Increasing Shipping Tolls to Inflate Medical Supply Costs in 2023

Increasing transit tolls for passage through the Suez Canal may result in increased costs associated with healthcare, medical products, and various other consumer industries. The Suez Canal will increase its toll rates for ships using the maritime route connecting Europe to Asia. Expected increases will begin in January of 2023, raising vessel toll rates by 15% for freighters and 10% for dry cargo and cruise ships. Amidst the ongoing pandemic conditions still affecting many regions of the world, access to affordable healthcare and medical products will inevitably succumb to increases as almost 90% of global trade is facilitated through the vital canal. 

The geographic significance of the Suez Canal places it centrally between Europe, Asia, and the Middle East. Before its development essential commodities, medicine, and health supplies had to make the arduous journey around Africa’s Cape Horn. Bypassing the southern route for the Suez Canal can reduce shipping time by more than seven days and save substantial money. The decision for the increased toll rates for this vital shipping route arose as higher than average rates of vessel traffic returned amid pandemic recovery, technological advancement in vessel utilization, and continued impacts facing congested shipping ports globally. 

The Suez Canal is often described as the artery at the heart of global trade because a majority of trade is facilitated through the canal that connects the Mediterranean with the Red Sea. The canal observed more than 12% of all global trade and 30% of global container traffic each year. These large shipping containers utilize the much faster route to rapidly deliver critical commercial goods, energy, medicine, and industrial components. 

As the coronavirus spread globally in early 2020, catastrophic maritime operation reductions in many ports forced freighters to opt for longer routes affecting their deliveries. The massive redirection of freighters during this time congested areas like the Suez, inadvertently forcing ships into smaller ports not designed to accommodate such a large influx of activity. The effects left medical professionals and the public without access to vital medications, tools, and equipment during a worldwide pandemic. The results of the congestion are still unraveling today, reinforced by the recent canal blockage by a cargo freighter in early 2021. The ship got stuck traversing the canal, blocking any passage by other vessels in the queue. Without an active channel to transport the ships, a gridlock of more than 100 vessels piled up on both sides of the canal, further contributing to the already delayed global trade industry. 

After the 2021 blockage was cleared and signs of the pandemic began relaxing, maritime shipping rapidly increased past former heights as countries attempted to account for the economic losses of the last few years. This rapid traffic influx forced the canal to support the passage of more than 50 vessels per day. Additional advancements in vessel utilization has greatly improved larger freighter’s overall performance, extending their transport range and volume. The canal managers are worried that without adequate funding to support the growing daily use of the route, more accidents like the blockage of 2021 will occur and contribute to future stock shortages, delays, and restricted access to healthcare tools.  

It is highly likely the health industries will face price inflation as the cost of consumer goods increase to match shipping costs. More than $1 trillion USD worth of global commerce industry goods pass through the canal each year. Potential welfare effects may impact less developed regions as healthcare costs also increase to afford inflated medical supply costs. Additional revenue generated by the 2023 toll increases is expected to reinforce the canal, prevent future blockages, and maintain increasing influxes of global traffic. Whatever changes American consumers face regarding the toll increases, the associated costs will still be more affordable than any commodity delivered via longer alternative shipping routes.

Flooding Infrastructure and Climate Change

Over the course of this year, many areas of the United States have experienced severe flooding disasters, including places like Yellowstone, Kentucky, Denver, Death Valley, St. Louis, and Dallas. These areas experienced higher than average prolonged rainfall leading to an inundation of their already weak flood infrastructure, resulting in massive water overflow and significant economic losses. Widespread flooding affects local communities by leading to displacement, damage, and death. With the ongoing climate changes already causing strengthened and more frequent natural disasters, experts agree this flooding is also connected. 

Flooding does not only occur in these large regions because of the excess rain, although that is a significant factor. Many other factors are involved in severe flooding events, and the root of the problem is the predominant lack of adequate flooding infrastructure. Most urban areas use a combination of gutters, storm drains, and underground sewers to remove excess water from street surfaces and redirect it out of the city. These systems work well when there are periodic rain storms, characteristic of the region. However, their systems begin to malfunction when extensive amounts of precipitation inundate the region over a short period. Large influxes of water into the drainage infrastructure can rapidly overwhelm sewers resulting in backflow of water, pooling in large areas of these urban areas. The water can quickly become fast-moving water sources, wreaking havoc on communities and urban centers. 

Effects of flooding from past events like the 2005 Hurricane Katrina can still be seen across Louisiana today. Floods have enormous social consequences for impacted communities and individuals by threatening loss of human life, destroying property, damaging crops, deteriorating health, and leading to increased water-borne illnesses. The long-term effects of these floods can also disrupt clean water access, wastewater management, electricity, transportation, communication, and the loss of countless livelihoods. 

Another major factor affecting the outcome of these flooding events in urban areas is the lack of natural land that would otherwise effectively absorb and redirect excess water into surrounding areas. Most cities have surface areas encased in asphalt and concrete, preventing water from seeping into ground soil below. Impermeable surfaces in large cities increase their susceptibility to flooding when there are large influxes of rain, often making flooding worse.

Many technological and wealthy countries have been investing significantly in flood forecasting and preparation, inadvertently leaving their cities without many of the critical flood infrastructure systems that would protect them from these events. The resulting lack of development has led to many instances of significant loss of life regardless of the ample warnings because the areas were not physically able to manage such large influxes of water. 

The unfortunate reality faced by many areas across the United States is that these flood prevention infrastructures, like dams, reservoirs, and storm drains, were all designed decades ago and are completely outdated. Installed systems have failed to adequately handle the increasing large precipitation events over the last decade. 

New research into natural sources of flood protection found in flood plains, forests, and wetlands discovered that protecting and restoring these threatened regions could effectively protect nearby cities from a large quantity of flooding. These efforts, updating outdated infrastructure, and better allocating development land are all ways to combat future flooding events. 

EPA Designates Forever Chemicals as Hazardous Substances

Synthetic human-made chemicals called PFAS have been rapidly infiltrating many of the world’s vital water supplies, damaging Earth’s environment in the process. These per-and polyfluoroalkyl substances (PFAS) are incredibly difficult to break down, often lasting for thousands of years, even contaminating rainfall in certain regions. With increasing knowledge over the last few decades, the United States Environmental Protection Agency (EPA) has decided to submit an official proposal to classify many of these chemicals as hazardous substances, influencing many additional federal protocols associated with their use and disposal. The decision also comes as new research has been exploring better ways for PFAS management and disposal. 

Many PFAS are common household products like cooking pans, oils, cleaning supplies, and abrasives. PFAS chemicals often produce coatings and products that can repel water, oil, heat, and grease. The chemicals are dangerous because they break down slowly and have been observed leaching into water and soil, leaving trace amounts detectable in the blood of humans and animals. 

Recent studies about the effects of exposure to PFAS suggest earlier assumptions were incredibly limited concerning the risks and knowledge of dangerous exposure levels. Prolonged exposure can result in reproductive complications, heart issues, respiratory disease, cancer, and immunosuppressant responses in communities. PFAS causes various complications as they primarily settle in the body’s blood, kidneys, and liver. These chemicals have been in the commercial market since the 1940s, and previous studies suggest they are present in more than 98 percent of the US population. 

The EPA’s submitted proposal will list at least two of these harmful PFAS as hazardous substances, encouraging effective waste management at facilities that handle these chemicals, with much more likely to be added later. The Federal Drug Administration and many chemical manufacturers have already voluntarily phased out the use of these chemicals, especially in commodities that deal directly with food products. However, the unfortunate reality still suggests more than 70 percent of imported products still contain remnants of older PFAS. Since these chemicals are so slow to break down, they easily contaminate products transported into air, dust, food, ground soil, and water.  

The EPA’s decision to begin managing PFAS use and disposal has had to navigate complicated relationships with the prominent chemical industry leaders, but at the neglect of community and environmental health. Critics of the EPA’s new proposal claim the action is a little too late, without any real repercussions or plans to mitigate the damages from the prolonged incorporation of these harmful chemicals in American communities. The other misfall of the EPA’s new proposal is that it fails to address any future solutions, only acknowledging current problems and only a few harmful PFAS. 

There is little acknowledgment in the proposal to develop plans for future mitigation as these hazardous chemicals continue to leach into the environment and are already waning vital resources of fresh water. Although the proposal may lack future mitigation efforts, chemical scientists have been researching how to dispose of these chemicals effectively, and there may still be some good news. 

Scientists have discovered that effective use of heat in contaminated water can initiate a chemical reaction to break down the strong PFAS bonds, removing them from the water without any remaining byproducts. This new information means water processing plants can effectively remove the harmful PFAS from water without releasing any byproducts into the environment, gradually diminishing their communal effects globally.

Dangers of Extreme Heat Faced by Outdoor Workers

Many outdoor workers face a common problem every year: managing summer heat and health complications while on the job. Summer temperatures in southern regions of the United States and other parts of the world are increasing yearly, posing additional risks to these types of employees. However, the risks and complications are not equally imposed, and different types of workers may be at even higher risk, according to experts. 

Three of the hottest cities in the United States where workers are at increased risk include Phoenix, Los Angeles, and Las Vegas. Certain studies have explored the relationship between heat indexes in these southwestern states and work-related injuries, revealing expected trends toward higher temperatures and people getting sick. 

These higher-than-average temperatures often reach more than 88°F during the summer and can cause many health complications. Extended exposure to exorbitant heat can result in dehydration, unconsciousness, heat stroke, and lack of perspiration. Severe heat exposure cases can damage internal organs, disrupting the central nervous system, blood clotting, liver functions, and kidneys.

Due to complications imposed by global warming, summer temperatures continue to increase and expose workers to heat waves, droughts, and higher temperatures. Outdoor workers that face these temperature challenges include industries such as agriculture, construction, maintenance, recreation, and more. Heat-related injuries can keep workers out of a job, sometimes up to 30 days, while healing. The extended recovery times for workers who have experienced heat-related injuries can significantly impact employees and their families. The risks of these work-related injuries impact the lower-class workers at an even higher rate. Researchers also discovered a higher percentage of female workers reported heat-related injuries.

Studies between 2011 and 2018 suggested an increase from 50 to 86 percent of people affected by work-related heat injuries identified as female. The increase in the disproportionate cases of affected female workers may result in more women entering the workforce, specifically into roles within outdoor industries. These results have inspired further research into the hormonal risk component associated with the different heat risks between sexes. Specific biological cycles may place women at higher risks than their male counterparts. 

Another demographic at greater risk of heat-related injuries includes long-standing employees. The same study found that increased work heat complications correlated with increased length of stay at the worker’s company. Employees with five or more years of experience were at a greater risk of work-related heat injuries than employees with less than one year. Experts suggested the increased risk of these long-standing employees may be due to the lack of risk perception or the cumulative tolerance built from chronic heat exposure during their years of service. 

More research is being conducted on the types of employees at the most significant risk and different safety methods these vital outdoor industries can implement to decrease heat-related health implications.

Chronic Musculoskeletal Pain Polarizing Employee Health Risks in America

A new study published by Hinge Health, State of MSK 2022, recently investigated the alarming percentage of American employees experiencing musculoskeletal (MSK) pain and currently seeking treatment. The published study surveyed more than 252 million American citizens, defying the alarming statistic that every 1 in 2 Americans experiences some form of chronic MSK. 

Industries, where employees are constantly exposed to MSK diagnoses include software businesses, utility management, retail, transportation, hospitality, construction, manufacturing, healthcare, education, and more. The most afflicted industries often require employees to conduct hard manual labor or remain inactive in sedentary positions for long periods of the day.

MSK is commonly observed in full-time employees as back, neck, shoulder, and other musculoskeletal pain. These symptoms often accompany the hazards associated with sitting and working at a desk, impacting the employee over long periods. The study also analyzed the economic expenditure on MSK-related inquiries and discovered its national costs have more than doubled over the last decade. The cost to treat MSK is one of the third largest industries in the United States healthcare system, totaling more than $600 billion annually.

The Hinge study also acknowledged that the driving factor behind increasing costs is the undeniable connection between MSK and mental health treatments, as affected employees often use double the average worker’s sick days.  The average worker misses 8.2 days of work, while employees experiencing symptoms of MSK miss up to 13 days annually to deal with their treatment and mental health. The sheer absence of millions of workers for extended durations of time throughout the annual work year alone costs businesses and the greater US economy millions of dollars.

The impacts of MSK are affecting many aspects of employee health and welfare in the United States, as medical costs and health inequities continue to increase. Access to MSK-associated healthcare, medicines, and affordable treatments have continued to drive up prices, far surpassing the economic costs shared by employers to treat other ailments like heart disease ($309 billion), cancer ($243 billion), and diabetes ($188 billion). It is no surprise that medical costs, insurance, and access to treatments have all become a much larger burden on the lower and middle working class of America.

The nuances of MSK and its lack of study have also prevented many employer insurance companies from effectively covering their employee’s risk of MSK exposure and rehabilitation. The lack of understanding has only recently resulted in studies highlighting the close relation to employee mental health and welfare. Chronic pain can often intensify mental challenges resulting in increased anxiety and depression, worsening the MSK symptoms. Many health insurances fail to fill the gap in social and behavioral support needed to recuperate from mental health symptoms associated with the effects of chronic MSK in the workplace. 

Solutions recommended by the Hinge report and other health professionals suggest filling the gaps in coverage by addressing issues with physical recovery, behavioral support, and medical services. Remote care and support are ultimately important in treating the patient’s physical self-care and mental health. With digital accessibility at an all-time high, connecting patients to health professionals is easier than ever, and acquiring the kind of frequent care needed to recover from MSK complications entirely.