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Polowczyk speaks at a coronavirus briefing at the White House, March 23. Photo: Brendan Smialowski/AFP via Getty Images

The senior Navy officer now in charge of fixing America's coronavirus supply chain is trying to fill the most urgent needs: ventilators and personal protective gear. But barely a week into his role at the Federal Emergency Management Agency, he's still trying to establish what's in the pipeline and where it is.

Driving the news: "Today, I, as leader of FEMA's supply chain task force, am blind to where all the product is," Rear Adm. John Polowczyk tells Axios.

Why it matters: Polowczyk hears the calls from Congress, governors and medical equipment suppliers who want the federal government to nationalize the supply chain using the Defense Production Act — but he argues that's not the right move this far into the crisis.

  • "They want me to do all the buying, all the distributing, and all the allocation," he says.
  • But the nation's medical supply chain consists of six or seven major distributors with 600–700 distribution nodes around the country.
  • "I'm not going to re-create that," he said. "I'm looking to break down barriers ... to help them feed product where it needs to go."

What's happening: Instead, Polowczyk says, FEMA is collecting inventory data from all those companies and weaving disparate information systems together "to illuminate their supply chains down to their distribution networks and potentially down to the hospital level."

  • The priority now is New York and California, he said, but demand is increasing in places like Louisiana, Chicago, Detroit, Washington and Florida.

The big picture: With more than 150 countries affected by the global pandemic, worldwide demand for medical equipment is exploding, but supplies are limited and often hindered by virus-related shipping problems.

  • "The thought that we're going to buy our way out of this right now is not possible," Polowczyk says.

What he's saying: Polowczyk told Axios the crisis has to be managed on four fronts.

1. Preservation: Hospitals need to stretch existing supplies as much as possible.

  • That means health care workers will need to conserve and even reuse masks and other protective gear, following guidelines from the Centers for Disease Control and Prevention.
  • FEMA is working with hospitals to set up sterilization operations using UV light, bleach or heat treatments so that masks and gowns can be turned in, sanitized and reused. "Do I want that doctor to use a dirty mask? No, that's why we have to operationalize it."
  • That will require a "cultural flip for the medical community."
  • "Instead of treating it as a 70-cent disposable, treat it as a $100 mask and gown and face shield."

2. Acceleration: FEMA needs to assist by clearing bottlenecks and speeding deliveries.

  • The emergency airlifts that kicked off this week are one dramatic example, with a flight from Shanghai that arrived in New York this morning carrying supplies like gloves, N95 masks, surgical masks, gowns, hand sanitizer units and thermometers.
  • FEMA is also chasing leads, in the U.S. and overseas, to identify potential suppliers of protective gear, but not all can deliver. "For every 10 of those leads, maybe one pans out."
  • FEMA staffers also need to visit warehouses and open boxes "to make sure it's not sawdust."
  • Ventilator companies like GE Healthcare, Philips and Hamilton Medical already are sharply increasing production, as are Honeywell and 3M, which make respirator masks.

3. Expansion: New manufacturers need to step up to produce medical supplies.

  • The Trump administration already has enlisted help from the auto industry.
  • Many other companies have volunteered, but it takes time to figure out what they can produce or how they can partner with others.
  • FEMA is working with approximately 130 such leads, said Polowczyk. "Every one of those has a story."
  • Lining up new manufacturers will take several weeks or longer, he said. "You can't just make masks in volume in a matter of days."

4. Reallocation: FEMA needs a better understanding of what's available, where it is and where it needs to go.

  • "You can't run a supply chain without business IT and business intelligence," which is why Polowczyk is trying to merge all the data from distributors.

The bottom line: The shortages are daunting. But in Polowczyk's view, all four efforts "when combined together, should get us through this phase, this wave, of COVID-19."

Go deeper: Inside the start of the great virus airlift

Go deeper

VA first federal agency to require COVID vaccines for employees

A medical doctor gives the thumbs-up sign to a COVID-19 patient who is no longer using a respirator at the Veterans Affairs Medical Center in New York City. Photo: Robert Nickelsberg/Getty Images

The Department of Veterans Affairs said Monday it would require its frontline health care workers to get vaccinated against the coronavirus within the next two months, the New York Times reports.

Why it matters: The VA is the first federal agency to mandate that employees receive the vaccine. The decision comes as cases of the Delta variant in the U.S. have increased dramatically.

3 hours ago - Health

Biden: Americans with long-COVID symptoms may qualify for disability resources

President Biden speaking in Arlington, Virginia, on July 23. Photo: Oliver Contreras/Sipa/Bloomberg via Getty Images

Americans experiencing long-term symptoms of COVID-19 may qualify for disability resources from the federal government, President Biden announced Monday during an event to mark the 31st anniversary of the Americans with Disabilities Act.

Driving the news: The departments of Justice and Health and Human Services released new guidance Monday that categorizes “long COVID" as a physical or mental impairment, entitling people with the illness to discrimination protections under the the ADA.

Study: Get ready for many more record-shattering heatwaves

NASA computer model image of temperature departures from average on June 27 during the Pacific Northwest heat wave. (NASA Earth Observatory)

The recent deadly heat wave in the Pacific Northwest, during which all-time temperature records were shattered by several degrees, is a prologue to what is coming across much of the U.S., Europe and Asia, a new study finds.

Why it matters: The study shows that the rate of climate change is an under-appreciated driver of extreme heat, and that today's quickening pace of warming virtually guarantees more extreme temperature records in coming decades.