Sun Sentinel Palm Beach Edition

Syringe maker takes his shot

Company in India sharply ramps up production to meet demand during the pandemic

- By Karan Deep Singh

BALLABGARH, India — In late November, an urgent email popped up in the inbox of Hindustan Syringes & Medical Devices, one of the world’s largest syringe makers.

It was from UNICEF, the United Nations agency for children, and it was desperatel­y seeking syringes. Not just any would do. These syringes must be smaller than usual. They had to break if used a second time, to prevent spreading disease through accidental recycling.

Most important, UNICEF needed them in vast quantities. Now.

“I thought, ‘No issues,’ ” said Rajiv Nath, the company’s managing director, who has sunk millions of dollars into preparing his syringe factories for the vaccinatio­n onslaught. “We could deliver it possibly faster than anybody else.”

As countries jostle to secure enough vaccine doses to put an end to the COVID19 outbreak, a second scramble is unfolding for syringes.

Officials in the United States and the European Union have said they don’t have enough vaccine syringes. In January, Brazil restricted exports of syringes and needles when its vaccinatio­n effort fell short.

The world needs 8 billion to 10 billion syringes for COVID-19 vaccinatio­ns alone, experts say. In previous years, only 5% to 10% of the estimated 16 billion syringes used worldwide were meant for vaccinatio­n and immunizati­on, said Prashant Yadav, a senior fellow at the Center for Global Developmen­t, a think tank in Washington, and an expert on health care supply chains.

Wealthier nations pumped billions of dollars of taxpayer money into developing the vaccines, but little public investment has gone to expand manufactur­ing for syringes, Yadav said.

Not all of the world’s syringes are suited to the task of coronaviru­s vaccinatio­ns.

To maximize the output from a vial of the Pfizer vaccine, for example, a syringe must carry an exact dose of 0.3 milliliter­s. The syringes also must have low dead space — the infinitesi­mal distance between the plunger and the needle after the dose is fully injected — to minimize waste.

The industry has ramped up to meet demand. Becton Dickinson, which is based in New Jersey and a major syringe manufactur­er, said it will spend $1.2 billion over four years to expand capacity.

The U.S. is the world’s largest syringe supplier by sales, according to Fitch Solutions, a research firm. The United States and China are neck and neck in exports, with combined annual shipments worth $1.7 billion. While India is a small player globally, with only $32 million in exports in 2019, Nath of Hindustan Syringes sees a big opportunit­y.

Each of his syringes sells for only 3 cents, but his total investment is considerab­le. He invested nearly $15 million to mass-produce specialty syringes, equal to roughly one-sixth of his annual sales, before purchase orders were even in sight. In May, he ordered new molds from suppliers in Europe and Japan to make a variety of barrels and plungers for his syringes.

Nath added 500 workers to his production lines, which crank out more than 5,900 syringes per minute at factories spread over 11 acres in a dusty industrial district outside New Delhi. The company churns out nearly 2.5 billion a year, though it plans to scale up to 3 billion by July.

 ?? REBECCA CONWAY/THE NEW YORK TIMES ?? Rajiv Nath, managing director of India-based Hindustan Syringes & Medical Devices, invested nearly $15 million to produce specialty syringes for COVID-19 vaccinatio­ns. The company can now produce nearly 6,000 syringes each minute.
REBECCA CONWAY/THE NEW YORK TIMES Rajiv Nath, managing director of India-based Hindustan Syringes & Medical Devices, invested nearly $15 million to produce specialty syringes for COVID-19 vaccinatio­ns. The company can now produce nearly 6,000 syringes each minute.

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