Directorate General

Inspection

competent for all inspection and control activities

Industry Division

Inspections

106
good manufacturing practice inspections concerning medicines
43
good clinical practice inspections concerning medicines

Rapid alert system

390
rapid alerts on the quality of medicines

Analyses of products on the market

174
medicines
232
preparations
125
raw materials
182
products seized
6
medical devices

Distribution Division

Inspections

73
routine inspections concerning good distribution practices
140
inspections concerning good distribution practices for medicines for obtaining or amending a distribution authorisation
9
pharmacovigilance inspections
14
inspections of human body material establishments
12
thematic inspections of depots for human body material
6
inspections of blood establishments
11
thematic inspections blood (mobile collections)
81
responses to scientific and legal questions related to human body material and blood

Investigations

60
investigations concerning the distribution of medicines

Notifications

272
notifications from the local pharmacovigilance officer

Checks on advertising and other promotional activities concerning medicines and health products

74
investigations concerning medicinal products

Accreditation number of responsible qualified person

18
accreditation numbers awarded to people responsible for information
101
changes to the management of people responsible for information

Scientific and legal issues concerning good distribution practices

568
responses to scientific and legal questions

Trend

The number of questions on the regulation of firms, human body material banks and blood establishments has increased. This is partly due to the recent proposal for a European regulation on quality and safety standards for substances of human origin intended for application to human beings. The Distribution Division inspection team supports the implementation of this regulation.

Dispensing Division

Inspections

330
inspections of pharmacies open to the public
8
reinspections of pharmacies open to the public
69
inspections of hospital pharmacies for medicines
347
veterinary depots

Investigations

78
investigations on the dispensing of medicines (administrative dossiers)
34
investigations on the dispensing of medicines (legal dossiers)

Dossiers veterinary depots

293
dossiers veterinary depots

Questions

1830
questions responded to about the dispensing of medicines

New

A new platform for pharmacies open to the public was launched in 2022. The publication of the royal decree of 16 January 2022 on the registration and spread of pharmacies open to the public established new rules for the relocation of pharmacies. Since 2022, the Dispensing Division has also been conducting operation inspections at pharmacies.

Authorisations Division

Hormones and antibiotics

63
new authorisations
155
renewals
8
letters of no objection (import certificates)
111
extensions/amendments of authorisations

Narcotics and psychotropic substances

24
new annual authorisations
179
amendments to annual authorisations
5586
authorisations for import and export
766
inspections of authorisations for import and export
7
additional inspections of activity authorisations
5852
narcotics order forms (per 100 forms)
60
letters of no objection (import certificates)
355
validations of Schengen declarations

Precursors

13
new licenses
92
renewals or amendments
6
import authorisations
1189
export authorisations
26
suspicious orders and transactions
10
inspections of authorisations
10
letters of no objection (import certificates)

Manufacturing and distribution authorisations

232
authorisations for the production/distribution of medicines
33
authorisations for the production/distribution of pharmaceutical raw materials
15
copies of authorisations for the production/distribution of pharmaceutical raw materials
283
certificates for good manufacturing practices/good distribution practices
447
copies of authorisations for the manufacturing/distribution of medicines
2047
copies of certificates for good manufacturing practices/good distribution practices
1546
certificates for pharmaceutical products
1415
e-legalisations of documents

Human body material and blood establishments

47
accreditations for human body material establishments
17
preliminary accreditations for human body material establishments
6
amendments to accreditations for human body material establishments
4
accreditations for establishments importing human body material
30
accreditations of biobanks

Pharmacies open to the public

181
new applications before the Commission for the establishment of retail pharmacies
728
cadastral registration form of pharmacies open to the public

Pharmacists-clinical Biologists

30
authorisations of pharmacists-clinical biologists

Depositary veterinarians

321
notifications of a veterinary depot

New

The royal decree of 16 January 2022 establishes the new regulations for the establishment and registration of pharmacies. The main objectives were administrative simplification and speeding up procedures. Since the royal decree became effective, we see that administrative simplification has reduced the number of registrations and increased the number of applications to establish a pharmacy.

Medical Devices Division

12
inspections concerning good clinical practices involving medical devices
92
inspections of manufacturers of medical devices in Belgium
1
inspection of manufacturer of medical devices abroad
1
inspection of notified bodies abroad
5
inspections of notified bodies in Belgium
144
inspections of medical device distributors
1
inspection of hospitals concerning medical devices
12
inspections of the sterilisation division of a hospital
6
inspections of European authorised representatives
1
inspection of importers
2
inspections as an expert for Belac (Belgian Accreditation Body under the authority of the FPS Economy, to which companies and organisations can turn to obtain accreditations)
243
investigations into medical devices
244
questions about medical devices

New

Since the publication of the royal decree of 30 September 2020, the FAMHP is competent for the sterilisation of medical devices in hospitals. The first inspections of these sterilisation units took place in 2022.

Trend

Since the start of the COVID-19 crisis, the number of investigations into medical devices has decreased for the first time (from 562 to 243).

Trend

The number of inspections among manufacturers of medical devices has increased by 87 %.

Special Investigation Unit

521
closed investigations into illegal medicines in the illegal circulation
22
investigations into illegal health products in the illegal circulation
186
cases in which assistance was provided to police and public prosecutors
492
cases of advice given to other (domestic and foreign) authorities
2138
blocked postal packages sent from outside the European Economic Area to a Belgian addressee

The packages contained non-compliant medicines, medical devices and in vitro diagnostics.

147
controls of consignments in transit (destined to an address in another EU Member State)

New

In 2022, a large number of cases were handled concerning antiviral agents for the treatment of feline infectious peritonitis, an infectious peritonitis affecting cats that always ends fatally without treatment. It seems there is a lively trade in non-compliant (illegal) medicinal products of Chinese origin sold to cat owners at exorbitant profits.

Another novelty observed in 2022 is the international traffic of medicinal products that can be directly (tramadol) or indirectly (pregabalin) linked to an addiction problem.

Trend

In 2022, there was a large increase in foods containing pharmaceutically active substances. There was both an increase in the number of observations and in the diversity of foods containing such substances. These are mainly erectile stimulants and drugs used to lose weight. This trend started with alternative administration forms of sildenafil (in gel form) and has recently spread to coffee, tea, honey, jam, chocolate spread … without the substance being listed as an ingredient.

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