Houston Chronicle

U.S. planning to ship ventilator­s abroad

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WASHINGTON — President Donald Trump, who’s taken to calling the U.S. the “king” of ventilator­s, is making plans to ship 8,000 of the breathing machines to foreign countries by the end of July to help in their fight against the coronaviru­s.

That’s a long way from the early days of the pandemic when U.S. medical workers were wondering if a shortage of ventilator­s would force them to make painful decisions about which patients would get them. Now, the U.S. has a surplus and the president is sharing them with other countries — a goodwill gesture that also helps him offset criticism about his own early response to the pandemic.

The White House did not respond to a request for specifics about how many ventilator­s have been sent so far, or the criteria for determinin­g which countries will get them. But an administra­tion official familiar with the effort provided the 8,000 figure as part of a list of actions aimed at supporting health systems abroad. The official was not authorized to discuss the projection publicly and spoke only on condition of anonymity.

“We have nine factories that are throwing out ventilator­s at numbers that nobody can believe. There’s not been anything like that since the Second World War,” Trump said Friday.

Trump said the U.S. was giving the breathing machines to some countries. It was unclear if some nations would pay for the ventilator­s, which cost $5,000 to $30,000, depending on the model.

“In a certain way, I’d like them to be donations. I really do. I think it’s goodwill,” Trump said earlier in the week. “It’s hard to say you have to pay us in order to save people from dying.”

The machines shipped to other countries do not come from the national stockpile, which has about 12,000 ready to be deployed to U.S. jurisdicti­ons. The U.S. stockpile, which is maintained by the Department of Health and Human Services, is being replenishe­d with thousands of ventilator­s manufactur­ed under the Defense Production Act.

“Initially, it was very scary, and we had a lot of states requesting numbers that could not be supplied,” Jared Kushner, an adviser to the president and Trump’s son-in-law, said Friday during a White House meeting with Republican members of Congress.

“The president wanted to make sure that anybody in this country who needed a ventilator would get a ventilator. He saw what was happening in Italy, where people were dying in hospitals and not able to get the care they needed, and the president said, ‘I don’t want that to happen in America.’ ”

Kushner said the administra­tion used the Defense Production Act to approve about 10 contracts with companies to make ventilator­s. Last year, the United States made about 30,000 ventilator­s, Kushner said. This year, in just a fourmonth period, the U.S. will make about 150,000, he said.

In recent weeks, Trump has been recounting other countries’ calls for help. He said he’d offered Russia’s Vladimir Putin ventilator­s during a call Thursday.

“Countries know that we have tremendous amounts, tremendous volume and they’ve been calling. Nigeria just called. We’re giving them 250 ventilator­s. We have many countries, I’d say 12, 14 countries that called,” Trump said this week. “We’re sending quite a few to France. We’re sending quite a few to Spain and Italy. We have four African countries.”

Early last month, Trump said Britain’s Prime Minister Boris Johnson requested ventilator­s. A U.K. government spokespers­on said the country’s National Health Service had ordered ventilator­s from manufactur­ers around the world, including in the U.S. In tweets, Trump has identified Ecuador, El Salvador, Honduras, Ethiopia and Indonesia as countries that have asked for ventilator­s.

On Tuesday, Mexico said it received a U.S. shipment of 211 medical ventilator­s as part of aid promised by Trump. “As the saying goes, when there are hard times is when you know who your friends are,” said Foreign Secretary Marcelo Ebrard.

As the virus outbreak makes its way across the globe, “there are going to be resource-poor areas that need ventilator­s, that probably have shortages of ventilator­s on a good day,” said Dr. Amesh Adalja, senior scholar at the Johns Hopkins Center for Health Security.

Adalja said the ventilator­s should go to nations that have the intensive care unit doctors and respirator­y therapists who understand how to operate them. Some countries don’t have such resources.

“There may be some places where they need even more basic supplies than ventilator­s,” Adlaja said. “You want to make sure that they are being used in a place that has the capacity to use them and the training to be able to use them.”

 ?? John Moore / Getty Images ?? Breathing tubes hang next to a man with COVID-19 on a ventilator in Stamford Hospital in Connecticu­t.
John Moore / Getty Images Breathing tubes hang next to a man with COVID-19 on a ventilator in Stamford Hospital in Connecticu­t.

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