PharmacoVigilance (PV)/ Drug Safety

Saturday, 29 August 2020

Managing Public Health Emergency situations in PharmacoVigilance

I would like touch upon points like What a Pharmacovigilance team supposed to during public health emergency (PHE) situations? If Covid-19 is PHE? What reference do we have for a Pharmacovigilance to effectively manage this PHE?

Is Coronavirus disease (Covid-19) is a Public Health Emergency?

COVID-19 is a disease caused by a new coronavirus, which has not been previously identified in humans. Coronaviruses are a large family of viruses found in both animals and humans. On 30th January 2020, WHO declared the outbreak of a novel coronavirus (COVID-19) a Public Health Emergency of International Concern. Responding to COVID-19 requires critical preparedness and response which includes equipping healthcare workers (HCWs) and healthcare facility management with the information, procedures, and tools required to safely and effectively work.

What is Public Health Emergency?

A public health emergency is a public health threat duly recognised either by the World Health Organization (WHO) or the Community in the framework of Decision No. 2119/98/EC of the European Parliament and of the Council.

Is this Public Health emergencies are applicable to all MAHs or MAHs with relevant product portfolio?

A public health emergency is applicable for all MAHs irrespective of their product portfolio or their treatment products involved in the treatment of current Covid-19 disease.

Stakeholders communication on requirement of Public Health Emergency?

Pharmacovigilance requirements for public health emergencies should be considered by the competent authorities in Member States, the European Commission and the Agency on a case-by-case basis and appropriately notified to marketing authorisation holders and the public. The Agency publishes its notifications on the Agency’s website. Competent authorities in Member States and the Agency should be adaptable to public health emergencies. Preparedness plans should be developed as appropriate.

How about Marketing Authorization Holders in Public Health Emergency?

The pharmacovigilance systems of marketing authorisation holders should be adaptable to public health emergencies. Any pharmacovigilance system should be adaptable to public health emergencies and preparedness plans should be developed as appropriate.

What an MAH shall do during Public health Emergency?

PharmacoVigilance department shall initiate necessary procedures and implement the necessary practices in their Quality Management System. Necessary training shall be arranged to all the MAH staff on awareness, do’s and don’ts. Priorities shall be identified and documented during this PHE in their Pharmacovigilance system master file. Finally, a preparedness plan shall be setup to manage the public health emergency in an efficient manner.

Reference: Refer GVP Module I – Pharmacovigilance systems and their quality systems (see I.C.4. Preparedness planning in the EU for pharmacovigilance in public health emergencies).