Interagency Task Force on Antimicrobial Resistance (ITFAR): An Update on A Public Health Action Plan to Combat Antimicrobial Resistance, 63927-63928 [2011-26562]

Download as PDF Federal Register / Vol. 76, No. 199 / Friday, October 14, 2011 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Interagency Task Force on Antimicrobial Resistance (ITFAR): An Update on A Public Health Action Plan to Combat Antimicrobial Resistance Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice of public meeting and request for comments. AGENCY: The Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and National Institutes of Health (NIH) announce an open meeting concerning antimicrobial resistance. The purpose of the meeting is to present the annual report on progress by Federal agencies in accomplishing activities outlined in A Public Health Action Plan to Combat Antimicrobial Resistance (Action Plan) and solicit comments from the public regarding ITFAR activities including the Annual Progress Report and the Action Plan. The meeting will take place at the Hubert H. Humphrey Building in Washington, DC on Tuesday, November 15, 2011 from 1 p.m.–3:30 p.m. The agenda will consist of welcome and introductory comments, a review of the Action Plan status and plans to update it; and reports of the progress toward implementing the Action Plan in each of the four focus areas: Surveillance, Prevention and Control, Research, and Product Development. The agenda is subject to change without notice. The meeting will then be open for comments from the general public. Persons wishing to participate, including those who wish to make an oral presentation, must register in advance and provide a copy of their presentation by noon Tuesday, November 8, 2011. DATES: A public meeting will be held in Washington, DC, on Tuesday, November 15, 2011. The meeting will begin at 1 p.m. and end no later than 3:30 p.m. Deadline for Registration for all Attendees: All attendees must register by noon, Tuesday, November 8, 2011. Deadline for Requests for Special Accommodation: Requests for special accommodation should be submitted by noon, Tuesday, November 8, 2011. ADDRESSES: Department of Health and Human Services, Hubert H. Humphrey Building, Room 800, 200 Independence Avenue, SW., Washington, DC USA 20201; https://www.hhs.gov/about/ hhhmap.html. Toll Free: 1–877–696– 6775. tkelley on DSK3SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 15:20 Oct 13, 2011 Jkt 226001 Participants should be aware that the meeting is being held in a Federal government building; therefore, Federal security measures are applicable. FOR FURTHER INFORMATION CONTACT: Marsha A. Jones, Office of Antimicrobial Resistance, Centers for Disease Control and Prevention, 1600 Clifton Road, NE., Mailstop A–28, Atlanta, GA 30333; telephone 404–639–4111; E-mail MJones@cdc.gov. Submission of Written Comments: Written comments and supporting documentation can be e-mailed to ARplancomments@cdc.gov or sent via regular mail to Marsha Jones, Office of Antimicrobial Resistance, Centers for Disease Control and Prevention, 1600 Clifton Road, NE., Mailstop A–28, Atlanta, GA 30333. Registration and Special Accommodations: Individuals wishing to participate or who need special accommodations or both must register at ARplancomments@cdc.gov or by contacting Marsha Jones at MJones@cdc.gov. See REGISTRATION TO ATTEND AND/OR PARTICIPATE IN THE PUBLIC HEARING for instructions on how to submit electronic notices of participation. SUPPLEMENTARY INFORMATION: 1. Background The Interagency Task Force on Antimicrobial Resistance (ITFAR) was created in 1999 to coordinate the activities of federal agencies in addressing antimicrobial resistance (AR) in recognition of the increasing importance of AR as a public health threat. The Task Force is co-chaired by the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), and the National Institutes of Health (NIH). Other Task Force members include the Agency for Healthcare Research and Quality (AHRQ), the Centers for Medicare and Medicaid Services (CMS), the Health Resources and Services Administration (HRSA), and the HHS Office of the Assistant Secretary for Preparedness and Response (HHS/ASPR), the Department of Agriculture (USDA), the Department of Defense (DoD), the Department of Veterans Affairs (VA), and the Environmental Protection Agency (EPA). In 2001, the ITFAR developed an initial Action Plan to combat antimicrobial resistance. In 2011, a revised version of the Action Plan which addresses the evolving threat of antimicrobial resistance was published. This Plan is entitled A Public Health Action Plan to Combat Antimicrobial Resistance and it outlines specific goals, PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 63927 actions, and implementation steps important for addressing the problem of antimicrobial resistance. Action items are organized into four focus areas: Surveillance, Prevention and Control, Research, and Product Development. The Action Plan and Annual Report are available at https://www.cdc.gov/ drugresistance. 2. Public Comment and Meeting The public meeting process provides an opportunity for the public to become aware of and comment on the activities of the ITFAR to date. In addition, the ITFAR invites written comments and/or oral presentations of interested persons on the Annual Report as well as the four focus areas of the Action Plan: Surveillance, Prevention and Control, Research, and Product Development. Written comments regarding ITFAR activities including the Annual Progress Report and the Action Plan submitted by e-mail should use the following subject line ‘‘ITFAR Comments.’’ Written comments submitted by regular mail should clearly identify ‘‘ITFAR Comments’’ as the subject. Comments and suggestions from the public for Federal agencies related to the Annual Report and/or any of the focus areas of the Action Plan will be taken under advisement by the Antimicrobial Resistance Interagency Task Force. The agenda does not include development of consensus positions, guidelines, or discussions or endorsement of specific commercial products. 3. Registration to Attend and/or Participate in the Public Meeting To ensure there is sufficient room we ask that you pre-register. Seating capacity is limited to 200 persons. If you wish to make an oral presentation during the open public comment period of the hearing, state your intention to present on your registration submission. To register, please send an electronic mail message to ARplancomments@cdc.gov by the deadline listed under DATES. Your email should include your name and email address. Please submit a written statement at the time of registration, identifying each focus area you wish to address and the approximate time requested to make your presentation. Organizations should provide this information as well as the names and email addresses of all participants. Registered individuals will be notified of the approximate time scheduled for their presentation prior to the meeting. The time allotted for presentations will be limited to 5 minutes. If the number of proposed presentations exceeds the E:\FR\FM\14OCN1.SGM 14OCN1 63928 Federal Register / Vol. 76, No. 199 / Friday, October 14, 2011 / Notices time allotted for public comment, opportunity for oral presentations would be limited to the first registered requestors. All other comments may be submitted in writing. 4. Building and Security Guidelines The Hubert H. Humphrey Building is the headquarters of the U.S. Department of Health and Human Services located at the foot of Capitol Hill at 200 Independence Avenue, SW., Washington, DC 20201. HHS headquarters is served by Metrorail and Metrobus. The closest Metrorail station is the Federal Center SW., station, which is served by the Blue and Orange lines. The meeting is being held in a Federal government building; therefore, Federal security measures are applicable. In planning your arrival time, please take account of the need to clear security. All visitors must enter through the HHS Hubert H. Humphrey Building main entrance and must present governmentissued photo identification (e.g., a valid federal identification badge, state driver’s license, state non-driver’s license, or passport). All persons entering the building must pass through a metal detector. Visitors are issued a visitor’s ID wrist band in the main lobby and are escorted in groups of five to the meeting room. All items brought to HHS are subject to inspection. Dated: October 7, 2011. James W. Stephens, Director, Office of Science Quality, Office of the Associate Director for Science, Centers for Disease Control and Prevention. [FR Doc. 2011–26562 Filed 10–13–11; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2011–N–0002] Circulatory System Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting AGENCY: Food and Drug Administration, HHS. tkelley on DSK3SPTVN1PROD with NOTICES ACTION: Notice. This notice announces a forthcoming meeting of a public advisory committee of the Food and Drug Administration (FDA). The meeting will be open to the public. Name of Committee: Circulatory System Devices Panel of the Medical Devices Advisory Committee. General Function of the Committee: To provide advice and VerDate Mar<15>2010 15:20 Oct 13, 2011 Jkt 226001 recommendations to the Agency on FDA’s regulatory issues. Date and Time: The meeting will be held on December 7 and 8, 2011, from 8 a.m. to 6 p.m. Location: Hilton Washington DC North/Gaithersburg, Salons A, B, C, and D, 620 Perry Pkwy., Gaithersburg, MD 20877. The hotel’s telephone number is 301–977–8900. Contact Person: James Swink, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993–0002, james.swink@fda.hhs.gov or FDA Advisory Committee Information Line, 1–800–741–8138 (301–443–0572 in the Washington, DC area), and follow the prompts to the desired center or product area. Please call the Information Line for up-to-date information on this meeting. A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check the Agency’s Web site and call the appropriate advisory committee hot line/phone line to learn about possible modifications before coming to the meeting. Agenda: On December 7, 2011, the committee will discuss, make recommendations, and vote on information related to a supplement to the premarket approval application (PMA) P010031, sponsored by Medtronic, Inc. Medtronic is requesting FDA approval to expand the indications for use for all commercially available Medtronic Cardiac Resynchronization Therapy Defibrillator (CRT–D) devices covered under PMA P010031. The company has proposed the following expanded indication statement based on the results of the REVERSE and RAFT clinical studies: ‘‘Medtronic cardiac resynchronization therapy defibrillator (CRT–D) systems are indicated for heart failure patients who meet the following classification: NYHA Functional Class II who remain symptomatic despite stable, optimal medical therapy, and who have left bundle branch block (LBBB) with a QRS duration ≥120 ms, and left ventricular ejection fraction ≤30%.’’ On December 8, 2011, the committee will discuss, make recommendations, and vote on information related to the PMA for the CardioMEMS HF Pressure Measurement System (HF System) sponsored by CardioMEMS, Inc. The CardioMEMS HF System is a permanently implantable pressure measurement system designed to provide daily pulmonary arterial pressure measurements including PO 00000 Frm 00028 Fmt 4703 Sfmt 4703 systolic, diastolic, and mean pulmonary artery pressure. These measurements are used to guide treatment of congestive heart failure. The system consists of the following: • Implantable Sensor—The Pressure Sensor is 15 millimeters (mm) in length, 3.41 mm in width and is 2 mm thick, consisting of a three dimensional coil and pressure sensitive capacitor encased between two wafers of fused silica. The coil (inductor) electromagnetically couples to the Sensor and allows the remote measurement of the resonant frequency of the LC circuit. This allows for wireless communication with the Sensor and eliminates the need for an onboard source of energy, such as a battery. • Delivery System—The Delivery System allows the placement of the Pressure Sensor within the distal pulmonary artery. There are two versions of the Delivery System. The first includes a hydrophilic coating on the distal portion of the catheter shaft and the second has no coating on the catheter shaft. Both delivery catheters have a usable length of 120 centimeters and are compatible with a 0.018’’ guidewire. The Delivery System (with HF Sensor) is introduced over a guidewire through an 11Fr sheath. Tether wires connect the Sensor to the Delivery System until the physician determines that the Sensor is properly positioned within the distal pulmonary artery. Once the Sensor is in position, the tether wires are withdrawn, releasing the Sensor. • Electronics Unit (Interrogator) and database—The Electronics Unit contains hardware and software to acquire and process signals from the sensor, provides a user-friendly system interface for both patients and clinicians, and transfers PA measurements to a secure database for review by medical professionals. The database is a Web-based server that contains software, which receives data transmitted from the electronics unit, and presents the data for review by medical professionals. FDA intends to make background material available to the public no later than 2 business days before the meeting. If FDA is unable to post the background material on its Web site prior to the meeting, the background material will be made publicly available at the location of the advisory committee meeting, and the background material will be posted on FDA’s Web site after the meeting. Background material is available at https://www.fda.gov/ AdvisoryCommittees/Calendar/ default.htm. Scroll down to the appropriate advisory committee link. E:\FR\FM\14OCN1.SGM 14OCN1

Agencies

[Federal Register Volume 76, Number 199 (Friday, October 14, 2011)]
[Notices]
[Pages 63927-63928]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-26562]



[[Page 63927]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Interagency Task Force on Antimicrobial Resistance (ITFAR): An 
Update on A Public Health Action Plan to Combat Antimicrobial 
Resistance

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice of public meeting and request for comments.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), Food and 
Drug Administration (FDA), and National Institutes of Health (NIH) 
announce an open meeting concerning antimicrobial resistance. The 
purpose of the meeting is to present the annual report on progress by 
Federal agencies in accomplishing activities outlined in A Public 
Health Action Plan to Combat Antimicrobial Resistance (Action Plan) and 
solicit comments from the public regarding ITFAR activities including 
the Annual Progress Report and the Action Plan. The meeting will take 
place at the Hubert H. Humphrey Building in Washington, DC on Tuesday, 
November 15, 2011 from 1 p.m.-3:30 p.m. The agenda will consist of 
welcome and introductory comments, a review of the Action Plan status 
and plans to update it; and reports of the progress toward implementing 
the Action Plan in each of the four focus areas: Surveillance, 
Prevention and Control, Research, and Product Development. The agenda 
is subject to change without notice. The meeting will then be open for 
comments from the general public. Persons wishing to participate, 
including those who wish to make an oral presentation, must register in 
advance and provide a copy of their presentation by noon Tuesday, 
November 8, 2011.

DATES: A public meeting will be held in Washington, DC, on Tuesday, 
November 15, 2011. The meeting will begin at 1 p.m. and end no later 
than 3:30 p.m.
    Deadline for Registration for all Attendees: All attendees must 
register by noon, Tuesday, November 8, 2011.
    Deadline for Requests for Special Accommodation: Requests for 
special accommodation should be submitted by noon, Tuesday, November 8, 
2011.

ADDRESSES: Department of Health and Human Services, Hubert H. Humphrey 
Building, Room 800, 200 Independence Avenue, SW., Washington, DC USA 
20201; https://www.hhs.gov/about/hhhmap.html. Toll Free: 1-877-696-6775.
    Participants should be aware that the meeting is being held in a 
Federal government building; therefore, Federal security measures are 
applicable.

FOR FURTHER INFORMATION CONTACT: Marsha A. Jones, Office of 
Antimicrobial Resistance, Centers for Disease Control and Prevention, 
1600 Clifton Road, NE., Mailstop A-28, Atlanta, GA 30333; telephone 
404-639-4111; E-mail MJones@cdc.gov.
    Submission of Written Comments: Written comments and supporting 
documentation can be e-mailed to ARplancomments@cdc.gov or sent via 
regular mail to Marsha Jones, Office of Antimicrobial Resistance, 
Centers for Disease Control and Prevention, 1600 Clifton Road, NE., 
Mailstop A-28, Atlanta, GA 30333.
    Registration and Special Accommodations: Individuals wishing to 
participate or who need special accommodations or both must register at 
ARplancomments@cdc.gov or by contacting Marsha Jones at MJones@cdc.gov. 
See Registration to Attend and/or Participate in the Public Hearing for 
instructions on how to submit electronic notices of participation.

SUPPLEMENTARY INFORMATION:

1. Background

    The Interagency Task Force on Antimicrobial Resistance (ITFAR) was 
created in 1999 to coordinate the activities of federal agencies in 
addressing antimicrobial resistance (AR) in recognition of the 
increasing importance of AR as a public health threat. The Task Force 
is co-chaired by the Centers for Disease Control and Prevention (CDC), 
the Food and Drug Administration (FDA), and the National Institutes of 
Health (NIH). Other Task Force members include the Agency for 
Healthcare Research and Quality (AHRQ), the Centers for Medicare and 
Medicaid Services (CMS), the Health Resources and Services 
Administration (HRSA), and the HHS Office of the Assistant Secretary 
for Preparedness and Response (HHS/ASPR), the Department of Agriculture 
(USDA), the Department of Defense (DoD), the Department of Veterans 
Affairs (VA), and the Environmental Protection Agency (EPA).
    In 2001, the ITFAR developed an initial Action Plan to combat 
antimicrobial resistance. In 2011, a revised version of the Action Plan 
which addresses the evolving threat of antimicrobial resistance was 
published. This Plan is entitled A Public Health Action Plan to Combat 
Antimicrobial Resistance and it outlines specific goals, actions, and 
implementation steps important for addressing the problem of 
antimicrobial resistance. Action items are organized into four focus 
areas: Surveillance, Prevention and Control, Research, and Product 
Development. The Action Plan and Annual Report are available at https://www.cdc.gov/drugresistance.

2. Public Comment and Meeting

    The public meeting process provides an opportunity for the public 
to become aware of and comment on the activities of the ITFAR to date. 
In addition, the ITFAR invites written comments and/or oral 
presentations of interested persons on the Annual Report as well as the 
four focus areas of the Action Plan: Surveillance, Prevention and 
Control, Research, and Product Development.
    Written comments regarding ITFAR activities including the Annual 
Progress Report and the Action Plan submitted by e-mail should use the 
following subject line ``ITFAR Comments.'' Written comments submitted 
by regular mail should clearly identify ``ITFAR Comments'' as the 
subject.
    Comments and suggestions from the public for Federal agencies 
related to the Annual Report and/or any of the focus areas of the 
Action Plan will be taken under advisement by the Antimicrobial 
Resistance Interagency Task Force. The agenda does not include 
development of consensus positions, guidelines, or discussions or 
endorsement of specific commercial products.

3. Registration to Attend and/or Participate in the Public Meeting

    To ensure there is sufficient room we ask that you pre-register. 
Seating capacity is limited to 200 persons. If you wish to make an oral 
presentation during the open public comment period of the hearing, 
state your intention to present on your registration submission. To 
register, please send an electronic mail message to 
ARplancomments@cdc.gov by the deadline listed under DATES. Your email 
should include your name and email address. Please submit a written 
statement at the time of registration, identifying each focus area you 
wish to address and the approximate time requested to make your 
presentation. Organizations should provide this information as well as 
the names and e-mail addresses of all participants. Registered 
individuals will be notified of the approximate time scheduled for 
their presentation prior to the meeting. The time allotted for 
presentations will be limited to 5 minutes. If the number of proposed 
presentations exceeds the

[[Page 63928]]

time allotted for public comment, opportunity for oral presentations 
would be limited to the first registered requestors. All other comments 
may be submitted in writing.

4. Building and Security Guidelines

    The Hubert H. Humphrey Building is the headquarters of the U.S. 
Department of Health and Human Services located at the foot of Capitol 
Hill at 200 Independence Avenue, SW., Washington, DC 20201. HHS 
headquarters is served by Metrorail and Metrobus. The closest Metrorail 
station is the Federal Center SW., station, which is served by the Blue 
and Orange lines.
    The meeting is being held in a Federal government building; 
therefore, Federal security measures are applicable. In planning your 
arrival time, please take account of the need to clear security. All 
visitors must enter through the HHS Hubert H. Humphrey Building main 
entrance and must present government-issued photo identification (e.g., 
a valid federal identification badge, state driver's license, state 
non-driver's license, or passport). All persons entering the building 
must pass through a metal detector. Visitors are issued a visitor's ID 
wrist band in the main lobby and are escorted in groups of five to the 
meeting room. All items brought to HHS are subject to inspection.

    Dated: October 7, 2011.
James W. Stephens,
Director, Office of Science Quality, Office of the Associate Director 
for Science, Centers for Disease Control and Prevention.
[FR Doc. 2011-26562 Filed 10-13-11; 8:45 am]
BILLING CODE 4163-18-P
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