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ICH 
The term ICH is international conference hormonisation of technical requirements for registration of 
pharmaceuticals for human use. 
The name of ICH has now become more associated with the process of hormonisation, than the actual 
conferences The ICH project is unique and since 1991 it has brought together by Drug Regulatory 
Authorities and experts from the pharmaceutical industry in USA, European union and Japan to develop 
agreement on core documentation, technical requirements and dossier for registration of new drugs. 
The vast majority of new drugs and medicines are developed in Western Europe, Japan and USA and 
therefore when ICH was established, it was agreed that its scope would be confined to registration in these 
three regions. 
The ICH was born in 1990 .The first ICH was held from 5-7 November 1991 at Brussels. 
MEMBERS OF ICH: 
1) ICH is a joint initiative involving both regulations and industry as equal partners. There are six parties 
directly involved representing the regulation bodies and the research based industry associations in each 
region. The parties involved from the European Union, Japan and USA are: 
i) European Commission 
ii) European Federation of Pharmaceutical Industries Associations. 
iii) Ministry of Health and Welfare 
iv) Japan Pharmaceutical Manufacturers Association 
v) US Food and Drug Administration 
vi) Pharmaceutical Research and Manufacturers of America 
Each of the six co-sponsors has two seats on the ICH steering committee which oversees the harmonization 
activities. 
2) There are three observers: 
i) World Health Organization 
ii) European Free Trade Area (EFTA) represented at ICH by Switzerland and Canada. 
iii) EFTA represented at ICH by the drugs Directorate Health Canada. 
Each of the observer parties has a seat on the ICH steering committee. 
3)The International Federation of Pharmaceutical Manufacturers Association(IFPMA) which is a federation 
of member associations representing the research based pharmaceutical industry and other manufacturers of 
prescription medicines in 56 countries has been closely associated IFPMA has two seats on the ICH 
steering committee as non-voting members. 
4) For smooth running of ICH, each of six co-sponsors designate an ICH coordinator to act as the main 
contact point with the ICH secretariat and ensure that ICH documents are distributed to the appropriate 
persons within the area of their responsibilities. 
5)Each party has also established a contact network of experts with in their own organization (or)region in 
order to ensure that they reflect the views and policies of the co sponsor they represent the way in which 
this network operates differs according to administrative structure of the party concerned. 
SCHEDULE OF MEETINGS: 
ICH meeting have been held every alternate year .These have takenplace in 1991,1993,1995,1997 and the 
last one was held in November 2000 at San Diego in USA. 
ACTIVITIES OF ICH: 
The first phase of ICH (1991-1997):- 
The fourth international conference on Harmonisation, Brussels, 16-18 July 1997, marked the completion 
of first phase of activities. 
The development of Guidelines:-
In the first phase the exercise was directed towards the elimination of redundant and duplicates technical 
requirements for registration in individual countries and lying down of minimum standards applicable 
uniformly irrespective of where the product is manufactured and /or marketed. 
This was successfully done with the development of over 40 guidelines covering efficacy, quality and 
safety aspects of drug development. 
Second phase of ICH (1998 to current):- 
The ICH steering committee at a meeting held near Washington DC,2-5 February 1998 marked the start of 
second phase of activities. 
World Health Organization 
WHO is the directing and coordinating authority for health within the United Nations system. It is 
responsible for providing leadership on global health matters, shaping the health research agenda, setting 
norms and standards, articulating evidence based policy options, providing technical support to countries 
and monitoring and assessing health trends. In the 21st century, health is a shared responsibility, involving 
equitable assess to essential care and collective defense against transitional threats. 
Agenda. WHO operates in an increasingly complex and rapidly changing landscape. The boundaries of 
public health action have become blurred, extending in other sectors that influence health opportunities and 
outcomes. Who responds to these challenges using a six points address two health objectives, two strategic 
needs and two operational approaches. The overall performance of WHO will be measured by the impact of 
its work on women’s health and health in Africa. 
1. Promoting development 
During the past decade, health has achieved unprecedented prominence as a key driver of socioeconomic 
progress and more resources than ever are being invested in health, yet poverty continues to contribute to 
poor health, and poor health anchors large populations in poverty. Health development is directed by the 
ethical principle of equity: access to life-saving or health promoting interventions should not be denied for 
unfair reasons, including those with economic or social roots. Commitment to this principle ensures that 
WHO activities aimed at health development give priority to health outcomes in poor, disadvantaged or 
vulnerable groups. Attainment of the health-related Millennium Development Goals, Preventing and 
treating chronic diseases and addressing the neglected tropical diseases are the cornerstones of the health 
and development agenda. 
2. Fostering health security 
Shared vulnerability to health security threats demands collective action. One of the greatest threats to 
international health security arises from outbreaks of emerging and epidemic –prone diseases. Such 
outbreaks are occurring in increasing numbers, fuelled by such factors as rapid urbanization, environmental 
mismanagement , the way food s produced and traded, and the way food is produced and traded, and the 
way antibiotics are used and misused. The world’s ability to defend itself collectively against outbreaks has 
been strengthened since June 2007, when the revised Internationational Health Regulations came into 
force. 
3. Strengthening Health systems 
For health improvement to operate as a poverty-reduction strategy, health service must poor and 
underserved populations. Health systems in many parts of the world are unable to do so, making the 
strengthening of health systems a high priority for WHO. Areas being addressed include the provision of 
adequate numbers of appropriately trained staff, sufficient financing, financing, suitable systems for 
collecting vital statistics, and access to appropriate technology including essential drugs. 
4. Harnessing health systems 
Evidence provides the formulation for setting priorities, defining strategies, and measuring results. WHO 
generates authoritative health information, in consultation with leading experts, to set norms and standards, 
articulate evidence-based policy options and monitor the global health situation. 
5. Enhancing partnerships
WHO carries out its work with the support and collaboration of many partners, UN agencies and other 
international organizations, donors, civil society and the private sector. WHO uses the strategic power of 
evidence to encourage partners to align their activities with best technical guidelines and practices, as well 
as with the priorities established by countries. 
6. Improving performance 
WHO participates in ongoing reforms aimed at improving its efficiency and effectiveness, both at the 
international level and within countries. WHO aims to ensure that its strongest asset – ots staff – works in 
an environment that is motivating and rewarding. WHO plans its budget and activities through results-based 
management, with clear expected results to measure performance at country regional and 
international levels. 
The role of WHO in public health 
WHO fulfills its objectives through its core functions: 
· Providing leadership on matters critical to health and engaging in partnerships where joint 
action is needed; 
· Shaping the research agenda and stimulating the generation, translation and dissemination of 
valuable knowledge; 
· Setting norms and standards and promoting and monitoring their implementation; 
· Articulating ethical and evidence-based policy options; 
· Providing technical support , catalyzing change, and building sustainable institutional 
capacity; and 
· Monitoring the health situation and assessing health trends. 
Governance of WHO 
WHO’s objective, as set out in its constitution, is the attainment by all people of the highest possible level 
of health. The Constitution defines health as a state of complete physical, mental and social well-being and 
not merely the absence of disease or infirmity. The World Health Assembly is the supreme decision-making 
body for WHO. It meets each year in May in Geneva, and is attended by delegations from all 193 
Member states. 
The executive board is composed of 34 members technically qualified in the field of health. Members are 
elected for three year terms. The main board meeting, at which the agenda for the forthcoming Health 
Assembly is agreed upon and resolutions are adopted for forwarding to the Health Assembly, is held in 
January, with a second shorter meeting in May, immediately after the Health Assembly, for more 
administrative matters. The main functions of the Board are to give effect to the decisions and policies 
Health Assembly, to advise it and generally to facilitate work. 
The World Health Assembly is the supreme decision-making body for WHO. It generally meets in Geneva 
in May each year, and is attended by delegations from all 193 member states. Its main function is to 
determine the policies of the organization. The Health Assembly appoints the Director-General, supervises 
the financial policies of the organization, and reviews and approves the proposed program budget. It 
similarly considers reports of the executive Board, which it instructs in regard to matters upon which 
further action, study, investigation or report may be required. 
The secretariat of WHO is staffed by some 8000 health and other experts and support staff on fixed-term 
appointments, working at headquarters, in the six regional offices, and in countries. 
The organization is headed by the Director-General, who is appointed by the Health Assembly on the 
nomination of the Executive Board. 
The World Health Organization (WHO) is a specialized agency of the United Nations (UN) that acts as a 
coordinating authority on international public health. Established on 7th April 1948, and headquartered in 
Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health 
Organization, which had been an agency of the League of Nations. 
Mission
The WHO’s Constitution states that its objective is “the attainment by all people of the highest possible 
level of health.” Its major task is to promote the general health of the people of the world. 
Establishment 
The World Health Organization is one of the original agencies of the United Nations, its Constitution 
formally coming into force on the first World Health Day, (7th April 1948), when it was ratified by the 26th 
member state. Prior to this, its operations as well as the remaining activities of the League of Nations 
Health Organization were under the control of an Interim Commission following an International Health 
Conference in summer of 1946. The transfer was authorized by a Resolution of the General Assembly. The 
epidemiologic service of the French Office International d’Hygiene publique was incorporated into the 
Interim Commission of the WHO on 1st January 1947. 
Summary 
As well as coordinating international efforts to monitor outbreaks of infectious diseases, such as SARS, 
malaria, and AIDS, the WHO also sponsors programs to prevent and treat such diseases. The WHO 
supports the development and distribution of safe and effective vaccines, pharmaceutical diagnostics and 
drugs. After over 2 decades of fighting small pox, the WHO declared in 1980 that the disease had been 
eradicated – the first disease in history to be eliminated by human effort. 
The WHO aims to eradicate polio within the next few years. The organization had already endorsed the 
world’s first official HIV/AIDS Toolkit for Zimbabwe (from 3rd October, 2006) making it an International 
standard. 
The WHO also conducts research on many things, sometimes this can be controversial, but it stands by its 
recommendation based upon its own analysis of scientific studies. 
INTRODUCTION TO ISO 
ISO (International Organization for Standardization) is the world's largest developer and publisher of 
International Standards. 
ISO is a network of the national standards institutes of 163 countries, one member per country, with a 
Central Secretariat in Geneva, Switzerland, that coordinates the system. 
ISO is a non-governmental organization that forms a bridge between the public and private sectors. On the 
one hand, many of its member institutes are part of the governmental structure of their countries, or are 
mandated by their government. On the other hand, other members have their roots uniquely in the private 
sector, having been set up by national partnerships of industry associations. 
Therefore, ISO enables a consensus to be reached on solutions that meet both the requirements of business 
and the broader needs of society. 
The ISO brand 
* Democratic 
Every full member of ISO has the right to take part in the development of any standard which it judges to 
be important to its country's economy. No matter what the size or strength of that economy, each 
participating member in ISO has one vote. Each country is on an equal footing to influence the direction of 
ISO's work at the strategic level, as well as the technical content of its individual standards. 
* Voluntary 
ISO standards are voluntary. As a non-governmental organization, ISO has no legal authority to enforce the 
implementation of its standards. ISO does not regulate or legislate. However, countries may decide to adopt 
ISO standards - mainly those concerned with health, safety or the environment - as regulations or refer to 
them in legislation, for which they provide the technical basis. In addition, although ISO standards are 
voluntary, they may become a market requirement, as has happened in the case of ISO 9001 quality 
management systems, or of dimensions of freight containers and bank cards. 
ISO itself does not regulate or legislate. 
* Market-driven
ISO only develops standards for which there is a market requirement. The work is mainly carried out by 
experts from the industrial, technical and business sectors which have asked for the standards, and which 
subsequently put them to use. 
* Consensus 
ISO standards are based on international consensus among the experts in the field. Consensus, like 
technology, evolves and ISO takes account both of evolving technology and of evolving interests by 
requiring a periodic review of its standards at least every five years to decide whether they should be 
maintained, updated or withdrawn. In this way, ISO standards retain their position as the state of the art. 
* Globally relevant 
ISO standards are technical agreements which provide the framework for compatible technology 
worldwide. They are designed to be globally relevant - useful everywhere in the world. 
ISO standards are useful everywhere in the world. 
How to recognize an ISO standard 
In paper form, an ISO standard is published in A4 format - which is itself one of the ISO standard paper 
sizes. It may be anywhere between a four-page document and one several hundred pages' long. ISO 
standards are also available as electronic downloads and many are available as part of a collection on CD or 
in handbook. An ISO standard carries the ISO logo and the designation, "International Standard". 
The scope of ISO's work 
ISO has more than 18 000 International Standards and other types of normative documents in its current 
portfolio. ISO's work programme ranges from standards for traditional activities, such as agriculture and 
construction, through mechanical engineering, manufacturing and distribution, to transport, medical 
devices, information and communication technologies, and to standards for good management practice and 
for services. 
Examples of the benefits standards provide 
Standardization of screw threads helps to keep chairs, children's bicycles and aircraft together and solves 
the repair and maintenance problems caused by a lack of standardization that were once a major 
headache for manufacturers and product users. 
Standards establishing an international consensus on terminology make technology transfer easier and 
safer. They are an important stage in the advancement of new technologies and dissemination of 
innovation. 
Without the standardized dimensions of freight containers, international trade would be slower and more 
expensive. 
Without the standardization of telephone and banking cards, life would be more complicated. 
A lack of standardization may even affect the quality of life itself: for the disabled, for example, when 
they are barred access to consumer products, public transport and buildings because the dimensions of 
wheel-chairs and entrances are not standardized. 
Standardized symbols provide danger warnings and information across linguistic frontiers. 
Consensus on grades of various materials gives a common reference for suppliers and clients in business 
dealings. 
Agreement on a sufficient number of variations of a product to meet most current applications allows 
economies of scale with cost benefits for both producers and consumers. An example is the 
standardization of paper sizes. 
Standardization of performance or safety requirements of diverse equipment makes sure that users' needs 
are met while allowing individual manufacturers the freedom to design their own solution on how to meet 
those needs. 
Standardized computer protocols allow products from different vendors to "talk" to each other. 
Standardized documents speed up the transit of goods, or identify sensitive or dangerous cargoes that may 
be handled by people speaking different languages. 
Standardization of connections and interfaces of all types ensures the compatibility of equipment of 
diverse origins and the interoperability of different technologies.
Agreement on test methods allows meaningful comparisons of products, or plays an important part in 
controlling pollution - whether by noise, vibration or emissions. 
Safety standards for machinery protect people at work, at play, at sea... and at the dentist's. 
Without the international agreement contained in ISO standards on metric quantities and units, shopping 
and trade would be haphazard, science would be unscientific and technological development would be 
handicapped. 
What's different about ISO 9001 and ISO 14001 
The vast majority of ISO standards are highly specific to a particular product, material, or process. 
However, ISO 9001 (quality) and ISO 14001 (environment) are "generic management system 
standards". "Generic" means that the same standard can be applied to any organization, large or small, 
whatever its product or service, in any sector of activity, and whether it is a business enterprise, a public 
administration, or a government department. ISO 9001 contains a generic set of requirements for 
implementing a quality management system and ISO 14001 for an environmental management system. 
Why conformity assessment is important 
"Conformity assessment" means checking that products, materials, services, systems, processes or people 
measure up to the specifications of a relevant standard or specification. Today, many products require 
testing for conformity with specifications or compliance with safety, or other regulations before they can be 
put on many markets. ISO guides and standards for conformity assessment represent an international 
consensus on best practice. Their use contributes to the consistency of conformity assessment worldwide 
and so facilitates trade. 
What "international standardization" means 
When the large majority of products or services in a particular business or industry sector conform to 
International Standards, a state of industry-wide standardization exists. The economic stakeholders 
concerned agree on specifications and criteria to be applied consistently in the classification of materials, in 
the manufacture and supply of products, in testing and analysis, in terminology and in the provision of 
services. In this way, International Standards provide a reference framework, or a common technological 
language, between suppliers and their customers. This facilitates trade and the transfer of technology. 
ISO's origins 
In 1946, delegates from 25 countries met in London and decided to create a new international organization, 
of which the object would be "to facilitate the international coordination and unification of industrial 
standards". The new organization, ISO, officially began operations on 23 February 1947, in Geneva, 
Switzerland. 
Who can join ISO 
Membership of ISO is open to national standards institutes most representative of standardization in their 
country (one member in each country). 
· Full members, known as member bodies, each have one vote, whatever the size or strength 
of the economy of the country concerned. 
· Correspondent members pay reduced membership fees. They are entitled to participate in 
any policy or technical body as observers, with no voting rights. 
· Subscriber members also pay reduced membership fees. They are institutes from countries 
with very small economies that nevertheless wish to maintain contact with international 
standardization. 
Although individuals or enterprises are not eligible for membership, both have a range of opportunities for 
taking part in ISO's work: 
· Individuals may be selected by national member institutes to serve as experts on national 
delegations participating in ISO technical committees 
· Individuals and enterprises may provide their input during the process of developing a 
national consensus for presentation by the delegation. This may done through national mirror 
committees to the corresponding ISO technical committee
· International organizations and associations , both non-governmental and representing 
industry sectors, can apply for liaison status to a technical committee. They do not vote, but can 
participate in the debates and the development of consensus. 
How the ISO system is managed 
All strategic decisions are referred to the ISO members, who meet for an annual General Assembly. The 
proposals put to the members are developed by the ISO Council, drawn from the membership as a whole, 
which resembles the board of directors of a business organization. 
ISO Council meets twice a year and its membership is rotated to ensure that it is representative of ISO's 
membership. 
ISO's operations are managed by a Secretary-General, which is a permanent appointment resembling the 
chief executive of a business enterprise. The Secretary-General reports to the ISO Council, the latter being 
chaired by the President who is a prominent figure in standardization or in business, elected for two years. 
The Secretary-General is based at ISO Central Secretariat in Geneva, Switzerland, with a compact staff 
which provides administrative and technical support to the ISO members, coordinates the decentralized 
standards' development programme, and publishes the output. 
How the ISO system is financed 
ISO's national members pay subscriptions that meet the operational cost of ISO's Central Secretariat. The 
subscription paid by each member is in proportion to the country's Gross National Income and trade 
figures. Another source of revenue is the sale of standards. 
However, the operations of ISO Central Secretariat represent only about one fifth of the cost of the system's 
operation. The main costs are borne by the member bodies that manage the specific standards development 
projects and the business organizations that provide experts to participate in the technical work. These 
organizations are, in effect, subsidizing the technical work by paying the travel costs of the experts and 
allowing them time to work on their ISO assignments. 
How ISO decides to develop a standard 
ISO launches the development of new standards in response to the sectors that express a clearly established 
need for them. An industry or business sector communicates its requirement for a standard to one of ISO's 
national members. The latter then proposes the new work item to ISO as a whole. If accepted, the work 
item is assigned to an existing technical committee. Proposals may also be made to set up technical 
committees to cover new scopes of activity. 
At the end of 2006, there were 3041 technical bodies in the ISO system, including 193 ISO technical 
committees. 
The focus of the technical committees is specialized and specific. In addition, ISO has three general policy 
development committees that provide strategic guidance for the standards' development work on cross-sector 
aspects. These committees ensure that the specific technical work is aligned with broader market and 
stakeholder group interests. They are: 
· CASCO (conformity assessment) 
· COPOLCO (consumer policy), and 
· DEVCO (developing country matters) 
Who develops ISO standards 
ISO standards are developed by technical committees comprising experts from the industrial, technical and 
business sectors which have asked for the standards, and which subsequently put them to use. These 
experts may be joined by representatives of government agencies, testing laboratories, consumer 
associations, non-governmental organizations and academic circles. 
The experts participate as national delegations, chosen by the ISO national member institute for the 
country concerned. These delegations are required to represent not just the views of the organizations in 
which their participating experts work, but of other stakeholders too. 
According to ISO rules, the member institute is expected to take account of the views of the range of 
parties interested in the standard under development. This enables them to present a consolidated, national 
consensus position to the technical committee.
ISO standards are developed by experts from the sectors which have asked for them. 
How ISO standards are developed 
The national delegations of experts of a technical committee meet to discuss, debate and argue until they 
reach consensus on a draft agreement. This is circulated as a Draft International Standard (DIS) to ISO's 
membership as a whole for comment and balloting. 
Many members have public review procedures for making draft standards known and available to 
interested parties and to the general public. The ISO members then take account of any feedback they 
receive in formulating their position on the draft standard. 
If the voting is in favour, the document, with eventual modifications, is circulated to the ISO members as 
a Final Draft International Standard (FDIS). If that vote is positive, the document is then published as an 
International Standard. 
Every working day of the year, an average of eight ISO meetings are taking place somewhere in the world. 
In between meetings, the experts continue the standards' development work by correspondence. 
Increasingly, their contacts are made by electronic means and some ISO technical bodies have already gone 
over entirely to working electronically, which speeds up the development of standards and cuts travel 
costs. 
INTERNATIONAL ORGANISATION FOR STANDERDISATION (ISO) 
Introduction to ISO: 
What are standards 
Standards are documented agreements containing technical specifications or other precise criteria to be 
used consistently as rules, guidelines , or definitions of characteristics , to ensure that materials , products 
,processes and services are fit for their purpose. 
For example , the format of the credit cards ,phone cards that have become commonplace is derived from 
an ISO international standard .adhering to the standard , which defines such features as an optimal 
thickness (0,76 mm), means that the cards can be used worldwide. 
International standards thus contribute to making life simpler, and to increasing the reliability and 
effectiveness of the goods and services we use. 
What is ISO 
The international organization for standerdisation(ISO) is a worldwide federation of national standards 
bodies from 163 countries, one from each country. 
ISO is a non-governmental organization established in 1947. The mission of ISO is to promote the 
development of standardization and related activities in the world with a view to facilitating the 
international exchange of goods and services, and to developing cooporation in the spheres of intellectual, 
scientific, technological and economic activity. 
ISO’s work results in international agreements which are published as international standards. 
International standerdization began in the eletrotechnical field: the international electrotechnical 
commission (IEC) was created in 1906. Pioneering work in other fields was carried out by the International 
Federation of the National Standardizing Associations(ISA), WHICH WAS SET UP IN 1926.The 
emphasis within ISA was laid heavily on mechanical engineering 
ISA’s activities ceased in 1942 , owing to the second world war .following a meeting in Londonin 1946, 
delegates from 25 countries decided to create a new international organization “ the object of which would 
be to fecilitate the international coordination and unification of industrial standards ‘’.the new 
organization ,ISO , began to function officially on 23 february 1947. 
The first ISO standard was published in 1951 with the title “ Standard reference temperature for industrial 
length measurement”. 
ISO9000:
ISO 9000 is rapidly becoming most popular quality standard in the world. Thousands of organizations have 
already adopted this important standard.ISO 9000 is an international document written by members of 
worldwide delegates.ISO 9000 series was published in 1987 and is updated every 5 years. 
ISO 9000 applies to all types of organizations.it can help both product and service oriented organizations 
achieve standards of quality that are recognized and respected through out the world. 
We can then develop a quality system that meets the quality requirements specified by one of the 
following three standards: 
ISO9001, ISO9002, OR ISO 9003.In the cource of doing so , we also consider ISO’s many guidelines.these 
guidelines include ISO 9000, ISO 9004, ISO 10011, and ISO 10013.once the quality system has been 
developed and implemented , we carry out an internal audit to make sure the system is working 
properly.then we invite an accredited external auditor (registrar) to evaluate the effectiveness of the quality 
system.if the auditors like what they see,they will certify that the quality system has met all of ISO 
requirements.they will then issue an official certificate and they will record our achievement in their 
registry. We can then announce to the world that the quality of the products and services is managed 
,controlled, and assured by a registered ISO 9000 quality system. 
ISO 9001 
ISO 9001 is a quality assurance model made up of 20 sets of quality system requirements. This model 
applies to organizations that design , develop , produce , install, and serviceproducts.ISO expects 
organizations to apply this model, and to meet these requirements, by developing a quality system. 
ISO 9000 4.1 - MANAGEMENT RESPONSIBILITIES 
· Defines a quality policy. your policy should describe your organizations attitude towards 
quality. 
· Define the organizational structure that you will need in order to manage your quality 
system. 
 Define quality system responsibilities, give quality system personnel the the authority to carry out 
these responsibilities, and ensure that the interactions these personnel are clearly specified. Also, 
make sure that all of this is well documented. 
 Identify and provide the resources that people will need to manage, perform, 
and verify quality system work. 
 Appoint a senior executive to manage your quality system and give him or 
her the necessary authority. 
· Define a procedure that your senior managers can use to review the effectiveness of your 
quality system. 
ISO 9001 4.2 –QUALITY SYSTEM REQUIREMENTS 
· Develop a quality system and a manual that describe it. 
· Develop and oimplement quality system procedures that are consistent with your quality 
policy. 
· Develop quality plans which show how you intend to fulfill quality system 
requirements.your are expected to develop quality plans for products, projects , and customer 
contracts. 
ISO 9001 4.3 – CONTRACT REVIEW REQUIREMENTS 
· Develop and document procedures ti coordinate the review of sales orders and customer 
contracts. Make sure you include the customer in the process of review. 
· Your contract review procedures should ensure that all contractual requirements are 
acceptable before you agree to provide products or services to your customers. 
· Develop procedures which specify how customer contracts are amended, and which ensure 
that changes in contacts are communicated throughout the organization.
· Develop a record keeping system that you can use to document the review of customer 
orders and contracts. 
ISO 9001 4.4 - PRODUCT DESIGN REQUIREMENTS 
· Develop and document procedures to control the product design and development 
process.these procedures must ensure that all requirements are being met. 
· Develop product design and development planning procedures. 
· Identify the groups that should be routinely involved in the product design and development 
process, and ensure that their design input is properly documented, circulated, and reviewed. 
· Develop procedures to ensure that all design input requirements are identified , documented, 
and reviewed; and that all design flaws, ambiguities, contraindications, and deficiencies are 
resolved. 
· Develop procedures to control design outputs. 
· Develop procedures which specify how product design reviews should be planned and 
performed. 
· Develop procedures which specify how design outputs, at every stage of the product, design 
and development process, should be verified. 
· Develop procedures which validate the assumption that your newly designed products will 
meet the customer needs. 
· Develop procedures to ensurethat all product design modifications are documented, 
reviewed, and formally authorized before the resulting documents are circulated and the changes 
are implemented. 
ISO 9001 4.5 - DOCUMENT AND DATA CONTROL 
· Develop procedures to control quality system document and data. 
· Develop procedures to review , approve, and manage all of your quality system 
documents and data. 
· Develop procedures to control changes to documents and data. 
ISO 9001 4.6 – PURCHASING REQUIREMENTS 
· Develop procedures to ensure that purchased products meet all requirements. These 
procedures should control the selection of subcontractors, the use of purchasing data, and 
the verification of the purchased products. 
· Develop procedures to select , evaluate , monitor, and control your subcontractors 
(your suppliers).make sure that quality records are kept which chronicle the performance 
of all your subcontractors.your records should identify the acceptable subcontractors and 
the products and services they provide. 
· Develop procedures to ensure that your purchase order documents precisely describe 
what you want to bye. 
· Develop procedures that allow you or your customers to verify the acceptability of 
products you have purchased. 
ISO 9001 4.7 – CUSTOMER – SUPPLIED PRODUCTS 
· Develop procedures to control products supplied to you by customers. These procedures 
should ensure that you: 
1) Examine the product when you recirve it to confirm that the right items were shipped 
without loss or damage. 
2) Prevent product loss, misuse, damage, or deterioration through proper storage and 
security. 
3) Record ,and report to the customer, any product loss, misuse, damage, or 
deterioration.
4) Clarify who is responsible for the maintenance of the product while it is in your 
possession. 
ISO 9001 4.8 – PRODUCT IDENTIFICATION AND TRACING 
Develop and document proceduresto identify and track products from start to finish. when appropriate these 
procedures should ensure that you: 
· Identify and document products every step of the way from the purchsa of supplies and 
materials through all stages of handling, storage , production, delivery, installation, and servicing 
· Trace products or product batches by means of unique identifiers and suitable record 
keeping. 
ISO 9001 4.9 - PROCESS CONTROL REQUIREMENTS 
· Develop and document procedures to plan, monitor, and control your production, 
installation and servicing processes. 
· Design a record keeping system that monitors and controls process personnel and 
equipment. Make sure that all important process qualities are monitored and recorded. 
ISO 9001 4.10 – PRODUCT INSPECTION AND TESTING 
· Develop procedures to inspect test, and verify that incoming , in –process , and final 
products meet all specified requirements. Also ensure that appropriate product inspection and 
testing records are developed, and that your procedures ensure that these records are properly 
maintained. 
· Develop procedures which ensure that incoming products are not used until you have 
verified that they meet all specified requirements. 
· Develop procedures which ensure that work- in – process meets all requirements before 
work is allowed to continue. 
· Develop procedures which ensure that final products meet all requirements before they are 
made available for sale. 
· Develop a record keeping system that your staff can use to document all product testing and 
inspection activities. 
ISI 9001 4.11 -CONTROL OF INSPECTION EQUIPMENT 
· Develop procedures to control , calibrate, and maintain inspection, measuring, and test 
equipment used to demonstrate that your product confirm to specified requirements(the term 
equipment includes both hardware and software). 
· Develop procedures to ensure that your measurement equipment is appropriate , effective, 
and secure. 
· Develop procedures to calibrate all of your quality oriented inspection, measuring, and test 
equipment. 
ISO 9001 4.12 – INSPECTION AND TEST STATUS OF PRODUCTS 
Develop procedures to control the test status of your products. These procedures should ensure that: 
· Each and every product is identified as having passed or failed the required tests and 
inspections. 
· The test status of each product is documented and respected throughout the production, 
installation, and servicing process. 
· Only products that have passed all tests and inspections are subsequiently used or sold to 
customers(unless an official exception is made under section 4.13). 
ISO 9001 4.13 – CONTROL OF NONCONFORMING PRODUCTS 
· Develop procedures to prevent the inappropriate use of nonconfirming products.also make 
sure that every one is notified when your products do not confirm to specified requirements.
· Develop proceduresto control how your nonconforming products are reviewed, reworked, 
redraded, re-tested, recorded, and discussed. 
ISO 9001 4.14 CORRECTIVE AND PREVENTIVE ACTION 
· Develop procedures to correct or prevent nonconformities. 
· Develop procedures to ensure that nonconformities are identified and corrected without 
delay. 
· Develop procedures to ensure that potential nonconformities are routinely detected and 
prevented. 
ISO 9001 4.15 – HANDLING , STORAGE, AND DELIVERY 
· Develop and document procedures to handle, store, pakage, preserve , and deliver your 
products. 
· Develop product handling methods and procedures that prevent product damage or 
deterioration. 
· Designate secure areas to store and protect your products. 
· Develop procedures which specify how your products will be placed into storage and 
removed from storage. 
· Develop procedures which specify how your products will be protected from damage or 
deterioration from storage. 
· Develop procedures which specify how your products will be monitored and evaluated to 
detect damage or deterioration while in storage. 
· Develop packing, packaging, and marking methods and procedures to protect and control 
the quality of products and packaging materials. 
· Develop methods and procedures to protect and preserve product quality prior to delivery 
and while the product is still under your control. 
· Develop procedures to protect your products after final testing and inspection, and during 
product delivery. 
ISO 9001 4.16 - CONTROL OF QUALITY RECORDS 
· Identify and define the quality information that should be collected. 
· Develop a quality record keeping system, and develop procedures to maintain and control it. 
Develop procedure to: 
1) collect and record quality information (create records) 
2) file , index, store, and maintain quality records. 
3) Remove ,archive, and destroy old quality records 
4) Protect quality records from unauthorized access. 
5) Prevent records from being altered without approval. 
6) Safeguard records from damage or deterioration. 
ISO 9001 4.17 – INTERNAL QUALITY AUDIT REQUIREMENTS 
Develop internal quality audit procedures which: 
· Determine whether quality activities and results comply with written quality plane, 
procedures, and programs. 
· Evaluate the performance of your quality system. 
· Verify the effectiveness of your corrective actions. 
These procedures should also ensure that : 
· Audit activities are properly planned. 
· Auditors are independent of the people being audited. 
· Audit results , corrective actions, and corrective action results and consequences are 
properly recorded.
· Audit conclusions are discussed with the people whose activities and results are being 
audited, and deficiencies are corrected. 
· Audit repots are fed back into the quality system review process. 
ISO 9001 4.18 – TRAINING REQUIREMENTS 
Develop quality training procedures. These procedures must ensure that : 
· Quality system training needs are identified. 
· Quality training is provided to those who need it. 
· People are able to perform quality system jobs. 
· People have the qualifications they need to do the work. 
· Accurate and appropriate training records are kept. 
· Everyone understands how your quality system works. 
ISO 9001 4.19 - SERVICING REQUIREMENTS 
Develop and document quality service procedures.your procedures should specify how: 
· Products should be serviced. 
· Product service activities are reported. 
· The quality of product service is verified. 
ISO 9001 4.20 - STATISTICAL TECHNIQUES 
· Select the statistical techniques that you will need in order to establish , control , and verify 
your process capabilities and product charecteristics. 
· Develop procedures to explain how your techniques should be applied. 
· Develop procedures to monitor and control how techniques are used. 
· Make sure that all statistical procedures are documented. 
· Make sure that proper statistical records are kept. 
ISO 9002: QUALITY SYSTEMS -- MODEL FOR QUALITY ASSURANCE IN PRODUCTION , 
INSTALLATION AND SERVICING. 
This standard applies to more routine production where product quality requirements can be adequately 
expressed in terms of specifications. In these situations design criteria are either unimportant or have been 
previously resolved. Confidence in supplier processing capability is required. 
The production and supply of excipients and bulk pharmaceutical chemicals could fit into this standard, 
which is probably the most extensively applied ISO9000 standard in the pharmaceutical industry.ISO 9002 
is identical to ISO 9001 with the exclusion of section on the design control (4.4 ) 
ISO 9003 : QUALITY SYSTEM – MODEL FOR QUALITY ASSURANCE IN FINAL INSPECTION 
AND TEST 
This applies to contractual arrangements that rely on a suppliers ability to detect and control 
nonconforming products by final testing or inspection. It is difficult to perceive a situation where this 
would apply within the pharmaceutical industry—where quality must be built into designand production of 
the product.one possible situation could be for the evaluation of production with low level of defectives 
where inspection is used to cut out the defective units. 
This standard is a condensed version of ISO 9002 with exclusion of specific section which do not apply: 
purchasing (4.6), process control (4.9), servicing(4.19). 
ISO 9004 : QUALITY MANAGEMENT AND QUALITY SYSTEM ELEMENTS. 
This descriptive standard is currently eight parts, provides more detailed guidance on the quality elements 
included in the registration /certification standards ISO 9001 , 9002 , and 9003.the eight parts are entitled : 
1) Guidelines 
2) Guidelines for services 
3) Guidelines for processed materials 
4) Guidelines for quality improvements 
5) Guidelines for quality plans
6) Guidelines on quality assurance for project management 
7) Guidelines for configuration management 
8) And guidelines on quality principles and their application to management practices. 
ISO 9001 series have to go further and must also demonstrate a capability /monitoring in all phases of 
design development. 
ISO 9002 suppliers are expected to go further and demonstrate that the relevant ,manufacturing processes 
are capable of maintaining requirements as per design specifications. Ex.., performance and capability 
studies. 
ISO 9003 suppliers only have to demonstrate , among other things , a capability to impact and test a 
product (eg.,) using proper acceptance sampling plan, monitoring test equipments etc. 
U .S. FOOD AND DRUG ADMINISTATION 
The U.S. Food and drug administration is an agency of the United States Department of Health and Human 
services and is responsible for the safety regulation of most type of foods, dietary supplements, drug , 
vaccines, biological medical products, blood products, medical devices, radiation – emitting devices, 
veterinary products, and cosmetics. The agency of the U.S. Department of Health and Human Services. 
Established in 1927 
History: 
Origins of federal food and drug regulation : 
The history of the FDA can be traced to the latter part of the 19 th century and the U.S Department of 
Agriculture’s Division of Chemistry Under Harvey Washington Wiley, appointed chief chemist in 1883, 
the division began conducting research into the adulteration and misbranding of food and drug on the 
American market. 
The 1906 Food and Drugs Act and creation of the FDA : 
In June 1906, President Theodore Roosevelt signed into law the Food and Drug Act, also known as the “ 
Wiley Act ” after its chief advocate. The act prohibited, under penalty of seizure of foods, the interstate 
transport of food which had been “ adulterated” with that term referring to the addition of 
fillers of reduced “ quality or strength” , coloring to conceal “damage or inferiority” formulation with 
additives “ injurious to health” or the use of “ filthy, decomposed, or putrid” substances. 
The 1938 Food, Drug, and Cosmetic Act 
By the 1930s , muckraking journalists, consumer protection organizations, and federal regulators began 
mounting a compaign for stronger regulatory authority by publicizing a list of injurious products which 
had been ruled permissible under the 1906 law including radioactive beverages, cosmetics which caused 
blindness, and worthless “cures” for diabetes and tuberculosis. 
Elixir sulfanilamide tragedy, in which over 100 people died after using a drug formulated with a toxic, 
untested solvent. The only way that the FDA could even seize the product was due to a misbranding 
problem: an “Elixir” was defined as a medication dissolved in ethanol, not the diethylene glycol used in 
the Elixir Salfanilamidethe . 
Early FD&C Act amendments:1938-1958: 
The federal Food Drug and Cosmetic Act of 1938was passed after a legally marketed toxic elixir killed 107 
people, including many children. The FD&C Act completed overhauled the public health system. Among 
other provisions, the law authorized the FDA to demand evidence of safety for new drugs, issue standards 
for food and conduct factory inspections.
Organization : 
The agency is the organized in to the following major subdivisions each focused on a major area of 
regulatory responsibility 
The Office of the Commissioner(OC) 
The Center for Drug Evaluation and Research (CDER) 
The Center for Biologics Evaluation and Research (CBER) 
The Center for Food Safety and Applied Nutrition (CFSAN) 
The Center for Devices and Radiological Health (CDRH) 
The Center for Veterinary medicine (CVM) 
The Office of Regulatory Affairs (ORA) 
The Office of Criminal Investigations( OCI) 
The Office of the Commissioner(OC): 
In the United States, the Commissioner of Food and Drugs is the head of the Food and Drug 
Administration. The Commissioner report to the secretary of the Department of Health and Human 
Services and is a presidential appointment with the advice and consent of the Senate. 
The Center for Drug Evaluation and Research (CDER): 
The center for Drug Evaluation and Research is a division of the FDA that monitors most drug as defined 
in the FD&C Act. Some biological products are also legally considered drugs, but they are covered by the 
center for Biological Evaluation and Research. 
The center reviews applications for new and generic pharmaceuticals, manages US cGMP regulations for 
pharmaceutical manufacturing, determines which medications require a prescription, monitors advertising 
of approved medications, and collects and analyzes safety data about pharmaceuticals that are already on 
the market. 
CDER is the largest of FDA’s five centers. It has responsibility for both prescription and over-the-counter 
drugs. 
CDER receives considerable public scrutiny, and thus implement processes that tend toward objectivity and 
tend to isolated decisions from being attributed to specific individuals. In keeping with this, reviews are 
generally staffed by teams that are intended to come to consensus on 
Advertising and Promoting : 
The FDA reviews and regulates prescription drug advertising and promotion. The federal Trade 
Commission regulates. The drug advertising regulation contains two key requirements. Under most 
circumstances, a company many only advertise a drug for the specific indication or medical use for which it 
was approved. “Off-label use”, using a drug for other than its approved purpose is common in medical 
practice. Also, an advertisement must contains “fair balance” between the benefits and risks of a drug . 
Development & Approval Process New drugs 
New drug receive extensive scrutiny before FDA approval in a process called a New Drug Application or 
NDA. New drug are available only by prescription by default. A change to Over the counter (OTC) status 
is a separate process and the drug must be approved through an NDA first. 
CDER reviews New Drug Applications to ensure that the drug are safe and effective. It is one of the centers 
at the united states Food and Drug Administration. Its primary objective is to ensure that all prescription 
and over-the –counter ( OTC) medications are safe and effective when used as directed. The main 
consumer watchdog in this system is the U.S Food and Drug Administration’s Center for Drug Evaluation 
and Research (CDER). 
The Center for Biologics Evaluation and Research (CBER): 
The center for Biologics Evaluation and Research ( CBER) is one of six main center for the Food and 
Drug Administration , which is a part of the U.S. Department of Health and Human Services. 
The original authority for governmental regulation of biological product was eastablished by the 1902 
Biologics Control Act, with additional authority established by the 1944 Public Health Service Act. Along 
with these Acts, the Federal Food, Drug, and Cosmetic Act applies to all biologic product as well.
Originally, the entity responsible for regulation of biological products resided under the National Institutes 
of Health ; this authority was transferred to the FDA in 1972 
CBER is responsible for assuring the safety, purity, potency, and effectiveness of biological and related 
product, including: 
Blood and Blood Products : 
The Center for Biologics Evaluation and Research (CBER) regulates the collection of blood and a blood 
components used for transfusion or for the manufacturing of pharmaceuticals derived from blood and blood 
components, such as clotting factors, and establishes standards for the products themselves. CBER also 
regulates related products such as cell separation devices, blood collection containers and HIV screening 
tests that are used to prepare blood products or to ensure the safety of the blood supply. CBER develops 
and enforces quality standards, inspects blood establishments and monitors reports of errors, accidents and 
adverse clinical events. 
Vaccines: 
Vaccines, as with all products regulated by FDA, undergo a rigorous review of laboratory and clinical data 
to ensure the safety, efficacy, purity and potency of these products. Vaccines approved for marketing may 
also be required to undergo additional studies to further evaluate the vaccine and often to address specific 
questions about the vaccine’s safety, effectiveness or possible side effects. 
Cellular & Gene Therapy Products: 
The center for Biologics Evaluation and Research (CBER) regulates vaccine products. Many of these are 
childhood vaccines that have contributed to a significant reduction of vaccine – preventable diseases. 
The center for Biologics and Research (CBER) regulates human gene therapy product – product that 
introduce genetic materials into the body to replace faulty or missing genetic material, thus treating or 
curing a disease or abnormal medical condition. CBER uses both the public Health Service Act and the 
Federal Food Drug and Cosmetic Act as enabling statutes for oversight. 
FDA has not yet approved any human gene therapy product for sale. However, the amount of gene – 
related research and development occurring in the United States continues to grow at a fast rate and FDA 
is actively involved in overseeing this activity. FDA has received many requests from medical research and 
manufacturers to study gene therapy and to developed gene therapy products. Such research could lead to 
gene based treatments for cancer, cystic fibrosis, heart disease, hemophilia, wounds, infectious diseases 
such as AIDS, and graft- versus – host disease. 
The Center for Food Safety and Applied Nutrition (CFSAN): 
The center for food safety and Applied Nutrition is the branch of the FDA which is responsible for ensuring 
the safety and accurate labeling of nearly all food product in the United States. One exception is meat 
products derived from traditional domesticated animals, such as cattle and chickens, which fall under the 
jurisdiction of the United States Department of Agriculture Food Safety and Inspection Service. FDA 
regulates products, which contain minimal amount of meat and the exact boundaries are listed in a 
memorandum of understanding between the two agencies however, the FDA through a different branch, the 
center, regulating medicines and other products given to all domesticated animals for veterinary medicine 
Labeling & Nutrition : 
These FDA Food the labeling requirements for foods under the Federal Food Drug and Cosmetics Act and 
its amendments. Food labeling is required for most prepared foods, such as breads, cereals, canned and 
frozen foods, snacks, desserts, drinks, etc. 
Cosmetics: 
Cosmetics are regulating by the center for food safety and Applied Nutrition, the same branch of the FDA 
that regulates food. Cosmetics products are not generally subject to pre- market approval by the FDA 
unless they make “structure or function claims” which make them into drugs. However, the FDA must
specifically approve all color additives before they can be included in cosmetic products sold in the U.S 
The FDA regulates the labeling of cosmetics, and cosmetics which have not been subjected to through 
safety testing, must bear a warning to that effect. 
The Center for Devices and Radiological Health (CDRH): 
The Center for Devices and Radiological Health (CDRH) is the branch of the United States Food Drug 
Administration responsible for the premarket approval of all medical devices. The CDRH also oversees the 
radiation safety performance and safety of devices which emit certain type of electromagnetic radiation, 
such as cellular phones and microwaves ovens. 
The Center for Veterinary medicine (CVM) 
The Center for Veterinary medicine (CVM) is a branch of the FDA, which regulates the manufacture, and 
distribution of food, food additives, and drugs that will be given to animals. These include animals, from 
which human food are derived, as well as food additives and drug for pets or companion animals. CVM is 
responsible for regulating drugs, devices, and food additives given to or used on, over one hundred million 
companion animals, plus millions of poultry, cattle, swine, and minor animals species. 
(minor animals species include animals other than cattle, swine, chickens, turkeys, horses, dogs, and cats. ) 
The Office of Regulatory Affairs (ORA): 
ORC and OCI are primarily filed offices, with their workforce spread across the country . ORC is 
considered the “eyes and ears” of the agency, conducting the vast majority of the field work the agency. 
Consumer safety officers, more commonly called investigators, are the individuals who inspects production 
and warehousing facilities, investigate complaints, illnesses, or outbreaks, and review documentation in the 
case of medical devices, drugs, biological products, and other items where it may be difficult to conduct a 
physical examination or take a physical sample of the products. 
The Office of Criminal Investigations( OCI) 
OCI was established in 2002 to help relieve ORC of the burden of pursuing and proving criminal cases. 
Unlike ORA investigators, OCI Special Agents are armed, and are not focused on the technical aspects of 
whether a regulated product meets the standards under the law. Rather, OCI agents pursue and develop 
cases where criminal action have occurred, such as fraudulent claims, or khowingly and will fully shipping 
known adulterated goods in interstate commerce. 
The FDA frequently works in conjunction with other federal agencies including the department of 
agriculture, Drug Enforcement Administration, customs and Border protection, and Consumer product 
Safety Commission. Often local and state government agencies also work in cooperation with the FDA to 
provide regulatory inspection and enforcement action.

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Ich

  • 1. ICH The term ICH is international conference hormonisation of technical requirements for registration of pharmaceuticals for human use. The name of ICH has now become more associated with the process of hormonisation, than the actual conferences The ICH project is unique and since 1991 it has brought together by Drug Regulatory Authorities and experts from the pharmaceutical industry in USA, European union and Japan to develop agreement on core documentation, technical requirements and dossier for registration of new drugs. The vast majority of new drugs and medicines are developed in Western Europe, Japan and USA and therefore when ICH was established, it was agreed that its scope would be confined to registration in these three regions. The ICH was born in 1990 .The first ICH was held from 5-7 November 1991 at Brussels. MEMBERS OF ICH: 1) ICH is a joint initiative involving both regulations and industry as equal partners. There are six parties directly involved representing the regulation bodies and the research based industry associations in each region. The parties involved from the European Union, Japan and USA are: i) European Commission ii) European Federation of Pharmaceutical Industries Associations. iii) Ministry of Health and Welfare iv) Japan Pharmaceutical Manufacturers Association v) US Food and Drug Administration vi) Pharmaceutical Research and Manufacturers of America Each of the six co-sponsors has two seats on the ICH steering committee which oversees the harmonization activities. 2) There are three observers: i) World Health Organization ii) European Free Trade Area (EFTA) represented at ICH by Switzerland and Canada. iii) EFTA represented at ICH by the drugs Directorate Health Canada. Each of the observer parties has a seat on the ICH steering committee. 3)The International Federation of Pharmaceutical Manufacturers Association(IFPMA) which is a federation of member associations representing the research based pharmaceutical industry and other manufacturers of prescription medicines in 56 countries has been closely associated IFPMA has two seats on the ICH steering committee as non-voting members. 4) For smooth running of ICH, each of six co-sponsors designate an ICH coordinator to act as the main contact point with the ICH secretariat and ensure that ICH documents are distributed to the appropriate persons within the area of their responsibilities. 5)Each party has also established a contact network of experts with in their own organization (or)region in order to ensure that they reflect the views and policies of the co sponsor they represent the way in which this network operates differs according to administrative structure of the party concerned. SCHEDULE OF MEETINGS: ICH meeting have been held every alternate year .These have takenplace in 1991,1993,1995,1997 and the last one was held in November 2000 at San Diego in USA. ACTIVITIES OF ICH: The first phase of ICH (1991-1997):- The fourth international conference on Harmonisation, Brussels, 16-18 July 1997, marked the completion of first phase of activities. The development of Guidelines:-
  • 2. In the first phase the exercise was directed towards the elimination of redundant and duplicates technical requirements for registration in individual countries and lying down of minimum standards applicable uniformly irrespective of where the product is manufactured and /or marketed. This was successfully done with the development of over 40 guidelines covering efficacy, quality and safety aspects of drug development. Second phase of ICH (1998 to current):- The ICH steering committee at a meeting held near Washington DC,2-5 February 1998 marked the start of second phase of activities. World Health Organization WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence based policy options, providing technical support to countries and monitoring and assessing health trends. In the 21st century, health is a shared responsibility, involving equitable assess to essential care and collective defense against transitional threats. Agenda. WHO operates in an increasingly complex and rapidly changing landscape. The boundaries of public health action have become blurred, extending in other sectors that influence health opportunities and outcomes. Who responds to these challenges using a six points address two health objectives, two strategic needs and two operational approaches. The overall performance of WHO will be measured by the impact of its work on women’s health and health in Africa. 1. Promoting development During the past decade, health has achieved unprecedented prominence as a key driver of socioeconomic progress and more resources than ever are being invested in health, yet poverty continues to contribute to poor health, and poor health anchors large populations in poverty. Health development is directed by the ethical principle of equity: access to life-saving or health promoting interventions should not be denied for unfair reasons, including those with economic or social roots. Commitment to this principle ensures that WHO activities aimed at health development give priority to health outcomes in poor, disadvantaged or vulnerable groups. Attainment of the health-related Millennium Development Goals, Preventing and treating chronic diseases and addressing the neglected tropical diseases are the cornerstones of the health and development agenda. 2. Fostering health security Shared vulnerability to health security threats demands collective action. One of the greatest threats to international health security arises from outbreaks of emerging and epidemic –prone diseases. Such outbreaks are occurring in increasing numbers, fuelled by such factors as rapid urbanization, environmental mismanagement , the way food s produced and traded, and the way food is produced and traded, and the way antibiotics are used and misused. The world’s ability to defend itself collectively against outbreaks has been strengthened since June 2007, when the revised Internationational Health Regulations came into force. 3. Strengthening Health systems For health improvement to operate as a poverty-reduction strategy, health service must poor and underserved populations. Health systems in many parts of the world are unable to do so, making the strengthening of health systems a high priority for WHO. Areas being addressed include the provision of adequate numbers of appropriately trained staff, sufficient financing, financing, suitable systems for collecting vital statistics, and access to appropriate technology including essential drugs. 4. Harnessing health systems Evidence provides the formulation for setting priorities, defining strategies, and measuring results. WHO generates authoritative health information, in consultation with leading experts, to set norms and standards, articulate evidence-based policy options and monitor the global health situation. 5. Enhancing partnerships
  • 3. WHO carries out its work with the support and collaboration of many partners, UN agencies and other international organizations, donors, civil society and the private sector. WHO uses the strategic power of evidence to encourage partners to align their activities with best technical guidelines and practices, as well as with the priorities established by countries. 6. Improving performance WHO participates in ongoing reforms aimed at improving its efficiency and effectiveness, both at the international level and within countries. WHO aims to ensure that its strongest asset – ots staff – works in an environment that is motivating and rewarding. WHO plans its budget and activities through results-based management, with clear expected results to measure performance at country regional and international levels. The role of WHO in public health WHO fulfills its objectives through its core functions: · Providing leadership on matters critical to health and engaging in partnerships where joint action is needed; · Shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge; · Setting norms and standards and promoting and monitoring their implementation; · Articulating ethical and evidence-based policy options; · Providing technical support , catalyzing change, and building sustainable institutional capacity; and · Monitoring the health situation and assessing health trends. Governance of WHO WHO’s objective, as set out in its constitution, is the attainment by all people of the highest possible level of health. The Constitution defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. The World Health Assembly is the supreme decision-making body for WHO. It meets each year in May in Geneva, and is attended by delegations from all 193 Member states. The executive board is composed of 34 members technically qualified in the field of health. Members are elected for three year terms. The main board meeting, at which the agenda for the forthcoming Health Assembly is agreed upon and resolutions are adopted for forwarding to the Health Assembly, is held in January, with a second shorter meeting in May, immediately after the Health Assembly, for more administrative matters. The main functions of the Board are to give effect to the decisions and policies Health Assembly, to advise it and generally to facilitate work. The World Health Assembly is the supreme decision-making body for WHO. It generally meets in Geneva in May each year, and is attended by delegations from all 193 member states. Its main function is to determine the policies of the organization. The Health Assembly appoints the Director-General, supervises the financial policies of the organization, and reviews and approves the proposed program budget. It similarly considers reports of the executive Board, which it instructs in regard to matters upon which further action, study, investigation or report may be required. The secretariat of WHO is staffed by some 8000 health and other experts and support staff on fixed-term appointments, working at headquarters, in the six regional offices, and in countries. The organization is headed by the Director-General, who is appointed by the Health Assembly on the nomination of the Executive Board. The World Health Organization (WHO) is a specialized agency of the United Nations (UN) that acts as a coordinating authority on international public health. Established on 7th April 1948, and headquartered in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health Organization, which had been an agency of the League of Nations. Mission
  • 4. The WHO’s Constitution states that its objective is “the attainment by all people of the highest possible level of health.” Its major task is to promote the general health of the people of the world. Establishment The World Health Organization is one of the original agencies of the United Nations, its Constitution formally coming into force on the first World Health Day, (7th April 1948), when it was ratified by the 26th member state. Prior to this, its operations as well as the remaining activities of the League of Nations Health Organization were under the control of an Interim Commission following an International Health Conference in summer of 1946. The transfer was authorized by a Resolution of the General Assembly. The epidemiologic service of the French Office International d’Hygiene publique was incorporated into the Interim Commission of the WHO on 1st January 1947. Summary As well as coordinating international efforts to monitor outbreaks of infectious diseases, such as SARS, malaria, and AIDS, the WHO also sponsors programs to prevent and treat such diseases. The WHO supports the development and distribution of safe and effective vaccines, pharmaceutical diagnostics and drugs. After over 2 decades of fighting small pox, the WHO declared in 1980 that the disease had been eradicated – the first disease in history to be eliminated by human effort. The WHO aims to eradicate polio within the next few years. The organization had already endorsed the world’s first official HIV/AIDS Toolkit for Zimbabwe (from 3rd October, 2006) making it an International standard. The WHO also conducts research on many things, sometimes this can be controversial, but it stands by its recommendation based upon its own analysis of scientific studies. INTRODUCTION TO ISO ISO (International Organization for Standardization) is the world's largest developer and publisher of International Standards. ISO is a network of the national standards institutes of 163 countries, one member per country, with a Central Secretariat in Geneva, Switzerland, that coordinates the system. ISO is a non-governmental organization that forms a bridge between the public and private sectors. On the one hand, many of its member institutes are part of the governmental structure of their countries, or are mandated by their government. On the other hand, other members have their roots uniquely in the private sector, having been set up by national partnerships of industry associations. Therefore, ISO enables a consensus to be reached on solutions that meet both the requirements of business and the broader needs of society. The ISO brand * Democratic Every full member of ISO has the right to take part in the development of any standard which it judges to be important to its country's economy. No matter what the size or strength of that economy, each participating member in ISO has one vote. Each country is on an equal footing to influence the direction of ISO's work at the strategic level, as well as the technical content of its individual standards. * Voluntary ISO standards are voluntary. As a non-governmental organization, ISO has no legal authority to enforce the implementation of its standards. ISO does not regulate or legislate. However, countries may decide to adopt ISO standards - mainly those concerned with health, safety or the environment - as regulations or refer to them in legislation, for which they provide the technical basis. In addition, although ISO standards are voluntary, they may become a market requirement, as has happened in the case of ISO 9001 quality management systems, or of dimensions of freight containers and bank cards. ISO itself does not regulate or legislate. * Market-driven
  • 5. ISO only develops standards for which there is a market requirement. The work is mainly carried out by experts from the industrial, technical and business sectors which have asked for the standards, and which subsequently put them to use. * Consensus ISO standards are based on international consensus among the experts in the field. Consensus, like technology, evolves and ISO takes account both of evolving technology and of evolving interests by requiring a periodic review of its standards at least every five years to decide whether they should be maintained, updated or withdrawn. In this way, ISO standards retain their position as the state of the art. * Globally relevant ISO standards are technical agreements which provide the framework for compatible technology worldwide. They are designed to be globally relevant - useful everywhere in the world. ISO standards are useful everywhere in the world. How to recognize an ISO standard In paper form, an ISO standard is published in A4 format - which is itself one of the ISO standard paper sizes. It may be anywhere between a four-page document and one several hundred pages' long. ISO standards are also available as electronic downloads and many are available as part of a collection on CD or in handbook. An ISO standard carries the ISO logo and the designation, "International Standard". The scope of ISO's work ISO has more than 18 000 International Standards and other types of normative documents in its current portfolio. ISO's work programme ranges from standards for traditional activities, such as agriculture and construction, through mechanical engineering, manufacturing and distribution, to transport, medical devices, information and communication technologies, and to standards for good management practice and for services. Examples of the benefits standards provide Standardization of screw threads helps to keep chairs, children's bicycles and aircraft together and solves the repair and maintenance problems caused by a lack of standardization that were once a major headache for manufacturers and product users. Standards establishing an international consensus on terminology make technology transfer easier and safer. They are an important stage in the advancement of new technologies and dissemination of innovation. Without the standardized dimensions of freight containers, international trade would be slower and more expensive. Without the standardization of telephone and banking cards, life would be more complicated. A lack of standardization may even affect the quality of life itself: for the disabled, for example, when they are barred access to consumer products, public transport and buildings because the dimensions of wheel-chairs and entrances are not standardized. Standardized symbols provide danger warnings and information across linguistic frontiers. Consensus on grades of various materials gives a common reference for suppliers and clients in business dealings. Agreement on a sufficient number of variations of a product to meet most current applications allows economies of scale with cost benefits for both producers and consumers. An example is the standardization of paper sizes. Standardization of performance or safety requirements of diverse equipment makes sure that users' needs are met while allowing individual manufacturers the freedom to design their own solution on how to meet those needs. Standardized computer protocols allow products from different vendors to "talk" to each other. Standardized documents speed up the transit of goods, or identify sensitive or dangerous cargoes that may be handled by people speaking different languages. Standardization of connections and interfaces of all types ensures the compatibility of equipment of diverse origins and the interoperability of different technologies.
  • 6. Agreement on test methods allows meaningful comparisons of products, or plays an important part in controlling pollution - whether by noise, vibration or emissions. Safety standards for machinery protect people at work, at play, at sea... and at the dentist's. Without the international agreement contained in ISO standards on metric quantities and units, shopping and trade would be haphazard, science would be unscientific and technological development would be handicapped. What's different about ISO 9001 and ISO 14001 The vast majority of ISO standards are highly specific to a particular product, material, or process. However, ISO 9001 (quality) and ISO 14001 (environment) are "generic management system standards". "Generic" means that the same standard can be applied to any organization, large or small, whatever its product or service, in any sector of activity, and whether it is a business enterprise, a public administration, or a government department. ISO 9001 contains a generic set of requirements for implementing a quality management system and ISO 14001 for an environmental management system. Why conformity assessment is important "Conformity assessment" means checking that products, materials, services, systems, processes or people measure up to the specifications of a relevant standard or specification. Today, many products require testing for conformity with specifications or compliance with safety, or other regulations before they can be put on many markets. ISO guides and standards for conformity assessment represent an international consensus on best practice. Their use contributes to the consistency of conformity assessment worldwide and so facilitates trade. What "international standardization" means When the large majority of products or services in a particular business or industry sector conform to International Standards, a state of industry-wide standardization exists. The economic stakeholders concerned agree on specifications and criteria to be applied consistently in the classification of materials, in the manufacture and supply of products, in testing and analysis, in terminology and in the provision of services. In this way, International Standards provide a reference framework, or a common technological language, between suppliers and their customers. This facilitates trade and the transfer of technology. ISO's origins In 1946, delegates from 25 countries met in London and decided to create a new international organization, of which the object would be "to facilitate the international coordination and unification of industrial standards". The new organization, ISO, officially began operations on 23 February 1947, in Geneva, Switzerland. Who can join ISO Membership of ISO is open to national standards institutes most representative of standardization in their country (one member in each country). · Full members, known as member bodies, each have one vote, whatever the size or strength of the economy of the country concerned. · Correspondent members pay reduced membership fees. They are entitled to participate in any policy or technical body as observers, with no voting rights. · Subscriber members also pay reduced membership fees. They are institutes from countries with very small economies that nevertheless wish to maintain contact with international standardization. Although individuals or enterprises are not eligible for membership, both have a range of opportunities for taking part in ISO's work: · Individuals may be selected by national member institutes to serve as experts on national delegations participating in ISO technical committees · Individuals and enterprises may provide their input during the process of developing a national consensus for presentation by the delegation. This may done through national mirror committees to the corresponding ISO technical committee
  • 7. · International organizations and associations , both non-governmental and representing industry sectors, can apply for liaison status to a technical committee. They do not vote, but can participate in the debates and the development of consensus. How the ISO system is managed All strategic decisions are referred to the ISO members, who meet for an annual General Assembly. The proposals put to the members are developed by the ISO Council, drawn from the membership as a whole, which resembles the board of directors of a business organization. ISO Council meets twice a year and its membership is rotated to ensure that it is representative of ISO's membership. ISO's operations are managed by a Secretary-General, which is a permanent appointment resembling the chief executive of a business enterprise. The Secretary-General reports to the ISO Council, the latter being chaired by the President who is a prominent figure in standardization or in business, elected for two years. The Secretary-General is based at ISO Central Secretariat in Geneva, Switzerland, with a compact staff which provides administrative and technical support to the ISO members, coordinates the decentralized standards' development programme, and publishes the output. How the ISO system is financed ISO's national members pay subscriptions that meet the operational cost of ISO's Central Secretariat. The subscription paid by each member is in proportion to the country's Gross National Income and trade figures. Another source of revenue is the sale of standards. However, the operations of ISO Central Secretariat represent only about one fifth of the cost of the system's operation. The main costs are borne by the member bodies that manage the specific standards development projects and the business organizations that provide experts to participate in the technical work. These organizations are, in effect, subsidizing the technical work by paying the travel costs of the experts and allowing them time to work on their ISO assignments. How ISO decides to develop a standard ISO launches the development of new standards in response to the sectors that express a clearly established need for them. An industry or business sector communicates its requirement for a standard to one of ISO's national members. The latter then proposes the new work item to ISO as a whole. If accepted, the work item is assigned to an existing technical committee. Proposals may also be made to set up technical committees to cover new scopes of activity. At the end of 2006, there were 3041 technical bodies in the ISO system, including 193 ISO technical committees. The focus of the technical committees is specialized and specific. In addition, ISO has three general policy development committees that provide strategic guidance for the standards' development work on cross-sector aspects. These committees ensure that the specific technical work is aligned with broader market and stakeholder group interests. They are: · CASCO (conformity assessment) · COPOLCO (consumer policy), and · DEVCO (developing country matters) Who develops ISO standards ISO standards are developed by technical committees comprising experts from the industrial, technical and business sectors which have asked for the standards, and which subsequently put them to use. These experts may be joined by representatives of government agencies, testing laboratories, consumer associations, non-governmental organizations and academic circles. The experts participate as national delegations, chosen by the ISO national member institute for the country concerned. These delegations are required to represent not just the views of the organizations in which their participating experts work, but of other stakeholders too. According to ISO rules, the member institute is expected to take account of the views of the range of parties interested in the standard under development. This enables them to present a consolidated, national consensus position to the technical committee.
  • 8. ISO standards are developed by experts from the sectors which have asked for them. How ISO standards are developed The national delegations of experts of a technical committee meet to discuss, debate and argue until they reach consensus on a draft agreement. This is circulated as a Draft International Standard (DIS) to ISO's membership as a whole for comment and balloting. Many members have public review procedures for making draft standards known and available to interested parties and to the general public. The ISO members then take account of any feedback they receive in formulating their position on the draft standard. If the voting is in favour, the document, with eventual modifications, is circulated to the ISO members as a Final Draft International Standard (FDIS). If that vote is positive, the document is then published as an International Standard. Every working day of the year, an average of eight ISO meetings are taking place somewhere in the world. In between meetings, the experts continue the standards' development work by correspondence. Increasingly, their contacts are made by electronic means and some ISO technical bodies have already gone over entirely to working electronically, which speeds up the development of standards and cuts travel costs. INTERNATIONAL ORGANISATION FOR STANDERDISATION (ISO) Introduction to ISO: What are standards Standards are documented agreements containing technical specifications or other precise criteria to be used consistently as rules, guidelines , or definitions of characteristics , to ensure that materials , products ,processes and services are fit for their purpose. For example , the format of the credit cards ,phone cards that have become commonplace is derived from an ISO international standard .adhering to the standard , which defines such features as an optimal thickness (0,76 mm), means that the cards can be used worldwide. International standards thus contribute to making life simpler, and to increasing the reliability and effectiveness of the goods and services we use. What is ISO The international organization for standerdisation(ISO) is a worldwide federation of national standards bodies from 163 countries, one from each country. ISO is a non-governmental organization established in 1947. The mission of ISO is to promote the development of standardization and related activities in the world with a view to facilitating the international exchange of goods and services, and to developing cooporation in the spheres of intellectual, scientific, technological and economic activity. ISO’s work results in international agreements which are published as international standards. International standerdization began in the eletrotechnical field: the international electrotechnical commission (IEC) was created in 1906. Pioneering work in other fields was carried out by the International Federation of the National Standardizing Associations(ISA), WHICH WAS SET UP IN 1926.The emphasis within ISA was laid heavily on mechanical engineering ISA’s activities ceased in 1942 , owing to the second world war .following a meeting in Londonin 1946, delegates from 25 countries decided to create a new international organization “ the object of which would be to fecilitate the international coordination and unification of industrial standards ‘’.the new organization ,ISO , began to function officially on 23 february 1947. The first ISO standard was published in 1951 with the title “ Standard reference temperature for industrial length measurement”. ISO9000:
  • 9. ISO 9000 is rapidly becoming most popular quality standard in the world. Thousands of organizations have already adopted this important standard.ISO 9000 is an international document written by members of worldwide delegates.ISO 9000 series was published in 1987 and is updated every 5 years. ISO 9000 applies to all types of organizations.it can help both product and service oriented organizations achieve standards of quality that are recognized and respected through out the world. We can then develop a quality system that meets the quality requirements specified by one of the following three standards: ISO9001, ISO9002, OR ISO 9003.In the cource of doing so , we also consider ISO’s many guidelines.these guidelines include ISO 9000, ISO 9004, ISO 10011, and ISO 10013.once the quality system has been developed and implemented , we carry out an internal audit to make sure the system is working properly.then we invite an accredited external auditor (registrar) to evaluate the effectiveness of the quality system.if the auditors like what they see,they will certify that the quality system has met all of ISO requirements.they will then issue an official certificate and they will record our achievement in their registry. We can then announce to the world that the quality of the products and services is managed ,controlled, and assured by a registered ISO 9000 quality system. ISO 9001 ISO 9001 is a quality assurance model made up of 20 sets of quality system requirements. This model applies to organizations that design , develop , produce , install, and serviceproducts.ISO expects organizations to apply this model, and to meet these requirements, by developing a quality system. ISO 9000 4.1 - MANAGEMENT RESPONSIBILITIES · Defines a quality policy. your policy should describe your organizations attitude towards quality. · Define the organizational structure that you will need in order to manage your quality system.  Define quality system responsibilities, give quality system personnel the the authority to carry out these responsibilities, and ensure that the interactions these personnel are clearly specified. Also, make sure that all of this is well documented.  Identify and provide the resources that people will need to manage, perform, and verify quality system work.  Appoint a senior executive to manage your quality system and give him or her the necessary authority. · Define a procedure that your senior managers can use to review the effectiveness of your quality system. ISO 9001 4.2 –QUALITY SYSTEM REQUIREMENTS · Develop a quality system and a manual that describe it. · Develop and oimplement quality system procedures that are consistent with your quality policy. · Develop quality plans which show how you intend to fulfill quality system requirements.your are expected to develop quality plans for products, projects , and customer contracts. ISO 9001 4.3 – CONTRACT REVIEW REQUIREMENTS · Develop and document procedures ti coordinate the review of sales orders and customer contracts. Make sure you include the customer in the process of review. · Your contract review procedures should ensure that all contractual requirements are acceptable before you agree to provide products or services to your customers. · Develop procedures which specify how customer contracts are amended, and which ensure that changes in contacts are communicated throughout the organization.
  • 10. · Develop a record keeping system that you can use to document the review of customer orders and contracts. ISO 9001 4.4 - PRODUCT DESIGN REQUIREMENTS · Develop and document procedures to control the product design and development process.these procedures must ensure that all requirements are being met. · Develop product design and development planning procedures. · Identify the groups that should be routinely involved in the product design and development process, and ensure that their design input is properly documented, circulated, and reviewed. · Develop procedures to ensure that all design input requirements are identified , documented, and reviewed; and that all design flaws, ambiguities, contraindications, and deficiencies are resolved. · Develop procedures to control design outputs. · Develop procedures which specify how product design reviews should be planned and performed. · Develop procedures which specify how design outputs, at every stage of the product, design and development process, should be verified. · Develop procedures which validate the assumption that your newly designed products will meet the customer needs. · Develop procedures to ensurethat all product design modifications are documented, reviewed, and formally authorized before the resulting documents are circulated and the changes are implemented. ISO 9001 4.5 - DOCUMENT AND DATA CONTROL · Develop procedures to control quality system document and data. · Develop procedures to review , approve, and manage all of your quality system documents and data. · Develop procedures to control changes to documents and data. ISO 9001 4.6 – PURCHASING REQUIREMENTS · Develop procedures to ensure that purchased products meet all requirements. These procedures should control the selection of subcontractors, the use of purchasing data, and the verification of the purchased products. · Develop procedures to select , evaluate , monitor, and control your subcontractors (your suppliers).make sure that quality records are kept which chronicle the performance of all your subcontractors.your records should identify the acceptable subcontractors and the products and services they provide. · Develop procedures to ensure that your purchase order documents precisely describe what you want to bye. · Develop procedures that allow you or your customers to verify the acceptability of products you have purchased. ISO 9001 4.7 – CUSTOMER – SUPPLIED PRODUCTS · Develop procedures to control products supplied to you by customers. These procedures should ensure that you: 1) Examine the product when you recirve it to confirm that the right items were shipped without loss or damage. 2) Prevent product loss, misuse, damage, or deterioration through proper storage and security. 3) Record ,and report to the customer, any product loss, misuse, damage, or deterioration.
  • 11. 4) Clarify who is responsible for the maintenance of the product while it is in your possession. ISO 9001 4.8 – PRODUCT IDENTIFICATION AND TRACING Develop and document proceduresto identify and track products from start to finish. when appropriate these procedures should ensure that you: · Identify and document products every step of the way from the purchsa of supplies and materials through all stages of handling, storage , production, delivery, installation, and servicing · Trace products or product batches by means of unique identifiers and suitable record keeping. ISO 9001 4.9 - PROCESS CONTROL REQUIREMENTS · Develop and document procedures to plan, monitor, and control your production, installation and servicing processes. · Design a record keeping system that monitors and controls process personnel and equipment. Make sure that all important process qualities are monitored and recorded. ISO 9001 4.10 – PRODUCT INSPECTION AND TESTING · Develop procedures to inspect test, and verify that incoming , in –process , and final products meet all specified requirements. Also ensure that appropriate product inspection and testing records are developed, and that your procedures ensure that these records are properly maintained. · Develop procedures which ensure that incoming products are not used until you have verified that they meet all specified requirements. · Develop procedures which ensure that work- in – process meets all requirements before work is allowed to continue. · Develop procedures which ensure that final products meet all requirements before they are made available for sale. · Develop a record keeping system that your staff can use to document all product testing and inspection activities. ISI 9001 4.11 -CONTROL OF INSPECTION EQUIPMENT · Develop procedures to control , calibrate, and maintain inspection, measuring, and test equipment used to demonstrate that your product confirm to specified requirements(the term equipment includes both hardware and software). · Develop procedures to ensure that your measurement equipment is appropriate , effective, and secure. · Develop procedures to calibrate all of your quality oriented inspection, measuring, and test equipment. ISO 9001 4.12 – INSPECTION AND TEST STATUS OF PRODUCTS Develop procedures to control the test status of your products. These procedures should ensure that: · Each and every product is identified as having passed or failed the required tests and inspections. · The test status of each product is documented and respected throughout the production, installation, and servicing process. · Only products that have passed all tests and inspections are subsequiently used or sold to customers(unless an official exception is made under section 4.13). ISO 9001 4.13 – CONTROL OF NONCONFORMING PRODUCTS · Develop procedures to prevent the inappropriate use of nonconfirming products.also make sure that every one is notified when your products do not confirm to specified requirements.
  • 12. · Develop proceduresto control how your nonconforming products are reviewed, reworked, redraded, re-tested, recorded, and discussed. ISO 9001 4.14 CORRECTIVE AND PREVENTIVE ACTION · Develop procedures to correct or prevent nonconformities. · Develop procedures to ensure that nonconformities are identified and corrected without delay. · Develop procedures to ensure that potential nonconformities are routinely detected and prevented. ISO 9001 4.15 – HANDLING , STORAGE, AND DELIVERY · Develop and document procedures to handle, store, pakage, preserve , and deliver your products. · Develop product handling methods and procedures that prevent product damage or deterioration. · Designate secure areas to store and protect your products. · Develop procedures which specify how your products will be placed into storage and removed from storage. · Develop procedures which specify how your products will be protected from damage or deterioration from storage. · Develop procedures which specify how your products will be monitored and evaluated to detect damage or deterioration while in storage. · Develop packing, packaging, and marking methods and procedures to protect and control the quality of products and packaging materials. · Develop methods and procedures to protect and preserve product quality prior to delivery and while the product is still under your control. · Develop procedures to protect your products after final testing and inspection, and during product delivery. ISO 9001 4.16 - CONTROL OF QUALITY RECORDS · Identify and define the quality information that should be collected. · Develop a quality record keeping system, and develop procedures to maintain and control it. Develop procedure to: 1) collect and record quality information (create records) 2) file , index, store, and maintain quality records. 3) Remove ,archive, and destroy old quality records 4) Protect quality records from unauthorized access. 5) Prevent records from being altered without approval. 6) Safeguard records from damage or deterioration. ISO 9001 4.17 – INTERNAL QUALITY AUDIT REQUIREMENTS Develop internal quality audit procedures which: · Determine whether quality activities and results comply with written quality plane, procedures, and programs. · Evaluate the performance of your quality system. · Verify the effectiveness of your corrective actions. These procedures should also ensure that : · Audit activities are properly planned. · Auditors are independent of the people being audited. · Audit results , corrective actions, and corrective action results and consequences are properly recorded.
  • 13. · Audit conclusions are discussed with the people whose activities and results are being audited, and deficiencies are corrected. · Audit repots are fed back into the quality system review process. ISO 9001 4.18 – TRAINING REQUIREMENTS Develop quality training procedures. These procedures must ensure that : · Quality system training needs are identified. · Quality training is provided to those who need it. · People are able to perform quality system jobs. · People have the qualifications they need to do the work. · Accurate and appropriate training records are kept. · Everyone understands how your quality system works. ISO 9001 4.19 - SERVICING REQUIREMENTS Develop and document quality service procedures.your procedures should specify how: · Products should be serviced. · Product service activities are reported. · The quality of product service is verified. ISO 9001 4.20 - STATISTICAL TECHNIQUES · Select the statistical techniques that you will need in order to establish , control , and verify your process capabilities and product charecteristics. · Develop procedures to explain how your techniques should be applied. · Develop procedures to monitor and control how techniques are used. · Make sure that all statistical procedures are documented. · Make sure that proper statistical records are kept. ISO 9002: QUALITY SYSTEMS -- MODEL FOR QUALITY ASSURANCE IN PRODUCTION , INSTALLATION AND SERVICING. This standard applies to more routine production where product quality requirements can be adequately expressed in terms of specifications. In these situations design criteria are either unimportant or have been previously resolved. Confidence in supplier processing capability is required. The production and supply of excipients and bulk pharmaceutical chemicals could fit into this standard, which is probably the most extensively applied ISO9000 standard in the pharmaceutical industry.ISO 9002 is identical to ISO 9001 with the exclusion of section on the design control (4.4 ) ISO 9003 : QUALITY SYSTEM – MODEL FOR QUALITY ASSURANCE IN FINAL INSPECTION AND TEST This applies to contractual arrangements that rely on a suppliers ability to detect and control nonconforming products by final testing or inspection. It is difficult to perceive a situation where this would apply within the pharmaceutical industry—where quality must be built into designand production of the product.one possible situation could be for the evaluation of production with low level of defectives where inspection is used to cut out the defective units. This standard is a condensed version of ISO 9002 with exclusion of specific section which do not apply: purchasing (4.6), process control (4.9), servicing(4.19). ISO 9004 : QUALITY MANAGEMENT AND QUALITY SYSTEM ELEMENTS. This descriptive standard is currently eight parts, provides more detailed guidance on the quality elements included in the registration /certification standards ISO 9001 , 9002 , and 9003.the eight parts are entitled : 1) Guidelines 2) Guidelines for services 3) Guidelines for processed materials 4) Guidelines for quality improvements 5) Guidelines for quality plans
  • 14. 6) Guidelines on quality assurance for project management 7) Guidelines for configuration management 8) And guidelines on quality principles and their application to management practices. ISO 9001 series have to go further and must also demonstrate a capability /monitoring in all phases of design development. ISO 9002 suppliers are expected to go further and demonstrate that the relevant ,manufacturing processes are capable of maintaining requirements as per design specifications. Ex.., performance and capability studies. ISO 9003 suppliers only have to demonstrate , among other things , a capability to impact and test a product (eg.,) using proper acceptance sampling plan, monitoring test equipments etc. U .S. FOOD AND DRUG ADMINISTATION The U.S. Food and drug administration is an agency of the United States Department of Health and Human services and is responsible for the safety regulation of most type of foods, dietary supplements, drug , vaccines, biological medical products, blood products, medical devices, radiation – emitting devices, veterinary products, and cosmetics. The agency of the U.S. Department of Health and Human Services. Established in 1927 History: Origins of federal food and drug regulation : The history of the FDA can be traced to the latter part of the 19 th century and the U.S Department of Agriculture’s Division of Chemistry Under Harvey Washington Wiley, appointed chief chemist in 1883, the division began conducting research into the adulteration and misbranding of food and drug on the American market. The 1906 Food and Drugs Act and creation of the FDA : In June 1906, President Theodore Roosevelt signed into law the Food and Drug Act, also known as the “ Wiley Act ” after its chief advocate. The act prohibited, under penalty of seizure of foods, the interstate transport of food which had been “ adulterated” with that term referring to the addition of fillers of reduced “ quality or strength” , coloring to conceal “damage or inferiority” formulation with additives “ injurious to health” or the use of “ filthy, decomposed, or putrid” substances. The 1938 Food, Drug, and Cosmetic Act By the 1930s , muckraking journalists, consumer protection organizations, and federal regulators began mounting a compaign for stronger regulatory authority by publicizing a list of injurious products which had been ruled permissible under the 1906 law including radioactive beverages, cosmetics which caused blindness, and worthless “cures” for diabetes and tuberculosis. Elixir sulfanilamide tragedy, in which over 100 people died after using a drug formulated with a toxic, untested solvent. The only way that the FDA could even seize the product was due to a misbranding problem: an “Elixir” was defined as a medication dissolved in ethanol, not the diethylene glycol used in the Elixir Salfanilamidethe . Early FD&C Act amendments:1938-1958: The federal Food Drug and Cosmetic Act of 1938was passed after a legally marketed toxic elixir killed 107 people, including many children. The FD&C Act completed overhauled the public health system. Among other provisions, the law authorized the FDA to demand evidence of safety for new drugs, issue standards for food and conduct factory inspections.
  • 15. Organization : The agency is the organized in to the following major subdivisions each focused on a major area of regulatory responsibility The Office of the Commissioner(OC) The Center for Drug Evaluation and Research (CDER) The Center for Biologics Evaluation and Research (CBER) The Center for Food Safety and Applied Nutrition (CFSAN) The Center for Devices and Radiological Health (CDRH) The Center for Veterinary medicine (CVM) The Office of Regulatory Affairs (ORA) The Office of Criminal Investigations( OCI) The Office of the Commissioner(OC): In the United States, the Commissioner of Food and Drugs is the head of the Food and Drug Administration. The Commissioner report to the secretary of the Department of Health and Human Services and is a presidential appointment with the advice and consent of the Senate. The Center for Drug Evaluation and Research (CDER): The center for Drug Evaluation and Research is a division of the FDA that monitors most drug as defined in the FD&C Act. Some biological products are also legally considered drugs, but they are covered by the center for Biological Evaluation and Research. The center reviews applications for new and generic pharmaceuticals, manages US cGMP regulations for pharmaceutical manufacturing, determines which medications require a prescription, monitors advertising of approved medications, and collects and analyzes safety data about pharmaceuticals that are already on the market. CDER is the largest of FDA’s five centers. It has responsibility for both prescription and over-the-counter drugs. CDER receives considerable public scrutiny, and thus implement processes that tend toward objectivity and tend to isolated decisions from being attributed to specific individuals. In keeping with this, reviews are generally staffed by teams that are intended to come to consensus on Advertising and Promoting : The FDA reviews and regulates prescription drug advertising and promotion. The federal Trade Commission regulates. The drug advertising regulation contains two key requirements. Under most circumstances, a company many only advertise a drug for the specific indication or medical use for which it was approved. “Off-label use”, using a drug for other than its approved purpose is common in medical practice. Also, an advertisement must contains “fair balance” between the benefits and risks of a drug . Development & Approval Process New drugs New drug receive extensive scrutiny before FDA approval in a process called a New Drug Application or NDA. New drug are available only by prescription by default. A change to Over the counter (OTC) status is a separate process and the drug must be approved through an NDA first. CDER reviews New Drug Applications to ensure that the drug are safe and effective. It is one of the centers at the united states Food and Drug Administration. Its primary objective is to ensure that all prescription and over-the –counter ( OTC) medications are safe and effective when used as directed. The main consumer watchdog in this system is the U.S Food and Drug Administration’s Center for Drug Evaluation and Research (CDER). The Center for Biologics Evaluation and Research (CBER): The center for Biologics Evaluation and Research ( CBER) is one of six main center for the Food and Drug Administration , which is a part of the U.S. Department of Health and Human Services. The original authority for governmental regulation of biological product was eastablished by the 1902 Biologics Control Act, with additional authority established by the 1944 Public Health Service Act. Along with these Acts, the Federal Food, Drug, and Cosmetic Act applies to all biologic product as well.
  • 16. Originally, the entity responsible for regulation of biological products resided under the National Institutes of Health ; this authority was transferred to the FDA in 1972 CBER is responsible for assuring the safety, purity, potency, and effectiveness of biological and related product, including: Blood and Blood Products : The Center for Biologics Evaluation and Research (CBER) regulates the collection of blood and a blood components used for transfusion or for the manufacturing of pharmaceuticals derived from blood and blood components, such as clotting factors, and establishes standards for the products themselves. CBER also regulates related products such as cell separation devices, blood collection containers and HIV screening tests that are used to prepare blood products or to ensure the safety of the blood supply. CBER develops and enforces quality standards, inspects blood establishments and monitors reports of errors, accidents and adverse clinical events. Vaccines: Vaccines, as with all products regulated by FDA, undergo a rigorous review of laboratory and clinical data to ensure the safety, efficacy, purity and potency of these products. Vaccines approved for marketing may also be required to undergo additional studies to further evaluate the vaccine and often to address specific questions about the vaccine’s safety, effectiveness or possible side effects. Cellular & Gene Therapy Products: The center for Biologics Evaluation and Research (CBER) regulates vaccine products. Many of these are childhood vaccines that have contributed to a significant reduction of vaccine – preventable diseases. The center for Biologics and Research (CBER) regulates human gene therapy product – product that introduce genetic materials into the body to replace faulty or missing genetic material, thus treating or curing a disease or abnormal medical condition. CBER uses both the public Health Service Act and the Federal Food Drug and Cosmetic Act as enabling statutes for oversight. FDA has not yet approved any human gene therapy product for sale. However, the amount of gene – related research and development occurring in the United States continues to grow at a fast rate and FDA is actively involved in overseeing this activity. FDA has received many requests from medical research and manufacturers to study gene therapy and to developed gene therapy products. Such research could lead to gene based treatments for cancer, cystic fibrosis, heart disease, hemophilia, wounds, infectious diseases such as AIDS, and graft- versus – host disease. The Center for Food Safety and Applied Nutrition (CFSAN): The center for food safety and Applied Nutrition is the branch of the FDA which is responsible for ensuring the safety and accurate labeling of nearly all food product in the United States. One exception is meat products derived from traditional domesticated animals, such as cattle and chickens, which fall under the jurisdiction of the United States Department of Agriculture Food Safety and Inspection Service. FDA regulates products, which contain minimal amount of meat and the exact boundaries are listed in a memorandum of understanding between the two agencies however, the FDA through a different branch, the center, regulating medicines and other products given to all domesticated animals for veterinary medicine Labeling & Nutrition : These FDA Food the labeling requirements for foods under the Federal Food Drug and Cosmetics Act and its amendments. Food labeling is required for most prepared foods, such as breads, cereals, canned and frozen foods, snacks, desserts, drinks, etc. Cosmetics: Cosmetics are regulating by the center for food safety and Applied Nutrition, the same branch of the FDA that regulates food. Cosmetics products are not generally subject to pre- market approval by the FDA unless they make “structure or function claims” which make them into drugs. However, the FDA must
  • 17. specifically approve all color additives before they can be included in cosmetic products sold in the U.S The FDA regulates the labeling of cosmetics, and cosmetics which have not been subjected to through safety testing, must bear a warning to that effect. The Center for Devices and Radiological Health (CDRH): The Center for Devices and Radiological Health (CDRH) is the branch of the United States Food Drug Administration responsible for the premarket approval of all medical devices. The CDRH also oversees the radiation safety performance and safety of devices which emit certain type of electromagnetic radiation, such as cellular phones and microwaves ovens. The Center for Veterinary medicine (CVM) The Center for Veterinary medicine (CVM) is a branch of the FDA, which regulates the manufacture, and distribution of food, food additives, and drugs that will be given to animals. These include animals, from which human food are derived, as well as food additives and drug for pets or companion animals. CVM is responsible for regulating drugs, devices, and food additives given to or used on, over one hundred million companion animals, plus millions of poultry, cattle, swine, and minor animals species. (minor animals species include animals other than cattle, swine, chickens, turkeys, horses, dogs, and cats. ) The Office of Regulatory Affairs (ORA): ORC and OCI are primarily filed offices, with their workforce spread across the country . ORC is considered the “eyes and ears” of the agency, conducting the vast majority of the field work the agency. Consumer safety officers, more commonly called investigators, are the individuals who inspects production and warehousing facilities, investigate complaints, illnesses, or outbreaks, and review documentation in the case of medical devices, drugs, biological products, and other items where it may be difficult to conduct a physical examination or take a physical sample of the products. The Office of Criminal Investigations( OCI) OCI was established in 2002 to help relieve ORC of the burden of pursuing and proving criminal cases. Unlike ORA investigators, OCI Special Agents are armed, and are not focused on the technical aspects of whether a regulated product meets the standards under the law. Rather, OCI agents pursue and develop cases where criminal action have occurred, such as fraudulent claims, or khowingly and will fully shipping known adulterated goods in interstate commerce. The FDA frequently works in conjunction with other federal agencies including the department of agriculture, Drug Enforcement Administration, customs and Border protection, and Consumer product Safety Commission. Often local and state government agencies also work in cooperation with the FDA to provide regulatory inspection and enforcement action.