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Services PMI® at 57.1%; April 2022 Services ISM® Report On Business®

Services PMI® at 57.1%; April 2022 Services ISM® Report On Business®
PR Newswire
TEMPE, Ariz., May 4, 2022

Business Activity Index at 59.1%; New Orders Index at 54.6%; Employment Index at 49.5%; Supplier Deliveries Index at 65.1%
TEMPE, Ariz., May …

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Services PMI® at 57.1%; April 2022 Services ISM® Report On Business®

PR Newswire

Business Activity Index at 59.1%; New Orders Index at 54.6%; Employment Index at 49.5%; Supplier Deliveries Index at 65.1%

TEMPE, Ariz., May 4, 2022 /PRNewswire/ -- Economic activity in the services sector grew in April for the 23rd month in a row — with the Services PMI® registering 57.1 percent — say the nation's purchasing and supply executives in the latest Services ISM® Report On Business®.

The report was issued today by Anthony Nieves, CPSM, C.P.M., A.P.P., CFPM, Chair of the Institute for Supply Management® (ISM®) Services Business Survey Committee: "In April, the Services PMI® registered 57.1 percent, 1.2 percentage points lower than March's reading of 58.3 percent. The Business Activity Index registered 59.1 percent, an increase of 3.6 percentage points compared to the reading of 55.5 percent in March, and the New Orders Index figure of 54.6 percent is 5.5 percentage points lower than the March reading of 60.1 percent.

"The Supplier Deliveries Index registered 65.1 percent, 1.7 percentage points higher than the 63.4 percent reported in March. (Supplier Deliveries is the only ISM® Report On Business® index that is inversed; a reading of above 50 percent indicates slower deliveries, which is typical as the economy improves and customer demand increases.)

"The Prices Index reached an all-time high of 84.6 percent, up 0.8 percentage point from the March figure of 83.8 percent and surpassing the previous record of 83.9 percent in December 2021. Services businesses are continuing to replenish inventories, as the Inventories Index expanded for a third straight month; the reading of 52.3 percent is up 0.6 percentage point from March's figure of 51.7 percent. The Inventory Sentiment Index (46.7 percent, up 6.5 percentage points from March's reading of 40.2 percent) contracted in April for the second consecutive month, indicating that inventories are in 'too low' territory and insufficient for current business requirements."

Nieves continues, "According to the Services PMI®, 17 industries reported growth. The composite index indicated growth for the 23rd consecutive month after a two-month contraction in April and May 2020. Growth continues for the services sector, which has expanded for all but two of the last 147 months. There was a pullback in the composite index, mostly due to the restricted labor pool (impacting the Employment Index) and the slowing of new orders growth. Business activity remains strong; however, high inflation, capacity constraints and logistical challenges are impediments, and the Russia-Ukraine war continues to affect material costs, most notably of fuel and chemicals."

INDUSTRY PERFORMANCE

The 17 services industries reporting growth in April — listed in order — are: Construction; Utilities; Management of Companies & Support Services; Real Estate, Rental & Leasing; Accommodation & Food Services; Public Administration; Professional, Scientific & Technical Services; Educational Services; Mining; Transportation & Warehousing; Wholesale Trade; Finance & Insurance; Other Services; Health Care & Social Assistance; Retail Trade; Arts, Entertainment & Recreation; and Agriculture, Forestry, Fishing & Hunting. The only industry reporting a decrease in April is Information.

WHAT RESPONDENTS ARE SAYING
  • "Pricing pressures and product availability issues continue to be extremely problematic." [Accommodation & Food Services]
  • "Mortgage rates have skyrocketed. While relatively low from a historical perspective, the new rates — combined with historically high home prices — will temper new home demand at some point over the next 12 months." [Construction]
  • "Large construction projects have been mostly constrained due to continued supply chain issues and large cost increases. Continued shortages in account management continue to be a source of frustration for day-to-day operations and service." [Educational Services]
  • "Restrictions lifted as COVID-19 case volumes drop, allowing for more elective procedures and reduction in (average) length of stay. Freight costs are rising." [Health Care & Social Assistance]
  • "Overall business has softened." [Information]
  • "Business remains strong, only dampened by shortages in labor, increased material costs and lengthy lead times." [Management of Companies & Support Services]
  • "Talent shortages continue to make it difficult to get work done at companies across many industry sectors. Light industrial labor is in high demand, but supply gaps still exist. Wages continue to rise in nearly all labor categories, contributing to the rise in prices of goods and services." [Professional, Scientific & Technical Services]
  • "Inflation, supply chain issues and access to qualified workers continue to be issues. There are still lingering effects from the pandemic, although those seem to be subsiding. The future impacts of the war in Ukraine are unclear." [Public Administration]
  • "Continued delays due to supply chain logistics issues; increased pricing across the board." [Retail Trade]
  • "Fuel and chemicals continue to go up in price." [Utilities]
  • "Cost pressures beginning to slow demand." [Wholesale Trade]

 

ISM® SERVICES SURVEY RESULTS AT A GLANCE

COMPARISON OF ISM® SERVICES AND ISM® MANUFACTURING SURVEYS

April 2022

Index

 Services PMI®

Manufacturing PMI®

Series
Ind
ex

Apr

Series Index

Mar

Percent
Point
Change

 

 

Direction

 

Rate of
Change

 

Trend*

(Months)

Series Index

Apr

Series Index

Mar

Percent
Point
Change

Services PMI®

57.1

58.3

-1.2

Growing

Slower

23

55.4

57.1

-1.7

Business Activity/

Production

59.1

55.5

+3.6

Growing

Faster

23

53.6

54.5

-0.9

New Orders

54.6

60.1

-5.5

Growing

Slower

23

53.5

53.8

-0.3

Employment

49.5

54.0

-4.5

Contracting

From Growing

1

50.9

56.3

-5.4

Supplier Deliveries

65.1

63.4

+1.7

Slowing

Faster

35

67.2

65.4

+1.8

Inventories

52.3

51.7

+0.6

Growing

Faster

3

51.6

55.5

-3.9

Prices

84.6

83.8

+0.8

Increasing

Faster

59

84.6

87.1

-2.5

Backlog of Orders

59.4

64.5

-5.1

Growing

Slower

16

56.0

60.0

-4.0

New Export Orders

58.1

61.0

-2.9

Growing

Slower

3

52.7

53.2

-0.5

Imports

52.9

45.0

+7.9

Growing

From Contracting

1

51.4

51.8

-0.4

Inventory Sentiment

46.7

40.2

+6.5

Too Low

Slower

2

N/A

N/A

N/A

Customers' Inventories

N/A

N/A

N/A

N/A

N/A

N/A

37.1

34.1

+3.0

OVERALL ECONOMY

Growing

Slower

23


Services Sector

Growing

Slower

23


Services ISM® Report On Business® data is seasonally adjusted for the Business Activity, New Orders, Employment and Prices indexes. Manufacturing ISM® Report On Business® data is seasonally adjusted for New Orders, Production, Employment and Inventories indexes.

*Number of months moving in current direction.

COMMODITIES REPORTED UP/DOWN IN PRICE, AND IN SHORT SUPPLY

Commodities Up in Price
Aluminum; Aluminum Products (5); Chemicals; Chicken (8); Computer Equipment; Copper (2); Dairy Products; Diesel Fuel (17); Electrical Components (15); Electric Motors; Electronic Components (5); Food and Beverages; Food Products (2); Freight (12); Fuel* (16); Fuel Related Products (2); Gasoline (17); Heating, Ventilation and Air Conditioning (HVAC) Equipment; Labor (17); Labor — Contingent; Labor — Temporary (3); Maintenance, Repair and Operating (MRO) Supplies; Natural Gas (2); Office and Computer Supplies (2); Paper (3); Paper Products (5); Petroleum (2); Plastic Products (9); Polyvinyl Chloride (PVC) Products (8); Safety Supplies; Shipping Costs; Software Maintenance and Support; Stainless Steel Products (2); Steel; Steel Products (16); Syringe Needles; Tires; and Transportation Costs (3).

Commodities Down in Price
Fuel*.

Commodities in Short Supply
Aluminum Wire; Appliances (2); Blood Collection Tubes (3); Chips (2); Chipsets; Component Parts; Electrical Components; Electronic Components (5); Fiber Cable; Flexible Duct; Gloves; Labor (9); Labor — Construction; Labor — Temporary (2); Lab Supplies; Needles and Syringes (4); Paper Products (2); Plastic Products; Polyvinyl Chloride (PVC) Products; Semiconductors; Vacutainers; and Valves.

Note: The number of consecutive months the commodity is listed is indicated after each item. *Indicates both up and down in price.

APRIL 2022 SERVICES INDEX SUMMARIES

Services PMI®
In April, the Services PMI® registered 57.1 percent, a 1.2-percentage point decrease compared to the March reading of 58.3 percent. The 12-month average is 61.8 percent, which reflects consistently strong growth in the services sector. The April reading indicates the services sector grew for the 23rd consecutive month. A reading above 50 percent indicates the services sector economy is generally expanding; below 50 percent indicates the services sector is generally contracting.

A Services PMI® above 50.1 percent, over time, generally indicates an expansion of the overall economy. Therefore, the April Services PMI® indicates the overall economy has followed the same path as the services sector: expansion for 23 straight months following two months of contraction and a preceding period of 122 months of growth. Nieves says, "The past relationship between the Services PMI® and the overall economy indicates that the Services PMI® for April (57.1 percent) corresponds to a 2.5-percent increase in real gross domestic product (GDP) on an annualized basis."

SERVICES PMI® HISTORY

Month

Services PMI®

Month

Services PMI®

Apr 2022

57.1

Oct 2021

66.7

Mar 2022

58.3

Sep 2021

62.6

Feb 2022

56.5

Aug 2021

62.2

Jan 2022

59.9

Jul 2021

64.1

Dec 2021

62.3

Jun 2021

60.7

Nov 2021

68.4

May 2021

63.2

Average for 12 months – 61.8

High – 68.4

Low – 56.5

Business Activity

ISM®'s Business Activity Index registered 59.1 percent in April, an increase of 3.6 percentage points from the reading of 55.1 percent in March, indicating growth for the 23rd consecutive month. Comments from respondents include: "Restaurant traffic remains strong since COVID-19 cases have declined and mask restrictions were lifted" and "Activity requests from customers continues to grow, while we have had reduced head count at the same time."

The 14 industries reporting an increase in business activity for the month of April — listed in order — are: Real Estate, Rental & Leasing; Accommodation & Food Services; Educational Services; Mining; Public Administration; Utilities; Transportation & Warehousing; Professional, Scientific & Technical Services; Construction; Management of Companies & Support Services; Health Care & Social Assistance; Wholesale Trade; Other Services; and Finance & Insurance. No industry reported a decrease in business activity for the month of April.

Business Activity

%Higher

%Same

%Lower

Index

Apr 2022

37.8

55.7

6.5

59.1

Mar 2022

30.7

54.6

14.7

55.5

Feb 2022

24.4

59.3

16.3

55.1

Jan 2022

31.1

48.2

20.7

59.9

New Orders

ISM®'s New Orders Index registered 54.6 percent, down 5.5 percentage points from the March reading of 60.1 percent. New orders grew for the 23rd consecutive month after two months of contraction and a preceding period of 128 months of expansion. Comments from respondents include: "New customers added, which has led to greater sales orders and business activity" and "Market demand increasing."

Thirteen industries reported growth of new orders in April, in the following order: Utilities; Management of Companies & Support Services; Real Estate, Rental & Leasing; Accommodation & Food Services; Educational Services; Transportation & Warehousing; Professional, Scientific & Technical Services; Public Administration; Construction; Wholesale Trade; Health Care & Social Assistance; Other Services; and Finance & Insurance. The one industry reporting a decrease in new orders in April is Information.

New Orders

%Higher

%Same

%Lower

Index

Apr 2022

32.9

55.6

11.5

54.6

Mar 2022

31.0

58.0

11.0

60.1

Feb 2022

28.4

57.5

14.1

56.1

Jan 2022

27.9

58.6

13.5

61.7

Employment

Employment activity in the services sector contracted in April. ISM®'s Employment Index registered 49.5 percent, down 4.5 percentage points from the reading of 54 percent registered in March. Comments from respondents include: "Job openings exist, but finding talent to fill them remains a struggle across most industry sectors and job categories" and "Demand for employment remains hypercompetitive; there is just not enough qualified personnel available."

The 10 industries reporting an increase in employment in April — listed in order — are: Construction; Mining; Management of Companies & Support Services; Arts, Entertainment & Recreation; Professional, Scientific & Technical Services; Transportation & Warehousing; Accommodation & Food Services; Wholesale Trade; Utilities; and Finance & Insurance. The five industries that reported a reduction in employment in April are: Real Estate, Rental & Leasing; Retail Trade; Information; Educational Services; and Health Care & Social Assistance.

Employment

%Higher

%Same

%Lower

Index

Apr 2022

24.6

52.3

23.1

49.5

Mar 2022

24.9

59.4

15.7

54.0

Feb 2022

19.4

54.9

25.7

48.5

Jan 2022

18.5

63.0

18.5

52.3

Supplier Deliveries

The Supplier Deliveries Index registered 65.1 percent, up 1.7 percentage points from the 63.4 percent registered in March. A reading above 50 percent indicates slower deliveries, while a reading below 50 percent indicates faster deliveries. Comments from respondents include: "The international chip shortage is affecting the deliveries of certain technology equipment." and "Capacity, shipping and raw material issues continue to plague manufacturers." Also: "Paper products are hard to find."

The 16 industries reporting slower deliveries in April — listed in order — are: Retail Trade; Real Estate, Rental & Leasing; Utilities; Construction; Public Administration; Agriculture, Forestry, Fishing & Hunting; Finance & Insurance; Other Services; Arts, Entertainment & Recreation; Information; Educational Services; Management of Companies & Support Services; Wholesale Trade; Health Care & Social Assistance; Accommodation & Food Services; and Professional, Scientific & Technical Services. The only industry reporting faster supplier deliveries in April is Transportation & Warehousing.

Supplier Deliveries

%Slower

%Same

%Faster

Index

Apr 2022

34.0

62.2

3.8

65.1

Mar 2022

32.7

61.4

5.9

63.4

Feb 2022

35.3

61.7

3.0

66.2

Jan 2022

36.1

59.3

4.6

65.7

Inventories

The Inventories Index grew in April for the third consecutive month after eight preceding months of contraction. The reading of 52.3 percent was a 0.6-percentage point increase from the 51.7 percent reported in March. Of the total respondents in April, 39 percent indicated they do not have inventories or do not measure them. Comments from respondents include: "We built inventory levels this month due to supply chain uncertainty and anticipated higher business levels in May" and "Stocking up due to price increases, shortages, lead times and additional sales opportunities."

The eight industries reporting an increase in inventories in April — listed in order — are: Finance & Insurance; Mining; Other Services; Construction; Utilities; Wholesale Trade; Accommodation & Food Services; and Public Administration. The three industries reporting a decrease in inventories in April are: Real Estate, Rental & Leasing; Management of Companies & Support Services; and Information. Seven industries indicated no change in inventories in April.

Inventories

%Higher

%Same

%Lower

Index

Apr 2022

22.4

59.7

17.9

52.3

Mar 2022

23.1

57.1

19.8

51.7

Feb 2022

26.7

48.1

25.2

50.8

Jan 2022

15.3

68.2

16.5

49.4

Prices

Prices paid by services organizations for materials and services increased in April for the 59th consecutive month, with the index registering 84.6 percent, 0.8 percentage point higher than the March figure of 83.8 percent. This is highest reading ever, exceeding the seasonally adjusted figure of 83.9 percent registered in December 2021.

All 18 services industries reported an increase in prices paid during the month of April, in the following order: Arts, Entertainment & Recreation; Mining; Real Estate, Rental & Leasing; Wholesale Trade; Construction; Accommodation & Food Services; Management of Companies & Support Services; Educational Services; Finance & Insurance; Public Administration; Utilities; Information; Transportation & Warehousing; Professional, Scientific & Technical Services; Health Care & Social Assistance; Retail Trade; Other Services; and Agriculture, Forestry, Fishing & Hunting.

Prices

%Higher

%Same

%Lower

Index

Apr 2022

75.4

24.4

0.2

84.6

Mar 2022

72.9

26.5

0.6

83.8

Feb 2022

63.8

35.7

0.5

83.1

Jan 2022

63.1

35.2

1.7

82.3

NOTE: Commodities reported as up in price and down in price are listed in the commodities section of this report.

Backlog of Orders

The ISM® Services Backlog of Orders Index grew in April for the 16th consecutive month. The index registered 59.4 percent, a 5.1-percentage point decrease compared to the March reading of 64.5 percent. Of the total respondents in April, 44 percent indicated they do not measure backlog of orders. Respondent comments include: "Back orders are starting to improve slightly" and "Demand is outpacing supply." Also: "Supplier capacity constraints and labor shortages are delaying deliveries."

The 11 industries reporting an increase in order backlogs in April — listed in order — are: Accommodation & Food Services; Agriculture, Forestry, Fishing & Hunting; Mining; Real Estate, Rental & Leasing; Utilities; Retail Trade; Professional, Scientific & Technical Services; Public Administration; Transportation & Warehousing; Health Care & Social Assistance; and Wholesale Trade. The only industry that reported a decrease in backlogs in April is Management of Companies & Support Services. Six industries reported no change in April.

Backlog of Orders

%Higher

%Same

%Lower

Index

Apr 2022

26.4

66.1

7.5

59.4

Mar 2022

33.1

62.9

4.0

64.5

Feb 2022

34.6

59.2

6.2

64.2

Jan 2022

26.7

61.5

11.8

57.4

New Export Orders

Orders and requests for services and other non-manufacturing activities to be provided outside of the U.S. by domestically based companies grew in April for the third consecutive month after contracting in January for the first time in 12 months. The New Export Orders Index registered 58.1 percent, a 2.9-percentage point decrease from the 61 percent reported in March. Of the total respondents in April, 78 percent indicated they do not perform, or do not separately measure, orders for work outside of the U.S.

The six industries reporting an increase in new export orders in April — listed in order — are: Real Estate, Rental & Leasing; Accommodation & Food Services; Educational Services; Utilities; Retail Trade; and Transportation & Warehousing. The four industries reporting a decrease in new export orders in April are: Mining; Management of Companies & Support Services; Information; and Wholesale Trade. Eight industries indicated no change in new export orders in April.

New Export Orders

%Higher

%Same

%Lower

Index

Apr 2022

22.4

71.4

6.2

58.1

Mar 2022

29.1

63.8

7.1

61.0

Feb 2022

10.2

85.5

4.3

53.0

Jan 2022

7.3

77.2

15.5

45.9

Imports

The Imports Index grew in April after contracting in March, registering 52.9 percent, up 7.9 percentage points from March's figure of 45 percent. Eighty-one percent of respondents reported that they do not use, or do not track the use of, imported materials.

The six industries reporting an increase in imports for the month of April — listed in order — are: Retail Trade; Accommodation & Food Services; Utilities; Professional, Scientific & Technical Services; Construction; and Health Care & Social Assistance. The three industries that reported a decrease in imports in April are: Mining; Other Services; and Transportation & Warehousing. Nine industries reported no change in imports in April.

Imports

%Higher

%Same

%Lower

Index

Apr 2022

13.6

78.6

7.8

52.9

Mar 2022

11.9

66.2

21.9

45.0

Feb 2022

11.1

81.1

7.8

51.7

Jan 2022

10.5

81.1

8.4

51.1

Inventory Sentiment

The ISM® Services Inventory Sentiment Index contracted in April for the 12th time in the last 13 months, registering 46.7 percent, a 6.5-percentage point increase from March's figure of 40.2 percent. This reading indicates that respondents feel their inventories are too low when correlated to business activity levels.

The 11 industries reporting sentiment that their inventories were too high in April — listed in order — are: Agriculture, Forestry, Fishing & Hunting; Arts, Entertainment & Recreation; Mining; Other Services; Finance & Insurance; Retail Trade; Educational Services; Transportation & Warehousing; Health Care & Social Assistance; Utilities; and Wholesale Trade. The seven industries reporting a feeling that their inventories were too low in April — listed in order — are: Real Estate, Rental & Leasing; Accommodation & Food Services; Construction; Public Administration; Management of Companies & Support Services; Professional, Scientific & Technical Services; and Information.

Inventory Sentiment

%Too

High

%About Right

%Too

Low

Index

Apr 2022

21.0

51.4

27.6

46.7

Mar 2022

12.2

55.9

31.9

40.2

Feb 2022

28.7

53.2

18.1

55.3

Jan 2022

18.8

57.3

23.9

47.5

About This Report

DO NOT CONFUSE THIS NATIONAL REPORT with the various regional purchasing reports released across the country. The national report's information reflects the entire U.S., while the regional reports contain primarily regional data from their local vicinities. Also, the information in the regional reports is not used in calculating the results of the national report. The information compiled in this report is for the month of April 2022.

The data presented herein is obtained from a survey of supply executives in the services sector based on information they have collected within their respective organizations. ISM® makes no representation, other than that stated within this release, regarding the individual company data collection procedures. The data should be compared to all other economic data sources when used in decision-making.

Data and Method of Presentation

The Services ISM® Report On Business® (formerly the Non-Manufacturing ISM® Report On Business®) is based on data compiled from purchasing and supply executives nationwide. Membership of the Services Business Survey Committee (formerly Non-Manufacturing Business Survey Committee) is diversified by NAICS, based on each industry's contribution to gross domestic product (GDP). The Services Business Survey Committee responses are divided into the following NAICS code categories: Agriculture, Forestry, Fishing & Hunting; Mining; Utilities; Construction; Wholesale Trade; Retail Trade; Transportation & Warehousing; Information; Finance & Insurance; Real Estate, Rental & Leasing; Professional, Scientific & Technical Services; Management of Companies & Support Services; Educational Services; Health Care & Social Assistance; Arts, Entertainment & Recreation; Accommodation & Food Services; Public Administration; and Other Services (services such as Equipment & Machinery Repairing; Promoting or Administering Religious Activities; Grantmaking; Advocacy; and Providing Dry-Cleaning & Laundry Services, Personal Care Services, Death Care Services, Pet Care Services, Photofinishing Services, Temporary Parking Services, and Dating Services). The data are weighted based on each industry's contribution to GDP. According to the BEA estimates for 2020 GDP (released December 22, 2021), the six largest services sectors are: Real Estate, Rental & Leasing; Government; Professional, Scientific, & Technical Services; Health Care & Social Assistance; Information; and Finance & Insurance. Beginning in February 2020 with January 2020 data, computation of the indexes is accomplished utilizing unrounded numbers.

Survey responses reflect the change, if any, in the current month compared to the previous month. For each of the indicators measured (Business Activity, New Orders, Backlog of Orders, New Export Orders, Inventory Change, Inventory Sentiment, Imports, Prices, Employment and Supplier Deliveries), this report shows the percentage reporting each response and the diffusion index. Responses represent raw data and are never changed. Data is seasonally adjusted for Business Activity, New Orders, Prices and Employment. All seasonal adjustment factors are subject annually to relatively minor changes when conditions warrant them. The remaining indexes have not indicated significant seasonality.

The Services PMI® is a composite index based on the diffusion indexes for four of the indicators with equal weights: Business Activity (seasonally adjusted), New Orders (seasonally adjusted), Employment (seasonally adjusted) and Supplier Deliveries. Diffusion indexes have the properties of leading indicators and are convenient summary measures showing the prevailing direction of change and the scope of change. An index reading above 50 percent indicates that the services economy is generally expanding; below 50 percent indicates that it is generally declining. Supplier Deliveries is an exception. A Supplier Deliveries Index above 50 percent indicates slower deliveries and below 50 percent indicates faster deliveries.

A Services PMI® above 50.1 percent, over time, indicates that the overall economy, or gross domestic product (GDP), is generally expanding; below 50.1 percent, it is generally declining. The distance from 50 percent or 50.1 percent is indicative of the strength of the expansion or decline.

The Services ISM® Report On Business® survey is sent out to Services Business Survey Committee respondents the first part of each month. Respondents are asked to ONLY report on U.S. operations for the current month. ISM® receives survey responses throughout most of any given month, with the majority of respondents generally waiting until late in the month to submit responses to give the most accurate picture of current business activity. ISM® then compiles the report for release on the third business day of the following month.

The industries reporting growth, as indicated in the Services ISM® Report On Business® monthly report, are listed in the order of most growth to least growth. For the industries reporting contraction or decreases, those are listed in the order of the highest level of contraction/decrease to the least level of contraction/decrease.

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About Institute for Supply Management®

Institute for Supply Management® (ISM®) serves supply management professionals in more than 90 countries. Its 50,000 members around the world manage about US$1 trillion in corporate and government supply chain procurement annually. Founded in 1915 as the first supply management institute in the world, ISM is committed to advancing the practice of supply management to drive value and competitive advantage for its members, contributing to a prosperous and sustainable world. ISM leads the profession through the ISM Report On Business®, its highly regarded certification programs and the ISM Advance Digital Platform. This report has been issued by the association since 1931, except for a four-year interruption during World War II.

The full text version of the Services ISM® Report On Business® is posted on ISM®'s website at www.ismrob.org on the third business day* of every month after 10:00 a.m. ET.

The next Services ISM® Report On Business® featuring May 2022 data will be released at 10:00 a.m. ET on Friday, June 3, 2022.

*Unless the New York Stock Exchange is closed.

Contact:    

Kristina Cahill
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Spread & Containment

Sylvester researchers, collaborators call for greater investment in bereavement care

MIAMI, FLORIDA (March 15, 2024) – The public health toll from bereavement is well-documented in the medical literature, with bereaved persons at greater…

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MIAMI, FLORIDA (March 15, 2024) – The public health toll from bereavement is well-documented in the medical literature, with bereaved persons at greater risk for many adverse outcomes, including mental health challenges, decreased quality of life, health care neglect, cancer, heart disease, suicide, and death. Now, in a paper published in The Lancet Public Health, researchers sound a clarion call for greater investment, at both the community and institutional level, in establishing support for grief-related suffering.

Credit: Photo courtesy of Memorial Sloan Kettering Comprehensive Cancer Center

MIAMI, FLORIDA (March 15, 2024) – The public health toll from bereavement is well-documented in the medical literature, with bereaved persons at greater risk for many adverse outcomes, including mental health challenges, decreased quality of life, health care neglect, cancer, heart disease, suicide, and death. Now, in a paper published in The Lancet Public Health, researchers sound a clarion call for greater investment, at both the community and institutional level, in establishing support for grief-related suffering.

The authors emphasized that increased mortality worldwide caused by the COVID-19 pandemic, suicide, drug overdose, homicide, armed conflict, and terrorism have accelerated the urgency for national- and global-level frameworks to strengthen the provision of sustainable and accessible bereavement care. Unfortunately, current national and global investment in bereavement support services is woefully inadequate to address this growing public health crisis, said researchers with Sylvester Comprehensive Cancer Center at the University of Miami Miller School of Medicine and collaborating organizations.  

They proposed a model for transitional care that involves firmly establishing bereavement support services within healthcare organizations to ensure continuity of family-centered care while bolstering community-based support through development of “compassionate communities” and a grief-informed workforce. The model highlights the responsibility of the health system to build bridges to the community that can help grievers feel held as they transition.   

The Center for the Advancement of Bereavement Care at Sylvester is advocating for precisely this model of transitional care. Wendy G. Lichtenthal, PhD, FT, FAPOS, who is Founding Director of the new Center and associate professor of public health sciences at the Miller School, noted, “We need a paradigm shift in how healthcare professionals, institutions, and systems view bereavement care. Sylvester is leading the way by investing in the establishment of this Center, which is the first to focus on bringing the transitional bereavement care model to life.”

What further distinguishes the Center is its roots in bereavement science, advancing care approaches that are both grounded in research and community-engaged.  

The authors focused on palliative care, which strives to provide a holistic approach to minimize suffering for seriously ill patients and their families, as one area where improvements are critically needed. They referenced groundbreaking reports of the Lancet Commissions on the value of global access to palliative care and pain relief that highlighted the “undeniable need for improved bereavement care delivery infrastructure.” One of those reports acknowledged that bereavement has been overlooked and called for reprioritizing social determinants of death, dying, and grief.

“Palliative care should culminate with bereavement care, both in theory and in practice,” explained Lichtenthal, who is the article’s corresponding author. “Yet, bereavement care often is under-resourced and beset with access inequities.”

Transitional bereavement care model

So, how do health systems and communities prioritize bereavement services to ensure that no bereaved individual goes without needed support? The transitional bereavement care model offers a roadmap.

“We must reposition bereavement care from an afterthought to a public health priority. Transitional bereavement care is necessary to bridge the gap in offerings between healthcare organizations and community-based bereavement services,” Lichtenthal said. “Our model calls for health systems to shore up the quality and availability of their offerings, but also recognizes that resources for bereavement care within a given healthcare institution are finite, emphasizing the need to help build communities’ capacity to support grievers.”

Key to the model, she added, is the bolstering of community-based support through development of “compassionate communities” and “upskilling” of professional services to assist those with more substantial bereavement-support needs.

The model contains these pillars:

  • Preventive bereavement care –healthcare teams engage in bereavement-conscious practices, and compassionate communities are mindful of the emotional and practical needs of dying patients’ families.
  • Ownership of bereavement care – institutions provide bereavement education for staff, risk screenings for families, outreach and counseling or grief support. Communities establish bereavement centers and “champions” to provide bereavement care at workplaces, schools, places of worship or care facilities.
  • Resource allocation for bereavement care – dedicated personnel offer universal outreach, and bereaved stakeholders provide input to identify community barriers and needed resources.
  • Upskilling of support providers – Bereavement education is integrated into training programs for health professionals, and institutions offer dedicated grief specialists. Communities have trained, accessible bereavement specialists who provide support and are educated in how to best support bereaved individuals, increasing their grief literacy.
  • Evidence-based care – bereavement care is evidence-based and features effective grief assessments, interventions, and training programs. Compassionate communities remain mindful of bereavement care needs.

Lichtenthal said the new Center will strive to materialize these pillars and aims to serve as a global model for other health organizations. She hopes the paper’s recommendations “will cultivate a bereavement-conscious and grief-informed workforce as well as grief-literate, compassionate communities and health systems that prioritize bereavement as a vital part of ethical healthcare.”

“This paper is calling for healthcare institutions to respond to their duty to care for the family beyond patients’ deaths. By investing in the creation of the Center for the Advancement of Bereavement Care, Sylvester is answering this call,” Lichtenthal said.

Follow @SylvesterCancer on X for the latest news on Sylvester’s research and care.

# # #

Article Title: Investing in bereavement care as a public health priority

DOI: 10.1016/S2468-2667(24)00030-6

Authors: The complete list of authors is included in the paper.

Funding: The authors received funding from the National Cancer Institute (P30 CA240139 Nimer) and P30 CA008748 Vickers).

Disclosures: The authors declared no competing interests.

# # #


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International

Copper Soars, Iron Ore Tumbles As Goldman Says “Copper’s Time Is Now”

Copper Soars, Iron Ore Tumbles As Goldman Says "Copper’s Time Is Now"

After languishing for the past two years in a tight range despite recurring…

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Copper Soars, Iron Ore Tumbles As Goldman Says "Copper's Time Is Now"

After languishing for the past two years in a tight range despite recurring speculation about declining global supply, copper has finally broken out, surging to the highest price in the past year, just shy of $9,000 a ton as supply cuts hit the market; At the same time the price of the world's "other" most important mined commodity has diverged, as iron ore has tumbled amid growing demand headwinds out of China's comatose housing sector where not even ghost cities are being built any more.

Copper surged almost 5% this week, ending a months-long spell of inertia, as investors focused on risks to supply at various global mines and smelters. As Bloomberg adds, traders also warmed to the idea that the worst of a global downturn is in the past, particularly for metals like copper that are increasingly used in electric vehicles and renewables.

Yet the commodity crash of recent years is hardly over, as signs of the headwinds in traditional industrial sectors are still all too obvious in the iron ore market, where futures fell below $100 a ton for the first time in seven months on Friday as investors bet that China’s years-long property crisis will run through 2024, keeping a lid on demand.

Indeed, while the mood surrounding copper has turned almost euphoric, sentiment on iron ore has soured since the conclusion of the latest National People’s Congress in Beijing, where the CCP set a 5% goal for economic growth, but offered few new measures that would boost infrastructure or other construction-intensive sectors.

As a result, the main steelmaking ingredient has shed more than 30% since early January as hopes of a meaningful revival in construction activity faded. Loss-making steel mills are buying less ore, and stockpiles are piling up at Chinese ports. The latest drop will embolden those who believe that the effects of President Xi Jinping’s property crackdown still have significant room to run, and that last year’s rally in iron ore may have been a false dawn.

Meanwhile, as Bloomberg notes, on Friday there were fresh signs that weakness in China’s industrial economy is hitting the copper market too, with stockpiles tracked by the Shanghai Futures Exchange surging to the highest level since the early days of the pandemic. The hope is that headwinds in traditional industrial areas will be offset by an ongoing surge in usage in electric vehicles and renewables.

And while industrial conditions in Europe and the US also look soft, there’s growing optimism about copper usage in India, where rising investment has helped fuel blowout growth rates of more than 8% — making it the fastest-growing major economy.

In any case, with the demand side of the equation still questionable, the main catalyst behind copper’s powerful rally is an unexpected tightening in global mine supplies, driven mainly by last year’s closure of a giant mine in Panama (discussed here), but there are also growing worries about output in Zambia, which is facing an El Niño-induced power crisis.

On Wednesday, copper prices jumped on huge volumes after smelters in China held a crisis meeting on how to cope with a sharp drop in processing fees following disruptions to supplies of mined ore. The group stopped short of coordinated production cuts, but pledged to re-arrange maintenance work, reduce runs and delay the startup of new projects. In the coming weeks investors will be watching Shanghai exchange inventories closely to gauge both the strength of demand and the extent of any capacity curtailments.

“The increase in SHFE stockpiles has been bigger than we’d anticipated, but we expect to see them coming down over the next few weeks,” Colin Hamilton, managing director for commodities research at BMO Capital Markets, said by phone. “If the pace of the inventory builds doesn’t start to slow, investors will start to question whether smelters are actually cutting and whether the impact of weak construction activity is starting to weigh more heavily on the market.”

* * *

Few have been as happy with the recent surge in copper prices as Goldman's commodity team, where copper has long been a preferred trade (even if it may have cost the former team head Jeff Currie his job due to his unbridled enthusiasm for copper in the past two years which saw many hedge fund clients suffer major losses).

As Goldman's Nicholas Snowdon writes in a note titled "Copper's time is now" (available to pro subscribers in the usual place)...

... there has been a "turn in the industrial cycle." Specifically according to the Goldman analyst, after a prolonged downturn, "incremental evidence now points to a bottoming out in the industrial cycle, with the global manufacturing PMI in expansion for the first time since September 2022." As a result, Goldman now expects copper to rise to $10,000/t by year-end and then $12,000/t by end of Q1-25.’

Here are the details:

Previous inflexions in global manufacturing cycles have been associated with subsequent sustained industrial metals upside, with copper and aluminium rising on average 25% and 9% over the next 12 months. Whilst seasonal surpluses have so far limited a tightening alignment at a micro level, we expect deficit inflexions to play out from quarter end, particularly for metals with severe supply binds. Supplemented by the influence of anticipated Fed easing ahead in a non-recessionary growth setting, another historically positive performance factor for metals, this should support further upside ahead with copper the headline act in this regard.

Goldman then turns to what it calls China's "green policy put":

Much of the recent focus on the “Two Sessions” event centred on the lack of significant broad stimulus, and in particular the limited property support. In our view it would be wrong – just as in 2022 and 2023 – to assume that this will result in weak onshore metals demand. Beijing’s emphasis on rapid growth in the metals intensive green economy, as an offset to property declines, continues to act as a policy put for green metals demand. After last year’s strong trends, evidence year-to-date is again supportive with aluminium and copper apparent demand rising 17% and 12% y/y respectively. Moreover, the potential for a ‘cash for clunkers’ initiative could provide meaningful right tail risk to that healthy demand base case. Yet there are also clear metal losers in this divergent policy setting, with ongoing pressure on property related steel demand generating recent sharp iron ore downside.

Meanwhile, Snowdon believes that the driver behind Goldman's long-running bullish view on copper - a global supply shock - continues:

Copper’s supply shock progresses. The metal with most significant upside potential is copper, in our view. The supply shock which began with aggressive concentrate destocking and then sharp mine supply downgrades last year, has now advanced to an increasing bind on metal production, as reflected in this week's China smelter supply rationing signal. With continued positive momentum in China's copper demand, a healthy refined import trend should generate a substantial ex-China refined deficit this year. With LME stocks having halved from Q4 peak, China’s imminent seasonal demand inflection should accelerate a path into extreme tightness by H2. Structural supply underinvestment, best reflected in peak mine supply we expect next year, implies that demand destruction will need to be the persistent solver on scarcity, an effect requiring substantially higher pricing than current, in our view. In this context, we maintain our view that the copper price will surge into next year (GSe 2025 $15,000/t average), expecting copper to rise to $10,000/t by year-end and then $12,000/t by end of Q1-25’

Another reason why Goldman is doubling down on its bullish copper outlook: gold.

The sharp rally in gold price since the beginning of March has ended the period of consolidation that had been present since late December. Whilst the initial catalyst for the break higher came from a (gold) supportive turn in US data and real rates, the move has been significantly amplified by short term systematic buying, which suggests less sticky upside. In this context, we expect gold to consolidate for now, with our economists near term view on rates and the dollar suggesting limited near-term catalysts for further upside momentum. Yet, a substantive retracement lower will also likely be limited by resilience in physical buying channels. Nonetheless, in the midterm we continue to hold a constructive view on gold underpinned by persistent strength in EM demand as well as eventual Fed easing, which should crucially reactivate the largely for now dormant ETF buying channel. In this context, we increase our average gold price forecast for 2024 from $2,090/toz to $2,180/toz, targeting a move to $2,300/toz by year-end.

Much more in the full Goldman note available to pro subs.

Tyler Durden Fri, 03/15/2024 - 14:25

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Government

Moderna turns the spotlight on long Covid with new initiatives

Moderna’s latest Covid effort addresses the often-overlooked chronic condition of long Covid — and encourages vaccination to reduce risks. A digital…

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Moderna’s latest Covid effort addresses the often-overlooked chronic condition of long Covid — and encourages vaccination to reduce risks. A digital campaign debuted Friday along with a co-sponsored event in Detroit offering free CT scans, which will also be used in ongoing long Covid research.

In a new video, a young woman describes her three-year battle with long Covid, which includes losing her job, coping with multiple debilitating symptoms and dealing with the negative effects on her family. She ends by saying, “The only way to prevent long Covid is to not get Covid” along with an on-screen message about where to find Covid-19 vaccines through the vaccines.gov website.

Kate Cronin

“Last season we saw people would get a flu shot, but they didn’t always get a Covid shot,” said Moderna’s Chief Brand Officer Kate Cronin. “People should get their flu shot, but they should also get their Covid shot. There’s no risk of long flu, but there is the risk of long-term effects of Covid.”

It’s Moderna’s “first effort to really sound the alarm,” she said, and the debut coincides with the second annual Long Covid Awareness Day.

An estimated 17.6 million Americans are living with long Covid, according to the latest CDC data. About four million of them are out of work because of the condition, resulting in an estimated $170 billion in lost wages.

While HHS anted up $45 million in grants last year to expand long Covid support initiatives along with public health campaigns, the condition is still often ignored and underfunded.

“It’s not just about the initial infection of Covid, but also if you get it multiple times, your risks goes up significantly,” Cronin said. “It’s important that people understand that.”

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