട്രെൻഡിന് പുറമെ, ഇത് സുഖകരവും, നല്ല കാറ്റു കടക്കുന്നതും, ഗ്രിപ്പുള്ളതുമാണ്.
Bourge ஆண்கள் மற்றும் பெண்களுக்கான விளையாட்டு காலணிகள், பள்ளி காலணிகள், சாதாரண காலணிகள், ஸ்லைடர்கள், செருப்புகள் மற்றும் காலணிகள் முன்னணி உற்பத்தியாளர் ஆவார். ஓடுதல், பயிற்சி மற்றும் உடற்தகுதி போன்ற பிரிவுகளில் செயல்திறன் மற்றும் விளையாட்டு ஈர்க்கப்பட்ட வாழ்க்கை முறை தயாரிப்புகளை Bourge வழங்குகிறது. உயர் தொழில்நுட்பம் மற்றும் வடிவமைப்பு கண்டுபிடிப்பைப் பயன்படுத்தி, Bourge தேவையானதை அல்ல விரும்புவதை தொடர்ந்து உருவாக்குகிறது. அனைத்து Bourge தயாரிப்புகளும் உயர்ந்த செயல்திறன், ஆயுள் மற்றும் சிறந்த வசதியை வழங்குவதற்காகவே தயாரிக்கப்படுகின்றன. ஆண்களுக்கான இந்த Bourge ஸ்போர்ட்ஸ் ரன்னிங் ஷூ மிகவும் ஸ்டைலானது. இது நடைபயிற்சி, ஜாகிங், ஓடுதல் மற்றும் தீவிர விளையாட்டு நிலைமைகளின் போது தீவிர வசதியை அளிக்கிறது. இந்த தயாரிப்பு அற்புதமான வசதிக்காக மென்மையான ஃபோம் செருகலைக் கொண்டுள்ளது. Bourge பரந்த அளவிலான ஃப்ளோட்டர்களைக் கொண்டுள்ளது, அவற்றில் ஒன்றை சந்தர்ப்பத்திற்கு ஏற்ப தேர்வு செய்யலாம். நவநாகரீகம் தவிர, இது வசதியானது, நல்ல சுவாசம் மற்றும் பிடியைக் கொண்டுள்ளது.
बोर्ज पुरुषों और महिलाओं दोनों के लिए स्पोर्ट्स शूज़, स्कूल शूज़, कैजुअल शूज़, स्लाइडर, सैंडल और चप्पल का अग्रणी निर्माता है। Bourge दौड़, प्रशिक्षण और फिटनेस जैसी श्रेणियों में प्रदर्शन और खेल से प्रेरित जीवन शैली उत्पाद प्रदान करता है। उच्च तकनीक और डिजाइन नवाचार का उपयोग करते हुए, बोर्ज लगातार वही बनाता है जो महत्वाकांक्षी है और न केवल जो आवश्यक है। सभी Bourge उत्पाद उच्च प्रदर्शन, स्थायित्व और महान आराम देने के लिए हैं। पुरुषों के लिए यह Bourge स्पोर्ट्स रनिंग शू बेहद स्टाइलिश है इसमें ईवा बाउंस बैक सोल है जो चलने, जॉगिंग, दौड़ने और अत्यधिक खेलने की स्थिति में अत्यधिक आराम देता है। इस प्रोडक्ट में अद्भुत आराम के लिए सॉफ्ट फोम इंसर्ट है. बोर्ज में फ्लोटर्स की विस्तृत श्रृंखला है, जिनमें से कोई भी अवसर के अनुसार चुन सकता है। ट्रेंडी के अलावा, यह आरामदायक भी है, इसमें अच्छी सांस लेने और पकड़ है।
Bourge ಪುರುಷರ ಮತ್ತು ಮಹಿಳೆಯರಿಗೆ ಕ್ರೀಡಾ ಬೂಟುಗಳು, ಶಾಲಾ ಶೂಗಳು, ಕ್ಯಾಶುಯಲ್ ಶೂಗಳು, ಸ್ಲೈಡರ್ಗಳು, ಸ್ಯಾಂಡಲ್ ಮತ್ತು ಚಪ್ಪಲಿಗಳ ಪ್ರಮುಖ ತಯಾರಕರಾಗಿದ್ದಾರೆ. Bourge ಓಟ, ತರಬೇತಿ ಮತ್ತು ಫಿಟ್ನೆಸ್ನಂತಹ ವಿಭಾಗಗಳಲ್ಲಿ ಕಾರ್ಯಕ್ಷಮತೆ ಮತ್ತು ಕ್ರೀಡೆ-ಪ್ರೇರಿತ ಜೀವನಶೈಲಿಯ ಉತ್ಪನ್ನಗಳನ್ನು ನೀಡುತ್ತದೆ. ಉನ್ನತ ತಂತ್ರಜ್ಞಾನ ಮತ್ತು ವಿನ್ಯಾಸದ ನಾವೀನ್ಯತೆಯನ್ನು ಬಳಸಿಕೊಂಡು, Bourge ನಿರಂತರವಾಗಿ ಕೇಳುವದನ್ನು ರಚಿಸುತ್ತದೆ ಮತ್ತು ಅಗತ್ಯವಾದುದನ್ನು ಮಾತ್ರ ಮಾತ್ರ ಪರಿಗಣಿಸುತ್ತದೆ. ಎಲ್ಲಾ Bourge ಉತ್ಪನ್ನಗಳು ಹೆಚ್ಚಿನ ಕಾರ್ಯಕ್ಷಮತೆ, ಬಾಳಿಕೆ ಮತ್ತು ಉತ್ತಮ ಆರಾಮವನ್ನು ನೀಡಲು ಉದ್ದೇಶಿಸಲಾಗಿದೆ. ಪುರುಷರಿಗಾಗಿ ಈ Bourge ಸ್ಪೋರ್ಟ್ಸ್ ರನ್ನಿಂಗ್ ಶೂ ಅತ್ಯಂತ ಸ್ಟೈಲಿಶ್ ಆಗಿದೆ. ಇದು ಈವಾ ಬೌನ್ಸ್ ಬ್ಯಾಕ್ ಸೋಲ್ ಅನ್ನು ಹೊಂದಿದೆ, ಇದು ವಾಕಿಂಗ್, ಜಾಗಿಂಗ್, ಓಟ ಮತ್ತು ವಿಪರೀತ ಆಟದ ಪರಿಸ್ಥಿತಿಗಳಲ್ಲಿ ವಿಪರೀತ ಆರಾಮವನ್ನು ನೀಡುತ್ತದೆ. ಈ ಉತ್ಪನ್ನವು ಅದ್ಭುತ ಆರಾಮಕ್ಕಾಗಿ ಮೃದುವಾದ ಫೋಮ್ ಇನ್ಸರ್ಟ್ ಅನ್ನು ಹೊಂದಿದೆ. Bourge ವ್ಯಾಪಕ ಶ್ರೇಣಿಯ ಫ್ಲೋಟರ್ಗಳನ್ನು ಹೊಂದಿದೆ, ಅದರಲ್ಲಿ ಒಂದು ಸಂದರ್ಭಕ್ಕೆ ಅನುಗುಣವಾಗಿ ಆಯ್ಕೆ ಮಾಡಬಹುದು. ಟ್ರೆಂಡಿಯಾದ ರೂಪದಲ್ಲಿ, ಇದು ಸಹ ಆರಾಮದಾಯಕವಾಗಿದೆ, ಉತ್ತಮ ಉಸಿರಾಟ ಮತ್ತು ಹಿಡಿತವನ್ನು ಹೊಂದಿದೆ. Product Dimensions : 32 x 18 x 11.5 cm; 359 Grams Date First Available : 5 May 2020 Manufacturer : Zee Footwears Pvt Ltd ASIN : B0883LMY8M Item model number : Vega-z1 Department : Mens Manufacturer : Zee Footwears Pvt Ltd, Zee Footwears Pvt Ltd., C-10,Dev Bhoomi Industrial Estate-Bantakhedi, Iqbalpur Puhana Road,Roorkee-247668, Haridwar(Uttrakhand) India, Mob.no-9927414231 Item Weight : 359 g Item Dimensions LxWxH : 32 x 18 x 11.5 Centimeters Generic Name : Running Shoes
Closure: Pull On Fit Type: Regular Shoe Width: Medium Outer Material: Mesh; Weight: 238 gms Product Type: Men’s Walking Shoes Warranty Type: Manufacturer
Price: [price_with_discount] (as of [price_update_date] – Details)
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