It doesn't seem fair people do not have cheap drugs available for purchase and that they are burdened with spending the rest of their life worrying about something which could affect their survival like this. The local temperature with the medicine producing country is one and the other country may be another, as well as the avian temperature is the other. Most drugs need to be stored at exact temperatures, so one from the things pharmacists learn as part of pharmaceutical quality training may be the necessary steps to maintain the facilities clean and in compliance with regulations.