https://issuesinsights.com/2020/02/10/chinas-stranglehold-on-pharmaceuticals-threatens-americans-health-and-u-s-national-security/
As the cases of the Wuhan coronavirus (formally 2019-nCoV) continue to increase, and China and other countries aggressively perform screening, isolation, treatment and tracking of patients’ contacts, demand for various essential medical items is unprecedented, and shortages have been reported. For example, American dentists, who go through large numbers of surgical masks daily, are already finding their supply chain interrupted.
Ironically, most of the world’s supply of masks and respirators, along with other materials essential for health care, comes from manufacturers in China. That creates a vulnerable link in the global supply chain that supports everyday health care in hospitals around the world. However, those problems could pale if shortages spread to the pharmaceutical sector: China has become the world’s largest producer and exporter of the essential “active pharmaceutical ingredients” (APIs) used in the manufacture of drugs, not only in China but also in other countries, including the United States.
Most of the medicines that Americans take — as much as 90% — are generic drugs that are manufactured abroad.
APIs in China are currently produced without sufficient quality control to ensure drug safety and efficacy, according to the findings of a report late last year from the U.S.-China Economic Security Review Commission, which was established by Congress in 2000 when China was permitted to enter the World Trade Organization.