The U.S. government proposed major changes Thursday to the way it works with companies to fight new disease threats such as flu, including reform at the Food and Drug Administration and setting up centers to make vaccines quickly.
The report from the Health and Human Services Department said the U.S. ability to respond to new outbreaks is far too slow and it lays out a plan for helping academic researchers and biotechnology companies develop promising new drugs and vaccines.
"At a moment when the greatest danger we face may be a virus we have never seen before ... we don't have the flexibility to adapt," Health and Human Services Secretary Kathleen Sebelius said at a news briefing.
The report suggests providing clearer guidance to industry on what kinds of tests are needed for regulatory approval of new drugs and vaccines — something industry has asked for — and says new teams should be set up at FDA to help this.
HHS and the Department of Defense should set up Centers for Innovation in Advanced Development and Manufacturing, it said.
"These centers will provide assistance to industry and government by advancing state-of-the-art, disposable, modular manufacturing process technologies," the report said.
"Finally, in public health emergencies, these centers may augment existing United States manufacturing surge capacity against emerging infectious diseases or unknown threats, including pandemic influenza."
Experts in industry and the government have long agreed that the U.S. system for producing drugs and vaccines to fight pandemics — especially influenza — is slow and unwieldy.
It takes months to make a vaccine against influenza using current processes. While companies are working to modernize their abilities, any big changes are still years away.
"Accelerated delivery of vaccines by even a few weeks can mean saving tens of thousands of lives," Dr. Harold Varmus, who helped write a separate report from the Presidential Council of Advisors on Science and Technology, told the news conference.
The report also calls for better surveillance to give a much quicker heads-up when new diseases emerge. Studies show H1N1 had been circulating for weeks or months before it was detected.
Companies have complained that U.S. federal regulations are confusing and do not help much. The report takes many of the concerns into account.
Sebelius said there had been little investment in "regulatory science" — studying the best ways to test new products.
"Because of this under-investment we are often testing and producing cutting-edge products using science that is decades old," Sebelius said.
"We are also going to reach out to product developers earlier in the process so they know what to expect."
The report says new teams also will look for promising ideas for fighting disease or other threats and make sure they get developed.
"Some of these great ideas are going to come from very small companies that don't really have the capital and wherewithal to get a product from microscope to market," Sebelius said.
She said much of the $2 billion needed to make the first changes would come from money already allocated to fight H1N1.