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Published by
World Scientic Publishing Co. Pte. Ltd.
5 Toh Tuck Link, Singapore 596224
USA oce: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601
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Copyright © 2025 by World Scientic Publishing Co. Pte. Ltd.
For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher.
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About the Authors

v
Dr Chan Lai Wah is an Associate Professor in Pharmaceutics at the Department of Pharmacy and Pharmaceutical Sciences of the National University of Singapore (NUS), where she has lectured for more than 30 years and won many awards for excellence in teaching. In particular, she has been placed on the NUS Faculty Honor
Roll for a record three times in 2005, 2009 and 2015 for continuous teaching excellence. She is also the co-founder of GEA-NUS Pharmaceutical Processing Research Laboratory, which serves as an international platform for promoting research and manpower training in process technology. Her research inter­ests include pharmaceutical formulation and processing, pharma­ceutical microbiology, and the quality and safety issues of medicinal products. To date, she has supervised and successfully gradu­ated 34 PhD and 9 MSc students by research. In addition, she has
vi
Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
co-authored about 180 scientific papers in peer-reviewed journals besides numerous confer­ence papers. She has also served as a technical expert for the Singapore Ac ­cre ditation Council, scientific reviewer for local and over­seas research grants, thesis examiner for local and overseas universities as well as reviewer for international scientific journals.
In addition to her research and teaching excellence, Professor Chan has devoted much of her time to service and leadership. She was Sub­Dean of the Faculty of Science from July 2000 to April 2002. Since 2000, she has served in many programs and committees, including Chair of the Science Research Program, NUS Science Mentorship Program and Faculty Alumni Day Committee. For many years, she had been the Chair of NUS Pharmacy Graduate Program Commit­tee, Chair of the Pharmacy Department Teaching Excellence Com­mittee, Member of Faculty of Science Teaching Excellence Commit­tee, as well as Member of the Selection Panel for NUS Scholarships. She was also Chair of the Organizing Committee for the 14th Inter­national Microencapsulation Symposium, as well as organizing committee member for numerous regional and international phar­maceutical technology conferences and workshops. More recently from 2021 to 2023, she was appointed to the NUS Senate Delegacy.
About the Authors
Mr Sia Chong Hock has been the Director of
Quality Assurance and Senior Consultant of
Audit and Licensing at the Singapore Health
Sciences Authority (HSA) since 2015 to date,
where he was previously the Director of the
Audit and Licensing Division in the period
2008–2015. From 1995 to 2022, he was also an
Adjunct Associate Professor at the Department of Pharmacy and Pharmaceutical Sciences of the National Univer­sity of Singapore (NUS). He had been a member of the Singapore Pharmacy Council and its predecessor Singapore Pharmacy Board from 2002 to 2018, including being the Chair of its Complaints Panel. He holds a Bachelor’s degree in Pharmacy from NUS, as well as a Master’s degree in Healthcare Management (with Distinction) from the University of Wales, UK.
vii
Mr Sia has played a monumental role in, and won many awards for, shaping Singapore to be a world leader in pharmaceutical regulation. He took up the challenge to set up the GMP Audit Unit and led Sin­gapore to become the first Asian member of the international Phar ­maceutical Inspec­tion Co-operation Scheme (PIC/S) in 2000, and was sub­sequently appointed Chair of the ASEAN MRA Task Force and Joint Sectoral Committee on GMP Inspection from 2005 to 2020.
viii
Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
In 2013, he was conferred the Industry Pharmacist of the Year Award by the Pharmaceutical Society of Singapore, and in 2016, he was honored with the International Pharmaceuti­cal Society of Pharmaceuti­cal Engineering (ISPE) Sin­gapore Aliate Lifetime Achievement Award for his contributions to the field of Pharmaceutical Regulatory Practices in Singapore and the ASEAN region. More recently, he was a recipient of the PS(Health) Award 2023 for his key role as a core team member responsible for HSA being the first National Regulatory Authority (NRA) in the world to achieve Maturity Level 4 under the World Health Organization Global Benchmarking Tools (WHO GBT) assessment. This WHO GBT certification confirms HSA as an NRA that is operating at an advanced level of regulation in medicinal products and vaccines. On the academic front, he contributes review articles to international scientific journals, covering the regulation of pharmaceuticals and biopharmaceuticals. In 2016 and 2019, two of his articles won the ISPE Roger Sherwood Article of the Year Award.

Preface

ix
The COVID-19 pandemic, ocially declared by the World Health Organization (WHO) in March 2020, was a black swan event. The rapid spread of COVID-19 across international borders and its impact on the world were unexpected and unprecedented. A record number of people lost their lives, and there were numerous sad, sor­rowful and heartbreaking stories. All domestic and international business activities grounded to a halt, and most people stayed at home or worked remotely. At the height of the pandemic, there was a global surge of interest in COVID-19 vaccines, anti-viral and anti-bacterial drugs, hand sanitizers, disinfectants, face masks and other medicinal and healthcare products. When it became appar­ent that the COV ID-19 pandemic was going to be protracted, we (the authors) began looking for silver linings amidst the dark clouds of the pandemic. We began to look for educational materials on vaccines, pharmaceuticals and biopharmaceuticals, and discovered that we collectively possess a “treasure trove” of these materials.
x
Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Our prized possessions range from our lecture notes to undergrad­uate and graduate students, to published scientific papers and con­ference presentations on these topics, as well as our own personal experiences. At that juncture, we decided that these sets of knowl­edge and materials should be systematically assembled into a book and be shared with all interested parties. Thus, it can be said that the seeds for this work were sown sometime during the peak of the COV ID-19 pandemic.
In this book, readers will get to understand quality and safety issues relating to a broad spectrum of medicinal products, which are also referred to as medical products, medicines, drug products, thera­peutic products or generally as healthcare products by dierent national jurisdictions, regional and international organizations. Depending on the discussion topic, these terms may be used inter­changeably to align with the terminology most commonly used in the countries or geographical regions concerned. The products covered herein range from traditional and herbal medicinal prod­ucts, health supplements, to pharmaceuticals and biopharmaceuti­cals, including recombinant proteins, monoclonal antibodies, novel and traditional vaccines, as well as cells, tissues and gene therapy products. The upstream manufacture and assurance of quality and supply chain integrity for active pharmaceutical ingredients and excipients, narcotic drugs and psychotropic substances, have been given their due attention too. Quality and safety issues arising from product contamination and adulteration, as well as falsified and counterfeit medicines have also been highlighted, together with their trends and proposed solutions to combat these sub-standard and spurious medicines. Concurrently, the book examines the risks and opportunities, as well as the challenges and benefits, faced by pharmaceutical manufacturers, regulatory authorities and the