Strategic issues management is systematicenvironmental surveillance and filtering processesrnembedded in the organizational structure.It helps to anticipate issues, to project andrncommunicate their probable impacts on the organization, formulate policies, and actions thatrnimplement strategic thinking and influence public policy debates. The objective of this study wasrnto know the practice of strategic issues management in Addis AbabaFood, Medicine and Healthrncare Administration and Control Authority (FMHACA).In this workthe study design was mixedrnmethod. The researcher used primary data, which is information collected for the first timernbyusing interview guide to collect data from 60 respondents: 2 managers, 23 experts, 10 stakernholders and 25 Addis Ababa residents. And content analysis methodwas used for documentsrnofpublic complaintsregistering, regular inspection registering, the organizations 2009 E.C BPRrnstandard document, and 2010 E.C yearly magazine of the authority.Regarding samplingrntechniques purposive sampling technique was used for issue management related experts andrnmanagers andConvenience samplingtechnique used for Addis Ababa residents and stakeholders.rnThe finding of this study demonstrate mostly faced Issuesare food adulteration, illegal medicine,rnunder standard foods, sex tourism in massage houses, poor waste management, expired foodsrnand medicines, sound pollution, illegal medicine, and clinical disorder. Among these the mainrnand frequently faced issue is food adulteration.The impact of food adulteration is being cause forrnseveral non-communicable diseases like diabetics, kidney problems, malnutrition and manyrnothers.Butthere are many challenges to treat issues of food adulteration. The main challengesrnare technological incompetence, mainlyfood laboratory which is the basic instrument to identifyrnfood adulteration. It is not available in the country and other laboratories cannot identify it well.rnSo, experts are forced to judgefood adulteration by observation only, which is subjective andrnexposed for abuse. In contrast the court used the misleading laboratory result as reference whichrnmotivates adulteratorsto be free of responsibility and being additional burden of the healthrnsector. The other challenges are awareness problem of the public and legal bodies as well asrnselfishness of some merchants.So, the study recommends: to empower the authority byrntechnology and skilled man power as well as to aware stakeholders legal bodies, and residents.