Frederick Bediako Sanbao (GH) Pharmaceuticals Ltd. 1 Objectives of this Introductory Session To outline the programme To introduce your trainers To introduce you to one another and to understand your objectives and background To understand the way these modules work 1 Basic Principles of GMP 1. Introduction to the training programme 2. Quality Management 3. Sanitation and hygiene 4. Qualification and Validation 5. Complaints and recalls 2 Basic Principles of GMP 6. Contract production and analysis 7. Self Inspection and quality audits 8. Personnel 9. Premises 10. Equipment 3 Basic Principles of GMP 11. Materials 12. Documentation 13. Good Practices in production and quality control 14. Sterile production 15. Active pharmaceutical ingredients 4 GMP Inspection Process 16. Introduction 17. The role of the inspector 18. Preparation for the inspection 19. Types of GMP inspection 20. The inspection 5 Your Who Team are we? 6 Who am I? Name Experience Objectives Not a lot of people know ........... 7 To introduce general elements on quality management To train you in the WHO GMP texts for pharmaceutical products To bring in your own experience To develop your own action plan 8 Our Way of Working A presentation on the subject of the module - usually about 60 minutes - follows the WHO text as the basis of the module - will have the WHO reference at the bottom of the slide A 30-60 minute group session discussing issues or a problem that will be set for you Group feedback in plenary session Multiple choice quiz 9 Personal hygiene procedures including wearing protective clothing apply to all persons entering into production areas: - Full-time employees - Temporary workers - Contractor's employees - Visitors - Managers - Inspectors 10 Design - Walls, floors, ceilings, ledges, drains, air supply, dust extraction Prevention of build-up of dirt and dust to avoid unnecessary risks of contamination - Cleaning programme, appropriate cleaning, cleaning records Effective cleaning and disinfection choice of materials and chemicals, validation - Drains - prevent backflow 11 Protection from insects, birds, vermin and weather - from receipt of raw materials to dispatch of released product 12 Special precautions should be taken to prevent generation and dissemination of dust Proper air control - supply and extraction, suitable quality Due to uncontrolled release of: - dust, gas, particles, vapours, sprays, organisms, residue, insects 13 Measures that can be taken to prevent crosscontamination also include: Segregated areas Ventilation systems Airlocks Clothing Closed processing systems Cleaning and decontamination 14 Dedicated and self-contained areas for: - Live vaccines - Live bacterial preparations - Certain other biological materials - Penicillin products 15 Campaign production: - Separation in time - Followed by appropriate cleaning - Validated cleaning procedure 16 Ventilation systems and airlocks - Appropriately designed ventilation system with air supply and extraction systems - Supply or incoming air should be filtered - Recirculation of air versus 100% fresh air supply - Proper airflow patterns - Pressure differentials - Appropriately designed airlocks 17 - Appropriately designed ventilation system with air supply and extraction systems - Supply or incoming air should be filtered Detailed modules in the supplementary training deal with recommendations for HVAC systems 18 Clothing - Protection of operator and product - Highly potent products or those of particular risk - need for special protective clothing - Personnel should not move between areas producing different products - Garments need to be cleaned 19 Cleaning and decontamination - Procedure for removing soil and dirt - Remove all cleaning chemical residues or disinfectant residues - Remove and/or reduce micro-organisms - Validated (known effectiveness of the procedure) - Use cleanliness status labels - Test for residues 20 Closed processing systems - For example: totally enclosed water purification systems - Tanks fitted with appropriate filtration - without removable lids - Present special cleaning difficulties, sometimes use clean-in-place (CIP) 21 Cleaning and cleaning validation - Degree of cleaning depends on whether consecutive batches are of same or different product Check cleaning agent is fully removed If possible hot water alone used for cleaning - all cleaning and disinfecting solutions carefully prepared and expiry dated Final rinse with purified water, or water for injection (for sterile products) Full records kept 22 Full records kept Water systems Water - major constituent of most products SOP for cleaning and sanitization of the water purification system should include distribution line Validation and removal of disinfectant before reuse 23 Maintenance and repair - activities inevitable in manufacturing area - Should present no risk to product Whenever possible, all planned maintenance outside normal operating hours Emergency work in working area followed by thorough clean down and disinfection before manufacturing recommences Area clearance by QC 24 25 Look at the photographs in the handout and record as many sanitation and hygiene issues as you can We are now going to move into the group session. In your groups, you should discuss the subjects of sanitation and hygiene as they relate to the pharmaceutical industry in your country. Use your experience from inspections that you have made and give concrete examples wherever possible to illustrate the key issues that you are to check in a new manufacturing facility. 26 You are inspecting a new factory. What are the key issues for sanitation and the key issues for personnel hygiene that the company should have in place? We are now going to move into the group session. In your groups, you should discuss the subjects of sanitation and hygiene as they relate to the pharmaceutical industry in your country. Use your experience from inspections that you have made and give concrete examples wherever possible to illustrate the key issues that you are to check in a new manufacturing facility. 27