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Procedure for assessing the acceptability, in principle, of vaccines ...

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with both <strong>the</strong> WHO requirements and <strong>the</strong> specifications <strong>of</strong> <strong>the</strong> relevant United<br />

Nations agency, and (b) <strong>the</strong> role <strong>of</strong> <strong>the</strong> NRA <strong>in</strong> certify<strong>in</strong>g this. This letter will be<br />

copied to <strong>the</strong> manufacturer, <strong>the</strong> NRA/NCL responsible <strong>for</strong> lot release, <strong>the</strong> relevant<br />

WHO regional and country <strong>of</strong>fices, <strong>the</strong> management <strong>of</strong> WHO’s IVB department, and<br />

<strong>the</strong> approved VVM manufacturer.<br />

For AMC eligible products, WHO will send to <strong>the</strong> GAVI Alliance and <strong>the</strong> AMCs<br />

Independent Assessment Committee (IAC) a report provid<strong>in</strong>g <strong>the</strong> rationale <strong>for</strong><br />

confirm<strong>in</strong>g or o<strong>the</strong>rwise that <strong>the</strong> vacc<strong>in</strong>e meets <strong>the</strong> target product pr<strong>of</strong>ile.<br />

The vacc<strong>in</strong>e will be <strong>in</strong>cluded <strong>in</strong> <strong>the</strong> WHO list <strong>of</strong> prequalified vacc<strong>in</strong>es immediately<br />

after <strong>the</strong> letter is sent to <strong>the</strong> United Nations agencies. A page provid<strong>in</strong>g <strong>the</strong> basis <strong>for</strong><br />

<strong>the</strong> acceptance <strong>of</strong> <strong>the</strong> prequalification <strong>of</strong> <strong>the</strong> specific vacc<strong>in</strong>e will also be <strong>in</strong>cluded <strong>in</strong><br />

<strong>the</strong> list. The current list may be consulted on <strong>the</strong> WHO web site (3). In <strong>the</strong> event <strong>of</strong><br />

disagreement between <strong>the</strong> manufacturer and WHO, a standard operat<strong>in</strong>g procedure <strong>for</strong><br />

<strong>the</strong> handl<strong>in</strong>g <strong>of</strong> such disagreements will be followed <strong>in</strong> order to discuss and resolve<br />

<strong>the</strong> issue.<br />

The prequalified status <strong>of</strong> a vacc<strong>in</strong>e is valid until a new reassessment is scheduled by<br />

WHO (see section 9). WHO reserves <strong>the</strong> right to revoke <strong>the</strong> prequalification status if<br />

fraud by <strong>the</strong> manufacturer becomes evident. For details on notification <strong>of</strong> changes or<br />

<strong>in</strong>troduced variations, see section 7.<br />

Note: Communications, at any time, with <strong>the</strong> experts <strong>in</strong>volved <strong>in</strong> a<br />

vacc<strong>in</strong>e evaluation should be conducted through <strong>the</strong> WHO focal<br />

person <strong>in</strong> charge <strong>of</strong> <strong>the</strong> product.<br />

establishment <strong>of</strong> AMCs should encourage <strong>the</strong> development <strong>of</strong> future generations <strong>of</strong> vacc<strong>in</strong>es and <strong>in</strong> particular accelerate<br />

<strong>the</strong> development and availability <strong>of</strong> priority new vacc<strong>in</strong>es to develop<strong>in</strong>g countries.<br />

17

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