Hurricane Maria and the IV saline shortage (2017)
The storm knocked out power and damaged pharmaceutical plants in Puerto Rico, including sites making sterile intravenous solutions. US hospitals rationed saline bags for months and importers were brought in to fill the gap.
Hospitals postponed elective procedures and stretched supplies of basic sterile fluids.
Regulators and buyers began pressing for manufacturing spread across more locations rather than concentrated on one island or one plant.
It is the clearest recent example of why drugmakers now pay for filling capacity in more than one region, which is the pitch behind Simtra's US and German plants.
