OUTLINE
THE E FOOD AND DRUGS UGS AUTHO THORIT RITY ’ S S (FDA) A) MANDATE TE AND FOOD REGUL GULATION ION IN GHAN ANA
WHO WE ARE • Established in 1992 as FDB - 1992 Food and Drug Law (PNDCL Vision 305B), The Food and Drugs • To create and sustain a legislation - revised in 2012 and Regulatory Centre of integrated into a new Public Excellence on the Health Act 851, 2012-FDA African Continent. • An agency under Ministry of Health Mission • To protect public health by • The National Regulatory Authority assuring the safety, efficacy mandated to regulate food, drugs, and security of human and food supplements, herbal and veterinary drugs, food, homeopathic medicines, veterinary biological products, cosmetics, medicines, cosmetics, medical medical devices, household devices, household chemical chemical substances, tobacco substances, tobacco and tobacco and the conduct of clinical products trials in the country.
THE FOOD DIVISION CHIEF EXECUTIVE ’ S OFFICE FOOD INSPECTORATE FOOD SAFETY DIVISION DIVISION FOOD FOOD FOOD EVALUA- AGRO- FOOD INDUS- MARKET TION PRODUCTS ANIMAL ENFORC TRIAL FOOD SURVEIL- AND AND PRODUCTS EMENT SUPPORT SAFETY LANCE REGIS- BIOSAFETY DEPT DEPT SERVICES MGT. DEPT TRATION DEPT DEPT DEPT DEPT
FOODBORNE DISEASE SURVEILLANCE PUBLIC EDUCATION IN FOOD SAFETY - MARKET MONITORING OF FOODS IN DURBURS, SCHOOLS, TRADE MEDIA, SOCIAL MEDIA INSPECTION AND LICENSING OF FOOD SERVICE ESTABLISHMENTS-HOTELS, RESTAURANTS AND EATERIES, STREET FOOD VENDORS
GHAN ANA ’ S S FOOD CONTROL OL SYSTEM TEM AND ND FOOD SAFE FETY POLICY ICY
TO STRENGHEN THE FOOD CONTROL SYSTEM - TO STRENGHEN THE FOOD CONTROL SYSTEM - RELEVANT STRATEGIC ACTIONS Policy Objective 1: Strengthen the existing foodborne disease surveillance system Establish a foodborne disease Obj. 1: To strengthen food surveillance network and early safety governance warning system which involves Obj. 2: Strengthen institutional population-based active coordination and collaboration surveillance for laboratory Obj. 3: To continuously review confirmed infections. or amend when necessary existing legislation and regulations on food safety to promote harmonization and synergy of legislation. GHANA ’ S FOOD SAFETY POLICY -Policy accepted by stakeholders -Awaiting parliament approval then launching for implementation
FOODBOR BORNE NE DISEASE EASE SURVEILL VEILLAN ANCE CE IN N GHAN ANA
SPECIFIC OBJECTIVES 2015 - Framework for Implementation developed Assess the burden of foodborne disease in order to determine the magnitude of the problem; Monitor risk factors to inform policy makers for public health interventions for targeted foods or food practices; Detect and respond to outbreaks to determine urgent action; and Generate timely and complete surveillance data to be used for risk analysis and ensure safety of food supplies.
SCHEMATIC DIAGRAM OF THE SYNDROMIC SURVEILLANCE SYSTEM S AMPLES PERIODICALLY P ATIENT R EPORT TO H EALTH SENT TO REFERENCE LAB FACILITY FOR CONFIRMATION Data Collection P ROVISIONAL D IAGNOSIS MADE S AMPLES SENT TO LAB FOR BY PHYSICIAN ANALYSIS Data F OOD SAMPLES SENT TO FBD CONTACT PERSON OR Validation LAB FOR ANALYSIS DSO NOTIFIED ( PERIPHERY LEVEL ) COLLATED FORMS / INFO FROM HEALTH R ESPONSE TO OUTBREAK FACILITIES RECEIVED IN REAL TIME AND Data ANALYZED BY THE MUNICIPAL HEALTH Processing DIRECTORATE ( DISTRICT LEVEL ) VALIDATED FORMS RECEIVED IN REAL TIME BY FDA Policy ( REGIONAL LEVEL ) Formulation D ATA COLLATED AND ANALYZED (N ATIONAL L EVEL )
- REGIONAL AND DISTRICT SURVEILLANCE DEPTS - DISEASE SURVEILLANCE DEPT. - FOODBORNE DISEASE MEDIA-ONLINE, PRINT, SURVEILLANCE DATA LOCAL RADIO AND TV - FOOD SERVICE ESTABLISHMENTS Only outbreaks monitored. This is done through FDA Food safety desk officers across the country. A protocol for handling outbreak of foodborne diseases in place
FOODBORNE DISEASE OUTBREAKS Total No. of Outbreaks 571 600 Total No. of Persons affected 500 Total No. of Deaths 441 400 300 250 200 161 91 77 100 14 11 9 8 9 6 7 4 5 3 1 1 0 2013 2014 2015 2016 2017 2018
CURRENT SURVEILLANCE SYSTEMS 2. INFOSAN-For 1. IDSR-GHS monitoring - Lack of linkage international food between cases and safety events and food chain alerts Mainly for monitoring incidence
DISEASE BURDEN ON HEALTH SYSTEM : 2013-2016 YEAR *NO. OF OPD % OPD AVERAGE (DIARRHOEA CASES TREATMENT COST CASES) ($) 2013 1,530,739 5.7 6,688,714.65 2014 1,573,569 5.4 6,845,025.15 2015 1,515,189 5.7 6,591,072.15 2016 1,570,557 7.0 6,831,992.95 77% of OPD Diarrhoea cases attributed to Foodborne illnesses ( Source: GHS, FDA Havelaar A.H et.al , 2012).
MODE OF INFORMATION RECEIPT, DESSEMINATION AND FEEDBACK INFOSAN emergency contact point -INFOSAN secretariat and the INFOSAN community Network. Information received is sent by both mail and in writing Follow ups done and within 36hours to external action taken are and internal stakeholders. communicated to the Internal stakeholders INFOSAN secretariat. information responsibilities attached.
DETECTION AND RECALL MARKET SURVEILLANCE: A reasonable probability that a regulated product is adulterated or misbranded under the PHA 2012 Act 851. Methods used include sampling and Press releases are issued to provide testing notification to consumers and retailers when necessary The manufacturer or importer notified in writing If compliance fails, product detained and given the opportunity to or distribution seized and mandatory voluntarily recall the recall and safe disposal. Regulatory products within a specific sanctions would apply where period and documentation necessary. Meanwhile if products are on recall submitted to FDA found in trade within the period it will to detained.
WHY HY THE E NEED FOR THE E INFOS OSAN AN FOOD D SAFET ETY ALERT T SYSTEM TEM WORKSH RKSHOP OP
Why the infosan osan worksh shop? op? 1 2 No national well established Timely detection of food food safety alert System to safety events and feed into international alert coordinated response lacking systems like INFOSAN
Objecti ectives s and outcome ome of the e worksho rkshop
OBJECTIVES OF THE WORKSHOP
OBJECTIVES OF THE WORKSHOP
Outcome ome of works kshop op 1 2 Action plan for strengthening A drafting committee for the food collaboration and safety emergency response plan communication for Ghana was established food safety alert system
Concl clus usion ion-lesso essons ns le learn rnt and next xt steps ps for r ghana ana
FOUR KEY LESSONS LEARNT
NEXT STEPS • Operationalization of the National Food Safety Policy • Expand the IDSR to capture additional food borne and or food related threats NEXT STEPS • Develop a food safety emergency response plan • Ensure that the stakeholders • The stakeholders identified are registered on INFOSAN (7 institutions) are to be focal • Inauguration of a National institutions on INFOSAN Food Safety Events platform. Management Committee comprising of relevant stakeholders • Set up, operationalize and maintain a national Food Safety Rapid Response Team at the Regional/Districts
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