Elections officials from across the country meeting under heightened security in swing state Wisconsin are being urged to prepare for supply chain issues that could lead to shortages in paper used for everything from ballots to “I voted” stickers for years to come.

Ed Smith, a well-renowned boat racer from St. Clair, noticed a small lump in his neck. “It went from the size of a pencil eraser to a golf ball within two months,” Smith said. “I knew it was time to see a doctor.”