Getachew Jember. Country Presentation: Activities carried out so far in regulation of veterinary products, Ethiopia

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Country Presentation: Activities carried out so far in regulation of veterinary products, Ethiopia Getachew Jember Regional Seminar for OIE National Focal Points for Veterinary Products 5 th Cycle Ezulwini, Swaziland. 6-8 December, 2017

outline Background Introduction Terms of Reference for OIE National Focal Points for Veterinary Products Activities Collaboration Regulation of veterinary medicinal products Challenges

Background on Ethiopia Location East Africa Shares border with Djibouti, Somali, Kenya, South Sudan, Sudan and Eritrea Size 1.1millionsq Km W N S E Human Population over 102million NIGERIA Federal System Federal, States (10)

Continued The animal population census gives national populations of Ethiopia. 44.3 million cattle, 23.6 million sheep, 23.3 million goats, 2.3 million camels over 50 million poultry

Introduction 2 nd cycle training focal points were to work to improve registration, distribution and quality control of VMP nationally and other responsibilities in their ToRs 3 rd cycle training focus was on establishment of monitoring plan for veterinary drug residue and AMR 4 th cycle focus on antimicrobial stewardship and antimicrobial resistance,as well as quality of veterinary drugs taking into account the WHO global action plan on AMR

Terms of Reference for Focal Points ToR - the responsibilities of the focal points are under the authority of the OIE Delegate. Any information transmitted to the OIE from the different focal points needs to be transmitted under the designated authority of the OIE Delegate to establish a network of veterinary product experts within his country or to communicate with existing networks; to establish and maintain a dialogue with the Competent Authority for veterinary products in his country, and to facilitate cooperation and communication among several authorities where responsibility is shared; under the authority of the OIE Delegate of his country, to monitor legislation on and control of veterinary products to ensure that these are in support of OIE international standards, guidelines and recommendations; to act as a contact point with the OIE on matters related to veterinary products;

TOR Cont. to receive from the OIE Headquarters information on VICH activities and copies of the reports of the Biological Standards Commission and other relevant reports, should they address discussion points on veterinary products; to conduct, on request, the in-country consultation process with recognised veterinary product experts on draft texts of standards and/or on guidelines and recommendations proposed in those reports; and to prepare comments for the Delegate on each of the relevant meeting reports reflecting the scientific view and position of the individual OIE Member and/or the region, including comments on the proposals for new or revised OIE standards and guidelines and recommendations related to veterinary products.

Activities Stakeholders meeting To establish a network of stakeholders in the regulation of veterinary medicinal products. To harmonize activities of stakeholders and agree on channels for information sharing. Antibiotics Awareness Week; Banner and Brouchers Completion of questionnaires Monitoring of quantities of antimicrobial agents used in animals Data collection on antimicrobial use in animals, with some limitations on the calculations

World Antibiotic awareness week in Ethiopian national language&calendar

Collaboration All of TOR activities for veterinary products are carried out together with the Ethiopian Veterinary Drugs and Animal Feed Administration and Control Authority(VDFACA)

Regulation of Veterinary products Initially Both human and veterinary drugs in Ethiopia were regulated by the Drug Administration and Control Agency, established in 1999, regulation of veterinary drug import was not so well developed as humans, probably because veterinary import was done by the government itself till the mid-90s, because the veterinary private sector within the country was much less well developed

Cont. Following the passage of proclamation No.728/ 2011, the veterinary products regulation was transformed to an independent drug control authority named Veterinary Drug and Animal feed Administration and control Authority (VDFACA)" which became operational on 2011 G.C. Then after regulation number 272/2012 was approved by ministers council for the establishment of authority.

Cont According to article 4 of the proclamation 728/2011, No veterinary drug may be produced locally or imported and put in use unless it is registered by the Authority after being tested for its safety, efficacy and quality. Notwithstanding sub-article (1) of the above Article, the Authority may authorize, in compelling circumstances of natural disaster causing high animal migration such as drought, flood and earth quick, or in cases of epidemic of exotic animal disease, or for animal health research, or for pre-registration test.

Cont. The import of veterinary drugs is a key sub-sector for Ethiopia, one of Africa s largest livestock producers. The country`s requirement of veterinary medicines is mainly met through import. In 2012 demand for veterinary medicines was estimated to be about: 416 tons of solid drugs 100 tons of antibiotics 282 tons of anthelimentics and 34 tons of antiprotozoal 692.38 thousand liters of acaricides.

Cont.. The demand for veterinary medicines will projected to reach by year 2022. 1,131 tons of solid drugs 272 tons of antibiotics 767 tons of anthelimentics 92 tons of antiprotozoals 1.88 million liters of acaricides.

Importing Companies The import of veterinary pharmaceuticals to Ethiopia was a monopoly of government until the mid-1990s, the early years of the present government, at which point it was liberalised and import licenses were given to a number local companies. the number of licensed importers which have contact with the authority so far appears to be around 30. Veterinary medicinal products wholesalers around 3. the national drug list serve as useful guide for, registration, procurement, distribution and prescription of drugs in the country.

Type of veterinary medicinal products imported Antihelmenthics Antibiotics Antiprotozoals Accarcide vaccines Veterinary instruments Vitamines Hormones Lab equipments and reagents

Cont.. Import of veterinary medicinal products done by the: governmental sector : e.g. NVI, AISCO, Universities, Ethiopian Wild life agency) private sector: licensed importers, private animals farms NGO's : e.g. PANVAC, ILRI, Donkey sanctuary

80 Types of organizations involved in drug importing in Ethiopia since the establishment of authority 70 60 50 40 30 % of importers 20 10 0 Private sector Governmental NGO

Purchase order requisted. 120 The frequency of Purchase request permitted for importation of accarcide,antihelminthics and antibiotics in different seasons 2013/14 100 80 60 40 Accarcide Antihelminthics antibiotics 20 0 Summer Spring Winter Autumn

Purchase order requisted.cont. The frequency of Purchase request permitted for antiprotozoals,vet instruments,vaccines and hormones since the authority become functional 80 70 60 50 40 30 20 Antiprotozaosl Vet instruments vaccine hormones 10 0 Summer Spring Winter Autumn

Manufacturing of veterinary medicinal products in Ethiopia In addition to the veterinary importers, there are some companies manufacturing veterinary pharmaceuticals: East African pharmaceuticals Plc. ( both human and vet drugs) Adamitulu pesticides processing Sh.co ( ectoparacitdes) National Veterinary Institute(Vaccines)

The list of registered medicinal products since establishment of the authority No Brand name Generic Name presentation Type Manufacturer Country 1 oxyttc LA 20% OxyTTC 20% inj 100ml vial Re Shanghai Tongdon China 2 OxyTTC 10% OxyTTC 10% 100ml vial Re Shanghai Tongdon China 3 Ivermectine 1% Ivermectine 1% inj 50ml vial Re Shanghai Tongdon China 4 Yz-Albendazole Albendazole 600mg Blister of 5 or 6 boli New Hebey yoanzheeng China 600mg Bolus 5 Yz-Albendazole Albendazole 2500mg Blister of 5 or 6 boli New Hebey yoanzheeng China 2500mg Bolus 6 Yz-Albendazole Albendazole 300mg Blister of 5 or 6 boli New Hebey yoanzheeng China 300mg Bolus 7 Multi-vitamine Mlti vitamine inj Vial of 100ml Re Norbrook Lab. Ltd UK 8 Defensor-3-Rabis Defensor-3-Rabis Vial of 1,10,25ml New PF12ER Animal USA vaccine vaccine 10 35 /dose Health 9 Lerafox Rafoxanide Strip of 1boli New Ashish life science India 1gm+levamisole HCl 10 Vet instrum Vet instrum Re MLD vet supply China

List of Cont No Brand name Generic presentation Type of Manufacturer Country Name registration 11 Ashiver Ivermectine 5mg New Ashish life science India 12 Levamisole 600mg 12strip of New Ashish life science India 5boli 13 Flukazash cattle Oxuclozanide 2700mg Blister of New Ashish life science India 4boli 14 Diminazine 1.05g Diminazin acetu 1.05g Sachet of Re Shangai Tongren China 2.36g 15 Veridium 1gm Isomethamidium sachet Re Ceva santé Antihel France chloridehydrochloride 16 Veridium 125mg Isomethamidium Ssachet Re Ceva santé Antihel France chloridehydrochloride 17 Oxytetracycline OxyTTC 10% Vial of Re Kulipers wega-314 India 100ml 18 Smash 20% Deltamethrine 20% 1 Lit Re Tagros Chemicals France 19 Smash 1% Deltamethrine 1% 1 Lit Re Tagros Chemicals France 20 MULTIVET MULTIVIT 100ML Re KELA LABORATORIA UK

List of cont No Brand name Generic Name presentation Type of registratio n Manufacturer 21 Ethio-miraz Amitraz 1 Lit New Adamitulu pesticides processing sh.co 22 Ashoxy Oxytetracycline Sachet of 1g Variation Ashish life Science 23 Tetracozash Oxyclozanide450+ 13x4+ 12x4 variation Ashish life Tetramisole450mg Science 24 Levaoxynid e Levamisole HCl 450mg +Oxyclozanode 450mg 25 Mastitis-2 Benzylepenicillinu m procai um 300mg+ Neomycine sulfate 12x Blister of 5 Boli Prefiled syringe New Variation Chong quing Fengtong Animal Pharmace. KELA laboratory Count ry Ethio pia India India China UK

List of cont N o Brand name Generic Name presenta tion Type of registratio n Manufacturer Countr y 26 Veterinary - - Re HANGUF UK Instrument Interational 27 Triquin Quinapiraine sulfate 50 ml of Re Vetoquinol Indian India B Quinapiramine chloride BV 1 vial Animal health 28 Ashialben 2500 Albendazole variation Ashish life science India 2500mg 29 Vet Instrument Vet Instrument Different Re ARAAZ India 30 Bovidium Homodium chloride Re KELA laboratoriy UK 31 Vet- Instrument Vet- Instrument Different Re TRUETECH UK

Supply of veterinary pharmaceuticals Vet Instruments ; 30 Vaccines ; 4 The frequency (rate) of VMPs in Purchase order requested to import hormones Biologicals Accarcide ; 8 Antiprotozoals; 50 Antibiotics; 85 Antihelmenthic; 178 Accarcide Antihelmenthic Antibiotics Antiprotozoals Vet Instruments Vaccines hormones Biologicals

Major suppliers of VMPs to Ethiopia Asia :China, India, korea, Pakistan Europe :Uk,France, Greece, Belgium, Czech Africa :South Africa,Kenya,Egypt

Cont.. Suppliers of VMPs to Ethiopia 0% Africa 1% Europe 15% Asia Europe Africa Asia 84%

Drug financing Sources of drug financing include : government finance private expenditure external assistance, loan,

Stakeholders meeting Problems were identified and discussed Solutions proposed and agreements reached to work together towards the solutions

Challenges Enforcement of laws and regulations Illegal drug sellers in the community Illegal and unethical practice of some professionals especially in remote rural areas

Thank you!