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Investments in Federal-State Programs to Support an Integrated

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1 Investments in Federal-State Programs to Support an Integrated
Food Safety System (IFSS) Joe Reardon Senior Advisor for Federal-State Relations FDA/Office of Regulatory Affairs National Association of State Departments of Agriculture Food Regulation & Nutrition Committee Meeting September 16, 2012 Des Moines, IA

2 A National Integrated Food Safety System (IFSS)
Jointly developed and implemented inspection and enforcement programs Benefits: Increased ability to assess potential risks at domestic food facilities More consistent coverage of these facilities across the entire food supply chain Greater food surveillance through integration of food facility inspection information Improved rapid response capacity and efficiency Outcome: Increased public health protection What is Federal-State Integration? Working with our State, local, and tribal partners to develop and implement an inspection and enforcement program to ensure high rates of compliance with the Agency’s food safety standards It will require significant work with our State partners through work-planning and training to ensure the best utilization of resources An integrated system will result in more coordinated response efforts to better leverage resources and to respond to multi-State outbreaks when they occur We have funded State Rapid Response Teams to develop Rapid Response processes Collaborating with our State partners, FDA will continue to build an Integrated Food Safety System (IFSS) Benefits of an Integrated Food Safety System Increased ability to assess potential risks at domestic food facilities More consistent coverage of these facilities across the entire food supply chain Greater food surveillance through integration of food facility inspection information Improved rapid response capacity and efficiency

3 * Did You Know… For new awards issued thus far in FY12, 31 have gone to Departments of Agriculture, totaling over $7.4M. Awards include those for ISO, MFRPS, RRT and Innovative Food Defense We are thrilled to be here at the 2012 NASDA Annual Meeting, and to have this opportunity to present on the great work being done by DFSR, as well as to have more interactions with such dedicated and involved members of the food regulatory community. DFSR has enjoyed a highly productive relationship with NASDA and its members over the years. Associations like NASDA, and the meetings they host, provide an ideal environment to advance our goals of integration and partnership. RRT New Awards: 4 to Departments of Agriculture ($1.2M) ISO new awards: 15 to Departments of Agriculture ($3.3M) MFRPS CAP New awards: 10 to Departments of Agriculture ($2.9M) Innovative Food Defense Grants: 2 to Departments of Agriculture

4 Rapid Response Teams (RRT)
Multi-year Cooperative Agreement Awards range from $300,000 - $500,000 Develop Rapid Response Capabilities RRT Manual (Best Practices) Metrics Improve Program Infrastructure MFRPS Implementation Strengthen Federal/State/Local Collaboration Across programs (health, agriculture, etc) Across initiatives (IFSS, CDC FoodCORE, etc) * Did You Know 9 RRTs are in Public Health Agencies 10 RRTs are in Departments of Agriculture Develop Rapid Response Capabilities (including ICS) Metrics - to measure/quantify effectiveness and value Why Create RRTs? The RRT project was created to address the need for improved, integrated rapid response to food and feed emergencies. Multiple national initiatives such as the Food and Drug Administration Amendments Act (2007), formation of the President’s Food Safety Working Group (2009), and the passage of the Food Safety Modernization Act (2011) all point to the priority of this issue for the Nation. These pilot RRTs were tasked with developing models that can be used and adopted by other programs. For example, in 2011, the RRTs documented best practices for seven core operational elements (e.g., implementing the Incident Command System (ICS) in a food emergency) in the RRT Best Practices Manual (available soon), in a format that other groups can easily customize for assessing and improving their own capabilities. RRT Manual of Best Practices (RRT Playbook) One of the most prominent accomplishments of the RRTs is the development of the “RRT Manual of Best Practices” (formerly known as the “Playbook”). This features tools to be used for program improvement in several key areas of response, such as communication standard operating procedures (SOPs), traceback, joint investigations and inspections, etc. The first and second (upcoming) volumes of the Manual will together establish metrics for rapid response capabilities, that would allow RRTs to assess their status, indentify improvement plans, and quantify accomplishments and impact.  The first volume of the RRT Manual of Best Practices is expected to be shared publicly in the spring of The second volume is expected by early 2013.

5 Rapid Response Teams (Original & Additions from 2012 RFA)
NWE-DO DET-DO MIN-DO NYK-DO PHI-DO NER SEA-DO BLT-DO CER ATL-DO SAN-DO NOL-DO FLA-DO LOS-DO SER KAN-DO Rapid Response Teams (RRTs) Original RRTs New RRTs Southeast Region Central Region NC (ATL-DO) GA (ATL-DO) MI (DET-DO) PA (PHI-DO) FL (FLA-DO) TN (NOL-DO) MN (MIN-DO) WV (BLT-DO) MS (NOL-DO) VA (BLT-DO) MD (BLT-DO) Northeast Region Southwest Region MA (NWE-DO) NY (NYK-DO) TX (DAL-DO) IA (KAN-DO) RI (NWE-DO) MO (KAN-DO) Pacific Region Summary: Total: 19 States/14 Districts 2008: 6 States/7 Districts 2009: 3 States/3 Districts 2012: 10 States/7 Districts WA (SEA-DO) N/A CA (LOS-DO & SAN-DO) Summary: Total: 19 States/14 Districts 2009: 3 States/3 Districts 2008: 6 States/7 Districts 2012: 10 States/7 Districts PAR SWR DAL-DO = New RRT State (Under 2012 RFA) = RRT State (Original- Joined 2008/2009) = Department of Agriculture

6 Announcing… The RRT Best Practices Manual is now available upon request to DFSR Send an to A resource for any food regulatory program wishing to improve response capabilities Develop Rapid Response Capabilities (including ICS) Metrics - to measure/quantify effectiveness and value Why Create RRTs? The RRT project was created to address the need for improved, integrated rapid response to food and feed emergencies. Multiple national initiatives such as the Food and Drug Administration Amendments Act (2007), formation of the President’s Food Safety Working Group (2009), and the passage of the Food Safety Modernization Act (2011) all point to the priority of this issue for the Nation. These pilot RRTs were tasked with developing models that can be used and adopted by other programs. For example, in 2011, the RRTs documented best practices for seven core operational elements (e.g., implementing the Incident Command System (ICS) in a food emergency) in the RRT Best Practices Manual (available soon), in a format that other groups can easily customize for assessing and improving their own capabilities. RRT Manual of Best Practices (RRT Playbook) One of the most prominent accomplishments of the RRTs is the development of the “RRT Manual of Best Practices” (formerly known as the “Playbook”). This features tools to be used for program improvement in several key areas of response, such as communication standard operating procedures (SOPs), traceback, joint investigations and inspections, etc. The first and second (upcoming) volumes of the Manual will together establish metrics for rapid response capabilities, that would allow RRTs to assess their status, indentify improvement plans, and quantify accomplishments and impact.  The first volume of the RRT Manual of Best Practices is expected to be shared publicly in the spring of The second volume is expected by early 2013.

7 Manufactured Food Regulatory Program Standards (MFRPS)
Uniform foundation for the design and management of state programs responsible for regulating food plants Institute a comprehensive quality assurance & standardization program The Division of Federal-State Relations’ (DFSR) Development and Integration Branch (D&I Branch) has been busy visiting states and reviewing their state policies and standard operating procedures as part of the outreach being conducted under the Manufactured Food Regulatory Program Standards (MFRPS). The goal of the standards is to leverage resources and share common successes to build systems within state regulatory food programs. The standards promote development of a high-quality state manufactured food regulatory program and include a process for continuous improvement. Gaps are identified, improvement plans are developed and strategic goals are identified. The areas of focus include regulatory foundation, training, inspection programs, auditing, food defense, enforcement and compliance, stakeholder outreach and laboratory services. Program Standards Regulatory Foundation Training Inspection Program Inspection Audit Program Food-related Illness and Outbreaks and Response Compliance and Enforcement Industry and Community Relations Program Resources Program Assessment Laboratory Support FDA Program-Assessment Validation Audits (PAVAs) will be conducted at 18, 36, and 60 months (external to DFSR). Currently there are 41 state agencies from 39 states and Puerto Rico enrolled with the MFRPS. 9 of these states are Rapid Response Team states. Recently, 2 Cooperative Agreement Programs related to MFRPS have been announced. This will move MFRPS implementation away from the contract funding vehicle. MFRPS CAP RFA closed April, 2012 Up to $300,000/yr Up to 5 years ISO Laboratory Accreditation CAP Up to $300,000/yr to seek accreditation Up to $150,000/yr to maintain accreditation Increased total program funding to $8 million FDA Program-Assessment Validation Audits (PAVAs) conducted at 18, 36 Full program audit conducted at 60 months 41 State Programs (40 States) enrolled in MFRPS)

8 MFRPS Cooperative Agreement
RFA issued in late spring, 2012 Up to $300,000/yr in funding Up to 5 years of funding Purpose: to assist State manufactured food regulatory programs to achieve and maintain full conformance with the MFRPS Awards recently issued 26 States $7.1M in funding per year * Did You Know 16 recipients are in Public Health Agencies 10 recipients are in Departments of Agriculture

9 ISO 17025 Cooperative Agreements
RFA issued in late spring, 2012 Up to $300,000/yr in funding Up to 5 years of funding Purpose: To support accreditation of microbiological & chemical analyses performed on behalf of state manufactured food regulatory programs Awards recently issued 31 States $7.8M in funding per year Pending award Laboratory Association to support ISO accreditation ($1.5M) * Did You Know 14 recipients are in Public Health Agencies 15 recipients are in Departments of Agriculture 2 recipients are in Universities

10 FY12 Grants & Cooperative Agreements
Programs # of Awards* Food Protection Task Forces 23 Food Emergency Response Network (FERN) 34 Ruminant Feed Ban Support (BSE) 11 Rapid Response Teams 19 Innovative Food Defense 3 Small Conference Grants 9 FSMA Emergency Response & Risk Based Inspections Awards forthcoming Manufactured Food Regulatory Program Standards 26 ISO 17025:2005 Laboratory Accreditation 31 Voluntary Nat’l Retail Food Regulatory Program Standards Integrated Laboratory System 1 Alliances 2 Total Funding $44.3M (>200 awards) Programs # of Awards Amount Food Protection Task Forces $166K Food Emergency Response Network (FERN) $10.7M Chem $5.6M Microbiological $3.9M Radiation $1.2M Ruminant Feed Ban Support (BSE) $2.6M Rapid Response Teams $7.4M New RRT Funding Only $2.9M GA IA MD MS MO NY PA RI TN WV(h) Innovative Food Defense $294K One county (Cuyahoga County, OH), two state Agriculture programs (MI and MN) Small Conference Grants $225K FSMA Emergency Capacity/Recall $1.2M FSMA Inspection Capacity $2.3M Integrated Laboratory System (Alliance) $1.5M Manufactured Food Regulatory Program Standards $7.1M AK AL AR CO CT GA IA IL IN KS KY MD MO NE NV NY OH OR PA RI SC(H) TN UT VT WI WV(h) ISO 17025:2005 Laboratory Accreditation $7.8M Voluntary Nat’l Retail Food Regulatory Program Standards 38 $2.6M Alliances (NCSL & AFDO) $445K Total Funding $45.6M *Some 2012 awards have not yet been issued

11 FY12 Inspection Contract Programs
# of Awards Food 46 Feed 36 Egg 8 Tissue Residue 21 MQSA 44 Medical Device 1 Milk Residue N/A Totals $15.2M (>150 awards) Program States Inspections Amount Food 44* $11.7M inspections and training 1 territory Total 46 contracts total Feed ,400 $2.6M Egg K Tissue Residue $569K MQSA $9.M Medical Device $85K Milk Residue Data** $105K *MFRPS enrollment is now open as a Cooperative Agreement as well as an option in the food contract.

12 Then & Now: Investment in Federal-State Integration
Programs FY2009 Funding FY2012 Funding* Contracts (total) $15.5M $15.2M Egg Contract (added FY11) None $320K Grants (total) $17.4M $44.3M MFRPS implementation None (26 Programs) $11M (41 Programs) ISO (added FY12) $7.8M RRT (expanded FY12) $4.5M $7.4M FSMA Emergency Response & Risk Based Inspections (added in FY12) $3.5M Alliances (AFDO and NCSL) $455K State Cooperative Programs (total) $250K $3.4M Retail Standards Cooperative Agreement $2.6M Retail Partnership $500K Dairy & Shellfish Total Funding $33.2M $59.54M Total funding under contracts includes the funding provided for work under contract in following program areas: Food: ~12M, Feed:~3M, Tissue Residue:~800K, Medical Device:~120K, Milk Drug Residue: ~85K Total funding under grants includes funding to existing grant and cooperative agreement programs to include: Food Protection Task Force grants: ~206K Small Science Conference: ~225K BSE: ~3M FERN: ~10 M Innovative Food Defense: ~300K Alliance: ~450K With increasing frequency, we learn of budget cuts and extensive furloughs of State and local employees that have resulted in a substantial reduction of State and local capacity 24 States have projected a combined shortfall of $46 billion for FY2013. This number is in addition to the nearly $430 billion shortfall amount seen over 2009, 2010, and [1] Center on Budget and Policy Priorities, States Continue to Feel Recession’s Impact 29,000 cumulative jobs were lost from 2008 to 2010, approximately 19 percent of the 2008 nationwide local health department workforce - [2] NACCHO Local Health Dept Job Losses and Program Cuts 40% of all local health departments made cuts in the at least one program area between July 2009 and July 2010 (NACCHO Local Health Dept Job Losses and Program Cuts) Jobs have been cut in at least one program area in 38 States and 14 States have issued mandatory furloughs Continued investment in national program standards are necessary to achieve steady improvement at the State and local levels We have recently invested $14 million in support of the implementation of the Food Standards alone. FDA is also building a robust infrastructure within DFSR to empower and support states as they implement MFRPS and ISO Accreditation Standards Improvements in training and certification programs are needed to result in a uniform and consistent approach to food safety As well as development and maintenance of an information technology structure that enables efficient data sharing In the past 24 months, FDA has invested over $25 million into State programs, including: MFRPS & ISO Accreditation Cooperative Agreements Retail Voluntary Standards Proven commitment: from 2009 to 2012, funding to State and local partners increased by $34.2 million. *2012 awards estimated

13 FDA Division of Federal State Relations Parklawn Drive, ELEM- 3033, Rockville, MD DFSR Website:


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