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The U.S. Food and Drug
    Administration:
       FDA in Latin America:
Overview, Goals, Objectives, Opportunities




        Michael Rogers, M.S.
    Director, Latin America Office
    Food and Drug Administration

                                             1
FDA in Latin America
• Overview:
  – FDA’s organization and Mission
     • Office of International Programs
  – History and overview of FDA offices
    overseas
     • structure of the FDA Latin American Office (LAO).
  – Challenges of Globalization
     • The triggering factors → International
     • Roles and Responsibilities of LAO
  – Ongoing Activities
  – Future Opportunities
     • Identifying sources and ways to obtain
       information about FDA regulated products within
       the Region
     • Working with industry and foreign governments.      2
FDA Mission
FDA Mission
• FDA is charged with protecting the public health by ensuring the safety,
  effectiveness, and security of human and veterinary drugs, biological
  products, and medical devices; ensuring the safety of foods, cosmetics, and
  radiation-emitting products; and regulating tobacco products.
• Specifically, FDA is responsible for advancing the public health by:
    –  Helping to speed innovations that make foods safer and make medicines and
      devices safer and more effective;
    – Ensuring the public has accurate, science-based information they need to use
      medicines, devices, and foods to improve their health;
    – Regulating the manufacture, marketing, and distribution of tobacco products and
      reducing tobacco use by minors; and,
    – Addressing the Nation’s counterterrorism capability and ensuring the security of
      the supply of foods and medical products.
Vision
• FDA is dedicated to world-class excellence as a science-based regulatory
   agency with a public health mission. We aim to provide effective and
   innovative leadership — both domestically and internationally — to protect
   health, prevent illness, prolong life, and promote wellness.


                                                                                     3
4 4
Mission and Vision of OIP
Vision
• The FDA's Office of International Programs (OIP) advances the
   mission of the FDA and public health worldwide in partnership with
   other FDA components, other U.S. agencies, foreign governments
   and international organizations.
Mission
• OIP's mission is to lead, manage, and coordinate all of FDA's
   international activities, with the following goals.
• Effect an affirmative public health agenda in the international area;
• Enhance and maximize FDA's communications and interactions
   globally, to assure they reflect the Agency's policies and best
   scientific, legal, and policy thinking;
• Assure that FDA international communications and interaction are
   consistent with the U.S. Department of Health and Human Services
   public health objectives, and,
• Leverage resources with counterpart agencies to meet our public
   health missions.
                                                                          5
6
FDA Resources Compared Imports
                      25,000


                      20,000
Lines∗ in Thousands




                      15,000


                      10,000


                       5,000


                            0
                            1995       1997       1999       2001      2003       2005       2007       2009       2011
                                                                                                                    est
                                                                  Fiscal Year
                                    FTEs                                                      LINES
                 ∗Lines are shipments of a certain type of product (i.e. if a container includes 1 million bottles of water
                 and 5 million bottles of club soda, that would be one entry containing two lines).
                                                                                                                              7
Foreign Inspections
2500

2000

1500

1000

500

  0
        2008   2009    2010   2011

               Fiscal Year

                                     8
Principales países latinoamericanos
exportadores de productos regulados por
               FDA 2011*
             PAIS              ENTRADAS
            Mexico                 7,970,177
     República Dominicana            137,520
             Chile                   121,529
         Guatemala                   113,100
         Costa Rica                  108,364
          Colombia                    89,774
             Brasil                   88,380
         El Salvador                  81,114
             Perú                     74,662                    9
                            *Fuente: ORADSS (Datos no Oficiales)
Principales causas de rechazos de
   productos colombianos 2011
 Medicamentos no aprobados
 Colores no inocuos
 Etiquetado: no en inglés, ingredientes no
  listados y errores en general
 LACF: sin FCE ni SID
 Plaguicidas
 Falta etiquetado nutricional
                                              10
Algunas alertas de Importación que afectan
       productos alimenticios colombianos
    http://www.accessdata.fda.gov/CMS_IA/countr
                     y_CO.html
 Quesos: contaminación                Violaciones a NLEA
  microbiológica                       Aflatoxinas en alimentos general
 Aletas de tiburón: suciedad          Frutas y vegetales frescos:
 Pez espada: metil mercurio            contaminación con patógenos
 Tamarindo: suciedad                  Plaguicidas en alimentos frescos
 Hojas de Stevia                       y procesados: lulo, mora, fresa,
                                        uchuva, albahaca
 Colores: ilegales o no declarados
                                       Salmonella: te de manzanilla,
 Pescado a vacío: C. botulinum
                                        albahaca
                                                                     11
Changing Nature of Risk in Global Supply Chains




                                                  12
Latest wakeup calls
• Melamine in pets foods and in infant formula
• Listeria in cheese, guacamole, etc.
• DEG in toothpaste, in glycerin used in teething
  gel and in cough syrup
• Salmonella in mamey pulp, peppers,
  cantaloupes, etc.
• Counterfeit diabetic test strips
• Gentamicin pyrogenic reactions
• Heparin (Condroitin Sulfate adulterant?)
                                                    13
http://www.fda.gov/downloads/AboutFDA/CentersOffices/OfficeofGlobalRegulatoryOperationsandPolicy/Glo
                                                                                          14
History of FDA’s Latin American
                Office
• OIP’s Foreign Offices
  – 7 foreign offices
         – Asia Pacific, China, India, Europe, Middle East and North
           Africa, and Sub-Saharan Africa, Latin America Office (LAO)
     • administrative offices in Maryland
• LAO
  – January 6, 2009
     • First office officially dedicated at the US Embassy in San José,
       Costa Rica
     • Ceremony attended by Leavitt, Von Eschenbach, Valdez and
       Seligman.
     • Trip includes a visit to the Gorgas Research Institute in Panamá
       City, Panamá.
                                                                          15
FDA Foreign Offices




                      16
17
Regulatory Challenges for FDA
• more imported products
• more international providers of these products
• more international sub-contractors being used
  for manufacturing and clinical trials
• more complex supply chains
• imports coming from countries, whose regulatory
  systems are not fully developed
• more opportunity for economic fraud,
  counterfeiting, acts of bioterrorism
                                               18
Today’s Reality
• Import Statistics
• Borders can no longer be a first line of defense
• It is very difficult to detect harmful products at
  the border
• Products grown, processed, manufactured,
  tested, transported to standards of safety & high
  quality – best defense
  – primary prevention
  – build in safety & quality at the source
                                                  19
Ongoing Activities
•   Country profiles
•   Validating contacts within the Region
•   Build capacity and an understanding of foreign
    regulatory systems
•   Environmental Scans
•   Project to enhance the class 1 recall process
•   Analytical Papers
•   Presentations and Translating documents
•   Training on FSMA
•   Collaboration with industry
                                                 20
Future Activities
• Pathway to Global Product Safety and Quality
• Inspections
• Product mapping
• Recalls
• Identifying sources of information within the
  Region that have a direct impact on FDA
  regulated products or firms shipping to the U.S.
• Leverage information generated by foreign
  governments
                                                 21
Contact Information and
      Questions
 • US-FDA-LAO@fda.hhs.gov

 • US Embassy Costa Rica
    (506) 2519-2224

 • Michael Rogers, (506) 2519-2223




                                     22

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1.a introducción a la fda

  • 1. The U.S. Food and Drug Administration: FDA in Latin America: Overview, Goals, Objectives, Opportunities Michael Rogers, M.S. Director, Latin America Office Food and Drug Administration 1
  • 2. FDA in Latin America • Overview: – FDA’s organization and Mission • Office of International Programs – History and overview of FDA offices overseas • structure of the FDA Latin American Office (LAO). – Challenges of Globalization • The triggering factors → International • Roles and Responsibilities of LAO – Ongoing Activities – Future Opportunities • Identifying sources and ways to obtain information about FDA regulated products within the Region • Working with industry and foreign governments. 2
  • 3. FDA Mission FDA Mission • FDA is charged with protecting the public health by ensuring the safety, effectiveness, and security of human and veterinary drugs, biological products, and medical devices; ensuring the safety of foods, cosmetics, and radiation-emitting products; and regulating tobacco products. • Specifically, FDA is responsible for advancing the public health by: – Helping to speed innovations that make foods safer and make medicines and devices safer and more effective; – Ensuring the public has accurate, science-based information they need to use medicines, devices, and foods to improve their health; – Regulating the manufacture, marketing, and distribution of tobacco products and reducing tobacco use by minors; and, – Addressing the Nation’s counterterrorism capability and ensuring the security of the supply of foods and medical products. Vision • FDA is dedicated to world-class excellence as a science-based regulatory agency with a public health mission. We aim to provide effective and innovative leadership — both domestically and internationally — to protect health, prevent illness, prolong life, and promote wellness. 3
  • 4. 4 4
  • 5. Mission and Vision of OIP Vision • The FDA's Office of International Programs (OIP) advances the mission of the FDA and public health worldwide in partnership with other FDA components, other U.S. agencies, foreign governments and international organizations. Mission • OIP's mission is to lead, manage, and coordinate all of FDA's international activities, with the following goals. • Effect an affirmative public health agenda in the international area; • Enhance and maximize FDA's communications and interactions globally, to assure they reflect the Agency's policies and best scientific, legal, and policy thinking; • Assure that FDA international communications and interaction are consistent with the U.S. Department of Health and Human Services public health objectives, and, • Leverage resources with counterpart agencies to meet our public health missions. 5
  • 6. 6
  • 7. FDA Resources Compared Imports 25,000 20,000 Lines∗ in Thousands 15,000 10,000 5,000 0 1995 1997 1999 2001 2003 2005 2007 2009 2011 est Fiscal Year FTEs LINES ∗Lines are shipments of a certain type of product (i.e. if a container includes 1 million bottles of water and 5 million bottles of club soda, that would be one entry containing two lines). 7
  • 8. Foreign Inspections 2500 2000 1500 1000 500 0 2008 2009 2010 2011 Fiscal Year 8
  • 9. Principales países latinoamericanos exportadores de productos regulados por FDA 2011* PAIS ENTRADAS Mexico 7,970,177 República Dominicana 137,520 Chile 121,529 Guatemala 113,100 Costa Rica 108,364 Colombia 89,774 Brasil 88,380 El Salvador 81,114 Perú 74,662 9 *Fuente: ORADSS (Datos no Oficiales)
  • 10. Principales causas de rechazos de productos colombianos 2011  Medicamentos no aprobados  Colores no inocuos  Etiquetado: no en inglés, ingredientes no listados y errores en general  LACF: sin FCE ni SID  Plaguicidas  Falta etiquetado nutricional 10
  • 11. Algunas alertas de Importación que afectan productos alimenticios colombianos http://www.accessdata.fda.gov/CMS_IA/countr y_CO.html  Quesos: contaminación  Violaciones a NLEA microbiológica  Aflatoxinas en alimentos general  Aletas de tiburón: suciedad  Frutas y vegetales frescos:  Pez espada: metil mercurio contaminación con patógenos  Tamarindo: suciedad  Plaguicidas en alimentos frescos  Hojas de Stevia y procesados: lulo, mora, fresa, uchuva, albahaca  Colores: ilegales o no declarados  Salmonella: te de manzanilla,  Pescado a vacío: C. botulinum albahaca 11
  • 12. Changing Nature of Risk in Global Supply Chains 12
  • 13. Latest wakeup calls • Melamine in pets foods and in infant formula • Listeria in cheese, guacamole, etc. • DEG in toothpaste, in glycerin used in teething gel and in cough syrup • Salmonella in mamey pulp, peppers, cantaloupes, etc. • Counterfeit diabetic test strips • Gentamicin pyrogenic reactions • Heparin (Condroitin Sulfate adulterant?) 13
  • 15. History of FDA’s Latin American Office • OIP’s Foreign Offices – 7 foreign offices – Asia Pacific, China, India, Europe, Middle East and North Africa, and Sub-Saharan Africa, Latin America Office (LAO) • administrative offices in Maryland • LAO – January 6, 2009 • First office officially dedicated at the US Embassy in San José, Costa Rica • Ceremony attended by Leavitt, Von Eschenbach, Valdez and Seligman. • Trip includes a visit to the Gorgas Research Institute in Panamá City, Panamá. 15
  • 17. 17
  • 18. Regulatory Challenges for FDA • more imported products • more international providers of these products • more international sub-contractors being used for manufacturing and clinical trials • more complex supply chains • imports coming from countries, whose regulatory systems are not fully developed • more opportunity for economic fraud, counterfeiting, acts of bioterrorism 18
  • 19. Today’s Reality • Import Statistics • Borders can no longer be a first line of defense • It is very difficult to detect harmful products at the border • Products grown, processed, manufactured, tested, transported to standards of safety & high quality – best defense – primary prevention – build in safety & quality at the source 19
  • 20. Ongoing Activities • Country profiles • Validating contacts within the Region • Build capacity and an understanding of foreign regulatory systems • Environmental Scans • Project to enhance the class 1 recall process • Analytical Papers • Presentations and Translating documents • Training on FSMA • Collaboration with industry 20
  • 21. Future Activities • Pathway to Global Product Safety and Quality • Inspections • Product mapping • Recalls • Identifying sources of information within the Region that have a direct impact on FDA regulated products or firms shipping to the U.S. • Leverage information generated by foreign governments 21
  • 22. Contact Information and Questions • US-FDA-LAO@fda.hhs.gov • US Embassy Costa Rica (506) 2519-2224 • Michael Rogers, (506) 2519-2223 22

Notas del editor

  1. Summary of presentation
  2. En término de número de líneas de todos los productos bajo la jurisdicción de la FDA,
  3. Partner with foreign counterparts to create global coalitions of regulators focused on ensuring and improving global product safety Build global data information systems and networks and proactively share data with peers Expand intelligence gathering, with an increased focus on risk analytics and thoroughly modernized IT capabilities Effectively allocate agency resources based on risk, leveraging the combined efforts of government, industry and public and private third parties