81_FR_60174 81 FR 60005 - Revised Recommendations for Reducing the Risk of Zika Virus Transmission by Blood and Blood Components; Guidance for Industry; Availability

81 FR 60005 - Revised Recommendations for Reducing the Risk of Zika Virus Transmission by Blood and Blood Components; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 169 (August 31, 2016)

Page Range60005-60007
FR Document2016-20914

The Food and Drug Administration (FDA or Agency) is announcing the availability of a document entitled ``Revised Recommendations for Reducing the Risk of Zika Virus Transmission by Blood and Blood Components; Guidance for Industry.'' The guidance document is notifying blood establishments that collect Whole Blood and blood components, that FDA has determined Zika virus (ZIKV) to be a relevant transfusion- transmitted infection (RTTI) and provides FDA's assessment. The guidance also provides recommendations to reduce the risk of transmission of ZIKV by Whole Blood and blood components. The guidance applies to the collection of Whole Blood and blood components. The guidance does not apply to the collection of Source Plasma. The guidance supersedes the February 2016 document entitled, ``Recommendations for Donor Screening, Deferral, and Product Management to Reduce the Risk of Transfusion-Transmission of Zika Virus: Guidance for Industry'' (February 2016 guidance), and the March 2016 document entitled, ``Questions and Answers Regarding `Recommendations for Donor Screening, Deferral, and Product Management to Reduce the Risk of Transfusion-Transmission of Zika Virus: Guidance for Industry' '' no later than 12 weeks after the date of the issuance of this guidance. Implementation of the guidance will be immediate for blood establishments that collect Whole Blood and blood components in States and territories with local transmission of ZIKV by mosquitos, and will be phased in over 4 to 12 weeks in other States and territories using a tiered, risk-based approach. Blood establishments should follow the recommendations in the February 2016 guidance until the recommendations in the guidance document have been fully implemented.

Federal Register, Volume 81 Issue 169 (Wednesday, August 31, 2016)
[Federal Register Volume 81, Number 169 (Wednesday, August 31, 2016)]
[Notices]
[Pages 60005-60007]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-20914]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-D-0545]


Revised Recommendations for Reducing the Risk of Zika Virus 
Transmission by Blood and Blood Components; Guidance for Industry; 
Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a document entitled ``Revised Recommendations for 
Reducing the Risk of Zika Virus Transmission by Blood and Blood 
Components; Guidance for Industry.'' The guidance document is notifying 
blood establishments that collect Whole Blood and blood components, 
that FDA has determined Zika virus (ZIKV) to be a relevant transfusion-
transmitted infection (RTTI) and provides FDA's assessment. The 
guidance also provides recommendations to reduce the risk of 
transmission of ZIKV by Whole Blood and blood components. The guidance 
applies to the collection of Whole Blood and blood components. The 
guidance does not apply to the collection of Source Plasma. The 
guidance supersedes the February 2016 document entitled, 
``Recommendations for Donor Screening, Deferral, and Product Management 
to Reduce the Risk of Transfusion-Transmission of Zika Virus: Guidance 
for Industry'' (February 2016 guidance), and the March 2016 document 
entitled, ``Questions and Answers Regarding `Recommendations for Donor 
Screening, Deferral, and Product Management to Reduce the Risk of 
Transfusion-Transmission of Zika Virus: Guidance for Industry' '' no 
later than 12 weeks after the date of the issuance of this guidance. 
Implementation of the guidance will be immediate for blood 
establishments that collect Whole Blood and blood components in States 
and territories with local transmission of ZIKV by mosquitos, and will 
be phased in over 4 to 12 weeks in other States and territories using a 
tiered, risk-based approach. Blood establishments should follow the 
recommendations in the February 2016 guidance until the recommendations 
in the guidance document have been fully implemented.

DATES: The Agency is soliciting public comment, but is implementing 
this guidance immediately because the

[[Page 60006]]

Agency has determined that prior public participation is not feasible 
or appropriate. Submit either electronic or written comments on Agency 
guidances at any time.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2016-D-0545 for ``Revised Recommendations for Reducing the Risk of 
Zika Virus; Guidance for Industry.'' Received comments will be placed 
in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at http://www.regulations.gov or at 
the Division of Dockets Management between 9 a.m. and 4 p.m., Monday 
through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the guidance to the 
Office of Communication, Outreach and Development, Center for Biologics 
Evaluation and Research (CBER), Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist the office in processing 
your requests. The guidance may also be obtained by mail by calling 
CBER at 1-800-835-4709 or 240-402-8010. See the SUPPLEMENTARY 
INFORMATION section for electronic access to the guidance document.

FOR FURTHER INFORMATION CONTACT: Jonathan McKnight, Center for 
Biologics Evaluation and Research, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 
240-402-7911.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a guidance entitled ``Revised 
Recommendations for Reducing the Risk of Zika Virus Transmission by 
Blood and Blood Components; Guidance for Industry.'' The guidance is 
notifying blood establishments that collect Whole Blood and blood 
components that FDA has determined ZIKV to be an RTTI under 21 CFR 
630.3(h)(2) and provides FDA's assessment. The guidance provides 
recommendations to reduce the risk of transmission of ZIKV by Whole 
Blood and blood components. The guidance does not apply to the 
collection of Source Plasma, which is used for further manufacture of 
plasma-derived products. If, based upon the available scientific 
evidence, the risk of ZIKV transmission by blood and blood components 
significantly changes, FDA may update the recommendations as warranted. 
In making this determination, FDA will consider available epidemiologic 
and other scientific evidence.
    The guidance supersedes the February 2016 guidance entitled, 
``Recommendations for Donor Screening, Deferral, and Product Management 
to Reduce the Risk of Transfusion-Transmission of Zika Virus; Guidance 
for Industry'' and the March 2016 guidance entitled, ``Questions and 
Answers Regarding `Recommendations for Donor Screening, Deferral, and 
Product Management to Reduce the Risk of Transfusion-Transmission of 
Zika Virus: Guidance for Industry' '' no later than 12 weeks after the 
date of the issuance of this guidance. Implementation of the guidance 
will be immediate for blood establishments that collect Whole Blood and 
blood components in States and territories with local transmission of 
ZIKV by mosquitos, and will be phased in over 4 to 12 weeks in other 
States and territories using a tiered, risk-based approach. Blood 
establishments should follow the recommendations in the February 2016 
guidance until they fully implement the recommendations in the guidance 
document currently being issued.
    ZIKV is an arbovirus from the Flaviviridae family, genus 
Flavivirus. It is transmitted to humans primarily by the Aedes aegypti 
mosquito, but it may also be transmitted by the Aedes albopictus 
mosquito.
    The global ZIKV epidemic expanded in the region of the Americas by 
early

[[Page 60007]]

2015 when the first local transmission was reported in Brazil. Local 
transmission of ZIKV has also been reported in areas outside of the 
Americas, including the Pacific Islands of Samoa, American Samoa, 
Marshall Islands and Tonga, and Cape Verde in Africa, and there are now 
at least 50 countries and territories worldwide with active local 
transmission of the virus.
    The first local transmission of ZIKV in the United States was 
reported from Puerto Rico in December 2015, and soon thereafter local 
transmission was also reported in American Samoa and the U.S. Virgin 
Islands. In July 2016, the first cases of local transmission of ZIKV 
occurring in the continental United States were reported from Miami-
Dade County in Florida. The possibility of further geographic spread of 
ZIKV exists in regions where the Aedes aegypti, and possibly the Aedes 
albopictus, mosquito is present. In January 2016, ZIKV disease was 
added to the list of nationally notifiable conditions in the United 
States as a subtype of Arboviral diseases.
    The most common ZIKV disease symptoms include fever, arthralgia, 
maculopapular rash, and conjunctivitis. In addition, neurological 
manifestations and congenital anomalies have been associated with ZIKV 
disease outbreaks. ZIKV infection has been associated with Guillain-
Barr[eacute] syndrome. ZIKV infection during pregnancy is a cause of 
microcephaly and other serious fetal brain anomalies. Other problems 
have been detected in pregnancies and among fetuses and infants 
infected with ZIKV before birth, such as miscarriage, stillbirth, 
absent or poorly developed brain structures, defects of the eye, 
hearing deficits, and impaired growth; however, the full clinical 
spectrum of the effects of ZIKV infection during pregnancy is not yet 
known.
    FDA has identified ZIKV as a transfusion-transmitted infection 
under Sec.  630.3(l) and RTTI under Sec.  630.3(h)(2). This 
determination is based on the severity of the disease, risk of 
transfusion-transmission by blood and blood components, the 
availability of appropriate screening measures, and significant 
incidence and prevalence affecting the potential donor population.
    The guidance recommends that blood establishments test all 
donations collected in the United States and its territories with an 
investigational individual donor nucleic acid test (ID-NAT) for ZIKV 
under an investigational new drug application (IND), or when available, 
a licensed test. Alternatively, blood establishments may implement 
pathogen reduction technology for platelets and plasma using an FDA-
approved pathogen reduction device as specified in the Instructions for 
Use of the device. If an FDA-approved pathogen reduction device becomes 
available for Whole Blood or red blood cells, blood establishments may 
implement pathogen reduction technology for such products rather than 
testing the donations. Blood establishments implementing these measures 
may discontinue providing donor educational material with respect to 
ZIKV and screening donors for ZIKV risk factors such as travel history 
and deferring them as previously recommended in the February 2016 
guidance. Under 21 CFR 630.10(a), if a donor volunteers a recent 
history of ZIKV infection, a blood establishment must not collect blood 
or blood components from that donor. For such donors, the guidance 
recommends a deferral period of 120 days after a positive viral test or 
the resolution of symptoms, whichever timeframe is longer.
    FDA recommends that blood establishments implement the 
recommendations in the guidance as follows: (1) Blood establishments 
that collect Whole Blood and blood components in U.S. States and 
territories with one or more reported locally acquired mosquito-borne 
cases of ZIKV should implement the recommendations immediately. Blood 
establishments should cease blood collection until testing or the use 
of pathogen reduction technology is implemented, consistent with the 
recommendations in the guidance. As of the date of issuance of the 
guidance, the recommendations applies to blood establishments that 
collect Whole Blood and blood components in Florida and Puerto Rico; 
(2) because of their proximity to areas with locally acquired mosquito-
borne cases of ZIKV or because of other epidemiological linkage to 
ZIKV, such as the number of travel-associated cases reported in a 
State, blood establishments that collect Whole Blood and blood 
components in Alabama, Arizona, California, Georgia, Hawaii, Louisiana, 
Mississippi, New Mexico, New York, South Carolina, and Texas should 
implement the recommendations as soon as feasible, but not later than 4 
weeks after the guidance issue date; and (3) blood establishments that 
collect Whole Blood and blood components in all other States and 
territories should implement the recommendations as soon as feasible, 
but not later than 12 weeks after the date of the issuance of this 
guidance.
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). FDA is issuing this guidance for 
immediate implementation in accordance with 21 CFR 10.115(g)(2) without 
initially seeking prior comment because the Agency has determined that 
prior public participation is not feasible or appropriate. The guidance 
represents the current thinking of FDA on ``Revised Recommendations for 
Reducing the Risk of Zika Virus Transmission by Blood and Blood 
Components.'' It does not establish any rights for any person and is 
not binding on FDA or the public. You can use an alternative approach 
if it satisfies the requirements of the applicable statutes and 
regulations.

II. Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information found in FDA regulations. These collections of information 
are subject to review by the Office of Management and Budget (OMB) 
under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The 
collections of information in 21 CFR 601.12 have been approved under 
OMB control number 0910-0338; the collections of information in 21 CFR 
606.100(b) and 606.160(b)(1) have been approved under OMB control 
number 0910-0795; and the collections of information in 21 CFR 606.122 
and 630.30 have been approved under OMB control number 0910-0116.

III. Electronic Access

    Persons with access to the Internet may obtain the guidance at 
either http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: August 25, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-20914 Filed 8-30-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                             Federal Register / Vol. 81, No. 169 / Wednesday, August 31, 2016 / Notices                                             60005

                                                  accordance with 21 CFR 10.20 and other                  tobacco product authority to cigars,                  DEPARTMENT OF HEALTH AND
                                                  applicable disclosure law. For more                     among other products (81 FR 28973).                   HUMAN SERVICES
                                                  information about FDA’s posting of                      Among the requirements that now apply
                                                  comments to public dockets, see 80 FR                   to cigars are health warning statements               Food and Drug Administration
                                                  56469, September 18, 2015, or access                    prescribed under section 906(d) of the                [Docket No. FDA–2016–D–0545]
                                                  the information at: http://www.fda.gov/                 FD&C Act (21 U.S.C. 387f(d)), which
                                                  regulatoryinformation/dockets/                          permits restrictions on the sale and                  Revised Recommendations for
                                                  default.htm.                                            distribution of tobacco products that are             Reducing the Risk of Zika Virus
                                                     Docket: For access to the docket to                  ‘‘appropriate for the protection of public            Transmission by Blood and Blood
                                                  read background documents or the                        health.’’ The regulation specifies the                Components; Guidance for Industry;
                                                  electronic and written/paper comments                   health warning statements to be                       Availability
                                                  received, go to http://
                                                                                                          displayed and also requires the                       AGENCY:    Food and Drug Administration,
                                                  www.regulations.gov and insert the
                                                                                                          submission of warning plans that                      HHS.
                                                  docket number, found in brackets in the
                                                                                                          provide for the random, equal display                 ACTION:   Notice of availability.
                                                  heading of this document, into the
                                                  ‘‘Search’’ box and follow the prompts                   and random distribution of the
                                                                                                          statements on cigar packaging and                     SUMMARY:    The Food and Drug
                                                  and/or go to the Division of Dockets                                                                          Administration (FDA or Agency) is
                                                  Management, 5630 Fishers Lane, Rm.                      advertising.
                                                                                                                                                                announcing the availability of a
                                                  1061, Rockville, MD 20852.                                 The draft guidance discusses the                   document entitled ‘‘Revised
                                                     Submit written requests for single                   regulatory requirements to submit                     Recommendations for Reducing the Risk
                                                  copies of this guidance to the Center for               warning plans, who submits a warning                  of Zika Virus Transmission by Blood
                                                  Tobacco Products, Food and Drug                         plan, the scope of a warning plan, when               and Blood Components; Guidance for
                                                  Administration, Document Control                        to submit a warning plan, what                        Industry.’’ The guidance document is
                                                  Center, Bldg. 71, Rm. G335, 10903 New                   information should be submitted in a                  notifying blood establishments that
                                                  Hampshire Ave., Silver Spring, MD                       warning plan, where to submit a                       collect Whole Blood and blood
                                                  20993–0002. Send one self-addressed                     warning plan, and what approval of a                  components, that FDA has determined
                                                  adhesive label to assist that office in                 warning plan means.                                   Zika virus (ZIKV) to be a relevant
                                                  processing your request or include a fax                                                                      transfusion-transmitted infection (RTTI)
                                                  number to which the guidance                            II. Significance of Draft Guidance                    and provides FDA’s assessment. The
                                                  document may be sent. See the                                                                                 guidance also provides
                                                  SUPPLEMENTARY INFORMATION section for
                                                                                                             FDA is issuing this draft guidance
                                                                                                                                                                recommendations to reduce the risk of
                                                  information on electronic access to the                 consistent with FDA’s good guidance
                                                                                                                                                                transmission of ZIKV by Whole Blood
                                                  guidance.                                               practices regulation (21 CFR 10.115).
                                                                                                                                                                and blood components. The guidance
                                                  FOR FURTHER INFORMATION CONTACT:
                                                                                                          The draft guidance, when finalized, will              applies to the collection of Whole Blood
                                                  Deirdre Jurand, Center for Tobacco                      represent the current thinking of FDA                 and blood components. The guidance
                                                  Products, Food and Drug                                 on cigar warning plans. It does not                   does not apply to the collection of
                                                  Administration, 10903 New Hampshire                     establish any rights for any person and               Source Plasma. The guidance
                                                  Ave., Document Control Center, Bldg.                    is not binding on FDA or the public.                  supersedes the February 2016 document
                                                  71, Rm. G335, 10903 New Hampshire                       You can use an alternative approach if                entitled, ‘‘Recommendations for Donor
                                                  Ave., Silver Spring, MD 20993–0002, 1–                  it satisfies the requirements of the                  Screening, Deferral, and Product
                                                  877–287–1373, AskCTP@fda.hhs.gov.                       applicable statutes and regulations.                  Management to Reduce the Risk of
                                                  SUPPLEMENTARY INFORMATION:                                                                                    Transfusion-Transmission of Zika Virus:
                                                                                                          III. Paperwork Reduction Act of 1995
                                                                                                                                                                Guidance for Industry’’ (February 2016
                                                  I. Background                                                                                                 guidance), and the March 2016
                                                                                                            This draft guidance also refers to
                                                     FDA is announcing the availability of                previously approved collections of                    document entitled, ‘‘Questions and
                                                  a draft guidance for industry entitled                  information found in FDA regulations.                 Answers Regarding ‘Recommendations
                                                  ‘‘Submission of Warning Plans for                       The collections of information in 21                  for Donor Screening, Deferral, and
                                                  Cigars.’’                                               CFR part 1143 have been approved                      Product Management to Reduce the Risk
                                                     On June 22, 2009, the President                      under OMB control number 0910–0768.                   of Transfusion-Transmission of Zika
                                                  signed the Family Smoking Prevention                                                                          Virus: Guidance for Industry’ ’’ no later
                                                  and Tobacco Control Act (Tobacco                        IV. Electronic Access                                 than 12 weeks after the date of the
                                                  Control Act) (Pub. L. 111–31) into law.                                                                       issuance of this guidance.
                                                  The Tobacco Control Act granted FDA                       Persons with access to the Internet                 Implementation of the guidance will be
                                                  important new authority to regulate the                 may obtain an electronic version of the               immediate for blood establishments that
                                                  manufacture, marketing, and                             guidance at either http://                            collect Whole Blood and blood
                                                  distribution of cigarettes, cigarette                   www.regulations.gov or http://                        components in States and territories
                                                  tobacco, roll-your-own tobacco (RYO),                   www.fda.gov/TobaccoProducts/                          with local transmission of ZIKV by
                                                  and smokeless tobacco products to                       Labeling/RulesRegulationsGuidance/                    mosquitos, and will be phased in over
                                                  protect the public health and to reduce                 default.htm.                                          4 to 12 weeks in other States and
                                                  tobacco use by minors.                                    Dated: August 25, 2016.                             territories using a tiered, risk-based
                                                     The Tobacco Control Act also gave                                                                          approach. Blood establishments should
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                          Leslie Kux,
                                                  FDA the authority to issue a regulation                                                                       follow the recommendations in the
                                                                                                          Associate Commissioner for Policy.                    February 2016 guidance until the
                                                  deeming all other products that meet the
                                                  statutory definition of a tobacco product               [FR Doc. 2016–20913 Filed 8–30–16; 8:45 am]           recommendations in the guidance
                                                  as subject to FDA regulatory authority                  BILLING CODE 4164–01–P                                document have been fully implemented.
                                                  (‘‘deeming’’) (section 901(b) of the FD&C                                                                     DATES: The Agency is soliciting public
                                                  Act (21 U.S.C. 387a)). On May 10, 2016,                                                                       comment, but is implementing this
                                                  FDA issued that rule, extending FDA’s                                                                         guidance immediately because the


                                             VerDate Sep<11>2014   21:59 Aug 30, 2016   Jkt 238001   PO 00000   Frm 00030   Fmt 4703   Sfmt 4703   E:\FR\FM\31AUN1.SGM   31AUN1


                                                  60006                      Federal Register / Vol. 81, No. 169 / Wednesday, August 31, 2016 / Notices

                                                  Agency has determined that prior public                    • Confidential Submissions—To                      Hampshire Ave., Bldg. 71, Rm. 7301,
                                                  participation is not feasible or                        submit a comment with confidential                    Silver Spring, MD 20993–0002, 240–
                                                  appropriate. Submit either electronic or                information that you do not wish to be                402–7911.
                                                  written comments on Agency guidances                    made publicly available, submit your                  SUPPLEMENTARY INFORMATION:
                                                  at any time.                                            comments only as a written/paper
                                                                                                          submission. You should submit two                     I. Background
                                                  ADDRESSES: You may submit comments
                                                  as follows:                                             copies total. One copy will include the                  FDA is announcing the availability of
                                                                                                          information you claim to be confidential              a guidance entitled ‘‘Revised
                                                  Electronic Submissions                                  with a heading or cover note that states              Recommendations for Reducing the Risk
                                                    Submit electronic comments in the                     ‘‘THIS DOCUMENT CONTAINS                              of Zika Virus Transmission by Blood
                                                  following way:                                          CONFIDENTIAL INFORMATION.’’ The                       and Blood Components; Guidance for
                                                    • Federal eRulemaking Portal: http://                 Agency will review this copy, including               Industry.’’ The guidance is notifying
                                                  www.regulations.gov. Follow the                         the claimed confidential information, in              blood establishments that collect Whole
                                                  instructions for submitting comments.                   its consideration of comments. The                    Blood and blood components that FDA
                                                  Comments submitted electronically,                      second copy, which will have the                      has determined ZIKV to be an RTTI
                                                  including attachments, to http://                       claimed confidential information                      under 21 CFR 630.3(h)(2) and provides
                                                  www.regulations.gov will be posted to                   redacted/blacked out, will be available               FDA’s assessment. The guidance
                                                  the docket unchanged. Because your                      for public viewing and posted on http://              provides recommendations to reduce
                                                  comment will be made public, you are                    www.regulations.gov. Submit both                      the risk of transmission of ZIKV by
                                                  solely responsible for ensuring that your               copies to the Division of Dockets                     Whole Blood and blood components.
                                                  comment does not include any                            Management. If you do not wish your                   The guidance does not apply to the
                                                  confidential information that you or a                  name and contact information to be                    collection of Source Plasma, which is
                                                  third party may not wish to be posted,                  made publicly available, you can                      used for further manufacture of plasma-
                                                  such as medical information, your or                    provide this information on the cover                 derived products. If, based upon the
                                                  anyone else’s Social Security number, or                sheet and not in the body of your                     available scientific evidence, the risk of
                                                  confidential business information, such                 comments and you must identify this                   ZIKV transmission by blood and blood
                                                  as a manufacturing process. Please note                 information as ‘‘confidential.’’ Any                  components significantly changes, FDA
                                                  that if you include your name, contact                  information marked as ‘‘confidential’’                may update the recommendations as
                                                  information, or other information that                  will not be disclosed except in                       warranted. In making this
                                                  identifies you in the body of your                      accordance with 21 CFR 10.20 and other                determination, FDA will consider
                                                  comments, that information will be                      applicable disclosure law. For more                   available epidemiologic and other
                                                  posted on http://www.regulations.gov.                   information about FDA’s posting of                    scientific evidence.
                                                    • If you want to submit a comment                     comments to public dockets, see 80 FR                    The guidance supersedes the February
                                                  with confidential information that you                  56469, September 18, 2015, or access                  2016 guidance entitled,
                                                  do not wish to be made available to the                 the information at: http://www.fda.gov/               ‘‘Recommendations for Donor
                                                  public, submit the comment as a                                                                               Screening, Deferral, and Product
                                                                                                          regulatoryinformation/dockets/
                                                  written/paper submission and in the                                                                           Management to Reduce the Risk of
                                                                                                          default.htm.
                                                  manner detailed (see ‘‘Written/Paper                       Docket: For access to the docket to                Transfusion-Transmission of Zika Virus;
                                                  Submissions’’ and ‘‘Instructions’’).                    read background documents or the                      Guidance for Industry’’ and the March
                                                                                                          electronic and written/paper comments                 2016 guidance entitled, ‘‘Questions and
                                                  Written/Paper Submissions                                                                                     Answers Regarding ‘Recommendations
                                                                                                          received, go to http://
                                                     Submit written/paper submissions as                                                                        for Donor Screening, Deferral, and
                                                                                                          www.regulations.gov and insert the
                                                  follows:                                                                                                      Product Management to Reduce the Risk
                                                     • Mail/Hand delivery/Courier (for                    docket number, found in brackets in the
                                                                                                                                                                of Transfusion-Transmission of Zika
                                                  written/paper submissions): Division of                 heading of this document, into the
                                                                                                                                                                Virus: Guidance for Industry’ ’’ no later
                                                  Dockets Management (HFA–305), Food                      ‘‘Search’’ box and follow the prompts
                                                                                                                                                                than 12 weeks after the date of the
                                                  and Drug Administration, 5630 Fishers                   and/or go to the Division of Dockets
                                                                                                                                                                issuance of this guidance.
                                                  Lane, Rm. 1061, Rockville, MD 20852.                    Management, 5630 Fishers Lane, Rm.
                                                                                                                                                                Implementation of the guidance will be
                                                     • For written/paper comments                         1061, Rockville, MD 20852.
                                                                                                             Submit written requests for single                 immediate for blood establishments that
                                                  submitted to the Division of Dockets                                                                          collect Whole Blood and blood
                                                  Management, FDA will post your                          copies of the guidance to the Office of
                                                                                                                                                                components in States and territories
                                                  comment, as well as any attachments,                    Communication, Outreach and
                                                                                                                                                                with local transmission of ZIKV by
                                                  except for information submitted,                       Development, Center for Biologics
                                                                                                                                                                mosquitos, and will be phased in over
                                                  marked and identified, as confidential,                 Evaluation and Research (CBER), Food
                                                                                                                                                                4 to 12 weeks in other States and
                                                  if submitted as detailed in                             and Drug Administration, 10903 New
                                                                                                                                                                territories using a tiered, risk-based
                                                  ‘‘Instructions.’’                                       Hampshire Ave., Bldg. 71, Rm. 3128,
                                                                                                                                                                approach. Blood establishments should
                                                     Instructions: All submissions received               Silver Spring, MD 20993–0002. Send
                                                                                                                                                                follow the recommendations in the
                                                  must include the Docket No. FDA–                        one self-addressed adhesive label to
                                                                                                                                                                February 2016 guidance until they fully
                                                  2016–D–0545 for ‘‘Revised                               assist the office in processing your
                                                                                                                                                                implement the recommendations in the
                                                  Recommendations for Reducing the Risk                   requests. The guidance may also be
                                                                                                                                                                guidance document currently being
                                                  of Zika Virus; Guidance for Industry.’’                 obtained by mail by calling CBER at 1–
                                                                                                                                                                issued.
                                                  Received comments will be placed in                     800–835–4709 or 240–402–8010. See                        ZIKV is an arbovirus from the
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                                                  the docket and, except for those                        the SUPPLEMENTARY INFORMATION section                 Flaviviridae family, genus Flavivirus. It
                                                  submitted as ‘‘Confidential                             for electronic access to the guidance                 is transmitted to humans primarily by
                                                  Submissions,’’ publicly viewable at                     document.                                             the Aedes aegypti mosquito, but it may
                                                  http://www.regulations.gov or at the                    FOR FURTHER INFORMATION CONTACT:                      also be transmitted by the Aedes
                                                  Division of Dockets Management                          Jonathan McKnight, Center for Biologics               albopictus mosquito.
                                                  between 9 a.m. and 4 p.m., Monday                       Evaluation and Research, Food and                        The global ZIKV epidemic expanded
                                                  through Friday.                                         Drug Administration, 10903 New                        in the region of the Americas by early


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                                                                             Federal Register / Vol. 81, No. 169 / Wednesday, August 31, 2016 / Notices                                                 60007

                                                  2015 when the first local transmission                  platelets and plasma using an FDA-                       This guidance is being issued
                                                  was reported in Brazil. Local                           approved pathogen reduction device as                 consistent with FDA’s good guidance
                                                  transmission of ZIKV has also been                      specified in the Instructions for Use of              practices regulation (21 CFR 10.115).
                                                  reported in areas outside of the                        the device. If an FDA-approved                        FDA is issuing this guidance for
                                                  Americas, including the Pacific Islands                 pathogen reduction device becomes                     immediate implementation in
                                                  of Samoa, American Samoa, Marshall                      available for Whole Blood or red blood                accordance with 21 CFR 10.115(g)(2)
                                                  Islands and Tonga, and Cape Verde in                    cells, blood establishments may                       without initially seeking prior comment
                                                  Africa, and there are now at least 50                   implement pathogen reduction                          because the Agency has determined that
                                                  countries and territories worldwide                     technology for such products rather                   prior public participation is not feasible
                                                  with active local transmission of the                   than testing the donations. Blood                     or appropriate. The guidance represents
                                                  virus.                                                  establishments implementing these                     the current thinking of FDA on ‘‘Revised
                                                     The first local transmission of ZIKV in              measures may discontinue providing                    Recommendations for Reducing the Risk
                                                  the United States was reported from                     donor educational material with respect               of Zika Virus Transmission by Blood
                                                  Puerto Rico in December 2015, and soon                  to ZIKV and screening donors for ZIKV                 and Blood Components.’’ It does not
                                                  thereafter local transmission was also                  risk factors such as travel history and               establish any rights for any person and
                                                  reported in American Samoa and the                      deferring them as previously                          is not binding on FDA or the public.
                                                  U.S. Virgin Islands. In July 2016, the                  recommended in the February 2016                      You can use an alternative approach if
                                                  first cases of local transmission of ZIKV               guidance. Under 21 CFR 630.10(a), if a                it satisfies the requirements of the
                                                  occurring in the continental United                     donor volunteers a recent history of                  applicable statutes and regulations.
                                                  States were reported from Miami-Dade                    ZIKV infection, a blood establishment
                                                  County in Florida. The possibility of                                                                         II. Paperwork Reduction Act of 1995
                                                                                                          must not collect blood or blood
                                                  further geographic spread of ZIKV exists                components from that donor. For such                     This guidance refers to previously
                                                  in regions where the Aedes aegypti, and                 donors, the guidance recommends a                     approved collections of information
                                                  possibly the Aedes albopictus, mosquito                 deferral period of 120 days after a                   found in FDA regulations. These
                                                  is present. In January 2016, ZIKV                       positive viral test or the resolution of              collections of information are subject to
                                                  disease was added to the list of                        symptoms, whichever timeframe is                      review by the Office of Management and
                                                  nationally notifiable conditions in the                 longer.                                               Budget (OMB) under the Paperwork
                                                  United States as a subtype of Arboviral                                                                       Reduction Act of 1995 (44 U.S.C. 3501–
                                                                                                             FDA recommends that blood
                                                  diseases.                                                                                                     3520). The collections of information in
                                                     The most common ZIKV disease                         establishments implement the
                                                                                                          recommendations in the guidance as                    21 CFR 601.12 have been approved
                                                  symptoms include fever, arthralgia,                                                                           under OMB control number 0910–0338;
                                                  maculopapular rash, and conjunctivitis.                 follows: (1) Blood establishments that
                                                                                                          collect Whole Blood and blood                         the collections of information in 21 CFR
                                                  In addition, neurological manifestations                                                                      606.100(b) and 606.160(b)(1) have been
                                                  and congenital anomalies have been                      components in U.S. States and
                                                                                                          territories with one or more reported                 approved under OMB control number
                                                  associated with ZIKV disease outbreaks.                                                                       0910–0795; and the collections of
                                                  ZIKV infection has been associated with                 locally acquired mosquito-borne cases
                                                                                                          of ZIKV should implement the                          information in 21 CFR 606.122 and
                                                  Guillain-Barré syndrome. ZIKV                                                                                630.30 have been approved under OMB
                                                  infection during pregnancy is a cause of                recommendations immediately. Blood
                                                                                                          establishments should cease blood                     control number 0910–0116.
                                                  microcephaly and other serious fetal
                                                  brain anomalies. Other problems have                    collection until testing or the use of                III. Electronic Access
                                                  been detected in pregnancies and among                  pathogen reduction technology is                         Persons with access to the Internet
                                                  fetuses and infants infected with ZIKV                  implemented, consistent with the                      may obtain the guidance at either http://
                                                  before birth, such as miscarriage,                      recommendations in the guidance. As of                www.fda.gov/BiologicsBloodVaccines/
                                                  stillbirth, absent or poorly developed                  the date of issuance of the guidance, the             GuidanceComplianceRegulatory
                                                  brain structures, defects of the eye,                   recommendations applies to blood                      Information/Guidances/default.htm or
                                                  hearing deficits, and impaired growth;                  establishments that collect Whole Blood               http://www.regulations.gov.
                                                  however, the full clinical spectrum of                  and blood components in Florida and
                                                                                                          Puerto Rico; (2) because of their                       Dated: August 25, 2016.
                                                  the effects of ZIKV infection during
                                                                                                          proximity to areas with locally acquired              Leslie Kux,
                                                  pregnancy is not yet known.
                                                     FDA has identified ZIKV as a                         mosquito-borne cases of ZIKV or                       Associate Commissioner for Policy.
                                                  transfusion-transmitted infection under                 because of other epidemiological                      [FR Doc. 2016–20914 Filed 8–30–16; 8:45 am]
                                                  § 630.3(l) and RTTI under § 630.3(h)(2).                linkage to ZIKV, such as the number of                BILLING CODE 4164–01–P
                                                  This determination is based on the                      travel-associated cases reported in a
                                                  severity of the disease, risk of                        State, blood establishments that collect
                                                  transfusion-transmission by blood and                   Whole Blood and blood components in                   DEPARTMENT OF HEALTH AND
                                                  blood components, the availability of                   Alabama, Arizona, California, Georgia,                HUMAN SERVICES
                                                  appropriate screening measures, and                     Hawaii, Louisiana, Mississippi, New
                                                                                                          Mexico, New York, South Carolina, and                 Health Resources and Services
                                                  significant incidence and prevalence
                                                                                                          Texas should implement the                            Administration
                                                  affecting the potential donor population.
                                                     The guidance recommends that blood                   recommendations as soon as feasible,                  National Advisory Committee on Rural
                                                  establishments test all donations                       but not later than 4 weeks after the                  Health and Human Services; Notice of
                                                  collected in the United States and its                  guidance issue date; and (3) blood
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                                                                                                                                                                Meeting
                                                  territories with an investigational                     establishments that collect Whole Blood
                                                  individual donor nucleic acid test (ID–                 and blood components in all other                       In accordance with Section 10(a)(2) of
                                                  NAT) for ZIKV under an investigational                  States and territories should implement               the Federal Advisory Committee Act
                                                  new drug application (IND), or when                     the recommendations as soon as                        (Pub. L. 92–463), notice is hereby given
                                                  available, a licensed test. Alternatively,              feasible, but not later than 12 weeks                 of the following meeting:
                                                  blood establishments may implement                      after the date of the issuance of this                NAME: National Advisory Committee on
                                                  pathogen reduction technology for                       guidance.                                             Rural Health and Human Services.


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Document Created: 2018-02-02 12:15:19
Document Modified: 2018-02-02 12:15:19
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesThe Agency is soliciting public comment, but is implementing this guidance immediately because the Agency has determined that prior public participation is not feasible or appropriate. Submit either electronic or written comments on Agency guidances at any time.
ContactJonathan McKnight, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation81 FR 60005 

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