Fear of the spreading coronavirus has led to a global run on sales of face masks despite medical experts' advice that most people who aren't sick don't need to wear them.
Many businesses are sold out, while others are limiting how many a customer can buy. Amazon is policing its site, trying to make sure sellers don't gouge panicked buyers.
In South Korea, hundreds lined up to buy masks from a discount store. Rumors that toilet paper and napkins could be used as masks have emptied store shelves in Asia of paper goods over the past few weeks.
Ordinary people trying to protect themselves from the outbreak are not the only ones encountering shortages. Some health care professionals are seeing them as well.
Some industry officials are attributing the shortages not just to high demand but to disruptions in supply: An outsize share of the world's surgical masks are made in China 50%, by its own estimate and some of the factories are in or near the hard-hit city of Wuhan and have been shut down for weeks because of the crisis, they said. It's unclear, however, just how big an impact that is having overall, as other regions and countries ramp up production to meet soaring demand.
In the U.S., Walgreens, Home Depot, Lowe's and True Value Hardware are reporting a sharp uptick in sales of masks over the past several weeks and say they are scrambling to get more from suppliers.
Home Depot, the nation's largest home improvement chain, has limited sales of N95 respirators to 10 per person. They have a close facial fit and more filtration material than general surgical masks, enabling them to keep out at least 95% of particles.
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Marc Jaconksi, owner of Stanley's True Value Hardware and Rental store in Philadelphia, said he saw a surge in demand for masks, particularly the N95, two weeks ago. But since Tuesday, when the U.S. Centers for Disease Control and Prevention warned that the virus will almost certainly spread in the U.S., sales went through the roof.
We would be crazy busy with snow, but we are not getting snow,'' he said. ''We're crazy busy with respirators.'' Jaconski said his store has sold 1,000 masks of all kinds in the past two weeks. He has ordered more N95s, but customers are so desperate they are picking up lightweight dust masks or buying heavy-duty respirators used for asbestos cleanup that sell for up to $60.
It's usually the oldest folks who get a little crazed, he said. ''This time, it is everybody.'' The virus has sickened more than 82,000 people worldwide and killed more than 2,800, according to international health authorities.
Still, the CDC doesn't recommend that people wear masks to protect themselves from the virus. The CDC says people infected or those showing symptoms such as fever and shortness of breath should wear masks to avoid spreading it to others. Health care workers also need masks, the agency says.
Mike Gania of the American Society of Health-Systems Pharmacists said some hospital pharmacies are saying that they have only a one- to two-week supply of masks and that the major wholesalers are unable to fill orders.
Within hospitals, surgical masks are worn by operating room teams doctors, nurses, anesthesiologists and frequently by pharmacists. Staff members caring for patients with dangerous infections wear the N95 masks.
Dr. Sarah Boston, a veterinary surgical oncologist and author in Toronto, uses 10 to 15 surgical masks per week in her practice. Her usual supplier ran out, so she had to switch to a less comfortable brand.
I've spoken to a lot of people who are worried that we're going to lose supply or not be able to get them, she said.
Boston sees a lot of people wearing them incorrectly over their mouths but not their noses, for example and said they should understand that other things would be more effective, like frequent hand-washing.
Companies that make masks are struggling to keep up.
Medicom Group, a medical supply company based in Montreal, usually makes 150 million masks per year at its factory near Angers, France. At the beginning of February, the factory had orders for 500 million masks. Orders have only grown since then, the company said, and it has hired new workers and increased capacity at its plants, including two in Shanghai and one in Augusta, Georgia.
3M, the Minnesota-based manufacturer, said it has ramped up production of respirators at its facilities in the U.S., Europe, Asia and Latin America.
Across Asia, where many people routinely wear masks against allergies, colds and smog, soaring demand has prompted other manufacturers to retool to begin making masks. A survey of masks found in drugstores in Bangkok suggests that in many cases those products do not meet standards needed to best protect against the virus. Taiwan manufacturer Foxconn, a major supplier of electronics to Apple, said it has begun making about 1 million masks a day for its own factories.
Dealmed, a New York company that makes and sells medical supplies, said it expects to sell out of face masks next week. The company temporarily stopped taking orders from new customers a month ago and ended sales on Amazon and Walmart.com. It is selling its remaining masks only to those that need them, such as hospitals, doctors' offices or government agencies.
Sales of gloves, gowns and other items are up as much as 300% in February from the year before, said Michael Einhorn, Dealmed's president. Sales of face masks are so astronomical, he said, he hasn't been able to calculate them.