Office of Regulatory Affairs
(For Information Only, Field Request is Included with Programs)
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FY 2000
Actual
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FY 2001
Appropriation
|
FY 2001
Current Estimate
|
FY 2002
Estimate
|
FY 2002
+/-
FY 2001
Current
Estimate
|
blank
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FTE
|
(000)
|
FTE
|
(000)
|
FTE
|
(000)
|
FTE
|
(000)
|
FTE
|
(000)
|
Program Level
Total
|
3,093
|
308,280
|
3,283
|
324,046
|
3,204
|
323,372
|
3,467
|
386,875
|
263
|
63,503
|
By Program
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blank
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Foods
|
1,556
|
155,115
|
1,580
|
160,151
|
1,542
|
159,799
|
1,620
|
184,034
|
78
|
24,235
|
Human Drugs
|
737
|
70,853
|
819
|
73,336
|
799
|
73,189
|
836
|
85,454
|
37
|
12,265
|
Biologics
|
211
|
19,426
|
238
|
22,474
|
232
|
22,426
|
250
|
27,520
|
18
|
5,094
|
Animal Drugs & Feeds
|
135
|
13,122
|
158
|
15,044
|
154
|
15,011
|
255
|
27,486
|
101
|
12,475
|
Devices
|
454
|
49,764
|
488
|
53,041
|
477
|
52,947
|
506
|
62,381
|
29
|
9,434
|
Total Budget
Authority
|
3,003
|
291,814
|
3,193
|
306,373
|
3,114
|
305,699
|
3,133
|
348,911
|
199
|
43,560
|
Total User Fees
|
90
|
16,466
|
90
|
17,673
|
90
|
17,673
|
154
|
37,964
|
64
|
20,291
|
Historical Funding and FTE
Levels
Fiscal Year
|
Program Level
|
Budget Authority
|
User Fees
|
Program Level
FTE
|
1998 Actuals
|
$262,079,000
|
$246,918,000
|
$15,161,000
|
3,129
|
1999 Actuals
|
$280,719,000
|
$266,038,000
|
$14,681,000
|
3,153
|
2000 Actuals
|
$308,280,000
|
$291,814,000
|
$16,466,000
|
3,093
|
2001 Current Estimate
|
$323,372,000
|
$305,699,000
|
$17,673,000
|
3,204
|
2002 Estimate
|
$386,875,000
|
$348,911,000
|
$37,964,000
|
3,467
|
MISSION
- Achieve effective and efficient
compliance of regulated products through high quality, science-based work that
results in maximizing consumer protection.
- Conduct investigational and laboratory
functions for all of FDA’s major product areas—Foods and Cosmetics, Human
Drugs, Biologics, Animal Drugs and Feeds, and Medical Devices and Radiological
Products, both before and after marketing.
- Respond rapidly to various types of
emergencies, and redirect field efforts during the year among FDA’s different
programs to respond to unforeseen emergencies.
- Monitor clinical research and conduct
in-plant preapproval inspections to ensure that manufactured products are safe
and effective.
- Determine whether import entries
comply with FDA regulations.
- Perform outreach to consumer groups,
health professionals, states and industry to encourage compliance and safe use
of FDA-regulated products.
The Office of Regulatory Affairs (ORA) field staff support Agency premarket activities by conducting preapproval inspections and
laboratory methods validations when requested by program managers responsible for premarket application decisions.
These inspections, which can be of either foreign or domestic establishments, include bioresearch-monitoring inspections of clinical research
that is part of premarket applications.
Other premarket inspections are conducted in manufacturing facilities to determine if the facility is able to manufacture the product to the
specifications stated in the application.
Inspections are generally performed by consumer safety officers who may be accompanied by a laboratory analyst if review of manufacturing information
in the application suggests that additional laboratory expertise is appropriate to assess the facility. Laboratory
method validations are conducted to confirm that the methods described in the premarket application work as described in FDA laboratories.
Field investigators and laboratory analysts conduct foreign inspections for both premarket approval and postmarket compliance
purposes. FDA product center managers select most establishments for inspection.
Postmarket foreign inspections in the drug, biologic, animal drug, and device programs are conducted to assess Good Manufacturing Practices
(GMP). This is consistent with the biennial inspection requirement that Congress requires of domestic
manufacturers in these programs. While Congress mandated that domestic manufacturers be inspected every two years,
foreign manufacturers are not included in this requirement.
Beginning in FY 1999, the Foods program, which has historically supported fewer than 100 foreign inspections, began to
expand the number of foreign inspections.
About 250 foods foreign inspections are planned for FY 2001.
In addition to conducting regular surveillance over regulated products, the field workforce also serves a critical function when
the Agency must respond to emergencies.
The field work force is able to immediately mobilize to investigate reports of product problems including tampering incidents and those due to
natural disasters such as hurricanes, floods and earthquakes.
The field workforce is also involved in informing businesses and consumers about FDA-related topics, and in working
with state and local agencies to develop programs that make the best use of Federal, State, and local resources in protecting the public health.
To complement the regular field force, the Office of Criminal Investigations (OCI) was established in FY 1992 as part of FDA’s efforts to
more effectively investigate instances of criminal activity in the regulated industries. Agents are given intensive
training at the Federal Law Enforcement Training Center in Glencoe, Georgia, and are assigned to offices throughout the country.
Field facilities include Regional Offices, District Offices, laboratories, OCI field offices, and resident posts.
The five Regional Offices are staff offices,
which coordinate FDA activities and coordinate with state authorities.
The 19 District Offices serve as offices for investigators and compliance action staff, and are the main control points for
day-to-day operations in their assigned areas.
The current inventory of 13 laboratories provide FDA’s basic field product testing capability. A number of
these laboratories serve as specialized facilities for certain types of testing and new regulatory methods development.
FDA also maintains more than 120 resident posts distributed widely across the country.
These are smaller offices, which serve primarily as a base for investigators so that FDA can have investigative staff widely dispersed to
respond to emergencies whenever they occur, as quickly as possible to minimize any potential harm. With all of these
Field facilities combined, FDA maintains offices and staff in 49 of the States, and in the District of Columbia and Puerto Rico.
In 1994, the Field Laboratory Consolidation Plan was approved calling for the number of field laboratories to be reduced from 18 to
9 over 20 years. Under the plan, outdated facilities would be closed and other laboratories would be renovated
or relocated. The plan specified five large total capacity/multipurpose regulatory laboratories and four specialty
laboratories. The five-multi purpose laboratories would be located in Atlanta, GA; Seattle, WA; Jamaica/Queens, NY;
Jefferson, AR; and Irvine, CA.
Currently, the Jamaica/Queens construction and Atlanta and Seattle expansions are complete. The Jefferson,
AR, construction is nearing completion, and the second phase of the Irvine, CA, construction is slated for completion in 2003.
REQUESTED INCREASES
(For Information Only, Field Request is Included with Programs)
Pay Increase + $14,060,000
FDA’s request for funds to cover pay cost increases is vital to the Agency because personnel are so essential to accomplishing its
mission. Pay increases have a major impact on FDA because the Agency is more people-intensive than many other
government agencies. Payroll accounts for over 60 percent of the total FDA budget. This has a significant impact on
all activities in FDA, particularly the field.
The costs of the pay increases are necessary to ensure the integrity of the Agency's field labor force for inspections, compliance, and investigational
functions.
In order to maintain the level of activities carried out in FY 2001, FDA is requesting $40,000,000 million to cover the cost of the FY
2002 pay raise, annualization of the FY 2001 pay raise, anticipated within grade increases, and one extra day of pay.
ORA’s portion of this increase is $14,060,000.
This increase will enable the field force to keep pace with a growing and more technologically complex and diverse regulatory
environment. The field force has been unable to grow to meet the new challenges because the Agency had to absorb the costs of pay increases.
Bovine Spongiform Encephalopathy (BSE) + $10,900,000 and 98 FTE
- Conduct additional training for Federal and State inspectors on the BSE feed regulation, update them on the current European Union situation, Animal Plant
and Health Inspection Service (APHIS) authority and approach, and what to look for and how and when to sample.
- Increase domestic protection by conducting 1,000 more domestic inspections.
- Increase leveraging with State agencies by funding approximately 4,000 contract inspections of feed mills and renderers, and conduct compliance, follow-up, and
audit inspections to state contracts.
- Collect and analyze 600 new domestic and 600 new import feed and feed component samples for
BSE related contaminants to ensure proper labeling of animal feeds and feed components.
- Provide intensive line entry and label review of an anticipated 175,000 import line entries for use in domestic
commerce for the Animal Drugs and Feeds program by expanding import staff by 17 FTE.
Imports and Inspections + $22,000,000 and 83 FTE (Budget Authority + $7,300,000 and 36 FTE; User Fees
+ $14,700,000 and 47 FTE)
Budget Authority
- Increase monitoring of fraudulent drug import activities by increasing criminal investigations and conducting 96 more authenticity analyses of imported drug
products.
- Improve safety of domestic drug products by increasing sample analyses of domestic products.
- Improve the safety of imported biological products by increasing the surveillance of imported human tissues and other imported biological products.
- Increase coverage of domestic biological products by conducting 18 more tissue bank inspections.
- Consult with the Center for Veterinary Medicine on developing compliance guidance and revising the electronic review
criteria, (i.e. may proceed criteria) based on current risk assessments and risk-based decision making of imported products.
- Conduct 30 additional inspections for illegal drug residue and chemical contaminants in animal feed and increase
sampling.
- Assure current information is available to import examiners to make well-founded regulatory decisions.
- Improve imported medical device compliance by increasing surveillance and product testing of these products.
- Increase domestic medical device surveillance by conducting 150 additional inspections of manufacturers.
- Improve the confidence that FDA has in the safety of foreign drugs, biological and device products by
working towards implementation of the European Mutual Recognition Agreement and by intensifying drug inspections in developing countries.
User Fees
- Improve the effectiveness of cargo control activities at Ports, and the monitoring of products that have been refused
entry pending exportation or destruction, by working with the U.S. Customs Service to increase coordination of import activities.
- Increase import surveillance by expanding import entry review resources to keep pace with the increase in line
entries.
- Improve import surveillance activities by increasing the frequency of on-screen entry review and updating on a risk
basis the criterion that determines which import line entries are selected for on screen review.
- Modernize the Operational and Administrative System for Import Support (OASIS) import data processing system
to allow import reviewers to have rapid and direct access to information necessary for entry decisions.
- Increase data audits, import filer training, and liaison activities to ensure the integrity of import data
submitted by import filers.
Patient Safety/AERS + $1,000,000 and 6 FTE
- Increase patient safety by holding more public meetings to educate consumers and other
stakeholders about the
prevention and reporting of medical errors.
- Reduce medical errors by conducting more investigations of reported errors to collect information that program
managers need to assess the error and develop error reduction strategies with manufacturers and the medical community.
- Accelerate the upgrade of field investigational data systems to complement Agency error tracking systems to
provide better information on the incidence of medical errors.
Human Subject Protection + $6,400,000 and 32 FTE
- Increase direct FDA oversight of bioresearch through an increase of 205 BIMO inspections in the Human Drugs
(80), Biologics (50), and Device (75) programs.
- Improve the quality, consistency, and effectiveness of bioresearch monitoring (BIMO) inspections by developing an
investigators’ certification program to provide training and practical experience and assure that investigators keep pace with emerging issues in
clinical research.
- Improve compliance with the bioresearch regulations through a timely Clinical Investigator Disqualification Process and
improve the consistency of these disciplinary actions among drugs, biologics, and device programs.
- Improve the safety and quality of foreign bioresearch activities by developing new relationships with foreign
governments and participating in international regulatory standards organizations.
Food Safety + $9,300,000 and 44 FTE
(Budget Authority + $5,400,000
and 27 FTE; User Fees + $3,900,000 and
17 FTE)
Budget Authority
- Increase the number of State contract inspections by 1,000 (to a total of 4,700) by expanding the funding and
coordination of State contract inspections.
- Improve food safety activities by the States by expanding State audit inspections, enforcement, and data reporting
for State inspectional and compliance activities.
- Increase the utilization of State inspectional data and findings by having more States enter inspection data
directly into FDA field data systems.
- Improve the safety of the domestic food supply by conducting 400 more domestic sample analyses for food borne
pathogens and contaminants.
User Fees
Food Safety-Export Certification
- Facilitate international trade by preparing export certificates on a timely basis and in the languages required
by current international agreements.
- Provide reimbursement of operating costs to allow existing food safety resources to be more effectively utilized
for inspections and sample analyses.
Current Law User Fees + $1,380,000
Prescription Drug User Fee Act (PDUFA) + $1,375,000
The Food and Drug Administration Modernization Act of 1997 reauthorized the collection of user fees to enhance the review process of new human drugs and
biological products through FY 2002 and established fees for applications, establishments, and approved
products. In FY 2002, based on the information currently available and the statutory PDUFA formulas, an increase
of $1,375,000 is included for the field activities.
Mammography Quality Standards Act + $5,000
The Mammography Quality Standards Act (MQSA) of 1992 was reauthorized in 1998 for
an additional five years (P.L. 105-298).
FDA requests an increase of $5,000 in MQSA authorized inspection user fees to cover inflationary costs. The
fees collected will pay for overhead costs related to inspections.
JUSTIFICATION OF BASE
Activities Related to Increases for FY 2002
Payroll
- ORA is primarily responsible for conducting inspections of regulated industry, and collecting and analyzing
samples. Other activities that often arise are review and management of enforcement actions, consumer complaints,
trace back efforts to determine the cause of food borne illness outbreaks, and review of import entries for admissibility decisions. These functions are inherently governmental and highly personnel
intensive.
Bovine Spongiform Encephalopathy (BSE)
- Conduct inspections of licensed and unlicensed feed mills for compliance with BSE regulations.
- Coordinate with State agencies to enforce the BSE regulations.
Imports and Inspections
- Provide criminal investigation of reported product tampering; counterfeit products and
other fraudulent criminal activities involving regulated products.
- Provide emergency operation, investigation and response for incidents involving regulated products.
- Develop laboratory analytical methods to permit the analyses of products for chemical and microbiological hazards.
- Inspect about 14,000 domestic and 900 foreign establishments.
- Fund about 13,600 State contract inspections.
- Review 6,300,000 import line entries for admissibility into domestic commerce.
Patient Safety/AERS
- Provide training for field staff to improve the information gathered through investigation of consumer complaints.
- Provide health education for U.S. consumers about FDA-regulated products, which may impact their health
adversely.
Human Subject Protection
- Conduct Bioresearch Monitoring inspections and data audits in the human and animal drug, biologic, and medical
device areas to monitor the methods and reporting of FDA regulated research.
- Inspect clinical investigators to protect the rights and welfare of human subjects involved in FDA regulated
research, and to assure the quality and integrity of data submitted to the Agency in support of new product approvals.
Food Safety
- Conduct inspections of all high-risk
domestic food establishments currently identified at 6,250.
Laboratory capabilities are being enhanced
for the analytical support associated with the level of inspectional
activity. High-risk establishments
include processors of infant formula; processors of ready to eat foods, or
produce; seafood product processors; low-acid canned food processing plants and
juice processors.
- Identify the food source and
contaminant of food borne illness outbreaks ranging from chemical,
microbiological, and physical hazards.
- Continue State contract audit
inspections to ensure consistent application of regulations nationwide by FDA
and the States.
- Replace outdated field laboratory
equipment to improve the accuracy and timeliness of food product analyses to
determine compliance with safety requirements.
Activities Related to Other Priority Areas
Internet Drug Sales
- Continue the monitoring of potentially
fraudulent Internet sites to identify targets for investigation and sampling of
products.
- Conduct undercover online purchases of
prescription drugs from Internet sites suspected of engaging in illicit drug
sales, distribution, and/or marketing.
- Reduce the health risks to individuals
ordering pharmaceuticals from foreign sources over the Internet by providing
oversight of mail and courier packages entering from foreign sources and
destined for individuals, e.g., personal importations. These personal importations are largely
excluded from FDA’s electronic import data system.
Premarket Activities
- Improve the quality and timeliness of
product reviews through monitoring pre-approval inspections and by expanding
inspectional expertise in emerging technologies and expanding quality assurance
to monitor the inspection process.
- Recruit, hire and train new
investigators and provide training, information technology and contract support
to improve the scientific expertise of field investigators. This training enables the investigators to
conduct the pre-market inspections that are essential to meet pre-market review
time frames.
Countering Bioterrorism
- Participate in the planning for and coordination of exercises simulating responses to bioterrorist attacks.
- Develop a notification system for
bioterrorism incidents (including
hoaxes) with the Federal Bureau of Investigations (FBI) who will notify FDA
through our 24-hour emergency number regarding any threat that may involve an
FDA regulated product.
- Inspect of drug and vaccine manufacturers whose products may be stockpiled as part of the Government’s
bioterrorist efforts.
International Activities
- Plans
for FDA’s international inspection program continues to be one of the Agency’s
top priorities as more FDA regulated products originate from foreign
sources. The Agency’s international
inspection program is paramount in attaining confidence that all imported FDA
regulated products meet the same standards as domestic goods.
While FDA is working to foster effective
international inspection cooperation agreements, the primary tool for this
assurance is for FDA to conduct international inspections.
Selected FY 2000 Accomplishments
Science
- Implementation
of Pulsed Field Gel Electrophoresis (PFGE). DNA finger printing by PFGE is one of the most important tools to
combat food borne outbreaks. ORA
established PFGE capability in five field laboratories.
This method can provide timely
identification of the source of contamination.
This technique has been successfully used in several outbreak situations
involving Salmonella and Listeria
monocytogenes.
- Development of Antibiotics Sensitivity Screening of Salmonella.
The emergence of antibiotics resistance has
become a major public health concern.
Of particular interest is the emergence of Salmonella with resistant
genes to multiple antibiotics. FDA
needs data on the extent of antibiotic-resistant Salmonella in our food
supply. ORA has established a program
of screening Salmonella isolates from foods in our Denver laboratory.
In FY 2000, about 250 Salmonella isolates
were screened and several multiple-antibiotic resistant strains were found.
- Imported Produce Analyzed for Pathogens. ORA
analyzed 1,000 fresh imported produce samples for microbiological
pathogens. This first systematic look
at this dietary significant group of foods for pathogens found approximately 5
percent of the samples contained pathogens.
Pathogens detected were Shigella
and Salmonella spp.
Commodities found positive included:
cantaloupe, celery, cilantro, green onions, lettuce and parsley.
Investigations
- ORA conducts inspections to evaluate
regulated establishment operations against appropriate Agency
requirements. Inspections evaluate manufacturing
processes; record-keeping systems; warehousing practices; packaging or labeling
processes; quality control laboratories; and, integrated livestock feeding
practices. During FY 2000, ORA
conducted 15,146 inspections, including 880 foreign and 14,266 domestic
inspections.
- Domestic inspections funded by FDA
appropriations may be conducted by either FDA staff or by States under contract
to FDA. When States conduct inspections
under contract, FDA is required to audit these inspections.
There were 13,900 State contract
inspections. Of these, approximately
8,900 were inspections of mammography facilities; about 1,000 were of feed
mills; another 350 were tissue residue; and, the rest, about 3,700, were food
inspections.
Partnership and Support for States
- FDA Funding of State/Local Task Forces. FDA funded 19 State Food Safety Task Forces with Small Conference Grants
totaling $96,500 and 13 grants totaling $530,000 for Innovative Food Safety
Projects to State and local regulatory agencies that were intended to
complement, develop and/or improve food safety programs.
- State Contracts. FDA awarded 39 state food contracts for over 5,100 food inspections for a total of $2,617,000; 19
state medicated feed contracts for 453 GMP/BSE inspections and 96 BSE-only
inspections for a total of $330,000; 15 state tissue residue contracts for 548
inspections for a total of $260,000; and negotiated and awarded 47 Mammography
Quality Standards Act (MQSA) contracts.
- Partnerships.
At the close of FY 2000, there were over 177
Partnership Agreements between FDA and various State/local regulatory agencies,
associations, industry, and academia.
This represents an increase of approximately 12.7 percent over FY 1999.
Enforcement Activities
Protection of Participants in Gene Therapy Trials
- FDA and NIH announced two new programs to further strengthen the safeguards for individuals enrolled in clinical
studies for gene therapy. These two new programs -- the Gene Therapy Clinical Trial Monitoring Plan and the Gene Transfer
Safety Symposia -- are part of ongoing efforts to ensure the safety of patients enrolled in gene therapy clinical trials.
- University of Pennsylvania. From November 1999 to January 2000, FDA conducted an inspection of the Institute for Human Gene
Therapy located at the University of Pennsylvania. Subsequently, FDA placed all trials sponsored by Dr. James
Wilson, Director of the Institute, on clinical hold. Following issuance of a Warning Letter, the University determined
that it would no longer conduct experiments on humans.
- St. Elizabeth’s Medical Center. In February 2000, FDA put the gene therapy research being conducted at St.
Elizabeth’s Medical Center of Boston on clinical hold.
Following an inspection in March 2000, a Warning Letter was issued concerning violations of regulations governing the proper
conduct of clinical studies and the protection of human subjects.
Consent Decrees
- Abbott Laboratories. In November 1999,
Abbott Laboratories signed a Consent Decree of Permanent Injunction related to
manufacturing problems concerning many of its in-vitro diagnostic tests.
As an equitable remedy of disgorgement, the
firm also agreed to pay $100,000,000 to the U.S. Treasury.
The dollar amount sets a precedent as the
largest amount of money ever paid by an FDA-regulated company for a civil
violation of the Federal, Food, Drug and Cosmetic Act.
- Wyeth-Ayerst Laboratories. In October 2000,
Wyeth-Ayerst Laboratories Division of American Home Products Corporation and
Wyeth-Ayerst Pharmaceuticals, Inc., signed a Consent Decree of Permanent
Injunction based on a failure to comply with FDA's GMP regulations.
As an equitable remedy of disgorgement,
Wyeth also agreed to pay $30,000,000 to the U.S. Treasury.
Recalls
- Clinipad Antiseptic Sterile Products. An FDA
inspection of Clinipad Corp., Charlotte, NC, in January and February 2000,
resulted in the recall of over 925,000,000 sterile products and 900,000,000
non-sterile products because of CGMP deviations.
Recall of these products involved three program areas – Drugs,
Devices, and Biologics.
- Rich’s MSM Eye & Ear Drops. In
response to a consumer complaint, FDA laboratory analysis of a sample of Rich's
MSM Eye & Ear Drops revealed contamination with yeast and a bacteria that
can cause severe, and potentially sight-threatening, eye injuries.
This resulted in a Class I recall in August
2000.
- Dialysis Catheter Anticoagulant – TriCitrasol. In April 2000, a Class I recall resulted when an FDA investigation that
was initiated in response to an adverse medical report disclosed that
triCitrasol, an unapproved dialysis catheter anticoagulant, may cause death
when infused into patients. A patient
death was, in fact, associated with use of the product.
- Dietary
Supplements Containing the Prescription Diabetic Drug Glycuride.
During February and March 2000, several
recalls of herbal products were initiated due to the presence of undeclared
prescription diabetic drugs, glycuride and phenformin.
Both drugs are used to lower blood
sugar. Recalls of such products were
initiated by Sino American Health Products, Inc.; Chinese Angel Health
Products, Inc.; and, Diabetic Capital (US) LLC.
Internet Drug Sales
- FDA continues to take regulatory and enforcement actions against violative Internet drug firms.
There are several reviews for regulatory action underway, and numerous active criminal investigations.
ORA continues to issue cyber letters to violative foreign pharmacy sites and is extending the use of cyber letters to
domestic sites. Sites selling recreational drugs, as well as those identified in a recent rash of cases
involving the sale of bulk active drug ingredients to persons who distributed it illegally in capsules are receiving increased attention.
The Internet Prescription Drug Sales Act of 2000 was transmitted to Congress in support of this activity.
- Christian Brothers Contracting Corporation Case.
In April 2000, Judge John Gleeson of the Eastern District of New York,
signed an order granting the Government preliminary injunctive relief against
Christian Bros. Contracting Corp., and its President, Jason Vale, who had
promoted laetrile (amygdalin), an illegal cancer treatment, via multiple web
sites.
Imports
- Global Harmonization. In the area of
medical devices, ORA has been involved in many activities that fall under the
concerns of global harmonization. ORA
has representation on the Global Harmonization Task Force, which has membership
from Canada, the EU, Japan, and Australia as well as industry members.
The group has been developing guidance on
quality auditing, quality auditor qualifications, and quality audit reports.
- BSE Issues. FDA provided technical
expertise and assistance to USDA in identifying entry criteria for import
examination. FDA provided early
information to its field offices in the identification of products susceptible
to BSE contamination, and instructions regarding forwarding of this information
to local USDA/APHIS offices.
- On December 7, 2000, USDA/APHIS
enacted an immediate prohibition on the importation of all meat and bone meal
(MBM), bone/meat/blood meals, tankage, offal or any product containing such,
which originates directly from Europe or was rendered/processed in European
plants processing animal materials, regardless of the species of origin,
including poultry and fish meal. This
action was deemed necessary because of the possibility of cross contamination
with the BSE agent. FDA issued an
import bulletin (71-B02) on December 20, 2000, to disseminate this information
to field import offices and to provide guidance to districts when they
encounter any of these products. An
import alert is currently being developed and should issue in 2001 to further
enhance enforcement strategy with regards to these products.
ORA’s Division of Import Operations and
Policy is working very closely with CVM on this issue as well as with
counterparts in USDA/APHIS.
- API/Bulk
Drugs. FDA has provided joint
FDA/Customs enforcement instruction to approximately 200 field personnel.
FDA has engaged a private contractor
(Battelle) to examine FDA's import strategy/procedures and to develop new
Information Technology products to assist in import surveillance.
Training
- Investigator
Certification. Certification is
designed to provide investigators with training to facilitate standardization
of scientific investigations (and inspections) across the Agency.
The Device Certification Program has
expanded into the Seafood Products and Blood Bank and Plasma Center areas.
There are ten seafood investigators
certified at the Level II; twelve certified at Level II in the Blood Banks and
Plasma Center Program. Currently 110
investigators have been certified in the Medical Device Program.
- Partnership
and Support for States. ORA
trained 1,879 State, local health department officials to further compliance
with FDA policies and procedures for investigators.
This training is critical to the mission of the Agency to train
State employees to conduct investigations and meets ORA’s commitment to work
proactively with state agencies to protect the public health.
- FACTS.
The Field Accomplishments and Compliance
Tracking System (FACTS) was developed to centralize the data gathered by ORA
into one nation-wide system. Four
courses were conducted during the past year with 124 participants in attendance.
Emergency Operations
- FDA tracked and investigated 98
pathogen-related incidents during FY 2000.
Examples of food borne pathogens tracked which spread across several
states include a “salmonella meunchen outbreak” in mangoes that broke out in 13
states; a norwalk-like virus in potato salad that occurred in 11 states; and, a
salmonella anatum outbreak which occurred in frozen carrots and peas that
occurred in 8 states and Canada.
- Non-pathogen related incidents were
also investigated by FDA. Approximately
97 non-pathogen related incidents were recorded.
Examples of non-pathogen-related incidents are grouped in several
areas: adverse reactions; injuries; chemical contaminants;
tampering; infections; recalls; foreign
objects; natural disasters; counterfeit labeling; drug residues; and,
death. For instance, an example of an
adverse reaction incident involves a reaction to a vaccine that resulted in the
death of an infant; or, counterfeit labeling in infant formula in the state of
California. Other types of non-pathogen
related incidents happen in natural disasters such as a tornadoes in Texas and
Minnesota; Hurricane Irene; a fire in Los Alamos, New Mexico; and flooding in
New Jersey.
PROGRAM ACTIVITY DATA CHARTS
Field Foods
Field Cosmetics
Field Human Drugs
Field Biologics
Field Animal Drugs and Feeds
Field Medical Devices and Radiological Health
FIELD FOODS |
PROGRAM
OUTPUTS - DOMESTIC |
FY 2000
Actuals |
FY 2001
Estimate |
FY 2002
Estimate |
Domestic Inspections - FSI by FDA |
|
|
|
Non-HACCP
Domestic |
3,742 |
6,200 |
6,300 |
Seafood
HACCP Domestic |
2,362 |
4,700 |
4,700 |
Domestic Inspections - FSI by State Contract |
|
|
|
Non-HACCP |
3,160 |
3,660 |
4,700 |
Seafood
HACCP |
546 |
542 |
600 |
|
|
|
|
Domestic Inspections - FSI by State
Partnerships |
|
|
|
Non HACCP |
1,956 |
1,000 |
1,000 |
Seafood HACCP |
546 |
542 |
600 |
|
|
|
|
Field Exams |
|
|
|
Field Exams - FSI by FDA |
81 |
80 |
100 |
Field
Exams - Non-FSI by FDA |
1,363 |
1,720 |
2,000 |
|
|
|
|
Laboratory Samples Analyzed. |
|
|
|
FSI |
4,777 |
5,980 |
6,340 |
Non-FSI |
4,735 |
7,750 |
7,750 |
|
|
|
|
PROGRAM OUTPUTS - IMPORT/FOREIGN |
|
|
|
Foreign Inspections - FSI by FDA |
|
|
|
HACCP |
8 |
10 |
10 |
Non-HACCP
|
160 |
250 |
250 |
Seafood Importer (HACCP) |
529 |
700 |
700 |
|
|
|
|
Import Inspections - FSI by State
Partnerships
|
|
|
|
Seafood Importer HACCP |
15 |
10 |
10 |
|
|
|
|
Field Exams |
|
|
|
Field Exams - FSI by FDA |
8,713 |
3,650 |
3,650 |
Field Exams - Non-FSI by FDA |
4,448 |
7,200 |
7,200 |
|
|
|
|
Import Laboratory Samples Analyzed |
|
|
|
FSI
|
10,565 |
12,000 |
12,000 |
Non-FSI |
4,549 |
9,200 |
9,200 |
Import Line Entry Decisions |
4,134,307 |
4,590,000 |
5,139,770 |
FIELD
COSMETICS |
PROGRAM
OUTPUT - DOMESTIC |
FY 2000
Actuals |
FY 2001
Estimate |
FY 2002
Estimate |
Domestic Inspections - by FDA |
81 |
80 |
80 |
Domestic Laboratory Samples Analyzed - by FDA
|
48 |
45 |
45 |
|
|
|
|
PROGRAM OUTPUT - IMPORT/FOREIGN
|
|
|
|
Import Field Exams/Tests by FDA
|
241 |
240 |
240 |
Import Laboratory Samples Analyzed - by
FDA |
120 |
115 |
115 |
|
|
|
|
Import Line Entry Decisions |
428,686 |
505,849 |
566,551 |
FIELD HUMAN DRUGS |
PROGRAM
OUTPUT - DOMESTIC |
FY 2000
Actuals |
FY 2001
Estimate |
FY 2002
Estimate |
Non-Clinical/Clinical
Study Investigations (Bioresearch Monitoring Inspections) |
620 |
600 |
680 |
Domestic Inspections (Other) |
912 |
1,450 |
1,450 |
Domestic Inspections by State Partnership |
166 |
160 |
160 |
Domestic Preapproval Inspections (NDA/ANDA) |
308 |
360 |
360 |
Domestic Inspections - Compressed Medical Gases |
617 |
460 |
460 |
Domestic Samples Analyzed |
1,593 |
1,360 |
1,460 |
Domestic Field Exams/Tests by FDA |
21 |
20 |
20 |
|
|
|
|
PROGRAM OUTPUT - IMPORT/FOREIGN
|
|
|
|
Foreign Inspections (Other) by FDA |
42 |
240 |
240 |
Preapproval Inspections (NDA/ANDA) |
210 |
280 |
280 |
Import Field Exams/Tests by FDA |
1,031 |
3,700 |
3,700 |
Import Laboratory Samples Analyzed by FDA |
137 |
200 |
200 |
Non-Clinical/Clinical
Study Investigations (Bioresearch
Monitoring Inspections) |
77 |
100 |
100 |
|
|
|
|
Import
Line Entry Decisions |
102,414 |
111,631 |
125,027 |
FIELD
BIOLOGICS |
PROGRAM
OUTPUT - DOMESTIC
|
FY 2000
Actuals
|
FY 2001
Estimate
|
FY 2002
Estimate
|
Non-Clinical/Clinical
Study Investigations (Bioresearch Monitoring Inspections) |
155 |
110 |
160 |
Domestic Inspections by FDA |
1,754 |
2,060 |
2,070 |
|
|
|
|
PROGRAM OUTPUT -IMPORT/FOREIGN
|
|
|
|
Foreign Inspections by FDA |
48 |
70 |
70 |
Import Field Exams/Tests by FDA |
13 |
10 |
10 |
Non-Clinical/Clinical
Study Investigations (Bioresearch Monitoring Inspections) |
12 |
10 |
10 |
|
|
|
|
Import
Line Entry Decisions |
18,802 |
24,067 |
26,955 |
FIELD
ANIMAL DRUGS AND FEEDS |
PROGRAM
OUTPUT - DOMESTIC |
FY 2000
Actuals |
FY 2001
Estimate |
FY 2002
Estimate |
Domestic
Inspections - Feed Mill/BSE
(Medicated Feed Establishments) by FDA
|
445 |
760 |
1,760 |
Domestic Inspections - Feed Mill by State Contract |
972 |
450 |
4,450 |
Domestic Inspections - Feed Mill by State
Partnership |
89 |
80 |
80 |
Domestic Inspections- Tissue Residue by FDA |
209 |
120 |
150 |
Domestic Inspections - Tissue Residue by
State Contract
|
341 |
340 |
340 |
Domestic
Inspections - Tissue Residue by State Partnership |
30 |
30 |
30 |
Domestic Inspections - Bimo/Pre-Approval
by FDA |
108 |
110 |
110 |
Domestic
Inspections - All Other
(Including Feed Contaminant) by FDA |
219 |
450 |
450 |
Domestic
Inspections - All Other
(Including Feed Contaminant) by State Partnership |
11 |
10 |
10 |
Domestic Field Exams/Tests by FDA |
4 |
0 |
0 |
Domestic Laboratory Samples Analyzed by FDA |
2,320 |
4,200 |
4,800 |
|
|
|
|
PROGRAM OUTPUT - IMPORT/FOREIGN |
|
|
|
Foreign
Inspections - All Other
(Including Feed Contaminant) by FDA |
2 |
50 |
50 |
Foreign Inspections Bimo/Pre-Approval by
FDA |
30 |
40 |
40 |
Import Field Exams/Tests by FDA |
199 |
100 |
100 |
Import Lab Samples Analyzed - FDA
|
277 |
170 |
170 |
|
|
|
|
Import
Line Entry Decisions |
146,310 |
155,089 |
173,699 |
FIELD
MEDICAL DEVICES AND RADIOLOGICAL HEALTH
|
PROGRAM
OUTPUT - DOMESTIC |
FY 2000
Actuals |
FY 2001
Estimate |
FY 2002
Estimate |
Non-Clinical/Clinical
Study Investigations (Bioresearch Monitoring Inspections)
|
236 |
250 |
325 |
Domestic Inspections Pre-Approval |
156 |
200 |
|
Domestic Inspections by State Partnership |
32 |
150 |
|
Domestic Inspections (MQSA) by FDA
|
564 |
630 |
|
Domestic Inspections (MQSA) by State
Contract |
8,879 |
8,960 |
|
Domestic Inspection (All Other) |
1,106 |
1,310 |
|
Domestic Field Exams/Tests by FDA |
1,046 |
340 |
|
Domestic Laboratory Samples Analyzed by
FDA |
154 |
|
|
|
|
|
|
PROGRAM OUTPUT - IMPORT/FOREIGN |
|
|
|
Foreign Inspections by FDA |
282 |
250 |
250 |
Foreign Inspections (MQSA) |
16 |
16 |
16 |
Foreign Inspections Pre-Approval |
51 |
30 |
30 |
Import Field Exams/Tests by FDA |
503 |
1,100 |
1,100 |
Import Laboratory Samples Analyzed by FDA |
1,305 |
1,380 |
1,380 |
Non-Clinical/Clinical
Study Investigations (Bioresearch Monitoring Inspections) |
13 |
10 |
10 |
|
|
|
|
Import
Line Entry Decisions |
1,532,167 |
1,761,992 |
1,973,431 |
FIELD OPERATION DEFINITIONS
Inspection (Foreign and Domestic)
Any
visit to an establishment during which all or part of one or more phases of the
establishment’s operation are evaluated against appropriate Agency
requirements. Phases of an operation
include such activities as: a manufacturing process; a record-keeping system;
warehousing practices; packaging/labeling processes; quality control
laboratories; and integrated livestock feeding practices.
Examples
of food inspections routinely conducted by FDA include: determining of
adherence with good manufacturing practice (GMP) or good laboratory practice
(GLP) regulations or similar process standards; evaluating of overall sanitary
conditions; determining operational failures that led to the recall of a
product; and determining the probable cause of a product’s adverse reaction
report or consumer complaint.
Domestic Field Exam/Test
The on-site examination of a domestic product (or a foreign product in domestic
channels of trade) that is sufficient in itself to determine whether the
product is in compliance with the Acts enforced by FDA.
Examples of food exams include visual, organoleptic
(sensory examination most often associated with the evaluation of decomposition
of seafood), quick color (used for rapid test methods which do not require
instrumentation and rely on the quick development of color as the test result)
and rapid abrasion tests (used for the determination of toxic metals due to the
fact that abrasion exposes colored surfaces likely to contain metals).
Import Field Exam (formerly Wharf Exam)
The examination of a product, in import status, sufficient in scope to determine
whether the product is in compliance with the Acts enforced by the FDA for the
attributes under consideration. An
import field exam may be conducted on products discharged from vessels on to
the wharves (piers), pier sheds, and other locations; on products in trucks,
trains, etc., at border entry points; or on products set aside for FDA
examination. Examples of food exams
include visual, organoleptic, quick color, and rapid abrasion tests.
Import Sample Analysis
The physical analysis of a product in import status to determine whether or not the
product is in compliance with the Acts enforced by the FDA. The physical
analysis of a product of domestic origin, or a foreign origin if the product
was collected in domestic channels of trade, to determine whether or not the
product is in compliance with the Acts enforced by the FDA. Each food sample
may be analyzed for one or more of the following determinations: filth,
decomposition, microbiological contamination, pesticides, industrial chemicals,
toxic elements, dioxins, mycotoxins, natural seafood poisons, radionuclides,
and food and color additives.
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