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Federal Register / Vol. 78, No. 45 / Thursday, March 7, 2013 / Notices
DC 20447, Attn: ACF Reports Clearance
FOR FURTHER INFORMATION CONTACT:
• June 4, 2013, from 9:45 a.m. to 11
Officer. All requests should be
Patricia Arnwine, Center for Veterinary
a.m. on the day of the meeting in
identified by the title of the information
Medicine (HFV–6), Food and Drug
College Station, TX.
collection. Email address:
Administration, 7519 Standish Pl.,
Although prior notification is not
Rockville, MD 20855; 240–276–9724;
required, it is recommended that those
OMB Comment: OMB is required to
FAX: 240–276–9101,
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make a decision concerning the
notify the contact person before the
collection of information between 30
meeting. In an effort to accommodate all
SUPPLEMENTARY INFORMATION:
and 60 days after publication of this
who desire to speak, time allotted for
document in the
Federal Register.
Dates, Times, and Locations
each presentation may be limited.
Therefore, a comment is best assured of
Registration is not required for these
• April 9, 2013, from 8:30 a.m. to
having its full effect if OMB receives it
meetings; however, early arrival is
12:30 p.m., Western Kentucky
within 30 days of publication. Written
recommended because seating may be
University–Carroll Knicely Conference
comments and recommendations for the
limited. If you need special
Center (Auditorium rm. 138), 2355
proposed information collection should
accommodations due to a disability,
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be sent directly to the following: Office
please contact FDA (see
FOR FURTHER
42101; 270–745–1908; FAX: 270–745–
of Management and Budget, Paperwork
INFORMATION CONTACT) at least 7 days in
Reduction Project, Fax: 202–395–7285,
April 23, 2013, from 8:30 a.m. to
Comments: Regardless of attendance
12:30 p.m., Evergreen State College
at the public meetings, interested
Attn: Desk Officer for the
(Library 4300), 2700 Evergreen Pkwy.
persons may submit either electronic or
Administration for Children and
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written comments regarding the topics
to be discussed at these meetings.
Submit electronic comments to
Robert Sargis,
• May 8, 2013, from 8:30 a.m. to
Reports Clearance Officer.
12:30 p.m., The Natural Resource
comments to the Division of Dockets
[FR Doc. 2013–05331 Filed 3–6–13; 8:45 am]
Research Center, USDA Animal and
Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, rm.
BILLING CODE 4184–01–P
Plant Health & Inspection Service, Veterinary Services, Centers for
1061, Rockville, MD 20852. It is only
Epidemiology & Animal Health, 2150
necessary to send one set of comments.
DEPARTMENT OF HEALTH AND
Centre Ave. (Building B, Gray's Peak
Identify comments with the docket
HUMAN SERVICES
Conference Rooms A & B), Fort Collins,
number found in brackets in the
CO 80526–8117; 970–494–7200; FAX:
heading of this document. Received
Food and Drug Administration
970–472–2668;
comments may be seen in the Division
of Dockets Management between 9 a.m.
[Docket No. FDA–2012–N–1046]
and 4 p.m., Monday through Friday.
The docket will remain open for written
Veterinary Oversight of Antimicrobial
• May 21, 2013, from 8:30 a.m. to
or electronic comments for 60 days
Use in Livestock: Impact on
12:30 p.m., Best Western Ramkota Hotel following the last of these five meetings.
Stakeholders; Public Meetings;
& Conference Center (Amphitheater II),
FDA is concerned about the risk that
Request for Comments
920 West Sioux Ave., Pierre, SD 57501;
antimicrobial resistance poses to public health from the use of medically
AGENCY: Food and Drug Administration,
605–224–6877; FAX: 605–224–1042;
important antimicrobial drugs in food-
producing animals. Over the past
ACTION: Notice of public meetings;
June 4, 2013, from 8:30 a.m. to
several years, FDA's Center for
request for comments.
12:30 p.m., Texas A&M University
Veterinary Medicine has developed a
(Memorial Student Center, rm. 2406A),
policy framework for decreasing this
SUMMARY: The Food and Drug
Joe Routt Boulevard and Houston Street, public health risk through the
Administration (FDA) is announcing
College Station, TX 77840; 979–845–
application of concepts of judicious use.
plans for five meetings to provide an
8904; FAX: 979–845–2519;
Among these concepts, FDA believes
opportunity for public dialogue and
that it is important to include veterinary
feedback on challenges faced by the
Oral Presentations: Interested persons oversight in the use of medically
animal agriculture industry and
may make oral presentations on the
important antimicrobial drugs in the
practicing veterinarians as FDA
topic of the discussion of the meeting.
feed or water of food-producing animals
implements its initiative for the
Oral presentations from the public
to assure the drugs' appropriate and
judicious use of medically important
during the open public comment period
antimicrobials in medicated feed or
will be scheduled approximately:
Until the early 1990s, most
drinking water of food-producing
• April 9, 2013, from 9:45 a.m. to 11
antimicrobial drugs were approved for
animals. Particular emphasis will be
a.m. on the day of the meeting in
over-the-counter (OTC) use in food-
placed on challenges faced by animal
Bowling Green, KY;
producing animals. However, since that
producers in areas that may lack access
• April 23, 2013, from 9:45 a.m. to 11 time increasing concerns about
to adequate veterinary services. The
a.m. on the day of the meeting in
antimicrobial resistance and evolving
meetings are jointly sponsored by FDA
understanding of the science related to
and the U.S. Department of
• May 8, 2013, from 9:45 a.m. to 11
the issue have resulted in greater
Agriculture's (USDA's) Animal and
a.m. on the day of the meeting in Fort
scrutiny of the conditions under which
Plant Health Inspection Service
these drugs are approved. As a result,
• May 21, 2013, from 9:45 a.m. to 11
since the early 1990s all new approvals
DATES: See the
SUPPLEMENTARY
a.m. on the day of the meeting in Pierre,
for antimicrobial drug products for use
INFORMATION section for meeting dates.
in food-producing animals have been
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Federal Register / Vol. 78, No. 45 / Thursday, March 7, 2013 / Notices
labeled with veterinary prescription
Chlortetracycline, erythromycin,
the use of medically important
(Rx) or veterinary feed directive (VFD)
lincomycin, neomycin, oxytetracycline,
antimicrobial drugs. As part of this
marketing status, with the exception of
penicillin, spectinomycin,
input gathering effort, FDA is partnering
approvals of generic copies of existing
sulfamethazine, tylosin, and
with APHIS to conduct a series of five
OTC products and approvals of
virginiamycin.1 Ionophore drugs are not meetings (see
DATES and
ADDRESSES) to
combination medicated feeds using
included under draft GFI #213. FDA is
provide the public with opportunities to
existing OTC antimicrobial Type A
currently reviewing the comments it
discuss and provide critical feedback on
medicated articles. This shift to a
received on draft GFI #213.
the challenges faced by stakeholders
marketing status requiring veterinary
After the FDA has completed its
generally, and livestock producers and
oversight has been viewed as an
review of comments, the Agency will
practicing veterinarians in particular, as
important step to mitigate the microbial
draft and publish final GFI #213. FDA
FDA phases in veterinary oversight of
food safety risks of antimicrobial new
anticipates that sponsors of affected
animal drugs, particularly for those
the therapeutic use of medically
products should be able to complete
drugs considered to be medically
important antimicrobials. During these
implementation of the changes
discussed in this draft guidance within
meetings, particular emphasis will be
FDA believes that the judicious use of 3 years from the date of publication of
placed on discussing the potential
medically important antimicrobial drugs the final version of this guidance.
challenges faced by producers in areas
intended for use in food-producing
Also in that same issue of the
Federal
of the country that may lack access to
animals requires the scientific and
Register (77 FR 22247, April 13, 2012),
adequate veterinary services and on
clinical training of a licensed
FDA provided the draft text of a
exploring possible options for
veterinarian. In the
Federal Register of
proposed regulation (
minimizing such impacts. FDA also will
April 13, 2012 (77 FR 22328), FDA
seek public input through other forums,
announced the availability of a
for example, Webinars, as it works
Guidance for Industry (GFI) #209
and modernize the current VFD
collaboratively with the USDA, along
entitled ‘‘The Judicious Use of
regulation (21 CFR 558.6) which
with veterinary and producer
Medically Important Antimicrobial
governs veterinary oversight and
organizations, to help address this
Drugs in Food-Producing Animals'' that
authorization of the use of certain
important issue. Comments also may be
outlines several recommendations
animal drugs in medicated feed. The
made to the FDA docket at any time (see
regarding the judicious use of medically public comment period for that
Comments).
important antimicrobials, including the
document remained open until July 12,
need for veterinary oversight or
Agenda: The meeting will allow for
2012. FDA is currently reviewing the
consultation when these antimicrobials
public comment and discussion
comments it received on the draft
are used in medicated feed or medicated proposed regulation. After completion
regarding the judicious use of
drinking water of food-producing
of this review, the Agency will draft and antimicrobial drugs in food-producing
publish the proposed VFD regulation.
animals. The following specific
FDA acknowledges that changing the
questions will be discussed at the
marketing status of certain antimicrobial upcoming meetings:
drugs to require the involvement of a
(1) What is the current availability of
Accordingly, in the same issue of the
licensed veterinarian has practical
veterinary services for your facility and
Federal Register (77 FR 22327, April 13, implications for animal producers and
2012), FDA published a notice
how do you utilize this care?;
practicing veterinarians. Once the status
announcing the availability of a draft
(2) How would the proposed changes
is changed from OTC to Rx or VFD,
guidance for industry (GFI #213)
in marketing status for medically
producers will no longer be able to
entitled ‘‘New Animal Drugs and New
purchase the animal drug or medicated
important antimicrobials to VFD/Rx and
Animal Drug Combination Products
feed product directly from suppliers,
proposed revisions to the VFD
Administered in or on Medicated Feed
unless the producer has a valid
regulations affect your operation or
or Drinking Water of Food-Producing
prescription or order from a licensed
Animals; Recommendations for
veterinarian. The impact of this change
(3) What are some possible solutions
Aligning Product Use Conditions With
on producers may vary depending on
or models for access of veterinary
the extent to which a given producer
services that would benefit your
already has access to and utilizes
operation in light of these changes?
veterinary services. This change also has
The agenda for the public meeting
potential impact on practicing
will be made available on the Agency's
FDA is recommending that affected drug veterinarians depending on their
sponsors revise the conditions of use of
practice (business) model.
FDA is seeking additional input as it
their medically important antimicrobial
new animal drugs and combination new moves forward to further develop and
and will be posted to the
animal drug products from OTC to VFD
implement its judicious-use policy,
status for medicated feed products and
including the plan to phase in
from OTC to Rx status for medicated
veterinary oversight or consultation in
Dated: March 4, 2013.
drinking water products. Also, the draft
Leslie Kux,
1 For additional information related to animal
guidance proposes timelines for
drugs in the classes of medically important
Assistant Commissioner for Policy.
stakeholders wishing to comply
antimicrobials, see Appendix A of GFI #152 entitled
[FR Doc. 2013–05339 Filed 3–6–13; 8:45 am]
voluntarily with the guidance.
‘‘Evaluating the Safety of Antimicrobial New
BILLING CODE 4160–01–P
Animal Drugs with Regard to Their Microbiological
The following antimicrobial drugs, in
Effects on Bacteria of Human Health Concern''
products administered in the feed or
water of food-producing animals, are
covered under draft GFI #213:
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Source: http://sustainableagriculture.net/wp-content/uploads/2013/03/2013-05339.pdf
Treating Prolonged Grief DisorderA Randomized Clinical Trial Richard A. Bryant, PhD; Lucy Kenny, PhD; Amy Joscelyne, PhD; Natasha Rawson, MPsychol;Fiona Maccallum, PhD; Catherine Cahill, MPsychol; Sally Hopwood, MPsychol;Idan Aderka, PhD; Angela Nickerson, PhD IMPORTANCE Prolonged grief disorder (PGD) is a potentially disabling condition that affectsapproximately 10% of bereaved people. Grief-focused cognitive behavior therapy (CBT) hasbeen shown to be effective in treating PGD. Although treatments for PGD have focused onexposure therapy, much debate remains about whether exposure therapy is optimal for PGD.
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