U.S. Food and
Drug Administration
Performance Plan
2002
2.5 ANIMAL DRUGS AND FEEDS
2.5.1 Program Description, Context, and Summary of Performance
Total Program Resources:
| |
FY
03
Current Estimate |
FY
02
Current Estimate |
FY
01
Actual |
FY
00
Actual |
FY
99
Actual |
| Total
($000) |
88,972 |
86,467 |
64,070 |
49,593 |
43,253 |
The mission of the Animal Drugs and Feeds Program is to protect the health
and safety of all food producing, companion or other non-food animals; and,
to assure that food from animals is safe for human consumption. To support this
mission, the Center for Veterinary Medicine (CVM) focuses on two strategic goals:
- Increase the availability and diversity of safe and effective animal
drugs and feeds.
- Reduce the risks associated with marketed animal products.
These strategic goals reflect CVM's involvement in the animal drug development process from the point at which the drugs are first developed through the time they are on the market. This coverage of the entire drug development process enables CVM to address problems or safety issues before they become a threat to public health. CVM accomplishes these goals by working with partners in industry, academia, consumers, and other government agencies. The premarket program is using several initiatives to expedite the animal drug review process including pre-submission conferences, development of electronic submissions, and the revision and development of guidance documents. On the postmarket side, CVM compliance inspection and surveillance monitoring activities manage public health risks such as Bovine Spongiform Encephalopathy (BSE) and antibiotic resistance. CVM's approach to achieving the strategic goals and summary of the key performance goals are explained in the following sections.
2.5.2 Strategic Goals
Strategic Goal 1:
Increase the availability and diversity of safe and effective animal drugs and
feeds.
A. Strategic Goal Explanation
Veterinarians and the agricultural community need animal drugs to ensure a safe food supply and to ensure the health of companion animals. The availability of safe and effective drugs allows food animal producers to maintain healthy animals with assurance the resulting products will be safe, wholesome, and free of drug residue when they reach the consumer. Also, the availability of safe and effective drugs ensures companion and guide animals (used to assist individuals with disabilities) live healthier and longer lives.
CVM promotes the availability and diversity of animal drugs and feeds by being
involved throughout the new animal drug approval process. CVM reduces overall
developmental costs of these products by working with industry sponsors. CVM's
practice of "Phased Review" provides industry sponsors with timely feedback
on product applications, and may detect application deficiencies early in the
drug approval process. Pre-submission conferences (Performance Goal 1) and guidance
documents (Performance Goal 5) increase industry efficiency. The Agency is committed
to improving the review time for new animal drug applications (NADAs) (Performance
Goal 2). Development of an enhanced information system for electronic submission
of applications and data will allow FDA to perform application review activities
more efficiently (Performance Goal 3). To ensure that FDA has the science capability
and intellectual capital necessary to assess data and make regulatory decisions,
a staff college is being developed (Performance Goal 5). Risk assessment models
will evaluate the risk to human health from resistant foodborne pathogens associated
with consumption of antimicrobials in food producing animals (Performance Goal
7).
These premarket performance goals help the Agency take the specific steps needed
to achieve this strategic goal. When the "reinvented review process" is running
efficiently and effectively, it will produce outcomes that matter to the U.S.
taxpayer: reduce human mortality and morbidity rates by assuring safer animal
products; reduce the cost and time associated with animal drug development;
and, improve quality of life for segments of our population because companion
animals are healthier and live longer.
B. Summary of Performance Goals
|
Performance Goals |
Targets |
Actual Performance |
Reference |
| 1.
Maintain the level of requested pre-submission conferences conducted with
industry sponsors at 80%. (14007)
|
FY
03: 80%
FY 02: 80%
FY 01: 80%
FY 00: 73%
FY 99: NA |
FY
03:
FY 02:
FY 01: 80%
FY 00: 75%
FY 99: 73% |
|
2. Review and act on 90% of all new animal drug applications and supplements
within 275 days and review and act on 90% of all investigational new animal
drug data submissions (type P) within 325 days.
(14017)
|
FY 03: Review and act on 90% of all new animal drug applications and supplements
within 275 days
FY 03: Review and act on 90% of all investigational new animal drug data
submissions (type P) within 325 days.
FY 02: Review and act on 50% of NADAs/ANADAs within 180 days of receipt.
FY 01: 75%
FY 00: 73%
FY 99: NA |
FY 03:
FY 02:
FY 01: 50%
FY 00: 74%
FY 99: 73%
|
|
3.
Reduce pending overdue Animal Drug applications by 15%. (14019)
|
FY
03: 15%
FY 02: 15%
FY 01: NA
FY 00: NA
FY 99: NA |
FY
03:
FY 02:
FY 01: NA
FY 00: NA
FY 99: NA |
|
4. Continue to pilot and validate procedures to receive protocol
submissions electronically.
(14002)
|
FY
03: Receive protocols and ADE active form.
FY 02: Pilot and validate
the procedure for receiving protocol submissions electronically.
FY 01: Initiate the development
of a method for receiving protocol submission electronically
FY 00: Completed an additional 4 phases -
Notices of Slaughter;
Notices of Animal Final Disposition;
Meeting Agendas;
USDA Slaughter Reports
FY 99: Complete 1 phase Notices of Claimed Investigational Exemptions
(NCIE) |
FY 03:
FY 02:
FY 01: Changed focus of protocol
submission to hard media (e.g., tapes, cd-rom, hard drives). Implemented
automated logging/ routing of e-mail electronic submissions. Posted standards
on dockets for submission of electronic information in support of NADAs.
On-going contract to develop CVM-specific guidance for file organization
and format for hard media submissions. Expanded electronic archive to
accept hard media submissions.
FY 00: Wrote guidance on 4 phases. Developed technology for logging/routing
of electronic submissions.
FY 99: 1 phase completed (NCIE).
|
|
5.
Begin to design and implement a Staff College. (14018)
|
FY
03: Expansion of content and developmental components & integration
w/Center & Agency IT infrastructure.
FY 02: Plan and design the option selected in Phase I.
FY 01: Initiate the development of a Staff College (Phase I: further
needs assessment, feasibility studies, and analysis of alternatives).
FY 00: NA
FY 99: NA |
FY 03:
FY 02:
FY 01: Initiated the development of a Staff College (Phase I).
FY 00: NA
FY 99: NA
|
|
6.
Revise and develop 14 guidances. (14001)
|
FY 03: NA
FY 02: NA
FY 01: 3 manufacturing, 10 new drug approval process and 1 Veterinary International
Conference on Harmonization (VICH) guidances.
FY 00: Update 12 guidelines (original target was 7 documents which was 10
% of animal drug review guidances).
FY 99: Update 1 guideline (1% of animal drug review guidances). |
FY 03:
FY 02:
FY 01: Completed 7 final and 7 draft manufacturing, new animal drug approval
process and VICH guidances.
FY 00: Published 19 draft and/or final guidances (including 7 VICH documents).
FY 99: 8 guidelines: including 3 FDAMA and 5 VICH. |
|
| 7.
Develop an antibiotic risk assessment model using fluoroquinolone, chickens
and Campylobacter. (14003)
|
FY 03: NA
FY 02: NA
FY 01 Goal: Perform 2 risk assessments.
FY 00 Goal: Generalize the model by performing risk assessments related
to other antibiotics and other animal/bacterial species.
FY 99 Goal: Increase Risk Assessments by 10%
FY 99: (Baseline-FY 01) Develop an antibiotic risk assessment model
using fluoroquinolone as the antibiotic, Chickens as the animal species
and Campylobacter as the bacterial isolate |
FY 03:
FY 02:
FY 01: Performed risk assessments for campylobacter and Synercid™.
FY 00: Draft FQRA published/comments received. Model broadened to include
virginiamycin use in food animals & indirect transfer of Enterococcus
faecium.
FY 99: 1 Risk Assessment completed.
|
|
TOTAL FUNDING:
($ 000) |
FY
03: 30,169
FY 02: 29,336
FY 01: 26,624
FY 00: 21,117
FY 99: 18,522 |
|
C. Goal-by-Goal Presentation of Performance
1. Maintain the level of requested pre-submission conferences conducted
with industry sponsors at 80%. (14007)
- Context of Goal: The Animal Drugs and Feeds Program informs
and assists product sponsors throughout the approval process starting with
the pre-submission conference. The focus is to inform and assist firms in
complying with the new legislation and to streamline the product review process
through phased review. Instead of waiting until all stages of product development
are completed before contacting FDA, phased review helps industry stay on
course throughout the drug development process by communicating requirements
(or standards or criteria) for approval at each stage of development.
- Data Sources: Submission Tracking and Review System (STARS).
- Performance: Presubmission conference tracking was established
in FY 99. The goal was met for FY 00 and FY 01. Based on current data, 80%
is a reasonable target for FY 02 and FY 03.
2. Review and act on 90% of all new animal drug applications and supplements
within 275 days and review and act on 90% of all investigational new animal
drug data submissions (type P) within 325 days. (14017)
- Context of Goal: In FY 03, CVM is changing this performance
goal to a new measure that is a more useful for both Center management and
industry. Key industry stakeholders have told us that 'how long an application
takes to get reviewed' is more meaningful to them than 'what percent is reviewed
on time'. CVM has also introduced a new performance goal (Goal 3) to emphasize
its commitment to reducing the current backlog in applications. FDA is taking
steps to move closer to statutory requirements in future years.
- Data Sources: Submission Tracking and Review System (STARS).
- Performance: The performance reporting for FY 99 through
FY 02 pertains to the review and action on NADAs and ANADAs within 180 days
of receipt. In FY 99, CVM updated its tracking system to be consistent with
procedures under ADAA achieving a 73% performance rate. CVM slightly exceeded
the FY 00 target with a performance rate of 75%. In FY 2001, CVM reviewed
and acted on approximately 50% of New Animal Drug applications (NADAs) and
Abbreviated New Animal Drug Applications (ANADAs) within 180 days of receipt.
CVM found it necessary to shift focus in its performance regarding animal
drug application review in FY 2001. The Office of New Animal Drug Evaluation
(ONADE) needed to reduce the backlog of overdue documents. This required working
on the oldest, already overdue documents. Decreasing the backlog was necessary
in order to move CVM back on track towards meeting statutory and stakeholder
requirements for new animal drug application review. By taking the step of
closing out the most overdue documents, CVM's on time completion rate for
NADAs and ANADAs was adversely affected this year. Although approximately
50% of NADAs and ANADAs were reviewed on time in FY 2001, CVM reduced its
backlog of pending overdue documents by 1,334, from 2,234 to 900.
The goal for FY 02 has been revised to review and act on 50% of NADAs/ANADAs
within 180 days of receipt. The goal was revised from 80% to 50% because the
Center has changed priorities and redirected resources to clear the large
backlog of animal drug applications.
3. Reduce pending overdue Animal Drug Applications by 15%.
(14019)
- Context of Goal: During FY 2001, the Center conducted an
evaluation of our performance in the new animal drug review process and determined
that our priorities needed to shift in order to eliminate the backlog in pending
new animal drug submissions. This goal was created for FY 02 and FY 03 to
facilitate that process and to provide the needed emphasis on this strategic
goal of making more animal drugs available.
- Data Sources: Submission Tracking and Review System (STARS).
- Performance: The Animal Drugs and Feeds program will reduce
the backlog of pending overdue animal drug applications by 15% in both FY
02 and FY 03.
4. Continue to pilot and validate procedures to receive protocol submissions
electronically. (14002)
- Context of Goal: We have initiated processes to obtain
input from our stakeholders in order to develop meaningful performance measures
to assess progress consistent with reinvention initiatives. Better-automated
information systems, including those supporting electronic submission of applications
by sponsors, are being developed to facilitate and expedite the review process.
CVM has successfully completed several electronic submission processes for
use by the animal industry. Our intention is to move toward the paperless
office as rapidly as possible. Some changes in regulations will be required
before we can implement electronic process for all types and phases of submission.
- Data Sources: CVM's priority project tracking system.
- Performance: In FY 99, the Animal Drugs and Feeds Program
completed implementing the electronic submission process for all Notices of
Claimed Investigational Exemptions (NCIE) submissions. An evaluation indicated
processing time was reduced to 1/3 the time required for paper processing.
In FY 00, CVM published Federal Register Notices on four (4) draft guidance
documents pertaining to electronic submissions.
In FY 01, all sponsors receiving instructions on submissions are advised of
the availability of using the e-mail method for some submissions and directed
to our website for instructions. A workshop was held to highlight new and
improved systems and forms available for electronic information transfer.
System modifications made smart form available to increase quality control
of information input by submitters, and automated login to the Center's tracking
system and forwarding for review.
Use of the Center's email to submit electronic information expanded to 15
sponsors from 13. Currently available forms and types of submissions on the
Agency's Electronic submission docket: Notices of Claimed Investigational
Exemptions; Notice of Intent to Slaughter for Human Food Purposes; Notice
of Final Disposition of Animals Not Intended for Immediate Slaughter; and
Request for a Meeting or Teleconference. These are all supported by guidance
documents and smart forms released February 2001. Information is available
through our web page.
Protocal Submissions: CVM has delayed electronic receipt of Protocol Submissions
until automation requirements of a more complicated business review process
have been fully developed.
In July, 2001, CVM increased the automation of the NCIE, Intent to Slaughter,
Notice of Final Disposition, and Meeting Request by providing the sponsors
with a PDF fill-in form for submission by e-mail, allowing a higher degree
of automated processing at CVM by uploading data in the STARS tracking database.
The time required for verification of receipt to the sponsor has been decreased
to a few minutes from a potential high of three days. In 2001, the Center
posted a reference on the electronic dockets that allows submission of data
in electronic format in support of New Animal Drug Applications. This allows
interested parties, with the concurrence of the Center to submit more extensive
data electronically. The Center is working toward a draft of CVM-specific
guidance for file organization and format for hard media submissions. The
Center is also expanding its current electronic archive to accept hard media
submissions. The Center has also become active in coordinating the Agency
effort to harmonize standards in the Agency, and has participated in the Agency-wide
General Consideration Document that will publish for comment early in 2002.
CVM will participate in the Agency guidance and acceptance of submission to
the Agency of Manufacturing Stability data in XML format. The Center will
also participate in an Agency Panel at the Drug Information Association Meetings
in February 2002. Work has also begun on the guidance and smart form design
for the submission of Adverse Drug Experience reports - both by form and XML
data sets. Additional phases of electronic submissions will be initiated in
FY 02 and FY 03 in support of this goal.
5. Begin to design and implement a Staff College in CVM to increase
and maintain the scientific expertise in the Center. (14018)
- Context of Goal: Staff College programs have been developed
in FDA as a means of continuously building the scientific and intellectual
capability of its staff. The addition of a CVM Staff College will allow CVM
to increase and maintain a level of scientific expertise that is critical
in order for us to address evolving animal science and veterinary medicine
issues. The Staff College will use funds to outsource the planning and implementation
of training programs tailored to the needs of in-house scientists.
- Data Sources: CVM's priority project tracking system.
- Performance: FY 99: Identify need to enhance and maintain
scientific expertise. FY 00: Develop a strategy to establish a Staff College
in CVM. FY 01: Initiated Phase I - conduct further needs assessment, feasibility
studies, and analysis of alternatives:
- Contract awarded to perform needs assessment and begin building the
Staff College infrastructure necessary for a competency based learning
management system to enhance the science-base.
- Began the research and design of a training facility to support the
infrastructure of the CVM Staff College. Awarded a facilities and equipment
contract and construction of the training facility began late in FY01.
- Recruited a FDA/CVM Search Team to conduct a nationwide search for a
qualified Staff College Director who could continue building the Staff
College infrastructure. Review of the 130 candidates was completed late
in FY 01.
- Conducted in-house development and implementation of seminars, professional
meetings and courses that increased the science-based knowledge of the
FDA's review staff which can help reduce review times and backlogs of
pending applications.
6. Revise and develop 14 guidances for the regulated veterinary industry.
(14001)
- Context of Goal: Reform legislation and reinvention initiatives,
such as the Results Act (RA) and FDAMA, require input from our customers and
stakeholders. Input from customer surveys, stakeholder meetings, and other
interactions with regulated industry helped FDA target resources toward developing
guidance documents that will accurately reflect the current veterinary medicated
feed and drug approval/monitoring processes. Guidance documents reflect changes
in the approval processes resulting from enactment of the ADAA, FDAMA, and
CVM's efforts to reinvent its new animal drug approval processes. The availability
of guidance documents facilitates accurate and complete preparation of drug
applications. Development of new guidance documents and updating existing
documents to reflect recent changes in legislation were initiated in FY 99
and will continue into FY 00 and FY 01. FDA has identified an estimated 14
guidances to be developed or revised according to projected availability of
resources and analyses of the complexity of the material. (Goal dropped for
FY 2002.)
- Data Sources: CVM's priority project tracking system.
- Performance: The original FY 99 target was to perform an
initial review of the 77 guidance documents and to initiate revisions or develop
new guidance documents as appropriate. In FY 99, we intended to revise or
develop "at least" one document (1% of the existing documents). Our goal was
exceeded. The staff wrote 8 guidance documents: 3 FDAMA and 5 VICH (International
Cooperation on Harmonisation of Technical Requirements for Registration of
Veterinary Medicinal Products). One of the FDAMA guidances is related to dispute
resolution and another to supplemental applications. In FY 00, CVM published
19 draft and/or final guidances (including 7 VICH documents). In FY 01, 14
draft and/or final guidances were completed: 3 manufacturing, 10 new animal
drug approval process, and 1 VICH.
This goal is dropped in FY 02 since CVM can not directly measure the number
of (increased) drug approvals tied to the revision/development of guidance
documents. Guidance documents improve the efficiency of phased review (applications
are submitted with complete forms that contain required information); however,
the number of submissions from industry will not necessarily increase due
to issuance of guidance documents.
7. Develop an antibiotic risk assessment model using Fluoroquinolone
as the antibiotic, chickens as the animal species and Campylobacter as the bacterial
isolate. (14003)
- Context of Goal:
Improved risk assessments will
provide tools that will allow CVM
to evaluate the public health risks
associated with using antimicrobial
products in food producing animals.
Risk assessment provides a strong
foundation upon which efficient
allocation of scarce food safety
resources can be made. Furthermore,
risk assessment often plays a central
role in the development of any
science-based system of preventive
controls. (Goal dropped for FY
2002.)
- Data Sources:
The NARMS database mentioned later
in this report, surveillance systems
of other government organizations
(e.g. CDC and USDA), and published
literature.
- Performance:
The Center has used the principles
of risk assessment to determine
that the microbial safety of antibiotics
used in food animals be assessed
prior to approval. The assessment
modeled the risk of having a resistant
Campylobacter infection attributable
to the use of fluoroquinolones
in chickens and being treated with
a fluoroquinolone. The draft risk
assessment report on Campylobacter
was made available on the CVM homepage
and was discussed at a workshop
held December 9-10, 1999. The final
document was released in October
2000. Based partly on the results
of the Campylobacter risk assessment,
CVM proposed to withdraw approval
of the new animal drug application
for use of the fluoroquinolone
antimicrobial drug enrofloxacin
in poultry. One of the two sponsors,
Abbott has voluntary withdrawn
the product. Bayer is requesting
a hearing. If the approval is withdrawn,
this drug would no longer be legally
marketed for this indication. Other
approved uses of fluoroquinolones
in cattle, dogs, and cats are not
affected by this proposal.
On April 5, 2001, FDA/CVM announced
that a feasibility study had been
completed for a risk assessment
on the link between the use of
virginiamycin in animals and Synercid
resistance in humans. Based on
the feasibility study, the Center
for Veterinary Medicine determined
that sufficient data did exist
or was forthcoming to support a
quantitative risk assessment of
the human health impact from the
use of virginiamycin in food-producing
animals. Unlike the Campylobacter
risk assessment where the transfer
of resistance is direct through
the consumption of products contaminated
with resistant Campylobacter, this
second assessment will model the
indirect transfer of resistance.
This goal was dropped for FY 02
because the risk assessment on
fluoroquinolone resistance in Campylobacter
has been completed.
Strategic Goal 2:
Reduce the risks associated with marketed animal products.
A. Strategic Goal Explanation
Once animal drugs are on the market, CVM continues managing public health risks through activities such as inspections and antimicrobial resistance monitoring. These CVM strategies for assuring safety compliance and scientific monitoring are made possible through partnerships with industry and the states. Surveillance of marketed products and the business industry is accomplished through review of drug experience reports and compliance programs. This involves inspections, sample collections and analysis, investigations, and other activities (Performance Goals 8 and 9). Regulatory actions are taken as needed to control violative goods and firms.
CVM surveillance systems identify potential human and/or animal health hazards. The surveillance systems also help develop procedures and strategies to prevent, minimize, or contain problems (such as informing the veterinary community of adverse reactions due to drug interactions that were not apparent in clinical trials or withdraw marketed drugs as necessary to protect human and animal health). The desired outcome is to assure that marketed animal drugs and food additives provide safe food products derived from animals and ensure quality health care of animals.
The National Antimicrobial Resistance Monitoring System (NARMS), part of the President's Food Safety Initiative, was developed to provide an effective early-warning system that can detect food illness outbreaks early and prevent their spread. NARMS (Performance Goal 10), developed in conjunction with USDA and CDC, has greatly improved our ability to detect emerging antibiotic resistance among foodborne pathogens. This helps ensure the continued effectiveness of both human and veterinary drugs and aids in increasing the availability of effective drugs for treatment of foodborne disease. This system also advances understanding of foodborne illness and prevention efforts.
Another critical FDA goal is to prevent the introduction and spread of Bovine Spongiform Encephalopathy (BSE) into the U.S. herd and human food chain. There is strong scientific evidence (epidemiological and laboratory) that the agent that causes BSE in cattle is the agent that causes variant Creutzfeldt-Jakob Disease (vCJD) in people. If BSE emerged in the U.S. it could pose a serious health risk to humans and be financially devastating to the U.S. beef industry. CVM plans to conduct 100% inspections of all known renderers, FDA licensed and non-licensed feed mills in order to maintain compliance with the BSE feed regulation. (Performance Goal 11).
B. Summary of Performance Goals
|
Performance Goals |
Targets |
Actual Performance |
Reference |
| 8.
Maintain biennial inspection coverage by inspecting 50% of registered
animal drug and feed establishments. (14009) |
FY
03: 50%
FY 02: 50%
FY 01: 50%
FY 00: 27%
FY 99: 27% |
FY
03:
FY 02:
FY 01: 37%
FY 00: 39%
FY 99: 25% |
|
| 9.
Assure that FDA inspections of domestic animal drug and feed manufacturing
establishments and repackers result in at least 90% conformance. (14004) |
FY
03: NA
FY 02: NA
FY 01: at least 90%
FY 00: at least 90%
FY 99: at least 90% |
FY
03:
FY 02:
FY 01: 99%
FY 00: 97%
FY 99: 99%
FY 98: 98%
FY 97: 97% |
|
10.
Maintain isolate testing rate for Salmonella in the National Antimicrobial
Resistance Monitoring System (NARMS) at 12,000. (14005)
|
CY*
03: Total 12,000 Salmonella isolates
CY 02: Total: 12,000 Salmonella isolates
CY 01: Total: 12,000 Salmonella isolates
CY 00: Total: 6,000 Salmonella isolates - 2,000 (human), 4,000 (veterinary
)
CY 99: Total: 6,000 Salmonella isolates - 2,000 (human), 4,000 (veterinary)
|
CY
03:
CY 02:
CY 01: Data not avail-
Able until March 2002.
CY 00: Total: 11,000 Salmonella isolates 2,000 (human), 9,000 (veterinary)
CY 99: Total: 10,216 Salmonella isolates 1,706 (human), 8,510 (veterinary)
CY 98: Total: 4,900
Salmonella isolates - 1,400 (human), 3,500 (veterinary)
CY 97: Total: 3,678 Salmonella isolates - 1,287 (human), 2,391 (veterinary)
CY 96: Total: 3,193 Salmonella isolates - 1,272 (human), 1,921 (veterinary) |
|
| 11.
Conduct targeted BSE inspections of 100% of all known renderers and feed
mills handling prohibited material. (14006) |
FY
03: 100%
FY 02: 100%
FY 01: NA
|
FY
03:
FY 02:
FY 01: NA
|
|
TOTAL
FUNDING:
($ 000) |
FY
03: 58,803
FY 02: 57,131
FY 01: 37,446
FY 00: 28,476
FY 99: 24,731 |
|
| * CY = Calendar Year |
C. Goal by Goal Presentation of Performance
8. Maintain biennial inspection coverage by inspecting 50% of registered
animal drug and feed establishments. (14009)
- Context of Goal: FDA exercises considerable discretion
regarding the frequency and comprehensiveness of inspections. FDA has a statutory
obligation to inspect all regulated animal drug and medicated feed establishments
once every two years. In response to public demand for increased drug availability,
FDA continues to emphasize postmarket monitoring. Routine inspections have
lower priority than inspection of firms producing high profile products. This
has an impact on the pre-approval process that requires a "recent" inspection
before approval of a new animal drug. This includes inspections done by FDA
directly, or through state contracts or partnership agreements on manufacturers,
repackers and relabelers (drugs), and manufacturers and growers requiring
a Medicated Feed Mill License. In FY 1999, there were 1,418 registered establishments.
The increase in the inspection coverage target from 27 percent to 50 percent
in FY 2001 through FY 2003 is attributed to the ability to hire up to the
number of inspectors to assist toward accomplishment of this goal.
- Data Sources: Field Accomplishment Compliance Tracking
System (FACTS) [formerly known as the Program Oriented Data System (PODS)],
Official Establishment Inventory.
- Performance: FY 99 = 25%; FY 00 = 39%; FY 01 = 37%. In
FY 99, 25% of registered animal drug and feed establishments were inspected.
The FY 99 actual performance fell short of the 27% target based on the fact
that the initial inspection percentages were estimates, due to the complexity
and number of inspections, and re-inspections.
In FY 00, FDA inspected 39% of the establishments in the Official Establishment
Inventory, exceeding the goal of 27%. Due to a few problems resulting from
the transition to a new database (FIS to FACTS) in FY 2000, some adjustments
in counting the inventory and inspectional coverage were necessary. It is
expected that any inconsistencies will be corrected when the FY 2001 performance
is reported. The goal was not met in FY 2001. The program did accomplish 37%
biennial inspection coverage of registered animal drug and feed establishments.
The need to perform BSE inspections became a higher priority in FY 2001 because
of the increase in reported cases of BSE in Europe. To minimize the risk of
BSE introduction into US cattle herds and to protect the health of American
citizens, the program received contingency funding. After re-establishing
priorities within the field portion of the Animal Drugs and Feeds Program,
BSE inspections were instituted to ensure that 100 percent of renderers, protein
blenders, and feed mills were inspected; and to conduct sample analysis to
assure compliance with the BSE regulation. The BSE crisis in England and Europe
made it apparent that 100 percent of renderers, protein handlers, and feed
mills handling prohibited material would need to be inspected every year to
continue to protect US cattle herds from BSE and the health of American citizens.
9. Assure that FDA inspections of domestic animal drug and feed manufacturing
establishments and repackers, in conjunction with the timely correction of serious
deficiencies identified in these inspections, result in at least 90% conformance
with FDA requirements. (14004)
- Context of Goal: (Goal dropped for FY 02 and 03) In previous
FDA performance plans, goals were established for maintaining the level of
industry conformance to FDA requirements at 90% or above for each of the Agency
product-oriented programs. This year we are recommending that these goals
be deleted from the Plan. This is our rationale: Inspections are the Agency's
method for determining whether an establishment is in or out of compliance
with FDA requirements. Because of resource constraints, the Agency must allocate
a significant proportion of its inspections to high risk situations, such
as food firms who are producing high risk foods, or to emergency situations
such as BSE. The number of remaining inspections each year is not adequate
to draw a statistically valid inference about the compliance status of an
entire industry at a reasonably high level of confidence. It is the Agency's
professional judgement that the majority of firms in the regulated industries
are in conformance with FDA's requirements. Based on the Agency's experience
over several years, that percentage in general, has remained at 90% or above.
Thus, establishing a performance goal that simply describes the stable state
of the industry does not provide useful new information; nor does it serve
as a management tool to drive the overall industry to a higher level of conformance.
- Data Sources: FDA Field Data Systems.
- Performance: FY 97 = 97%; FY 98 = 98%; FY 99 = 99%; FY
00 = 97%; FY 01 = 99%. The conformance rates are based on a statistical modeling
from actual inspection and serious deficiency (Official Action Indicated)
data. The rates are representative of the firms inspected in a given year.
As the statistical model and industry coverage is improved, the rates will
better represent the conformance status of the overall industry.
10. Maintain isolate testing rate for Salmonella in National Antimicrobial
Resistance Monitoring System (NARMS) at 12,000 for human and animal isolates.
(14005)
- Context of Goal: NARMS was initiated in 1996 as a major
national surveillance effort of CVM's Food Safety Initiative (FSI) in cooperation
with FDA, CDC, and USDA. NARMS detects emerging antibiotic resistance among
foodborne pathogens and the possible associated health hazards through systematic
collection, analysis and interpretation of antimicrobial susceptibility surveillance
data. In addition, the program data help to justify educational efforts and
prudent drug use campaigns in humans and in veterinary medicine. NARMS is
adding to our knowledge of drug susceptibility and is helping ensure the continued
effectiveness of human and veterinary drugs.
- Data Sources: National Antimicrobial Resistance Monitoring
System.
- Performance: In FY 99 = collected 8,510 animal and 1,706
human isolates; FY 00 = collected 9000 animal and 2000 human isolates. We
will increase the goal to 12,000 isolates per year for 2001-2003, which we
will continue to send for serotyping, susceptibility testing, and quality
control testing. Reports will continue to be generated and analyzed.
The performance data for FY 01 will not be available until March 2002.
NARMS Success Stories:
NARMS was established in January 1996 as a collaborative effort among the
FDA, USDA, and CDC. Funding was used to expand the scope of the monitoring
system and conduct follow-on research and investigations. The system now tests
non typhoid Salmonella, Campylobacter, Enterococcus and E. coli isolates collected
from animal sources, and non typhoid Salmonella, Campylobacter, Enterococcus,
Shigella, Salmonella typhi and E. coli isolates from human clinical samples.
In addition, new sites and sources of isolates have been added. NARMS data
has been used to initiate field investigations of outbreaks of illness marked
by a pathogen which displayed an unusual antimicrobial resistance pattern,
assess the human health impact of fluoroquinolone use in poultry, stimulate
research in molecular characteristics of resistance emergence and transfer,
improved our knowledge of risk factors associated with the development of
an antimicrobial-resistant infection, and has triggered broader research projects
of prudent antimicrobial use in animals and the role of the environment in
the emergency and spread of antimicrobial resistance.
NARMS was also expanded into the international arena during FY 2000. A pilot
study was conducted with medical microbiologists from hospitals in three states
in Mexico that have significant animal agriculture in close proximity to the
hospitals. The pilot study consisted of initial training of the investigators
at the USDA Russell Research Center (in Athens, Georgia) in standardized laboratory
methodologies for the isolation, identification, and antimicrobial susceptibility
testing of foodborne Salmonella. Sample collection and isolation of Salmonella
took place from clinically ill humans in the Mexican hospitals and from healthy
children in community daycare centers. This collaboration between U.S. NARMS
officials and the Mexican antimicrobial surveillance group represents the
beginning of the first international human and animal monitoring system for
foodborne antimicrobial drug susceptibility surveillance in the Americas.
11. Conduct targeted BSE inspections of 100% of all known renderers
and feed mills handling prohibited material. (14006)
- Context of Goal: CVM sought to protect the public through
the development of a comprehensive strategy of education, inspection and enforcement
action on industry. These activities were initiated to ensure compliance with
the Bovine Spongiform Encephalopathy (BSE) regulations. Using an inventory
of all known renderers and FDA licensed and non-licensed feed mills, FDA will
conduct inspections to determine compliance with the BSE feed rule. Inventories
of these firms may vary from year to year based on changes at the firm such
as consolidations, business closures, relocations, etc. FDA will continue
to update and improve the inventory of firms with information from states
and other sources.
- Data Sources: FDA Field Data Systems.
- Performance: On August 4, 1997 FDA's regulation 21 CFR
589.2000 (Animal Proteins Prohibited From Use in Animal Feed) became fully
effective. The purpose of the regulation is to prevent the establishment and
amplification of BSE through animal feed. The regulation prohibits the use
of certain proteins derived from mammalian tissue in feeding to ruminant animals.
FDA has developed a three-pronged aproach in its efforts to realize 100% compliance
with the 1997 feed rule--education, a strong and visible inspection presence,
and enforcement action. More than 12,000 inspections have been done since
1997 at over 10,000 firms including renderers, feed mills, ruminant feeders,
protein blenders, feed haulers and distributors.
Based on the change in priorities, the goal has been changed to include re-inspection
of 100 percent of firms found to be out of compliance, 100 percent of renderers,
protein handlers, and feed mills, handling prohibited material, and as many
other firms in these businesses, as resources allow, that we currently have
listed as not handling prohibited materials, and to conduct sample analysis
as needed to assure compliance with the BSE regulation. The need to perform
BSE inspections became a higher priority in FY 2001 because of the increase
in reported cases of BSE in Europe. To minimize the risk of BSE introduction
into US cattle herds and to protect the health of American citizens, the program
received contingency funding.
2.5.3 Verification and Validation
An integral part of the FDA continual improvement initiative has been upgrading our data processing and information systems. This includes automation of manual systems and integration of existing systems, which reduces duplication and chances of data entry errors. Our information and data collection systems contain automatic data checks such as comparisons against lists of "valid" responses for a given data field. By programming "business rules" into our systems, the chance for "human" error is reduced. For example, due dates for applications are appropriately assigned and review time is accurately tracked. Data access is restricted to ensure that only appropriate personnel can enter data, review data, or audit the data. For example, checks are in place to ensure that the person who enters the data does not audit the data.
In the postmarket area we are working with data from other governmental agencies such as CDC and USDA. To ensure that our federal partners address our data needs, we have established memorandums of understanding and memorandums of need with other agencies. To accomplish our Food Safety Initiative goal (Performance Goal 9 - NARMS), we entered into Interagency Agreements for the development of databases. Therefore, we are dependent on the data validation processes of our sister agencies.
Some of our program work is dependent upon other agencies' planning processes. This is especially true in our illegal residues in meat and poultry program that has responsibility to follow-up on violative tissue residues reports from USDA. USDA prepares an annual residue sampling plan with input from FDA. Under the new Hazard Analysis Critical Control Point (HACCP) plan, the requirements for how slaughter plants choose samples for testing has changed substantially. USDA's Food Safety Inspection Service takes some samples, but only if an animal is suspect. Since the USDA residue plan has changed, it is extremely hard to judge how many residue reports will be sent to FDA for follow-up investigation.
We have also ensured Year 2000 compliance of our data systems, including data applications. The Animal Drugs and Feeds program, in conjunction with the Agency, developed a plan to create an inventory of data applications, analyze their degree of Year 2000 compliance, and developed a plan to ensure compliance with Year 2000 requirements. The Animal Drugs and Feeds Program developed the Business Continuity Contingency plan for both of our critical data systems, STARS and DERS. We have upgraded our network, tested our servers and desktop units, and replaced the twenty units that were not Year 2000 compliant.
Contact Information:
Planning Staff, Office of Planning, FDA
Phone: 301-827-5210
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