Nationwide Fitness Equipment Shortages Allow AD4M Fitness To Fill the Demand

The Wyoming-based brand is founded by husband and wife team Vincent and Monika Briatore

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If you’ve been in the market for home gym equipment you might have noticed “out of stock” signs posted across the websites of most major retailers.

Even a quick search through popular e-commerce marketplace juggernauts Amazon and Walmart yields few results. According to market research popular overseas manufacturers in places like China still have a six-month backlog. It’s not looking good for Christmas shoppers either, unless they’re willing to pay a high premium for used products auctioned on sites like Ebay.

This COVID-19 lockdown fueled shortage has allowed one company, Ad4m Fitness to establish itself in the competitive fitness equipment industry. Ad4m LLC, aka Ad4m Fitness, is a Wyoming-based brand founded by husband, and wife team Vincent and Monika Briatore.

In just a few short months their company has reach a staggering 1.2 million a month in US sales making it the fastest growing private fitness brand startup of 2020.

The couple had the foresight to see the implications of this shortage in early 2020, and established exclusive rights with a manufacturer to produce cast iron weights, and barbells.

The company employs a warehouse in San Jose, California with others being planned here in Amarillo TX, and New York. It’s good to know that American exceptionalism, and the entrepreneur spirit is alive, and well even during these trying times. There’s always opportunity for those bold enough to venture outside the beaten path.

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Admissions to cardiac care unit double in Lebanon amid medicine shortages

Admissions to Lebanon’s cardiac care unit doubled in late October as the country struggles from shortages of medicine, an economic crisis, and the ongoing coronavirus pandemic.

Key medicines have been in short supply as people rushed to stockpile them following reports that the Central Bank of Lebanon planned to lift subsidies on medicines because it no longer has enough foreign exchange reserves to maintain its import subsidy scheme.

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Patients have subsequently found themselves at risk as they are unable to access potentially life-saving treatments.

Admissions to the Cardiac Care Unit at Beirut’s Rafic Hariri University Hospital (RHUH) have doubled recently, tweeted the hospital’s CEO Firass Abiad, who said patients with heart failure have been unable to find needed medications including Furosemide, an inexpensive diuretic.

Heart patients suffer from loss of medicine access

In recent weeks, heart patients have reported increasing concerns related to ongoing shortages of the two types of cardiovascular medicines. One of them is a medicine manufactured locally with a license from a French laboratory, the other a multivitamin specially formulated to help lower cholesterol levels for a healthy heart.

“Heart patients in Lebanon are at the front line of this issue and are complaining of the loss of two types of medicines,” Nabil Shasha, Head of Cardiology Divison at RHUH told Al Arabiya English.

“Some of these medications are very crucial in a sense that stopping any of them for few days could subject patients to a wide range of complications that could jeopardize their lives,” he explained. adding that patients with coronary artery disease might sustain acute myocardial infarction or cardiac death if they fail to take anti-platelets.

“Lack of diuretic drugs that excrete fluids through the kidneys and increase urine output. If not taken, the patient’s body starts accumulating fluids leading to volume overload causing lung congestion and shortness of breath and ankle and leg swelling.” Hadi Skouri, Cardiologist at AUBMC told Al Arabiya English.

“The patient starts to feel short of breath at rest and with time it progresses to shortness of breath at rest their oxygen levels start to be reduced and he will be admitted to the emergency room and hospital admission to receive intravenous diuretics,” he added.

Drug companies rationing medicines

Pharmaceutical companies in Lebanon have been rationing the distribution of drugs among pharmacies after Lebanon’s Central Bank Governor Riad Salameh said subsidies would have to stop once the threshold for obligatory foreign exchange reserves was reached, without suggesting a timeframe.

According to a Lebanese official quoted by Reuters in early October, the country has only around $1.8 billion of its foreign exchange reserves remaining available for subsidizing key food and other imports.


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Central Europe sounds alarm facing a shortages of medics as virus surges

KYJOV, Czech Republic (AP) — Soldiers in Poland are giving coronavirus tests. American National Guard troops with medical training are headed to the Czech Republic to work alongside doctors there. A Czech university student is running blood samples to labs, and the mayor of the capital is taking shifts at a hospital.

With cases surging in many central European countries, firefighters, students and retired doctors are being asked to help shore up buckling health care systems.

“This is actually terrifying,” Dr. Piotr Suwalski, the head of the cardiac surgery ward at a Polish hospital said on a day when daily COVID-19 cases rose 20% nationwide. “I think if we continue to gain 20% a day, no system can withstand it.”

Even before the pandemic, many countries in the region faced a tragic shortage of medical personnel due to years of underfunding in their public health sectors and an exodus of doctors and nurses to better paying jobs in Western Europe after the nations joined the European Union in 2004. Now, with the virus ripping through their hospitals, many health workers have been sickened, compounding the shortfall.

Over 13,200 medical personnel across the Czech Republic have been infected, including 6,000 nurses and 2,600 doctors, according to the doctors’ union.

It’s not just clinicians these countries need. Both Poland and the Czech Republic are building field hospitals as beds fill up on wards, and authorities say there are only 12 ventilators left in all hospitals taking COVID-19 patients in the region around Warsaw, the Polish capital.

This may sound familiar, but not for these countries. Many in the region imposed tough restrictions in the spring — including sealing borders and closing schools, stores and restaurants — and saw very low infection rates even as the virus killed tens of thousands in Western Europe.

READ MORE: France, Germany impose new lockdowns to curb virus spread

But now many central European countries are seeing an onslaught similar to the one their western neighbors experienced — and the same dire warnings.

As he announced new restrictions last week, Czech Prime Minister Andrej Babis put a date on when his country’s health system would collapse, if the new regulations were not imposed to slow the virus’s spread: between Nov. 7 and 11.

With one of the highest infection rates in Europe, the Czech Republic’s hospitals are desperately looking for volunteers. The government is deploying thousands of medical students to hospitals and other students to testing sites.

In the capital of Prague, Mayor Zdenek Hrib, who has a degree in medicine, volunteered to help do initial exams of possible coronavirus patients at a university hospital. Soon, 28 medical personnel from the Nebraska and Texas national guards are expected to arrive to help treat patients at Prague’s military hospital and a new field hospital at the city’s exhibition ground.

Croatia has asked former doctors to come out of retirement to help in hospitals, while Slovenia has put retired physicians and current medical students on standby in case its

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COVID Spikes Worsen Health Worker Shortages in Great Plains, Rocky Mountains | Healthiest Communities

COVID-19 cases are surging in rural places across the Mountain States and Midwest, and when it hits health care workers, ready reinforcements aren’t easy to find.

In Montana, pandemic-induced staffing shortages have shuttered a clinic in the state’s capital, led a northwestern regional hospital to ask employees exposed to COVID-19 to continue to work and emptied a health department 400 miles to the east.

“Just one more person out and we wouldn’t be able to keep the surgeries going,” said Dr. Shelly Harkins, chief medical officer of St. Peter’s Health in Helena, a city of roughly 32,000 where cases continue to spread. “When the virus is just all around you, it’s almost impossible to not be deemed a contact at some point. One case can take out a whole team of people in a blink of an eye.”

In North Dakota, where cases per resident are growing faster than any other state, hospitals may once again curtail elective surgeries and possibly seek government aid to hire more nurses if the situation gets worse, North Dakota Hospital Association President Tim Blasl said.

“How long can we run at this rate with the workforce that we have?” Blasl said. “You can have all the licensed beds you want, but if you don’t have anybody to staff those beds, it doesn’t do you any good.”

Photos: Daily Life, Disrupted

TOPSHOT - A passenger in an outfit (R) poses for a picture as a security guard wearing a facemask as a preventive measure against the Covid-19 coronavirus stands nearby on a last century-style boat, featuring a theatrical drama set between the 1920s and 1930s in Wuhan, in Chinas central Hubei province on September 27, 2020. (Photo by Hector RETAMAL / AFP) (Photo by HECTOR RETAMAL/AFP via Getty Images)

The northern Rocky Mountains, Great Plains and Upper Midwest are seeing the highest surge of COVID-19 cases in the nation, as some residents have ignored recommendations for curtailing the virus, such as wearing masks and avoiding large gatherings. Montana, Idaho, Utah, Wyoming, North Dakota, South Dakota, Nebraska, Iowa and Wisconsin have recently ranked among the top 10 U.S. states in confirmed cases per 100,000 residents over a seven-day period, according to an analysis by The New York Times.

Such coronavirus infections — and the quarantines that occur because of them — are exacerbating the health care worker shortage that existed in these states well before the pandemic. Unlike in the nation’s metropolitan hubs, these outbreaks are scattered across hundreds of miles. And even in these states’ biggest cities, the ranks of medical professionals are in short supply. Specialists and registered nurses are sometimes harder to track down than ventilators, N95 masks or hospital beds. Without enough care providers, patients may not be able to get the medical attention they need.

Hospitals have asked staffers to cover extra shifts and learn new skills. They have brought in temporary workers from other parts of the country and transferred some patients to less-crowded hospitals. But, at St. Peter’s Health, if the hospital’s one kidney doctor gets sick or is told to quarantine, Harkins doesn’t expect to find a backup.

“We make a point to not have excessive staff because we have an obligation to keep the cost of health care down for a community — we just don’t have a lot of slack in our rope,” Harkins said. “What we don’t account for is a mass exodus

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Covid-19 is causing ‘unacceptable’ shortages in US drug supplies, report says

The report says shortages have limited 29 of 40 drugs critical for treating Covid-19 patients, including propofol, albuterol, midazolam, hydroxychloroquine, fentanyl, azithromycin and morphine, according to the American Society of Health-System Pharmacists. The FDA, which has more stringent criteria for shortages, show 18 of 40 are on the Drug Shortage list.

Another 67 out of 156 critical acute drugs — including diazepam, phenobarbital, lidocaine and acetaminophen — are in short supply, the report said.

“Drug shortages can be a matter of life and death, and some shortages mean that a life-saving drug is not available to U.S. patients at any price,” the authors wrote.

“The urgency with the drug shortage supply issue is related directly to the major increase in COVID-19 cases that we will experience in the coming months,” Michael Osterholm, the director of CIDRAP, said in a news release.

“This, in turn, will dramatically increase the need for specific COVID-19 treatment drugs, while at the same, COVID-19 is having a major impact on two of the three key drug manufacturing areas of the world, India and Italy,” Osterholm added.

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The pandemic has “jolted the global pharmaceutical market at all levels and production points” and exacerbated a problem that dates back several decades, researchers said.

Closed factories, shipping delays or shutdowns and trade limitations or export bans have severely impacted the supply side of the chain, the analysis concluded, while the pandemic has caused a dramatic increase in the global demand for Covid-19 therapies.

The drug shortage problem in the US isn’t new and remain a “perennial problem,” the authors wrote.

There’s been more than 250 drug shortages over the past few years, the study said, “many for critical medications, including both acute drugs for treating emergency situations and chronic drugs for managing serious long-term conditions.”

The shortages have been tracked in the US since 2001, but in two decades, there’s been no significant improvement, according to CIDRAP.

“What makes the drug shortage such a challenging crisis is that no one organization or agency oversees this situation and responds accordingly, not even the FDA,” Stephen W. Schondelmeyer, the director of the PRIME Institute at the University of Minnesota and co-lead report investiagtor, said in a statement.

“And no one area of the country is specifically hit with this problem as drugs will be allocated to those areas most in need, that is until everyone is in shortage status. Then we will have a national crisis.”

The report also suggests recommendations for combating drug shortages, including creating a new federal entity to track, analyze, predict, prevent and mitigate drug shortages.

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