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MANAGEMENT OF VETERINARY DRUGS IN VIETNAM Dr. Nguyen Cong Dan Department of Animal Health (DAH) Ministry of Agriculture and Rural Development (MARD) CONTENTS 1. Background. 2. Structure of veterinary system in Vietnam. 3. Key legislation on veterinary drugs management/administration. 4. Registration of veterinary drugs and vaccines. 5. System of veterinary drugs distribution. 6. Quality management system of vet drugs and vaccines. I. Background Map of Vietnam 1.1 Introduction • Located in South-East Asian with extremely long borders to China, Laos and Cambodia. • Total area: 330,000 square kilometres • Population: 85.79 million (~ 60.42 million live in rural areas - GSO, 2009). • Has seven agro-ecological regions. • Divided into 63 provinces and cities. • Warm and humid climate. • An average yearly rainfall: ~ 1,600 to 2,500 mm, from April to October. • Two main seasons in the year: monthly temperature ranges between 16 oC – 25 oC in winter and 28 oC – 36 oC in summer. • Average monthly humidity: 80-88 % all year round except in the South. Livestock Production in 2009 Name of Animals Number (million) • Pig 27.3 • Poultry (chicken, duck) 285 • Cattle (cow, buffalo) 9.2 (115.000 dairy) • There were 20,000 livestock farms and 10 millions farmer households involved in livestock (small scale) • Value of animal products shared 30 % of total agriculture production Important Diseases in Livestock Production • Avian Influenza (AI; especially HPAI) • Porcine Reproductive and Respiratory Syndrome (PRRS) • Food and Mouth Disease (FMD) • Estimation cost of veterinary drugs used in livestock production accounted for: - For pig: 1.45 % of production costs - For poultry: 3.15 % of production costs - For dairy: 0.66% of production costs Aquaculture Production in 2009 Aquaculture species Area (ha) Production (tonne) • Mekong river catfish 6,500 1,200,000 (Pangasius hypothalmus) • Brackish water shrimp 330,000 380,000 750,000 1,100,000 (P. monodon, P. vannamei) • Carps and tilapias • Marine fish (cage culture on the sea) 100,000 Total: 2,400,000 tonnes (fish), 380,000 tonnes (shrimp), sharing 52 % of total fish production (capture and aquaculture) Important Diseases in Aquaculture • In Mekong river catfish: Liver and kidney white spot disease (Edwardsilla ictaluri) • In brackish water shrimp: White spot disease, Yellow head disease, Taura syndrome • In carps and tilapias: Haemorrhagic disease, Epizootic ulcerative syndrome and Saprolenosis • Marine fish and lobster: Viral nervous necrosis (VNN) Lobster milky disease. • Lost due to diseases: 3 – 5 % of total aquaculture production. • Chemicals/drugs used in aquaculture: 2 % of production costs 1.2. Veterinary drug production in Vietnam • 2008: 90 local & 197 foreign veterinary drug companies, manufacturing and trading around 6,676 different kinds of veterinary products. • Among 6,676 veterinary products: 4,886 products produced by Vietnamese enterprises; 1,790 products registered by foreign companies from 35 countries around the world. (see Table 2). • Drugs manufactured outside imported into Vietnam, includes: - Premixes and - Materials used in the manufacture of veterinary drugs and feed additive as well as finished products. 1.2. Veterinary drug production in Vietnam (cont) - Micro-organisms may also be imported for vaccine production. In addition, registration is required for products bought in bulk and repackaged into smaller containers. • Department of Animal Health [DAH] under MARD: government agency directly managing the registration, import and circulation of veterinary drugs and vaccines in Vietnam. Table 2 Domestic produced Year Total Imported Number of Number of Number of Number of Total Total producers Re-packagers producer countries Restricted use 2007 6,423 4,671 87 12 1,752 190 35 16 2008 6,676 4,886 90 13 1,790 197 35 16 Trend + 253 +215 +3 +1 + 38 +7 - - 1.3. Top companies • National Veterinary Company (Navetco) • Veterinary Medicine Import Export Joint Stock Company (Vemedim) • Bio-Pharmachemie Joint Venture Company Limited • Anova Joint Venture Company Limited • Minh Dung Veterinary-Aquaculture Medicine Company Ltd • Pharmaceutical and Veterinary Material Company (Hanvet) • Virbac Vietnam Company Limited • Bayer Vietnam Company Limited. II. Structure of Veterinary System in Vietnam 2.1. Structure of Veterinary Services Figure 1 MINISTRY OF AGRICULTURE AND RURAL DEVELOPMENT National Institute of Veterinary Research Regional Animal Health Offices (RAHOs) No. 1 No. 2 No. 3 No. 4 No. 5 No. 6 No. 7 DEPARTMENT OF ANIMAL HEALTH Functional Divisions: - Personnel and Administration - Epidemiology (Terrestrial) - Aquatic Animal Health - Inspection & Quarantine - Drug & Vaccine Management - Legislation & Inspection - Plan (Inter. Cooperation & Sciences) - Finance Veterinary Drug and Vaccine Company Professional Centers The National Center for Vet. Diagnosis The National Centers for Examination of Vet. Drugs and Vaccines No. 1, 2 Provincial Sub-Departments of Animal Health Regional Sub Departments of Animal Quarantine and Inspection in Lang Son, Lao Cai and Quang Ninh District Veterinary Stations Communal Veterinary Team Domestic Inspection Stations The National Centers for Vet. Hygiene Inspection No.1, 2 2.2. Main Duties of DAH regard to Drug & Vaccine Management • • • • • • • • Assessment of registration dossiers. Provide free sell certificate (market authorisation); Preparation of “List of veterinary drugs licensed to be produced in, exported from, imported into, circulated and used in Vietnam”; Authorisation of veterinary products for use in field trials; Control of local production, trading, import-export of veterinary drugs and vaccines; Setting procedures on management of veterinary drugs and vaccines in Vietnam; Formulation and implementation of veterinary legislation; Setting additional national technical standards for veterinary drugs and vaccines; Dealing with complaints about veterinary drugs and vaccines. 2.3. Main Duties of National Centre for Examination of Veterinary drugs and Vaccines (NCEVDV) • Analysis of veterinary products and imported materials for both registration and quality control; • Supervision and implementing the field trial process of veterinary drug and vaccines; • Setting additional National Technical Standards for analysis of veterinary drugs and vaccines. • Maintenance of reference strains of virus and bacteria. III. Key legislation on veterinary drug management • Veterinary Ordinance 18/2004/PL-UBTVQH11 promulgated on 29 April 2004 by National Assembly of The Socialist Republic of Vietnam. • Government Decree 33/2005/ND-CP dated 15 March 2005 stipulating implementation of a numbers of articles of the Veterinary Ordinance 18/2004/PL-UBTVQH11. • Decision No 51/2009/TT-BNNPTNT dated 21 August 2009 of MARD regulating on Veterinary Hygiene Conditions for Veterinary Drug Production and Trading Enterprises. • Decision No 03 /2009/TT-BNN dated 14/01/2009 of MARD regulating “Labeling of Veterinary Products” • Decision No 10/2006/QD-BNN dated 10 February 2006 of MARD regulating “ Procedures for Production, Registration, Import and Circulation of Veterinary Drugs, Materials for Veterinary Drug Production, Biological Products (pro-biotics), Micro-organisms and Chemicals”. • Decision No 71/ 2007/QĐ-BNN dated 06 August 2007 of MARD regulating “Procedures for Laboratory Test and Field Trial of Veterinary Drug and Vaccines”. • Decision No 72/ 2007/QĐ-BNN of MARD dated 06 August 2007 regulating “Procedures for Quality Control of Vet. Drugs, Vaccines, Biological Products (pro-biotics) and Chemicals”. The following lists are issued annually by MARD: • List of Veterinary drugs permitted for circulation in Vietnam. • List of veterinary vaccines, biological products (pro-biotics), microorganisms, chemicals permitted for circulation in Vietnam. • List of prohibited and restricted veterinary drugs in Vietnam IV. Registration of Veterinary Drugs According to Decision No 10/2006/QĐ-BNN of MARD dated 10 February 2006, registration of all veterinary products as follow: Local manufacturers i. The production plant must firstly be registered and certificated. ii. A registration dossier, come with the application form for sample permit should be submitted to DAH iii. Samples of products should be sent to the National Centre for Examination of Veterinary Drugs for analysis. iv. When the results of this analysis are known and the dossier assessed, then consideration can be made for approval. Foreign manufacturers • Brief guidelines are available to applicants on the requirements for registration. • Follows step ii, iii, iv as mentioned above The Committee of Science and Technology under the DAH deals with registration matters in general and with specific points on individual products. • Criteria for approval Quality Safety Efficacy Stable of product Veterinary Drug Registration Certificate • The certificate of registration is issued and attached to this is a list of products that may be produced or imported in accordance with the registration dossier. • The certificates must be signed by the Director of DAH and validated for two years from the date of issue and for five years with the re-registration. Requirements for Registration dossiers • Apply for the permission to manufacture (or circulation in case of import drug) • Name of product; • Formula (name and amount of active ingredients); • Summary of product characteristics (SPC); • • • • Dosage determination procedure (in case of new drugs); Labeling and packaging; Report of pharmacokinetics research (in case of new drugs); Residual substances • Report of field trials (in case of new drugs); Registration dossiers (cont) • Report of pharmacodynamics (in case of new drugs); • Toxicology (in case of new drugs); • Certificate of sample analysis of (NCEVDV); • Certificate of analysis of manufacturer • Raw material specification and control method in-process control; • Manufacturing process; • Finished product specification and control method; • Quality and analytical method; • Safety & efficacy; Registration dossiers (cont) • Stability studies and report; • Withdraw time; • • Storage condition; Name and address of manufacturer; In case of imported drug registration should have: • Free sale certificate (FSC or MA) from the country of origin • Certificate of analysis (CA); • GMP certificate from the country of origin; • The appointment letter from manufacturer. Re-registration • The registers should carry our re-registration after two years. • A re-registration dossier, consist of: Application, copy of certificates and report of circulating process of the product (for the second re-registration). The certificates of reregistration are validated for five years. • Registration fee: - First registration: 700.000 VND - Re-registration: 350.000 VND V. System of veterinary drug distribution Authority to issue Certificates of eligibility for trading of Veterinary Drugs: 1. DAH is responsible for: • Inspecting vet. hygiene conditions and • Issuing certificates for trading, storage and transportation of veterinary drugs at the national level; foreign joint ventures. 2. SDAH's are responsible for: • Inspecting vet. hygiene conditions and • Issuing certificates for local organisations and individuals who register for local trading, storage and transportation of veterinary drugs. • A system/network of veterinary drug trading stores has been established in all 63 provinces in Vietnam. • In average, there are 50-65 vet. drug shops in a province. • This system, so far, has met increasing demands in veterinary drugs for prevention and control of animal and poultry diseases in the country. • People who own a veterinary drug shop or engage in trading of such products must be trained and have a license in veterinary drug trading. • Parallel to the above system, a chain of direct supply of veterinary drugs from factories to farms has been formed to meet the demand of the commercialized farming system. • This chain of supply is based on contracting agreement between drug producers and farmers. With a contract, vet. drug producers deliver their products directly at site. VI. Quality management system The Quality management system of vet drugs The First: MARD Manage a sectoral system of vet. drugs and vaccines quality control from central (DAH) to local (Provincial Subdepartment of Animal Health –Sub DAH) level Supply the fund to set up national technical standards Decide to apply Vietnam and international technical standards for quality control of vet. drugs and vaccines, for example standard of safety and efficacy and potency test evaluation, ISO, GMP… Approve the annual plant for sampling vet drugs and vaccines for quality control of DAH and supply the fund for analysis samples. The second : DAH Assessment of registration dossiers for approval Post-market surveillance assay (drugs and vaccines) Consultation of veterinary drug development and quality control. Establishing and implementing the annual plan for sampling vet. drugs and vaccines for the purposes of quality control. Establishing and implementing the annual plan for inspection and monitoring of establishments producing veterinary drugs, import-export veterinary drugs and vaccines in Vietnam. Directing two National Centre for Examination of Veterinary Drugs and Vaccines to receive and analyzing sample of vet. drugs and vaccines for quality control. Dealing with complaints about the quality of veterinary drugs and vaccines. The third: SDAH • Provincial Sub-department of Animal Health (SDAH) responsible for inspection activities and monitoring the drug and vaccines shops in their area. • Inspection activities cover a sampling to check quality, monitoring veterinary hygiene conditions and the use of veterinary drugs with particular attention paid to the use of antibiotics and chemical. Special inspection schedule is worked out for prohibited and non-approved vet drugs… • National Centre for Examination of Veterinary Drugs and Vaccines carry out analysis all samples sent by SDAH and report results to DAH. Application of GMP in Vietnam • At the present, there are 08 veterinary drugs making establishments complying with GMP standards. • According to Decision No 08 dated 30/3/2004 of MARD, at the end of 2012, all veterinary drugs making establishments in Vietnam must fully comply with GMP standards. Thank you for your attention !