OUTLINE THE E FOOD AND DRUGS UGS AUTHO THORIT RITY S S (FDA) - - PowerPoint PPT Presentation

OUTLINE

THE E FOOD AND DRUGS UGS AUTHO THORIT RITY’S S (FDA) A) MANDATE TE AND FOOD REGUL GULATION ION IN GHAN ANA

WHO WE ARE

• Established in 1992 as FDB -

1992 Food and Drug Law (PNDCL 305B), The Food and Drugs legislation - revised in 2012 and integrated into a new Public Health Act 851, 2012-FDA

• An agency under Ministry of Health
• The National Regulatory Authority

mandated to regulate food, drugs, food supplements, herbal and homeopathic medicines, veterinary medicines, cosmetics, medical devices, household chemical substances, tobacco and tobacco products Vision

• To create and sustain a

Regulatory Centre of Excellence on the African Continent. Mission

• To protect public health by

assuring the safety, efficacy and security of human and veterinary drugs, food, biological products, cosmetics, medical devices, household chemical substances, tobacco and the conduct of clinical trials in the country.

THE FOOD DIVISION

CHIEF EXECUTIVE’S OFFICE FOOD INSPECTORATE DIVISION FOOD MARKET SURVEIL- LANCE DEPT FOOD ENFORC EMENT DEPT FOOD EVALUA- TION AND REGIS- TRATION DEPT FOOD INDUS- TRIAL SUPPORT SERVICES DEPT FOOD SAFETY DIVISION FOOD SAFETY MGT. DEPT AGRO- PRODUCTS AND BIOSAFETY DEPT ANIMAL PRODUCTS DEPT

FOODBORNE DISEASE SURVEILLANCE MONITORING OF FOODS IN TRADE INSPECTION AND LICENSING OF FOOD SERVICE ESTABLISHMENTS-HOTELS, RESTAURANTS AND EATERIES, STREET FOOD VENDORS PUBLIC EDUCATION IN FOOD SAFETY - MARKET DURBURS, SCHOOLS, MEDIA, SOCIAL MEDIA

GHAN ANA’S S FOOD CONTROL OL SYSTEM TEM AND ND FOOD SAFE FETY POLICY ICY

Policy Objective 1: Strengthen the existing foodborne disease surveillance system Establish a foodborne disease surveillance network and early warning system which involves population-based active surveillance for laboratory confirmed infections.

• Obj. 1: To strengthen food

safety governance

• Obj. 2: Strengthen institutional

coordination and collaboration

• Obj. 3: To continuously review
• r amend when necessary

existing legislation and regulations on food safety to promote harmonization and synergy of legislation.

RELEVANT STRATEGIC ACTIONS GHANA’S FOOD SAFETY POLICY TO STRENGHEN THE FOOD CONTROL SYSTEM - TO STRENGHEN THE FOOD CONTROL SYSTEM -

• Policy accepted by stakeholders
• Awaiting parliament approval then launching

for implementation

FOODBOR BORNE NE DISEASE EASE SURVEILL VEILLAN ANCE CE IN N GHAN ANA

SPECIFIC OBJECTIVES

Assess the burden of foodborne disease in order to determine the magnitude of the problem; Monitor risk factors to inform policy makers for public health interventions for targeted foods or food practices; Detect and respond to outbreaks to determine urgent action; and Generate timely and complete surveillance data to be used for risk analysis and ensure safety of food supplies. 2015 - Framework for Implementation developed

SCHEMATIC DIAGRAM OF THE SYNDROMIC SURVEILLANCE SYSTEM

PATIENT REPORT TO HEALTH

FACILITY

PROVISIONAL DIAGNOSIS MADE

BY PHYSICIAN

SAMPLES SENT TO LAB FOR

ANALYSIS FBD CONTACT PERSON OR DSO NOTIFIED (PERIPHERY LEVEL)

SAMPLES PERIODICALLY

SENT TO REFERENCE LAB FOR CONFIRMATION COLLATED FORMS/INFO FROM HEALTH FACILITIES RECEIVED IN REAL TIME AND ANALYZED BY THE MUNICIPAL HEALTH DIRECTORATE

(DISTRICT LEVEL)

VALIDATED FORMS RECEIVED IN REAL TIME BY FDA

(REGIONAL LEVEL) DATA COLLATED AND ANALYZED (NATIONAL LEVEL) RESPONSE TO OUTBREAK FOOD SAMPLES SENT TO

LAB FOR ANALYSIS

Data Processing Data Collection Policy Formulation Data Validation

• REGIONAL AND DISTRICT

SURVEILLANCE DEPTS

• DISEASE SURVEILLANCE DEPT.
• FOODBORNE DISEASE

SURVEILLANCE DATA

• FOOD SERVICE

ESTABLISHMENTS MEDIA-ONLINE, PRINT, LOCAL RADIO AND TV

Only outbreaks monitored. This is done through FDA Food safety desk officers across the country. A protocol for handling outbreak of foodborne diseases in place

FOODBORNE DISEASE OUTBREAKS

100 200 300 400 500 600 2013 2014 2015 2016 2017 2018 3 9 5 9 6 14 77 571 91 441 250 161 1 4 8 1 7 11 Total No. of Outbreaks Total No. of Persons affected Total No. of Deaths

• 2. INFOSAN-For

monitoring international food safety events and alerts

CURRENT SURVEILLANCE SYSTEMS

• 1. IDSR-GHS
• Lack of linkage

between cases and food chain

Mainly for monitoring incidence

YEAR *NO. OF OPD (DIARRHOEA CASES) % OPD CASES AVERAGE TREATMENT COST ($)

2013 1,530,739 5.7 6,688,714.65 2014 1,573,569 5.4 6,845,025.15 2015 1,515,189 5.7 6,591,072.15 2016 1,570,557 7.0 6,831,992.95

77% of OPD Diarrhoea cases attributed to Foodborne illnesses

(Source: GHS, FDA Havelaar A.H et.al, 2012).

DISEASE BURDEN ON HEALTH SYSTEM : 2013-2016

MODE OF INFORMATION RECEIPT, DESSEMINATION AND FEEDBACK

INFOSAN emergency contact point-INFOSAN secretariat and the INFOSAN community Network. Information received is sent by both mail and in writing within 36hours to external and internal stakeholders. Internal stakeholders information responsibilities attached. Follow ups done and action taken are communicated to the INFOSAN secretariat.

DETECTION AND RECALL

MARKET SURVEILLANCE: A reasonable probability that a regulated product is adulterated or misbranded under the PHA 2012 Act

• 851. Methods used

include sampling and testing The manufacturer or importer notified in writing and given the opportunity to voluntarily recall the products within a specific period and documentation

• n recall submitted to FDA

If compliance fails, product detained

• r distribution seized and mandatory

recall and safe disposal. Regulatory sanctions would apply where

• necessary. Meanwhile if products are

found in trade within the period it will to detained. Press releases are issued to provide notification to consumers and retailers when necessary

WHY HY THE E NEED FOR THE E INFOS OSAN AN FOOD D SAFET ETY ALERT T SYSTEM TEM WORKSH RKSHOP OP

Why the infosan

• san

worksh shop?

• p?

No national well established food safety alert System to feed into international alert systems like INFOSAN Timely detection of food safety events and coordinated response lacking

1 2

Objecti ectives s and outcome

• me of the

e worksho rkshop

OBJECTIVES OF THE WORKSHOP

OBJECTIVES OF THE WORKSHOP

Outcome

• me of

works kshop

• p

Action plan for strengthening collaboration and communication for Ghana food safety alert system A drafting committee for the food safety emergency response plan was established

1 2

Concl clus usion ion-lesso essons ns le learn rnt and next xt steps ps for r ghana ana

FOUR KEY LESSONS LEARNT

• Operationalization of the

National Food Safety Policy

• Expand the IDSR to capture

additional food borne and or food related threats

• Develop a food safety

emergency response plan

• The stakeholders identified

(7 institutions) are to be focal institutions on INFOSAN platform.

• Ensure that the stakeholders

are registered on INFOSAN

• Inauguration of a National

Food Safety Events Management Committee comprising of relevant stakeholders

• Set up, operationalize and

maintain a national Food Safety Rapid Response Team at the Regional/Districts NEXT STEPS NEXT STEPS