The Therapeutic Goods Administration (TGA) is the medicine and therapeutic regulatory agency of the Australian Government. As part of the Department of Health, Disability and Ageing, the TGA regulates the safety, quality, efficacy and advertising in Australia of therapeutic goods (which comprise medicines, medical devices, biologicals and certain other therapeutic goods). Therapeutic goods include goods that are represented to have a therapeutic effect, are included in a class of goods the sole or principal use of which is (or ordinarily is) a therapeutic use, or are otherwise determined to be a therapeutic good through a legislative instrument under the Therapeutic Goods Act 1989. Goods that are therapeutic goods must be entered on the Australian Register of Therapeutic Goods (ARTG), or otherwise be the subject of an exemption, approval or authority by the TGA under the Therapeutic Goods Act 1989, Therapeutic Goods Regulations 1990 or Therapeutic Goods (Medical Devices) Regulations 2002 before they can be imported, supplied, exported or manufactured in Australia.
History
Early years Regulation of therapeutic goods in Australia was initially undertaken at a state level, with regular conferences held between state and federal governments aimed at achieving uniform standards for drugs. Although federal legislation was sought from an early period, there was considerable uncertainty as to the extent of the federal parliament's ability to legislate in that area. Commonwealth Serum Laboratories was created by the federal government in 1916 and in 1932 was nominated as the local repository for biological standards set by the League of Nations. The first federal legislation relating to therapeutic goods was the Lyons government's Therapeutic Substances Act 1937, which gave the federal Minister for Health the power to regulate the import and export of therapeutic goods and bring Australian standards into line with League of Nations standards. The act was amended in 1938 to better define which substances were therapeutic. Ultimately the provisions of the legislation was never brought into effect due to changes of government and the onset of World War II. The National Health and Medical Research Council (NHMRC) took a more active role in co-ordinating regulation during war time, including uniformity of labelling, medical nomenclature, and dangerous drugs legislation.
First federal legislation In 1952, following lobbying from the NHMRC, the federal government organised a Therapeutic Substances Conference attended by representatives of federal and state governments. The conference passed a series of resolutions calling on major changes to therapeutic goods regulation in Australia, including national legislation for drug purity standards, uniform state legislation for drug manufacture, marketing and labelling, and the establishment of a national standards laboratory for testing new drugs. It has been suggested the increased focus on national standards was prompted by concerns that the Pharmaceutical Benefits Scheme (PBS) was allowing for government subsidy of sub-standard medicines. The Menzies government's Therapeutic Substances Act 1953, passed in the wake of the National Health Act 1953, was the first effective federal therapeutic goods legislation and allowed for federal control over drug imports, drug sold to the federal government, drugs subject to interstate trade, and drugs supplied under the PBS. The new act allowed for the replacement of the British Pharmacopoeia (BP) as the primary source of quality standards for drugs in Australia, following concerns that the BP had not kept up to date with new medications. In introducing the legislation, federal health minister Earle Page – a former surgeon – referred to the existing poor standard of drug quality in Australia and stated it "would be criminal to allow such a state of affairs to exist and continue merely through lack of appropriate action". In 1956, regulations under the 1953 act established the Therapeutic Substances Advisory Committee, the Biological Standards Committee, and the Therapeutic Substances Standards Committee to advise the Minister for Health on drug regulations. The National Biological Standards Laboratory (NBSL) was created in 1958 to test the quality of imported drugs and drugs to be supplied under the PBS. One notable absence from the 1953 legislation was the lack of any penalty for possessing or dealing with a sub-standard therapeutic substance.
Regulatory expansion The Thalidomide scandal of the early 1960s prompted a reconsideration of federal regulation of drugs. In 1963, the Australian Drug Evaluation Committee was formed to consider legislative reforms and expressed its "grave concern at the continuing lack of adequate statutory control over the importation of new therapeutic substances". The committee's lobbying resulted in the Therapeutic Goods Act 1966, which significantly expanded the Minister for Health's powers in that area. However, regulations under the 1966 act were not proclaimed until 1970, amid significant criticism that the act gave the minister too much power and reduced parliamentary oversight. The new legislation also failed to resolve the issue of uniform state regulations. A separate Therapeutic Substances Section was created in the Department of Health in 1963, under the Division of National Health, with regulations having previously been overseen by the director of the NBSL. The National Therapeutic Goods Committee was established in 1971 and in 1974 the Department of Health was restructured to create a separate Therapeutics Division in place of the Therapeutic Substances Section. The NBSL was merged into the Therapeutics Division in 1985. In 1981, the Fraser government's Health Acts Amendment Bill 1981 significantly broadened the scope of the Therapeutic Goods Act 1966 to include a wide range of medical devices, update standards and monitoring of manufacturing and testing, established a new National Register of Therapeutic Goods, and increase penalties for contraventions of the act.
… excerpt ends here. Continue reading the full article.





