The EU Antimicrobial Resistance Strategy -The Italy experience-
|
|
- Kerry Johnson
- 6 years ago
- Views:
Transcription
1 The EU Antimicrobial Resistance Strategy -The Italy experience- Maurizio Ferri, Paola Romagnoli Official veterinarians, SIMeVeP Multi-beneficiary Workshop on Veterinary Drugs Residue and Antimicrobial Resistance. Zagreb, 9-10 February
2 Outline - AMR Global risk - AMR healthcare infection - AMR in food-producing animals and food - AMR and food-borne diseases - The EU strategy: monitoring and surveillance of AMR - Joint ECDC-EFSA-EMA report - Drug Consumption data in Italy - AMR strategy in Italy (human and food animals) - One-health concept in AMR 2
3 Scenario The Antibiotic Era (health benefits) helped to fight bacterial infections and bolstered the modern medicine Today AMR is an emerging problem and a threat to the modern healthcare system AMR as public health consequence of overuse and misuse of antimicrobial in animal productions and human medicine 3
4 WHO 4
5 AMR as Global Risk World Economic Forum (2014) Societal risk: the impact and the probability of the AMR is deemed as high as t e r r o r i s m o r c l i m a t e change. 5
6 OIE 6
7 Health-Economic Impact of AMR in the EU deaths/year Healthcare cost (direct and indirect ) over 1,5 billion and 600 millions for lost of productivity 7
8 Health-Economic Impact of AMR in the US infections deaths (bacteria and fungi) Healthcare cost (direct and indirect): from 21 to 34 billions dollars (WHO, 2014) 8
9 AMR and Healthcare Related Infections (From WHO, AMR Report 2014)
10 AMR and healthcare related infections ECDC (Ears-Net) Drug-resistant strains of: - Klebsiella - Escherichia - Pseudomonas - meticillin-resistant S. aureus (MRSA) Increasing multi-drug resistance to fluoroquinolones, 3 generation cephalosporins and aminoglycosides (from 15% in 2010 to 21% in 2013). 10
11 AMR and healthcare related infections K. pneumoniae carbapenems resistant (29%) (50% death mortality rate) multi-resistant S.thyphimurium (DT 104- ACSSuT) 35% of Staphylococcus resistant to methicillin (MRSA) 11
12 The AMR cycle
13 Environmental community of AMR pathogens Presence of tetk gene driver for the tetracycline-resistance phenotype on NYC subways surfaces microbioma
14 AMR in Food-producing Animals and Food Chain overuse and misuse of antibiotics in animal productions risk of spreading of AMR zoonotic strains to humans through direct contact and consumption of food of animal origin zoonoses pathogens: Salmonella newport, S. DT104, Campylobacter, E. coli, Enterococcus vancomicin-resistent many studies showed the transmission of AMR to humans. 13
15 EFSA/ECDC. The European Union Summary Report on antimicrobial resistance in zoonotic and indicator bacteria from humans, animals and food in 2012 Salmonella and E. coli strains resistent to ampicillin s u l f o n a m i d e s a n d fluoroquinolones Campylobacter isolated from poultry, pork and beef meat with high resistance to ciprofloxacin, nalidixic acid and tetracycline 14
16 AMR and Food Safety resistance to more than one antibiotic represents a common feature of Campylobacter and Salmonella EU Campylobacteriosis: 214,268 confirmed human cases in 2012 EU Salmonella: 91,034 human cases reported in prevalence of MRSA in the primary production of pigs 15
17 AMR and Food Safety AMR strains resistant to environmental stress (heat, refrigeration, ph, Aw, etc..): eg. thermotolerant S. typhimurium DT104 Potential transmission animal-humans of Clostridium difficile via food? 16
18 Clostridium difficile an emerging food safety risk? USA: high mortality in hospitalized patients potential transmission of the bacteria from livestock to humans isolated from retail meat sold in Canada, Sweden and the USA. 17
19 The AMR and foodborne diseases (potential association) Netherlands Institute for Public Health, Food and Environment (RIVM 2011) (2003) significant increase in the incidence of strains of S. enteritidis phage type 1 quinolone-resistant (nalidixic acid) associated with the importation of eggs from Spain. (2005): a tenfold rise of cases of Salmonella Typhimurium DT104 multi-resistant associated with the importation of beef from a third country. 18
20 The AMR and foodborne diseases (potential association) complexity of the transmission routes between species (human-human), intra-species (humananimal) and crossing regional borders more epidemiological evidence (phenotypic and molecular typing) to confirm the same ARM isolates good strong of associations (human isolates-animal strains) FQR Campylobacter MRSA ESBLs 20
21 AMR: which strategy? Holistic approach (multi-sector) 21
22 AMR: which strategy? Holistic approach (multi-sector) We must start from the farms (sensitivity test, traceability 21
23 AMR: which strategy? Holistic approach (multi-sector) We must start from the farms (sensitivity test, traceability Analysis of development and spread of AMR bacterial strains through the whole food-chain 21
24 AMR: which strategy? Holistic approach (multi-sector) We must start from the farms (sensitivity test, traceability Analysis of development and spread of AMR bacterial strains through the whole food-chain Parliament resolutions: "By 2018 the use of antimicrobials for veterinary use in the European must be halved". 21
25 22
26 AMR: which strategy? Community Action Plan against the rising threats from AMR Strengthen the promotion of the appropriate use of antimicrobials in all Member States. 2 Strengthen the regulatory framework on veterinary medicines and on medicated feed via the review package foreseen for Introduce recommendations for prudent use in veterinary medicine, including follow-up reports, using the same approach as 2002 Council Recommendation on prudent use of antimicrobial agents in human medicine. 4 Strengthen infection prevention and control in healthcare settings 5 Introduction of the new Animal Health Law, which will focus on prevention of diseases, reducing the use of antibiotics and replacing current Animal Health provisions based on disease control. 6 To promote, in a staged approach, unprecedented collaborative research and development efforts to bring new antibiotics to patients 7 Promote efforts to analyze the need for new antibiotics into veterinary medicine 8 Develop and/or strengthen multilateral and bilateral commitments for the prevention and control of AMR in all sectors. 9 Strengthen surveillance systems on AMR and antimicrobial consumption in human medicine 10 Strengthen surveillance systems on AMR and antimicrobial consumption in animal medicine 11 Reinforce and co-ordinate research efforts 12 Survey and comparative effectiveness research 23
27 AMR: which strategy? The EU Commission relies on: EFSA, ECDC and EMA 5 surveillance networks on AMR and antibiotic consumption (as part of European Surveillance System -TESSy): for humans (FWD-Net, ESAC-Net, EARS-Net) animals (EFSA Scientific Network for Zoonosis Monitoring and ESVAC) 24
28 The EU AMR Roadmap Strengthen the regulatory framework on veterinary medicines and on medicated feed Prudent use of antimicrobials in human and veterinary medicine Development of new antimicrobials or alternatives for treatments Monitoring and reporting Communication, education and training International cooperation. 25
29 AMR EU monitoring on zoonotic and commensal bacteria
30 Joint report EFSA-ECDC-EMA on AMR (2014) Main findings consumption of antimicrobial agents in foodproducing animals is lower than in humans in half of the countries Positive associations food-producing animalshumans 27
31 Joint report EFSA-ECDC-EMA on AMR (2014) Positive associations Food-producing animals: consumption and occurrence of resistant bacteria (Escherichia coli. Salmonella spp. and Campylobacter spp.) Humans: consumption and resistance for 3rd, 4rd generation cephalosporins and fluoroquinolones resistance in E. coli. Animals-human indicator E. Coli macrolides (animals) and human cases of resistant Campylobacter spp. tetracyclines (animals) and human cases of resistant Salmonella spp. and Campylobacter spp. 28
32 Drug Monitoring and Antimicrobial Resistance Strategy in Italy
33 Consumption of antibiotics in Italy (AIFA, 2013) AIFA (OsMed) - Humans - Monitoring of drug consumption/selling Ministry of Health - Animals Drug surveillance National monitoring and traceability of veterinary medicine extension of current human database to veterinary products with electronic prescription and computerized flow (pilot project) 30
34 Consumption of antibiotics in Italy (AIFA, 2013) National drugs expenditure: 26,1 billion euros (+2,3% compared to 2012) 436 euro pro-capite 75,4% reimbursed by the State Cardiovascular in the lead Problems? inappropriateness for antibiotics, d r u g s a s c o n s u m p t i o n c o m m o d i t y, ennvironmental contamination. 31
35 Consumption of antibiotics in Italy (AIFA, 2013 and ECDC- EMA-EFSA report 2014) Italy ranked second in Europe (after France) > 44% of EU average consumption North-South gradient: higher consumption in the southern regions (Campania, Calabria, Puglia, Sicily) 32
36 Consumption of veterinary antimicrobial agents in Italy ESVAC (European Surveillance of Veterinary Antimicrobial consumption) third report
37 Consumption of veterinary antimicrobial agents in Italy sales (tonnes of active ingredient): 1,543 (third country) (137%: 3 times higher the EU average) volume of sales of veterinary antimicrobial (farms animals) decreased by 13% between 2010 and 2011 similar (20% in EU, ) positive trend but not be confirmed in the long run 34
38 Consumption of veterinary antimicrobial agents in Italy Legal basis for the monitoring of sales T h e c o l l e c t i o n o f s a l e s d a t a b y pharmaceutical companies is based on the National Law 193/2006 (art. 32(3)) transposing EC Directive 2004/28. 35
39 Consumption of veterinary antimicrobial agents in Italy tetracyclines (37%) penicillins (22%) sulfonamides (10%) CIAs: 3 rd, 4th-generation cephalosporins, fluoroquinolones and macrolides (horses, a c c o u n t e d f o r 0. 2 %, 1. 7 % a n d 8 %, respectively, of the total sales in the 26 countries in 2012). 36
40 Selling of veterinary antimicrobial agents in Italy antimicrobial agents for use in animals are prescription-only medicines the retail sale of veterinary medicinal products containing antibiotics can occur only at pharmacies and only under veterinary prescription 37
41 Selling of veterinary antimicrobial agents in Italy Decoupling (highly debated in EU) No: France and Holland Yes: Denmark Yes: Italy (Veterinarians cannot sell veterinary drugs, including antibiotics). 38
42 Selling of veterinary antimicrobial agents in Italy Farms cannot hold stocks of antibiotics in the form of medicated feed or veterinary drugs administered in feed, water or liquid feed. Only small quantities not exceeding a treatment period of 7 days are allowed to be held. 39
43 AMR reduction strategy in Italy (human) Ministry of Health Decision n.2119/98/ec of the European Parliament and of the Council of 24 September 1998 setting up a network for the epidemiological surveillance and control of communicable diseases in the Community National surveillance network of AMR (humans) managed by the Health Institute (ISS) AR- ISS " Antibiotic Resistance project 40
44 AMR surveillance system Ministry of Health AR- ISS " Antibiotic Resistance project not funded by the pharmaceutical industry involving 40 sentinel labs linked to 60 hospitals throughout the country The protocol Ar-Iss meets the information needs of EARS-Net. 41
45 AMR surveillance system Ministry of Health AR- ISS " Antibiotic Resistance project: Covers invasive pathogens: Staphylococcus a u r e u s, S t r e p t o c o c c u s p n e u m o n i a e, Enterococcus faecalis/faecium, Klebsiella oxytoca/pneumoniae, E.coli, P. aeruginosa. Regional surveillance system (eg. Lombardia, Emilia Romagna, Toscana) 42
46 AMR surveillance system AMR-ISS ( ) High resistance in Italy over the European average Increase trend of Gram-: E.coli and K.pneumoniae resistent to fluoroquinolones, 3 generation cephalosporins and aminoglycosides Pseudomonas aeruginosa resistent to piparacillina +tazobactam, ceftazidime, aminoglycosides Carbapenems resistent K. pneumoniae increased from 1% (2008) to al 34% nel
47 AMR surveillance system AMR-ISS ( ) Gram +: trend are generally stable, but still high: increase resistance of S. pneumoniae to penicillin (14% in 2013) resistance to macrolides (25% in 2013) is slightly lower MRSA stable (36% in 2013) 44
48 AMR surveillance system Klebsiella pneumoniae multi resistant to fluorochinolons, cephalosporins and amynoglicosides EU-EARS-Net ,8 % ,9 Italy EU average 10 0 Italy EU average
49 AMR surveillance system Escherichia coli, multi resistent to fluorochinolons, aminoglycosides and cephalosporins EU EARS Net % 15 12,2 Italy EU average ,6 0 Italy EU average
50 AMR surveillance system Staphylococcus aureus meticillin resistent (MRSA) EU EARS Net , Italy EU average 10 0 Italy EU average
51 AMR surveillance system Pseudomonas aeruginosa, multiresistent to piperacillina/tazobactam, ceftazidime,fluorochinolons, aminoglycosides and carbapenems EU-EARS-Net ,5 % Italy EU average Italy EU average
52 AMR surveillance system Klebsiella pneumoniae resistent to carbapenems EU-EARS-Net % 40 34,3 Italy EU average 20 8,3 0 Italy EU average
53 AMR surveillance system Carbapenem-resistant Klebsiella pneumoniae 80 treatment options are extremely scarce % ,3 8,3 Italy EU avera one possibility is colistin, an old antibiotic with toxicity problems 0 Italy EU average strains of K. pneumoniae are developing resistance to colistin Colistin resistance superimposed endemic to carbapenem-resistant Klebsiella pneumoniae: a Rapidly evolving problem in Italy, November 2013 to April 2014 Eurosurveillance October 23, 2014
54 AMR reduction strategy in Italy (animals/food) Legal framework Directive 2003/99/EC on the monitoring of zoonoses and zoonotic agents (Regulation CE 2160/2003) implemented in Italy with Legislative Decree 191/2006 The C o m m i s s i o n D e c i s i o n / / E C - requirements for an harmonized monitoring and reporting of resistant strains of Salmonella isolated Decision 2013/652/EU to improve the monitoring and reporting of AMR in food-producing animals and food thereof 52
55 AMR reduction strategy in Italy (animals/food) Ministry of Health Official controls on the correct use of the active ingredients and medications including antibiotics, are performed by public health veterinarians Tools: National drug surveillance plan National residue plan NPAA Traceability (pilot project-piemonte Region- ASCOFARVE) National surveillance network of AMR in food producing animals and food thereof 51
56 AMR reduction strategy in Italy (animals/food) CRAB: National reference center for AMR in foodproducing animals and food managed by IZS Lazio e Toscana (D.M , G. U. 22 maggio 2002, n. 118) (NRL, Reg. CE 882/2004) Data from 10 public vet labs (IZS and IZSAM) (Collaborate with National Zoonoses Reference Centres and ISS (MoH) Web oriented application for data uploading 54
57 AMR reduction strategy in Italy (animals/food) develop standards diagnosis confirmation deliver training and organize inter-laboratory network 15,000 determinations in MIC susceptibility testing of pathogenic bacterial isolates from animal (samples from IZZS) molecular techniques for zoonotic pathogens (Salmonella and Campylobacter): Single Locus sequencing, Multilocus Sequence Typing, Phylogrouping, PFGE, Array Testing) 55
58 AMR reduction strategy in Italy (animals/food) primary production of pigs a high prevalence of MRSA equal to or greater than 60% resistance to FQs and macrolides in Campylobacter spp. primary production of poultry equal to or greater than 60% FQs and macrolides resistent Campylobacte spp. MRSA in turkeys and poultry ranges from 0 to 79%. 53
59 Veterinary and Human Medicine Collaboration on AMR Surveillance and Monitoring Activities 56
60 AMR integrated reduction strategy Key points International cooperation: resistant bacteria are borderless and an ineffective management by a single country could endanger other countries Holistic approach: interdisciplinary collaboration Structured surveillance systems which integrate animal, human and food chain surveillance First joint report of EFSA-EMA-ECDC on human-animal AMR 57
61 Ministry of Health Department of Veterinary Public Health, Nutrition and Food Safety ECDC EFSA ISS CRAB AMR isolates Local Health Units (228) Abruzzo AUSL 5 Public Health laboratories (Hospitals) Public Vet laboratories (IZS) Public health Animal health (vet. service) Food of animal origin (vet. service) Food of non animal origin (medical service) 3
62 AMR integrated reduction strategy The Council of Health Ministers in December 2014 invited the Commission and MS to further strengthen the cooperation between the human health and the veterinary sectors in order to address the rising threat from antimicrobial resistance. 59
63 AMR integrated reduction strategy in Italy 2013 Minister of Health Guidance Manual on "Biosafety and correct and rational use of antibiotics in animal husbandry. National Drug surveillance include the notification of failed efficacy (adverse effect) Limitation of use of human drugs in animal productions 60
64 Harmonized Monitoring plan for AMR in Italy Decision 652/2013 Involved institutions IZSLT-CRAB-National center for AMR IZS Teramo- Campy NRC IZS Padova- Salmonella NRC Ministry of Health 60
65 Harmonized Monitoring plan for AMR in Italy Decision 652/2013 Period: laying hens, broiler, relate fresh meat, fattening turkey Period: Pigs, cattle < 1 year, pork meat/beef 61
66 Harmonized Monitoring plan for AMR in Italy Decision 652/ identification, typing, AMR profile of the following bacterial species: - isolates of Salmonella on laying hens, broiler, fattening turkeys with samples taken in the framework of National control plan for Salmonella (possible to use isolated from FBO) - isolates of C.jejuni, and E.coli (indicator and ESBL, Ampc and Carbapenemasi) from caecum sampled from poultry and turkey at slaughterhouse. 61
67 Harmonized Monitoring plan for AMR in Italy Decision 652/ Number of samples is related to the expected AMR isolates broiler fattening turkey - The sampling include regions with high density of farms and animal population - Emilia Romagna, Lombardia, Marche, Abruzzo, Piemonte (broiler) - Veneto, Emilia Romagna, Toscana (fattening turkey) 61
68 Harmonized Monitoring plan for AMR in Italy Decision 652/2013 Stratified regional sampling according to annual volume of slaughtering Casual sampling every three months Preferable to sample a farm once a year 61
69 Harmonized Monitoring plan for AMR in Italy Decision 652/2013 Ministry of Health Recommendations isolates form National control plan for Salmonella to be submitted to CRAB for AMR profile isolates of Salmonella obtained from microbiological monitoring (process hygiene a s f o r R e g u l a t i o n / ) a t slaughterhouse to be submitted to CRAB for AMR profile sampling and submitting procedures according to instructions of Annex 1 61
70 Harmonized Monitoring plan for AMR in Italy Decision 652/
71 AMR integrated reduction strategy in Italy Structured surveillance systems ISS Network of IZZ vet laboratories Zoonoses national references centers CRAB (IZSLT) partners in EU cofunded projects EFFORT against antimicrobial resistance. EU EMIDA-ERANET MRSA lineages in primary productions: multi-host pathogen, spill-over and spill-back between animals and humans? 62
72 AMR integrated reduction strategy in Italy EU Funded AMR projects Ecology from Farm to Fork Of microbial drug Resistance and Transmission (9 mil euro) Nanotherapeutics for antibiotic resistant emerging bacterial pathogens (9,6 mil euro) Nanotherapeutics to treat antibiotic resistant Gram-negative bacteria caused pneumonia Infections: 5,6 mil euro Targeting the HIV-1 Nucleocapsid Protein to fight Antiretroviral Drug Resistance. IT coordinator. University of Siena: 5,7 mil.
73 Minister of Health Responsible use of antibiotics in pet An handbook for veterinarians
74 One Health? Thank you for the attention 65
EFSA s activities on Antimicrobial resistance in the food chain. Dr. Ernesto Liebana Head of BIOCONTAM Unit. EFSA
EFSA s activities on Antimicrobial resistance in the food chain Dr. Ernesto Liebana Head of BIOCONTAM Unit. EFSA EFSA IS The reference body for risk assessment of food and feed in the European Union. Its
More informationVeterinary antimicrobials: state of play and future developments 2013 European Medicines Agency/IFAH- Europe Info Day 7-8 March 2013
Veterinary antimicrobials: state of play and future developments 2013 European Medicines Agency/IFAH- Europe Info Day 7-8 March 2013 Mario Nagtzaam, SANCO D6 Political commitments as to addressing AMR
More informationEU strategy to fight against Antimicrobial Resistance
EU strategy to fight against Antimicrobial Resistance OECD workshop on the Economics of Antimicrobial Use in the Livestock Sector and Development of Antimicrobial Resistance Paris, 12 October 2015 Martial
More informationEFSA s activities on Antimicrobial Resistance
EFSA s activities on Antimicrobial Resistance CRL-AR, Copenhagen 23 April 2009 Annual Workshop of CRL - AR 1 Efsa s Role and Activities on AMR Scientific advices Analyses of data on AR submitted by MSs
More informationEFSA s activities on antimicrobial resistance in the food chain: risk assessment, data collection and risk communication.
EFSA s activities on antimicrobial resistance in the food chain: risk assessment, data collection and risk communication. Dr. Ernesto Liebana BIOHAZ Team Leader European Food Safety Authority (EFSA) EFSA
More informationEvaluation of EU strategy to combat AMR
Evaluation of EU strategy to combat AMR Advisory Group of the Food Chain 30 April 2015 Martial Plantady Legislative officer DDG2.G4: Food, Alert Systems & Training DG Health and Food Safety Antimicrobial
More informationEuropean Medicines Agency role and experience on antimicrobial resistance
European Medicines Agency role and experience on antimicrobial resistance Regional Training Workshop on Antimicrobial Resistance (AMR) Responding to the global challenge of AMR threats: toward a one health
More informationCampylobacter infections in EU/EEA and related AMR
Campylobacter infections in EU/EEA and related AMR Therese Westrell, ECDC EURL Campylobacter workshop, Uppsala, Sweden, 9 October 2018 Zoonoses Zoonotic infections in the EU, 2016 Campylobacteriosis (N
More informationStratégie et action européennes
Résistance aux antibiotiques : une impasse thérapeutique? Implications nationales et internationales Stratégie et action européennes Dominique L. Monnet, Senior Expert and Head of Disease Programme Antimicrobial
More informationAMR epidemiological situation: ECDC update
One Health Network on Antimicrobial Resistance (AMR) AMR epidemiological situation: ECDC update Dominique L. Monnet, on behalf of ECDC Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI)
More informationGerman Antimicrobial Resistance Strategy DART 2020
German Antimicrobial Resistance Strategy DART 2020 AMR One Health Network meeting, 26 October 2018 Dr. Alexandra Clarici Division Infectious diseases, AMR, Hygiene, Vaccination Federal Ministry of Health,
More informationECDC-EFSA-EMA Joint Opinion on Outcome Indicators on Surveillance of Antimicrobial Resistance and Use of Antimicrobials
ECDC-EFSA-EMA Joint Opinion on Outcome Indicators on Surveillance of Antimicrobial Resistance and Use of Antimicrobials P.-A. Belœil (EFSA) and D. Monnet (ECDC) One Health Network on Antimicrobial Resistance
More informationEU Action Plan to combat the rising threats from Antimicrobial Resistance: State of play
EU Action Plan to combat the rising threats from Antimicrobial Resistance: State of play Rosa M. Peran i Sala Policy Officer AMR Coordination EC Action Plan against AMR Animal Health Advisory Committee
More informationSummary of the latest data on antibiotic resistance in the European Union
Summary of the latest data on antibiotic resistance in the European Union EARS-Net surveillance data November 2017 For most bacteria reported to the European Antimicrobial Resistance Surveillance Network
More informationImplementation of a National Action Plan and International standards especially with regard to Responsible and prudent use of antimicrobials
Implementation of a National Action Plan and International standards especially with regard to Responsible and prudent use of antimicrobials Dr. Sasi Jaroenpoj, D.V.M Head of Veterinary Products and AMR
More informationThe Commission activities on AMR (focus on zoonotic issues)
The Commission activities on AMR (focus on zoonotic issues) R.M. Peran i Sala European Commission, DG SANCO London, 15.09.2011 1. DG SANCO and AMR High priority status given on AMR in DG SANCO EU Commission
More informationAntimicrobial resistance I: Situation and strategies in Europe
Antimicrobial resistance I: Situation and strategies in Europe Global Past, Present and Future Challenges in Risk Assessment Strengthening Consumer Health Protection Berlin, November 30th December 1st,
More informationMonitoring of antimicrobial resistance in Campylobacter EURL AR activities in framework of the new EU regulation Lina Cavaco
Monitoring of antimicrobial resistance in Campylobacter EURL AR activities in framework of the new EU regulation Lina Cavaco licav@food.dtu.dk 1 DTU Food, Technical University of Denmark Outline EURL-AR
More informationCROATIA TRENDS AND SOURCES OF ZOONOSES AND ZOONOTIC AGENTS IN HUMANS, FOODSTUFFS, ANIMALS AND FEEDINGSTUFFS
CROATIA The Report referred to in Article 9 of Directive 2003/99/EC TRENDS AND SOURCES OF ZOONOSES AND ZOONOTIC AGENTS IN HUMANS, FOODSTUFFS, ANIMALS AND FEEDINGSTUFFS including information on foodborne
More informationSummary of the latest data on antibiotic consumption in the European Union
Summary of the latest data on antibiotic consumption in the European Union ESAC-Net surveillance data November 2016 Provision of reliable and comparable national antimicrobial consumption data is a prerequisite
More informationZoonoses in the EU and global context
Zoonoses in the EU and global context Conference "One world One health. Zoonoses and good practice" 16 October 2018 Vilnius, Lithuania Ángela Bolufer de Gea Unit G4 - Food hygiene Directorate G - Crisis
More informationIntegrated Analysis of Data on Resistance and Antimicrobial Consumption from the Human and Animal Sectors in Europe The JIACRA Report
Integrated Analysis of Data on Resistance and Consumption from the Human and Animal Sectors in Europe The JIACRA Report Pierre-Alexandre Beloeil (EFSA), on behalf of the JIACRA expert working group BfR-Symposium
More informationTEXTS ADOPTED Provisional edition. P8_TA-PROV(2018)0429 Animal welfare, antimicrobial use and the environmental impact of industrial broiler farming
European Parliament 204-209 TEXTS ADOPTED Provisional edition P8_TA-PROV(208)0429 Animal welfare, antimicrobial use and the environmental impact of industrial broiler farming European Parliament resolution
More informationARCH-Vet. Summary 2013
Federal Department of Home Affairs FDHA FSVO ARCH-Vet Report on sales of antibiotics in veterinary medicine and antibiotic resistance monitoring of livestock in Switzerland Summary 2013 Published by Federal
More informationFACT SHEETS. On the Danish restrictions of non-therapeutical use of antibiotics for growth promotion and its consequences
12 July 2010 FACT SHEETS On the Danish restrictions of non-therapeutical use of antibiotics for growth promotion and its consequences Denmark is a major livestock producer in Europe, and the worlds largest
More informationUse of Antibiotics in Animals. A European Perspective by a Dutch observer. Dr. Albert Meijering
Use of Antibiotics in Animals A European Perspective by a Dutch observer Dr. Albert Meijering IPPE, Atlanta, January 30, 2013 Use of antibiotics in animal production: Excessive Injudicious Where does it
More informationStratégies et actions au niveau européen et international: populations humaines
Stratégies et actions au niveau européen et international: populations humaines Dominique L. Monnet, Senior Expert and Head of Disease Programme Antimicrobial resistance and Healthcare-associated infections
More informationDANMAP Danish Integrated Antimicrobial Resistance Monitoring and Research Programme
DANMAP Danish Integrated Antimicrobial Resistance Monitoring and Research Programme Hanne-Dorthe Emborg Department of Microbiology and Risk Assessment National Food Institute, DTU Introduction The DANMAP
More informationThe Role of the European Food Safety Authority (EFSA) in the Fight against Antimicrobial Resistance (AMR)
GENERAL INTEREST PAPER The Role of the European Food Safety Authority (EFSA) in the Fight against Antimicrobial Resistance (AMR) Pietro Stella, 1* Pierre-Alexandre Beloeil, 1 Beatriz Guerra, 1 Marta Hugas
More information2010 EU Summary Report on Zoonoses: overview on Campylobacter
Committed since 2002 to ensuring that Europe s food is safe 2010 EU Summary Report on Zoonoses: overview on Campylobacter Giusi Amore Unit on Biological Monitoring, EFSA EURL - Campylobacter workshop,
More informationCouncil of the European Union Brussels, 13 June 2016 (OR. en)
Council of the European Union Brussels, 13 June 2016 (OR. en) 9952/16 SAN 241 AGRI 312 VETER 58 NOTE From: To: General Secretariat of the Council Council No. prev. doc.: 9485/16 SAN 220 AGRI 296 VETER
More informationECDC activities on antimicrobial resistance & healthcare-associated infections (ARHAI Programme) Ülla-Karin Nurm, ECDC Tallinn, 13 May 2013
ECDC activities on antimicrobial resistance & healthcare-associated infections (ARHAI Programme) Ülla-Karin Nurm, ECDC Tallinn, 13 May 2013 What is the European Union? 27 Member States 24 official languages
More informationThe European Union Summary Report on antimicrobial resistance in zoonotic and indicator bacteria from humans, animals and food in
EFSA Journal 2014;12(3):3590 SCIENTIFIC REPORT OF EFSA AND ECDC The European Union Summary Report on antimicrobial resistance in zoonotic and indicator bacteria from humans, animals and food in 2012 1
More informationCOMMISSION OF THE EUROPEAN COMMUNITIES
COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, 22 December 2005 COM (2005) 0684 REPORT FROM THE COMMISSION TO THE COUNCIL ON THE BASIS OF MEMBER STATES REPORTS ON THE IMPLEMENTATION OF THE COUNCIL RECOMMENDATION
More informationEuropean Food Safety Authority (EFSA), Pierre-Alexandre Beloeil, Beatriz Guerra and Anca-Violeta Stoicescu
TECHNICAL REPORT APPROVED: 25 January 2018 doi: 10.2903/sp.efsa.2018.EN-1369 Manual for reporting on antimicrobial resistance within the framework of Directive 2003/99/EC and Decision 2013/652/EU for information
More informationActivities and achievements related to the reduction in antibiotics use and resistance in veterinary medicine in Belgium in 2016
Activities and achievements related to the reduction in antibiotics use and resistance in veterinary medicine in Belgium in 2016 1 Activities and achievements antibiotics use and resistance among animals
More informationMeasures relating to antimicrobial resistance (AMR)
Measures relating to antimicrobial resistance (AMR) Background information on antimicrobial resistance Antimicrobials are indispensable for the treatment of infectious diseases in both humans and animals.
More informationInternational Food Safety Authorities Network (INFOSAN) Antimicrobial Resistance from Food Animals
International Food Safety Authorities Network (INFOSAN) 7 March 2008 INFOSAN Information Note No. 2/2008 - Antimicrobial Resistance Antimicrobial Resistance from Food Animals SUMMARY NOTES Antimicrobial
More informationPrevention and control of Campylobacter in the poultry production system
Milano, August 31 2015 International Conference Prevention and control of Campylobacter in the poultry production system Dr. Silvio Borrello Direzione generale della sanità animale e dei farmaci veterinari
More informationWhat is the problem? Latest data on antibiotic resistance
European Antibiotic Awareness Day 2009 What is the problem? Latest data on antibiotic resistance Zsuzsanna Jakab, ECDC Director Launch Seminar for EAAD Stockholm, 18 November 2009 Fluoroquinolone-resistant
More informationOIE standards on the use of antimicrobials and antimicrobial resistance monitoring
Caroline Planté Sub-Regional Representation in Brussels OIE standards on the use of antimicrobials and antimicrobial resistance monitoring OIE Regional Seminar on Food Safety Sofia, Bulgaria, 22-24 April
More informationWHO perspective on antimicrobial resistance
WHO perspective on antimicrobial resistance Bernadette Abela-Ridder, DVM, MSc, PhD Global Foodborne Infections Network (GFN) Coordinator Department of Food Safety and Zoonoses (FOS) 1 Overview of presentation
More informationAntimicrobial resistance (EARS-Net)
SURVEILLANCE REPORT Annual Epidemiological Report for 2014 Antimicrobial resistance (EARS-Net) Key facts Over the last four years (2011 to 2014), the percentages of Klebsiella pneumoniae resistant to fluoroquinolones,
More informationAntimicrobial resistance and antimicrobial consumption in Europe
Antimicrobial resistance and antimicrobial consumption in Europe Dominique L. Monnet, on behalf of ECDC Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Programme Vilnius, 28 November
More informationThe European AMR Challenge - strategic views from the human perspective -
The European AMR Challenge - strategic views from the human perspective - World Health Organization Regional Office for Europe Dr Danilo Lo Fo Wong Senior Adviser on Antimicrobial Resistance Division of
More informationDr Nata Menabde Executive Director World Health Organization Office at the United Nations Global action plan on antimicrobial resistance
Global action plan on antimicrobial resistance Dr Nata Menabde Executive Director World Health Organization Office at the United Nations Proportion of MDR among previously treated TB cases, 1994-2010 0-
More informationInternational Activities In Antimicrobial Resistance
International Activities In Antimicrobial Resistance Tom M Chiller MD MPHTM Associate Director for Epidemiological Science Division of Foodborne, Waterborne, and Environmental Diseases Antibiotic Use and
More informationAntimicrobial resistance in food safety perspective - current situation in Croatia
Antimicrobial resistance in food safety perspective - current situation in Croatia Ivana Lohman Janković, DVM Ministry of Agriculture, Fisheries and Rural Development Veterinary Directorate Human and Veterinary
More informationThe challenge of growing resistance
EXECUTIVE SUMMARY Around 2.4 million people could die in Europe, North America and Australia between 2015-2050 due to superbug infections unless more is done to stem antibiotic resistance. However, three
More informationThe EFSA s BIOHAZ Panel perspective on food microbiology and hygiene
The EFSA s BIOHAZ Panel perspective on food microbiology and hygiene Dr Eirini Tsigarida Unit of Biological Hazards BIOHAZ Unit: Marta Hugas, Bart Goossens, Tobin Robinson, Fulvio Barizzone, Luis Vivas-
More informationCampylobacter control in the food chain. EU proposals on the revision of the hygiene inspection of poultry
Campylobacter control in the food chain. EU proposals on the revision of the hygiene inspection of poultry EURL Campylobacter Workshop 2015 Dr. Klaus Kostenzer SANTE DDG2.G4: Food, Alert system and Training
More informationCouncil Conclusions on Antimicrobial Resistance (AMR) 2876th EMPLOYMENT, SOCIAL POLICY, HEALTH AND CONSUMER AFFAIRS Council meeting
COUNCIL OF THE EUROPEAN UNION Council Conclusions on Antimicrobial Resistance (AMR) 2876th EMPLOYMT, SOCIAL POLICY, HEALTH AND CONSUMER AFFAIRS Council meeting Luxembourg, 10 June 2008 The Council adopted
More informationUpdate on European Agencies activities in the field of AMR
Update on European Agencies activities in the field of AMR R. M. Peran (EMA) D. Plachouras (ECDC) P.-A. Belœil (EFSA) European AMR One Health Network Meeting 26 October 2018, 10:00 17:00 Conference Center
More informationExperience on Integrated Surveillance of AMR at Country Level : AGISAR Country Pilot Projects and The ESBL E.coli Tricycle Project
Experience on Integrated Surveillance of AMR at Country Level : AGISAR Country Pilot Projects and The ESBL E.coli Tricycle Project Dr Awa AIDARA-KANE Coordinator Foodborne and Zoonotic Diseases Unit Department
More informationEC Workshop on scientific advice from AMEG
EC Workshop on scientific advice from AMEG Brussels, 26 Nov 2015 Session 2: Antibiotic Categorisation AMEG Q2 Karolina Törneke / Helen Jukes Liability disclaimer: The views or positions expressed in this
More informationBirgitte Borck Høg, Senior Scientific Officer Helle Korsgaard, Senior Scientific Officer Tine Hald, Professor National Food Institute, DTU
Methods and challenges in data and information sharing in the Danish Integrated Surveillance for Antimicrobials and Antimicrobial Resistance system (DANMAP) Birgitte Borck Høg, Senior Scientific Officer
More informationRUMA: Advocating Prudent Use of Antimicrobial Compounds
RUMA: Advocating Prudent Use of Antimicrobial Compounds John FitzGerald Responsible Use of Medicines in Agriculture (RUMA) Alliance Antimicrobial Resistance: A Whole Food Chain Approach How should Ireland
More informationData for action The Danish approach to surveillance of the use of antimicrobial agents and the occurrence of antimicrobial resistance in bacteria from food animals, food and humans in Denmark 2 nd edition,
More informationAntibiotic Resistance in the European Union Associated with Therapeutic use of Veterinary Medicines
Antibiotic Resistance in the European Union Associated with Therapeutic use of Veterinary Medicines Report and Qualitative Risk Assessment by the Committee for Veterinary Medicinal Products Annex III Surveillance
More informationRequest for advice on the impact on public health and animal health of the use of antibiotics in animals
Request for advice on the impact on public health and animal health of the use of antibiotics in animals Animal Health Advisory Committee 22 March 2013 Mario Nagtzaam, SANCO D6 Political commitments as
More informationInitiatives taken to reduce antimicrobial resistance in DK and in the EU in the health care sector
Initiatives taken to reduce antimicrobial resistance in DK and in the EU in the health care sector Niels Frimodt-Møller Professor, MD DMSc Dept. of Clinical Microbiology Hvidovre Hospital, Copenhagen,
More informationAntimicrobial Use and Antimicrobial Resistance in Relation to the Canadian Pork Sector Presented by Jorge Correa Pork Committee Banff May 2013
Antimicrobial Use and Antimicrobial Resistance in Relation to the Canadian Pork Sector Presented by Jorge Correa Pork Committee Banff May 2013 Part of the Slides were extracted from a Paul Dick presentation
More informationSCIENTIFIC REPORT. Abstract
SCIENTIFIC REPORT APPROVED: 28 June 2017 doi: 10.2903/j.efsa.2017.4872 ECDC/EFSA/EMA second joint report on the integrated analysis of the consumption of antimicrobial agents and occurrence of antimicrobial
More informationZOONOSES MONITORING. Luxembourg IN 2014 TRENDS AND SOURCES OF ZOONOSES AND ZOONOTIC AGENTS IN FOODSTUFFS, ANIMALS AND FEEDINGSTUFFS
ZOONOSES MONITORING Luxembourg TRENDS AND SOURCES OF ZOONOSES AND ZOONOTIC AGENTS IN FOODSTUFFS, ANIMALS AND FEEDINGSTUFFS including information on foodborne outbreaks, antimicrobial resistance in zoonotic
More informationAntimicrobial Resistance, yes we care! The European Joint Action
Antimicrobial Resistance, yes we care! The European Joint Action Context of the Joint Action General objectives Inclusive governance Conclusion Context of the Joint Action 1. Context of this Joint Action
More informationThe Responsible and Prudent use of Antimicrobials on Irish Pig Farms. Denis Healy
The Responsible and Prudent use of Antimicrobials on Irish Pig Farms Denis Healy Antimicrobials/ Antibiotics - history Developed from the 1940s Treat Bacterial infections human, animal Intensive farming
More informationAntimicrobial use and Antimicrobial resistance: chapter 6.7 and 6.8 of the OIE Terrestrial Animal Health
Workshop for OIE national Focal Points for Veterinary Products (2 nd cycle) Vienna (Austria), 20-22 November 2012 Antimicrobial use and Antimicrobial resistance: chapter 6.7 and 6.8 of the OIE Terrestrial
More informationTrends and sources of Campylobacter in the EU, covered by EFSA s Community zoonoses summary report
Trends and sources of Campylobacter in the EU, covered by EFSA s Community zoonoses summary report CRL Campylobacter workshop I 24 th of October 2006, Uppsala, Sweden Frank Boelaert and Pia Mäkelä, EFSA
More information2 nd UK-Russia Round Table on AMR. Christopher Teale, Animal and Plant Health Agency. Moscow, st February 2017.
2 nd UK-Russia Round Table on AMR. Christopher Teale, Animal and Plant Health Agency. Moscow, 20-21 st February 2017. Veterinary Approaches and Priorities. Indicator organisms (commensals) E. coli enterococci
More informationSECOND REPORT FROM THE COMMISSION TO THE COUNCIL
SECOND REPORT FROM THE COMMISSION TO THE COUNCIL ON THE BASIS OF MEMBER STATES REPORTS ON THE IMPLEMENTATION OF THE COUNCIL RECOMMENDATION (2002/77/EC) ON THE PRUDENT USE OF ANTIMICROBIAL AGENTS IN HUMAN
More informationDANMAP and VetStat. Monitoring resistance and antimicrobial consumption in production animals
DANMAP and VetStat Monitoring resistance and antimicrobial consumption in production animals Flemming Bager Head Division for Risk Assessment and Nutrition Erik Jacobsen Danish Veterinary and Food Administration
More informationAntimicrobial consumption and resistance in humans in the EU and conclusions from the ECDC-EFSA- EMA JIACRA report
Antimicrobial consumption and resistance in humans in the EU and conclusions from the ECDC-EFSA- EMA JIACRA report Dominique L. Monnet, on behalf of ECDC Antimicrobial Resistance and Healthcare-Associated
More informationPrudent use of antimicrobial agents Dairy Sector Initiatives. Robin Condron Dairy Australia
Prudent use of antimicrobial agents Dairy Sector Initiatives Robin Condron Dairy Australia INTERNATIONAL DAIRY FEDERATION Our mission To represent the dairy sector as a whole at international level, by
More informationW O s trategi g c i actio i n o n pl p a l n n on o ant n ib i i b o i t o ic i resis i tanc n e in i n Eu E r u op o e p
WHO strategic action plan on antibiotic resista ance in Europe Strengthening g surveillance Dr Danilo Lo Fo Wong Senior Adv viser AMR Backg ground AMR costs money, livelihoods and lives, and undermines
More informationANTIMICROBIAL RESISTANCE IN COMMENSAL E. COLI FROM LIVESTOCK IN BELGIUM: Veterinary Epidemiology
ANTIMICROBIAL RESISTANCE IN COMMENSAL E. COLI FROM LIVESTOCK IN BELGIUM: TREND ANALYSIS 2011-2017 Veterinary Epidemiology 03.05.2018 General objectives Monitoring and reporting of antimicrobial resistance
More informationOECD WORK ON AMR: TACKLING THE NEGATIVE CONSEQUENCES OF ANTIBIOTIC RESISTANCE ON HUMAN HEALTH. Michele Cecchini OECD Health Division
OECD WORK ON AMR: TACKLING THE NEGATIVE CONSEQUENCES OF ANTIBIOTIC RESISTANCE ON HUMAN HEALTH Michele Cecchini OECD Health Division Antimicrobial Resistance is a Global Threat Modern medicine and surgery
More informationEuropean challenges on antimicrobial resistance from a one health perspective Danish EU Presidency meeting, Copenhagen, 14 March 2012
European challenges on antimicrobial resistance from a one health perspective Danish EU Presidency meeting, Copenhagen, 14 March 2012 Your Royal Highness Crown Princess Mary, Ministers, Distinguished guests,
More informationSummary of the latest data on antibiotic consumption in the European Union
Summary of the latest data on antibiotic consumption in the European Union November 2012 Highlights on antibiotic consumption Antibiotic use is one of the main factors responsible for the development and
More informationThe European Union summary report on antimicrobial resistance in zoonotic and indicator bacteria from humans, animals and food in 2017
SCIENTIFIC REPORT APPROVED: 31 January 2019 doi: 10.2903/j.efsa.2019.5598 The European Union summary report on antimicrobial resistance in zoonotic and indicator bacteria from humans, animals and food
More informationRecommended for Implementation at Step 7 of the VICH Process on 15 December 2004 by the VICH Steering Committee
VICH GL27 (ANTIMICROBIAL RESISTANCE: PRE-APPROVAL) December 2003 For implementation at Step 7 - Final GUIDANCE ON PRE-APPROVAL INFORMATION FOR REGISTRATION OF NEW VETERINARY MEDICINAL PRODUCTS FOR FOOD
More informationThe South African AMR strategy. 3 rd Annual Regulatory Workshop Gavin Steel Sector wide Procurement National Department of Health; South Africa
The South African AMR strategy 3 rd Annual Regulatory Workshop Gavin Steel Sector wide Procurement National Department of Health; South Africa Background to AMR 2 What is Antimicrobial stewardship and
More informationAntimicrobial use in poultry: Emerging public health problem
Antimicrobial use in poultry: Emerging public health problem Eric S. Mitema, BVM, MS, PhD CPD- Diagnosis and Treatment of Poultry Diseases FVM, CAVS, 6 th. August, 2014 AMR cont Antibiotics - Natural or
More informationGlobal Strategies to Address AMR Carmem Lúcia Pessoa-Silva, MD, PhD Antimicrobial Resistance Secretariat
Global Strategies to Address AMR Carmem Lúcia Pessoa-Silva, MD, PhD Antimicrobial Resistance Secretariat EMA Working Parties with Patients and Consumers Organisations (PCWP) and Healthcare Professionals
More information2016/LSIF/FOR/003 Strengthening Surveillance and Laboratory Capacity to Fight Healthcare Associated Infections Antimicrobial Resistance
2016/LSIF/FOR/003 Strengthening Surveillance and Laboratory Capacity to Fight Healthcare Associated Infections Antimicrobial Resistance Submitted by: Viet Nam Policy Forum on Strengthening Surveillance
More informationAction and Experience of Containment of AMR in Veterinary Sector JAPAN
Action and Experience of Containment of AMR in Veterinary Sector JAPAN AMR Symposium - Side event of the 1 st G7 Chief Veterinary Officers Forum - 24 November 2016 Tokyo, Japan Tatsuro Sekiya Animal Products
More informationHuman health impacts of antibiotic use in animal agriculture
Human health impacts of antibiotic use in animal agriculture Beliefs, opinions, and evidence Peter Davies BVSc, PhD College of Veterinary Medicine, University of Minnesota, USA Terminology Antibiotic Compound
More informationHMA-V Action plan on antimicrobial issues Version for publication (27 January 2011)
HMA-V Action plan on antimicrobial issues Version for publication (27 January 2011) 1. Introduction Antimicrobial resistance (AMR) is considered to be a major global public health concern and a potential
More informationESVAC (European Surveillance of Veterinary Antimicrobial Consumption)
ESVAC (European Surveillance of Veterinary Antimicrobial Consumption) Present and future activities 60th Meeting of the EFSA advisory forum Presented J. Torren, Scientific Administrator, Animal and Public
More informationWHO efforts to reduce the impact on public and animal health of antibiotic use in animals. Dr Danilo Lo Fo Wong Senior Adviser AMR
WHO efforts to reduce the impact on public and animal health of antibiotic use in animals Dr Danilo Lo Fo Wong Senior Adviser AMR Antimicrobial resistance (AMR): a public and animal health issue Widespread
More informationAntibiotics in the future tense: The Application of Antibiotic Stewardship in Veterinary Medicine. Mike Apley Kansas State University
Antibiotics in the future tense: The Application of Antibiotic Stewardship in Veterinary Medicine Mike Apley Kansas State University Changes in Food Animal Antibiotic Use How the uses of antibiotics in
More informationCOMBATING ANTIMICROBIAL RESISTANCE TIME FOR JOINT A CTION
6th EURL-AR Workshop 2012 Presentation of T HE DANISH EU- PRESIDENCY 2012 - CONFERENCE COMBATING ANTIMICROBIAL RESISTANCE TIME FOR JOINT A CTION Copenhagen 14-15 March 2012 and Relevant preliminary DRAFT
More informationAntimicrobial Resistance Prevention (Action Package: Prevent-1) Putting AMR on the priority list: Sweden Dr. Nils Anders Tegnell, Director, The
Antimicrobial Resistance Prevention (Action Package: Prevent-1) Putting AMR on the priority list: Sweden Dr Nils Anders Tegnell, Director, The Public Health Agency of Sweden The Global Challenge Antibiotics
More informationDR. BASHIRU BOI KIKIMOTO
OVERVIEW OF ANTIMICROBIAL RESISTANCE AND ANTIMICROBIAL USE IN GHANA PRESENTED BY : DR. BASHIRU BOI KIKIMOTO DVM. PhD VETERINARY PUBLIC HEALTH HEAD - PUBLIC HEALTH UNIT & FOOD SAFETY UNIT VENUE: SWATZILAND
More informationNorwegian policies to address antimicrobial resistance
Norwegian policies to address antimicrobial resistance Frode Forland, Specialist Director, Division of Infectious Control and Environmental Health, Norwegian Institute of Public Health Karianne Johansen,
More informationOfficial Journal of the European Union L 280/5
24.10.2007 Official Journal of the European Union L 280/5 COMMISSION REGULATION (EC) No 1237/2007 of 23 October 2007 amending Regulation (EC) No 2160/2003 of the European Parliament and of the Council
More informationActions for combatting Antimicrobial Resistance (AMR)
Symposium on the OIE s activities and Japan inviting Dr. Monique Eloit, Director General of OIE Date: 24 March 2017 Venue: Yayoi Auditorium Ichijo Hall, The University of Tokyo Actions for combatting Antimicrobial
More information120 mln. 17 mln. The Netherlands. 12 million swine. 100 million poultry. 1,5 million dairy cows. 1 million veal calves. 1,5 million sheep and goats
FMM/RAS/298: Strengthening capacities, policies and national action plans on prudent and responsible use of antimicrobials in fisheries Final Workshop in cooperation with AVA Singapore and INFOFISH 12-14
More informationDr Elisabeth Erlacher Vindel Head of Science and New Technologies Departement OIE AMR strategy and activities related to animal health
Dr Elisabeth Erlacher Vindel Head of Science and New Technologies Departement OIE AMR strategy and activities related to animal health Regional Workshop for National Focal Points for Veterinary Products
More informationDevelopment and improvement of diagnostics to improve use of antibiotics and alternatives to antibiotics
Priority Topic B Diagnostics Development and improvement of diagnostics to improve use of antibiotics and alternatives to antibiotics The overarching goal of this priority topic is to stimulate the design,
More informationANTIBIOTICS AND ANTIMICROBIAL RESISTANCE: CAUSES AND POSSIBLE SOLUTIONS
10TH EUROPEAN CONFERENCE ON PESTICIDES AND RELATED ORGANIC MICROPOLLUTANTS IN THE ENVIRONMENT & 16TH SYMPOSIUM ON CHEMISTRY AND FATE OF MODERN PESTICIDES joined to 10TH MGPR INTERNATIONAL SYMPOSIUM OF
More information