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FDA Consumer magazine

The Centennial Edition / January-February 2006

 

FDA Milestones

Regulation of food in the United States dates from early colonial times. Federal controls over the drug supply began with inspection of imported drugs in 1848. The following chronology describes some of the milestones in the history of food and drug regulation in the United States.

1862

President Abraham Lincoln appoints a chemist, Charles M. Wetherill, to serve in the new Department of Agriculture. This appointment marked the beginning of the Bureau of Chemistry, the predecessor of the Food and Drug Administration.

1883

Harvey W. Wiley, M.D., becomes chief chemist, expanding the Bureau of Chemistry's food adulteration studies. Campaigning for a federal law, Dr. Wiley is called the "Crusading Chemist" and "Father of the Pure Food and Drugs Act." He retired from government service in 1912 and died in 1930.

1902

The Biologics Control Act is passed to ensure purity and safety of serums, vaccines, and similar products used to prevent or treat diseases in humans.

Congress appropriates $5,000 to the Bureau of Chemistry to study chemical preservatives and colors and their effects on digestion and health. Dr. Wiley's studies draw widespread attention to the problem of food adulteration. Public support for passage of a federal food and drug law grows.

1906

The original Pure Food and Drugs Act is passed by Congress on June 30 and signed by President Theodore Roosevelt. It prohibits interstate commerce in misbranded and adulterated foods, drinks, and drugs. The Meat Inspection Act is passed the same day.

1907

First Certified Color Regulations, requested by manufacturers and users, list seven colors found suitable for use in foods.

1912

Congress enacts the Sherley Amendment to prohibit the labeling of medicines with false therapeutic claims intended to defraud the purchaser, a standard difficult to prove.

1913

The Gould Amendment requires that food package contents be "plainly and conspicuously marked on the outside of the package in terms of weight, measure, or numerical count."

1927

The Bureau of Chemistry is reorganized into two separate entities. Regulatory functions are located in the Food, Drug, and Insecticide Administration, and nonregulatory research is located in the Bureau of Chemistry and Soils.

1930

The name of the Food, Drug, and Insecticide Administration is shortened to the Food and Drug Administration (FDA) under an agricultural appropriations act.

1937

Elixir Sulfanilamide, containing the poisonous solvent diethylene glycol, kills 107 people, many of whom are children, dramatizing the need to establish drug safety before marketing and to enact the pending food and drug law.

1938

The Federal Food, Drug, and Cosmetic Act (FD&C Act) of 1938, containing the new provisions that required new drugs to be shown to be safe before marketing, is passed by Congress.

1940

The FDA transferred from the Department of Agriculture to the Federal Security Agency, with Walter G. Campbell appointed as the first Commissioner of Food and Drugs.

1944

The Public Health Service Act is passed and covers a broad spectrum of health concerns, including regulation of biological products and control of communicable diseases.

1949

The FDA publishes a guidance to industry for the first time. This guidance, "Procedures for the Appraisal of the Toxicity of Chemicals in Food," came to be known as the "black book."

1951

The Durham-Humphrey Amendment defines the kinds of drugs that cannot be safely used without medical supervision and restricts their sale to prescription by a licensed practitioner.

1954

The FDA carries out the first large-scale radiological examination of food after receiving reports that tuna suspected of being radioactive was being imported from Japan after atomic blasts in the Pacific. The FDA begins monitoring around the clock to meet the emergency.

1958

The Food Additives Amendment, requiring manufacturers of new food additives to establish safety, is enacted. The Delaney proviso prohibits the approval of any food additive shown to induce cancer in humans or animals.

1959

U.S. cranberry crop is recalled three weeks before Thanksgiving for FDA tests to check for aminotriazole, a weedkiller found to cause cancer in laboratory animals. Cleared berries were allowed a label stating that they had been tested and had passed FDA inspection, the only such endorsement ever allowed by the FDA on a food product.

1960

The Color Additive Amendment, requiring manufacturers to establish the safety of color additives in foods, drugs, and cosmetics, is enacted. The Delaney proviso prohibits the approval of any color additive shown to induce cancer in humans or animals.

The Federal Hazardous Substances Labeling Act, enforced by the FDA, requires prominent label warnings on hazardous household chemical products.

1962

Thalidomide, a new sleeping pill, is found to have caused birth defects in thousands of babies born in Western Europe. News reports on the role of Dr. Frances Kelsey, FDA medical officer, in keeping the drug off the U.S. market, arouse public support for stronger drug regulation.

Kefauver-Harris Drug Amendments are passed to ensure drug efficacy and greater drug safety. For the first time, drug manufacturers are required to prove to the FDA the effectiveness of their products before marketing them.

1968

Reorganization of federal health programs places the FDA in the Public Health Service (PHS).

1969

The White House Conference on Food, Nutrition, and Health recommends systematic review of GRAS substances in light of the FDA's ban of the artificial sweetener cyclamate. President Richard M. Nixon orders the FDA to review its GRAS list.

1970

The FDA requires the first patient package insert: oral contraceptives must contain information for the patient about specific risks and benefits.

The Environmental Protection Agency is established and takes over an FDA program for setting pesticide tolerances.

1971

The PHS Bureau of Radiological Health is transferred to the FDA. Its mission: protection against unnecessary human exposure to radiation from electronic products in the home, industry, and the healing arts.

National Center for Toxicological Research is established in the biological facilities of the Pine Bluff Arsenal in Arkansas. Its mission is to examine biological effects of chemicals in the environment, extrapolating data from experimental animals to human health.

1972

Over-the-Counter (OTC) Drug Review is begun to enhance the safety, effectiveness, and appropriate labeling of drugs sold without prescription.

Regulation of biologics--including serums, vaccines, and blood products--is transferred from the National Institutes of Health (NIH) to the FDA.

1973

Low-acid food processing regulations issued, after botulism outbreaks from canned foods, to ensure that low-acid packaged foods have adequate heat treatment and are not hazardous.

1976

Medical Device Amendments are passed to ensure safety and effectiveness of medical devices, including diagnostic products. The amendments require manufacturers to register with the FDA and to follow quality control procedures.

Vitamins and Minerals Amendments ("Proxmire Amendments") stop the FDA from establishing standards limiting potency of vitamins and minerals in food supplements or regulating them as drugs based solely on potency.

1977

The Saccharin Study and Labeling Act is passed by Congress to stop the FDA from banning the chemical sweetener but requiring a label warning that it has been found to cause cancer in laboratory animals.

1980

The Infant Formula Act establishes special FDA controls to ensure necessary nutritional content and safety.

1982

Tamper-resistant packaging regulations are issued by the FDA to prevent poisonings such as deaths from cyanide placed in Tylenol capsules. The Federal Anti-Tampering Act, passed in 1983, makes it a crime to tamper with packaged consumer products.

1983

The Orphan Drug Act, enabling the FDA to promote research and marketing of drugs needed for treating rare diseases, is passed.

1985

The AIDS test for blood is approved by the FDA in its first major action to protect patients from infected donors.

1988

The Food and Drug Administration Act of 1988 establishes the FDA as an agency of the Department of Health and Human Services with a Commissioner of Food and Drugs appointed by the President with the advice and consent of the Senate.

1990

The Nutrition Labeling and Education Act requires all packaged foods to bear nutrition labeling and all health claims for foods to be consistent with terms defined by the Secretary of Health and Human Services.

1992

The Prescription Drug User Fee Act requires drug and biologics manufacturers to pay fees for product applications and supplements, and other services. The act also requires the FDA to use these funds to hire more reviewers to assess applications.

Nutrition facts, basic per-serving nutritional information, are required on foods under the Nutrition Labeling and Education Act of 1990. The FDA and the Food Safety and Inspection Service of the Department of Agriculture re-create the food label to list the most important nutrients in an easy-to-follow format.

1993

Revising a policy from 1977 that excluded women of childbearing potential from early drug studies, the FDA issues guidelines calling for improved assessments of medication responses as a function of gender. Companies are encouraged to include patients of both sexes in their investigations of drugs.

1994

The Dietary Supplement Health and Education Act establishes specific labeling requirements, provides a regulatory framework, and authorizes the FDA to promulgate good manufacturing practice regulations for dietary supplements. This act classifies them as food.

1995

The FDA declares cigarettes to be "drug delivery devices." Restrictions are proposed on marketing and sales to reduce smoking by young people.

1997

The Food and Drug Administration Modernization Act reauthorizes the Prescription Drug User Fee Act of 1992 and mandates the most wide-ranging reforms in agency practices since 1938. Provisions include measures to accelerate review of devices, regulate advertising of unapproved uses of approved drugs and devices, and regulate health claims for foods.

1998

The FDA promulgates the Pediatric Rule, a regulation that requires manufacturers of selected new and extant drug and biological products to conduct studies to assess their safety and efficacy in children.

1999

A final rule mandates that all OTC drug labels must contain data in a standardized format. These drug facts are designed to provide the patient with easy-to-find information, analogous to the Nutrition Facts label for foods.

2000

The U.S. Supreme Court, upholding an earlier decision in Food and Drug Administration v. Brown & Williamson Tobacco Corp. et al., ruled 5-4 that FDA does not have authority to regulate tobacco as a drug.

2002

The Best Pharmaceuticals for Children Act improves safety and efficacy of patented and off-patent medicines for children.

2003

To help consumers choose heart-healthy foods, the Department of Health and Human Services announces that the FDA will require food labels to include trans fat content, the first substantive change to the Nutrition Facts panel on foods since 1993.

The Animal Drug User Fee Act permits the FDA to collect subsidies for the review of certain animal drug applications from sponsors, ensuring the safety and effectiveness of drugs for animals and the safety of animals used as foodstuffs.

2004

Project BioShield Act of 2004 authorizes the FDA to expedite its review procedures to enable rapid distribution of treatments as countermeasures to chemical, biological, and nuclear agents that may be used in a terrorist attack against the United States.

Passage of the Food Allergen Labeling and Consumer Protection Act requiring the labeling of any food that contains a protein derived from peanuts, soybeans, cow's milk, eggs, fish, crustacean shellfish, tree nuts, and wheat.

2005

Formation of the Drug Safety Oversight Board, composed of FDA staff and representatives from the NIH and the Veterans Administration, is announced. The board advises the director of the FDA's Center for Drug Evaluation and Research and works with the agency in communicating safety information to health professionals and patients.

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