ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement Prepared by: PHILIPPINES Approved by: ASEAN TMHS GMP Task Force Endorsed by: ASEAN TMHS Product Working Group

OUTLINE 1. Principle 2. Premises General Production Areas Storage Areas Quality Control Areas Ancillary Areas 2

OUTLINE 3. Equipment Design and Construction Location and Installation Pipes and pipelines Maintenance and Calibration Cleaning Designated for intended use Verification (see Appendix 2) 3

PRINCIPLE Premises and equipment must be located, designed, constructed, adapted and maintained to suit the operations to be carried out. Their layout and design must aim to minimize the risk of errors and permit effective cleaning and maintenance in order to avoid cross-contamination, build up of dust or dirt and, in general, any adverse effect on the quality of products. 4

GENERAL To facilitate proper operation, cleaning and maintenance, premises for manufacturing shall be of: Suitable size Design Construction Location 5

GENERAL Premises shall be carefully maintained, ensuring that repair and maintenance operations do not present any hazard to the quality of products. They shall be cleaned and, where applicable, disinfected according to detailed written procedures. Steps shall be taken in order to prevent the entry of unauthorized people. Production, storage and quality control areas shall not be used as a right of way by personnel who do not work in them. 6

GENERAL Example of lighting and ventilation used in production area 7

LIGHTING FACILITIES LED lighting: ideal for warehouses, processing areas Fluorescent lighting: cost-effective, best for employee areas and packaging Protection against contamination in case of glass breakage i.e. Plastic coated shatterproof bulbs GENERAL 8

GENERAL VENTILATION Good air quality can be achieved by controlling the direction of airflow, level of particulates, dust, vapour, microbial load, temperature and humidity. Air Handling Unit (AHU): An equipment used to circulate air Heating, Ventilation and Air Conditioning (HVAC): a term for the collective mechanical equipment used to control air quality in a manufacturing facility; central unit to which AHU is connected 9

GENERAL 10

GENERAL Examples of ventilation system: HVAC system Centralized air condition Wall type air condition 11

GENERAL Examples of supporting equipment for ventilation system Dehumidifier Exhaust fans 12

GENERAL Direction of air flow within the production area shall never be from a dirty area to a clean area. Dry or powdered product should have a dust collection system installed. For the rest of the areas where there is product exposure, suitable ventilation is required. 13

GENERAL WINDOW Windows & other openings shall be so constructed as to avoid accumulation of dirt DOOR Where appropriate, be self-closing & self fitting Both windows and doors should be smooth, nonabsorbent surfaces 14 14

GENERAL Ensure that bottom and top of doors and windows are sealed Rubber protect Sealed Gaps Drop down seal

GENERAL Self-closing doors are recommended 16

GENERAL Premises shall be located at a suitable site approved by the relevant authorities. Appropriately located (i.e. away from dusty roads, garbage dump, pollution sources and other potential sources of contamination such as foundries and chemical processing plant) With convenient access to roads for the easy transport of starting materials and finished products. 17

GENERAL Premises shall be situated in an environment which, when considered together with measures to protect the manufacture, presents minimal risk of causing contamination of materials or products. 18

GENERAL TM and HS may share the same manufacturing facilities provided cross-contamination is adequately addressed (examples include but not limited to: by performing cleaning verification or the use of separate equipment, etc.). Dedicated and self-contained facilities must be available for the production of particular products, such as highly sensitising materials (e.g. penicillins) or biological preparations medicinal products (e.g. from live microorganisms i.e. these products shall not be produced in the same facilities used to produce TM and HS. 19 19

GENERAL Premises shall be designed, constructed and maintained to protect against access and harboring of vermin, rodents, birds, insects or other animals. Protection can be done by implementing a pest control program 20

GENERAL Ensure that all main openings are effectively protected against entry of flies, mosquitoes and rodents (e.g. air curtains provided/ mosquito electrolucutor provided) mosquito electrolucutor air curtains

GENERAL Premises should be designed with logical flow of materials in mind (from receiving of materials production (including packing) storage of finished products), so as to prevent mix up and crosscontamination. Personal flow should be different from material flow 22

GENERAL A.) STRAIGHT LINE FLOW B.) L SHAPED FLOW C.) U SHAPED FLOW 23

Example of Materials and Personnel Flow Arrival of goods Entrance for visitors Entrance for Workers Shipment of goods Incoming goods Q C Corridor Corridor Offices Gowning Canteen Corridor Shipping Material Flow Personnel Flow Starting Materials & Packaging Storage Weighing Processing Filling Packaging Finished Products Storage Zone: Processing Zone: Packaging Zone: Controlled Washing Machine Shop environment Utilities and Services Corridor Waste Treatment Source: WHO Module on Premises 24

GENERAL Defined areas for the following operations are required: Receiving and quarantine of incoming materials Sampling Storage of starting and packaging materials Weighing /Dispensing Processing Storage of bulk/intermediate products Packaging Equipment washing Storage of quarantine finished products Storage of approved finished products Designated area for quality control 25

GENERAL Equipment washing areas Hoses shall be stored to allow them to dry so as to prevent retention of liquid. 26

GENERAL Storage of Quarantine Materials Where quarantine status is ensured by storage in separate areas, these areas must be clearly marked and their access restricted to authorized personnel. Any system replacing the physical quarantine shall give equivalent security. 27

GENERAL Weighing / Dispensing The weighing of starting materials should be carried out in a separate weighing area designed for that use, complete with provisions for dust control. 28

PRODUCTION AREAS Interior surfaces (walls, floors, and ceilings) shall be smooth, free from cracks and open joints, and shall not shed particulate matter and shall permit easy and effective cleaning and, if necessary, disinfection. Coving of junctions between walls and floors in the production areas is encouraged to facilitate cleaning. 29

PRODUCTION AREAS Rounded corner coves facilitate easy cleaning & sanitizing Coving strip support floor covering for mop-able cleaning & sanitizing 30

PRODUCTION AREAS Covings at walls, ceiling and floor Joints are encouraged 31

PRODUCTION AREAS FLOORS Where appropriate: Water-proof Non-absorbent Washable Non-slip material Without crevices Easy to clean & disinfect 32

PRODUCTION AREAS Ensure that the floorings are smooth, impervious and continuous and does not allow collection of dust (preferably epoxy coated)

PRODUCTION AREAS Solid concrete with epoxy or polyurethane resin finish is suitable for processing areas as it has a non-porous topping with non skid surface & retards bacterial growth. Solid concrete for warehouse 34

PRODUCTION AREAS WALLS AND CEILINGS Where appropriate: Smooth Water-proof Non-absorbent Washable Easy to clean & disinfect 35 35

PRODUCTION AREAS Ensure that walls are smooth and not prone to catch dust Ensure that the walls and floors are washable 36

PRODUCTION AREAS Any open channels shall be avoided, but if required they shall be shallow enough to facilitate cleaning and disinfecting. All drainages shall have trapped gullies. The water trap prevents foul air passing through the drain from stagnant or dirty water within the connection pipe work. 37

PRODUCTION AREAS Ensure that the premise is neat and clean and is free of pooled water. Floorings are sloped to self drain the spilled water or washings.

PRODUCTION AREAS Production areas shall be well lit, particularly where visual on-line controls are carried out. Pipework, light fittings, ventilation points and other services shall be designed and sited to avoid the creation of recesses which are difficult to clean. As far as possible, for maintenance purposes, they shall be accessible from outside the manufacturing areas. Separate areas shall be used for the production of finished products intended for external use or application and finished products intended for internal consumption solely. 39

PRODUCTION AREAS In cases where dust is generated (e.g. during sampling, weighing, mixing and processing operations, packaging of dry products), specific provisions shall be taken to avoid cross-contamination and facilitate cleaning. Dust extractor 40

PRODUCTION AREAS Premises for the packaging of products shall be specifically designed and laid out so as to avoid mixups or cross-contamination. filling labeling Secondary packaging process 41

PRODUCTION AREA Premises shall preferably be laid out in such a way as to allow the production to take place in areas connected in a logical order corresponding to the sequence of the operations and to the requisite cleanliness levels. Adequacy of working space, which shall allow orderly and logical placement of equipment and materials and to suit the operation, efficient flow of work, effective communication and supervision as well as to avoid crowding and disorders. 42

PRODUCTION AREA CHANGING ROOM Changing rooms shall be directly connected to but separated from processing areas Changing rooms into the production areas shall have adequate hand washing and/or sanitizing facilities Paper towels or hand drier should be provided whichever is suitable Fabric Towels are not recommended 43 43

PRODUCTION AREA CHANGING ROOM Store working shoes separately Separate areas shall be available for the storage of clean protective garments away from the dirty and soiled ones. 44 44

STORAGE AREAS Storage areas shall be of sufficient capacity to allow orderly storage of various categories of materials and products with proper segregation. 45

STORAGE AREAS Storage areas should be maintained in a clean, dry & orderly condition. Goods should be stored off the floor and away from walls that will permit easy cleaning and the use of pest control agents without risk of contamination 46

STORAGE AREAS Segregated and secured areas (e.g. under lock and key) shall be provided for the storage of rejected, recalled or returned materials or products. Highly active materials or products (e.g. flammable, explosive or toxic substances) shall be stored in separate, safe and secure areas. 47

STORAGE AREAS Receiving and dispatch bays shall protect materials and products from the weather. Reception areas shall be designed and equipped to allow containers of incoming materials to be cleaned, where necessary, before storage. 48

STORAGE AREAS There shall normally be a separate sampling area for starting materials. If sampling is performed in the storage area, it shall be conducted in such a way as to prevent contamination or cross-contamination (e.g. by using sampling booth). 49

STORAGE AREAS Printed packaging materials are considered critical to the conformity of the products, and special attention shall be paid to the safe and secure storage of these materials. 50

STORAGE AREAS Crude (i.e. unprocessed) natural materials shall be stored in separate areas. The store area shall be well ventilated and equipped in such a way as to give protection against insects, or other animals, especially rodents. 51

STORAGE AREAS Effective measures shall be taken to prevent the spread of any such animals and microorganisms brought in with the crude natural materials to prevent fermentation, mould growth and crosscontamination. Containers shall be located in such a way as to allow free air circulation. 52

STORAGE AREAS Special attention shall be paid to the cleanliness and good maintenance of the storage areas particularly when dust is generated. Storage of plant materials, animal materials including parts, microorganisms, extracts, tinctures and other preparations that require special conditions of temperature, humidity or light protection; these conditions shall be provided and monitored. 53

QUALITY CONTROL AREAS If testing is done within the premises, quality control laboratories should be separated from production areas. This is particularly important for laboratories for the handling of microorganisms. 54

QUALITY CONTROL AREAS Control laboratories shall be designed to suit the operations to be carried out in them. Sufficient space shall be given to avoid mixups and crosscontamination. 55

QUALITY CONTROL AREAS There shall be adequate suitable storage space for samples (including retained and reference samples) and records. 56

QUALITY CONTROL AREAS Separate rooms may be necessary to protect sensitive instruments from vibrations, electrical interference, humidity, etc. Special requirements are needed in laboratories handling particular substances such as microorganisms 57

ANCILLARY AREAS Rest and refreshment rooms and toilets shall be separated from other areas and shall not have direct access to controlled areas (e.g. production and storage areas). Facilities for changing clothes, and for washing and toilet purposes shall be easily accessible and appropriate for the number of users. 58

ANCILLARY AREAS Maintenance workshops shall be separated from production areas. Whenever parts and tools are stored in the production area, they shall be kept in rooms or lockers reserved for that use. Animal houses shall be well isolated from other areas, with separate entrance (animal access) and air handling facilities. 59

ANCILLARY AREAS A separate room may be needed for storing clean, idle equipment which should be kept dry at all times. 60

EQUIPMENT Equipment shall be designed placed maintained to suit their intended use 61

LOCATION & INSTALLATION Prevent contamination Minimize the risk of error Tested to ensure that equipment operate appropriately Avoid congestion and cross contamination 62

DESIGN & CONSTRUCTION Pipelines should be constructed using suitable materials (e.g. Stainless Steel) which is stable when in contact with the process materials, during hot sanitation & disinfection. 63

PIPES & PIPELINES Clearly labeled to show: Content (where applicable Direction of flow 64

BALANCING & MEASURING EQUIPMENT Available in appropriate range & precision for production and control operation Weighing, measuring, testing and recording equipment should be serviced and calibrated regularly. 65

CALIBRATION Calibration of equipment / measuring device should have the following: International Standards National Standards Reference Standards Industry Standards Measurement Calibration 66

CALIBRATION Determine the accuracy of measuring instruments. Calibrated and checked according to: * Frequency * Method And the records are maintained 67

CALIBRATION Calibration Tag Shall have SOP or program for calibration of measuring, weighing, recording and control equipment (clause 5.43.2) 68

CALIBRATION This information is provided as an example and the frequency will be based on the need, previous performance and critically of the equipment Type of equipment Requirement Suggested frequency Reference thermometers (liquid-in-glass) Reference thermocouples Working thermometers and working thermocouples Full traceable recalibration Single point (e.g. ice-point check) Full traceable recalibration Check against reference thermometer Check against reference thermometer at ice-point and/or working temperature range Every 3 years Annually Every 3 years Annually Annually Balances Full traceable calibration Annually 69

CALIBRATION Third party/external calibration body Supplier selection and evaluation should be done prior to the execution following the SOP of selection and purchasing of services and supplies that has an effect to quality testing Contract / working agreement should be prepared which clearly defined scope and responsibilities of each party Final responsibility belongs to the equipment owner Owner should verify the readiness of the equipment when received from the third party / external calibration body 70

EQUIPMENT: CLEANING Designed for easy and thorough cleaning Detailed and written procedures Stored in clean and dry condition 71

DEDICATED EQUIPMENT Dedicated equipment used to manufacture products intended for internal consumption solely shall be separated from equipment used for the manufacturing of products intended for external use or application. 72

EQUIPMENT Defective equipment shall be remove and/or clearly labelled Repair and maintenance shall not present hazard to the quality of products 73

EQUIPMENT Surface of equipment must not be: Reactive Additive Absorptive 74

EQUIPMENT Pipes, hoses, pumps and valves used for treated water, starting materials and products shall be cleaned and sanitised according to written procedures that details the alert and action limits and measures for microbiological contamination 75

EQUIPMENT Must also have SOPs for : Equipment assembly (Clause 5.43.1) Maintenance, cleaning and sanitation of equipment (Clause 5.43.3) 76

EQUIPMENT: VERIFICATION Equipment shall be periodically verified to determine if they are still operating in a valid state Verification of equipment should be done prior to the testing method verification Verification of Equipment should be done as described in ASEAN Guidelines on Good Manufacturing Practice for Traditional Medicines and Health Supplements, Appendix 2 - Verification 77

REFERENCE ASEAN Guidelines on Good Manufacturing Practices for Traditional Medicines ASEAN Guidelines on Good Manufacturing Practices for Health Supplements 78

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