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ICMRA Crisis Management Project Update Dr Jarbas Barbosa Director-President of ANVISA Summit of Heads of Medicines Regulatory Agencies Symposium – 27 October 2017

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Page 1: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

ICMRA Crisis Management ProjectUpdate

Dr Jarbas Barbosa

Director-President of ANVISA

Summit of Heads of Medicines Regulatory Agencies Symposium – 27 October 2017

Page 2: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

ICMRA Crisis Management Project

ICMRA Mapping Project

Conclusion: gap on international mechanisms for regulators on crisis management =

opportunity for ICMRA to discuss regulators role in global health crisis

Crisis Management Project

Led by Brazil

DocumentationFramework + SOP

Framework for the involvement of Health Regulatory Authorities in the management of global health crisis +

Standard Operational Procedures

Page 3: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

Framework for the involvement of Health Regulatory Authority in the management of Global Health Crisis:

• Global health crisis from health regulator’s perspective• Involvement of regulators envisaged at 3 levels

• Level 1 - Incidents of quality or safety issues for products with global impact on public health

• Level 2 - Unavailability of products due to a crisis• Level 3 - Urgent need for new medical treatments or vaccines in the face of an

emerging health treats• Focus levels 2 and 3 with description of roles and responsibilities for regulators• Communication as a key part

ICMRA Crisis Management Project

Page 4: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

Standard Operating Procedure for Facilitating Prompt Collaboration among Heads of Regulatory Authorities

• Annex to the Framework• Definition of ICMRA 24/7 emergency contact list and means for communication• Model Alert Notification• Template Agenda for Emergency Calls

ICMRA Crisis Management Project

Page 5: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

ICMRA Crisis Management Project

Side eventWHA 70

“The Role of Regulators in Global Health Emergencies”

Crisis Management Workshop

Page 6: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

The Role of Regulators in Global Health Emergencies

Page 7: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

ICMRA Crisis Management Project

Side eventWHA 70

“The Role of Regulators in Global Health Emergencies”

Crisis Management Workshop

Reach a common ground on what are the expected results of this

partnership established between ICMRA and WHO on crisis

management

Page 8: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

ICMRA Crisis Management Project

Conclusions reached to date: considerations about regulators’ role in emergency situations (1)

• WHO is the international leader in public health emergencies of international concern (PHEIC), and regulators must collaborate with the Organization in a coordinnated manner

• ICMRA shall act as coordinator of regulators and engage with WHO during a PHEIC

• Regulators need to have an implemented plan for health emergency situations

Page 9: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

ICMRA Crisis Management Project

Conclusions reached to date: considerations about regulators’ role in emergency situations (2)

• Regulators must take fast action in situations of crisis• Collaboration and regulatory reliance is paramount to fast

action of individual regulators• Regulators should consider implementing facilitated

regulatory pathways for marketing approval of drugs already approved by other regulator

Page 10: ICMRA Crisis Management ProjectICMRA Crisis Management Project Conclusions reached to date: considerations about regulators’ role in emergency situations(1) •WHO is the international

Next Steps:

• Brazil will update the document “Framework for the involvement of Health Regulatory Authorities in the management of Global Health Crisis” taking into consideration workshop discussions

• Updated document will be circulated to group members for comments• Teleconference to finalize the document• Presentation of final document for approval in the first ICMRA meeting of 2018

ICMRA Crisis Management Project