A major earthquake on 10 August (year not specified in the source) destroyed the building housing Gamanuclear's only radiopharmacy and a diagnostic laboratory in Colombia's Eje Cafetero region, leaving the facility unusable. ^[1] Carmona warned that for thyroid cancer patients, radioactive iodine must be given within about two months after surgery, and a six-month wait can change the stage of the disease; for patients with metastases, the available time can shrink to weeks or months. ^[2] A magnitude 7.4 earthquake struck Colombia on August 10, 2026, damaging four nuclear medicine diagnostic centers operated by Gamanuclear Ltda. in the Eje Cafetero region. ^[3] The radio-pharmacy located in Pereira, which produced medications distributed to other regional centers, suffered total collapse. ^[4] Before the quake, Gamanuclear operated four regional centers in the Eje Cafetero (Armenia, Manizales, and Pereira) plus the radiopharmacy, serving around 150 patients daily, with 26 years of operations and 150 employees; all four regional facilities were left out of service. ^[5] Carmona said that authorizations from the Colombian health regulator Invima and the Colombian Geological Service can take on average a year or more, while the Secretaría de Salud takes about three months, so the longer permit determines when the radiopharmacy reopens. ^[6] Antonio Carmona stated that relocating the radio-pharmacy to the Clínica Central del Eje in Pereira requires regulatory authorization from the Colombian Geological Service, Invima, and the Pereira Health Secretariat. ^[7] Antonio Carmona, manager of Gamanuclear, stated that the suspension of services affects approximately 150 patients daily across the region. ^[8]