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Tuberculosis
Ruth McNerneyDepartment of Pathogen Molecular Biology,
Faculty of Infectious and Tropical Diseases,
London School of Hygiene & Tropical Medicine.
Facilitating local production
for improved access to
in vitro diagnostics
Ruth McNerney & Rosanna Peeling
London School of Hygiene & Tropical Medicine
2nd Global Forum on Medical Devices, Geneva.
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In vitro diagnostic (IVD) medical deviceworking definition:
a device, whether used alone or in combination,
intended for the in-vitro examination of specimens
derived from the human body solely or principally
to provide information for diagnostic, monitoring
or compatibility purposes. This includes reagents,
calibrators, control materials, specimen receptacles,
software, and related instruments or apparatus or
other articles.
AHWP SG1/N045:2008 Principles of In Vitro Diagnostic (IVD) Medical Devices Classification
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Phase I: Implemented by WHO Department of Public Health, Innovation and
Intellectual Property (WHO/PHI) in partnership with the United Nations
Conference on Trade and Development (UNCTAD) and the International Centre for
Trade and Sustainable Development (ICTSD)
http://apps.who.int/medicinedocs/en/m/abstract/Js19059en/
This project is part of EU funded initiative: Improving Access to
Medicines in Developing Countries through Technology Transfer
Related to Medical Products and Local Production
Phase 1 ended 2011
Diagnostics report publishedRosanna Peeling and Ruth McNerney
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• Manufacturing mainly occurs in high income countries
and emerging economies
• There are quality concerns about some products
• Little manufacturing activity in Africa
Production of in vitro diagnostics
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In Vitro Diagnostics Pipeline
Diagnostics perform differently in different geographic settings
(Population, disease burden, environmental factors)
Local production could
• Improve access to products appropriate for the local market
• Reduce distribution chains
• Lower costs??
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Market research
Regulatory
acceptance
Sales
Technology transfer pathway
Capacity assessment
Prepare workforce
Build R&D capacity
Build manufacturing
capacity
Validation
Build marketing &
distribution network
Financing
Sustainable production shall require quality
manufacture and access to a market
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Market
research
Financing
R & D
Prototype
Regulatory
acceptance
Marketing &
distribution SalesManufacture
Validation
Product development cycleAccess to finance is a major challenge
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Novel financing avenues are needed
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Standards
Hardware
Software
Reagents
Biologicals
Packaging
Instructions
Disposal
Training
Technical supportStandardsStandardsStandardsStandardsStandardsStandardsIP
Life for a new manufacturer
in a new market can be a
quite a challenge . . .
Marketing
Importation of materials
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We aim to
• Diminish barriers to local production of IVD.
• Enhance IVD manufacturing opportunities in
developing countries.
• Encourage and facilitate tech transfer for local
production.
• Improve the quality of diagnostics produced in
developing countries.
• Improve access to quality diagnostics.
Project Phase II: Facilitating local production
for improved access to in vitro diagnostics.
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A policy framework and strategic
plan for building sustainable local
production capacity for the
manufacture of affordable quality
diagnostic tests
Project Phase II: Facilitating local production
for improved access to in vitro diagnostics.
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Policy framework and strategic plan
• A policy framework for building local production capacity to
address local/regional public health needs.
• A consensus statement on standards for clinical validity of IVDs
in developing countries.
• A road map for establishing local production.
• A generic business plan for production in Africa.
• Algorithm for assessing sustainability of potential production sites.
• Consensus standards for manufacture
• A training package on manufacturing standards
• A cohort of African companies and other potential producers
trained in diagnostic manufacturing standards.
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• We shall work with the International Network of
the Institut Pasteur, WHO and other experts from
commercial and non-commercial sectors.
• We shall undertake cases studies
• We shall consult with stakeholders across sectors.
• We will publish consensus documents and slide sets
• Project start date: October 2013
Your assistance shall be greatly appreciated
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Sans diagnostic, la médecine est sans Sans diagnostic, la médecine est sans Sans diagnostic, la médecine est sans Sans diagnostic, la médecine est sans
visibilité visibilité visibilité visibilité Alain Mérieux Alain Mérieux Alain Mérieux Alain Mérieux
Without diagnostics, medicine is blind Without diagnostics, medicine is blind Without diagnostics, medicine is blind Without diagnostics, medicine is blind Alain Mérieux Alain Mérieux Alain Mérieux Alain Mérieux