Supply Chain · Industrial Trends · Business Strategy A $365 billion industry is holding the world's food and medicine together — and it's held together with generators, guesswork, and prayers in most of the countries that need it most. By SM Jahed · Business Stories & Trends · May 2026 · 11 min read Here is a fact that should unsettle you. Right now, somewhere between Chattogram Port and a pharmacy in Sylhet, a shipment of insulin is sitting in an unrefrigerated van. The driver doesn't know — or perhaps he does and has no alternative. The patient waiting at the other end has no idea. And the healthcare system logging the delivery will record it as a successful transfer. This is not a hypothetical. This is the last mile of the cold chain, playing out every single day across South Asia, Sub-Saharan Africa, and dozens of other fast-growing markets that global investors are rushing to enter — while simultaneously ...
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