One Health, One Purpose:
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1 One Health, One Purpose: Elanco s Antibiotic Stewardship Progress Report Del Holzer Sept. 28, 2016
2 One Year. One Purpose. One Health. Participation in the White House Summit on Antibiotic Stewardship Exceeding Requirements, Focusing on Global Stewardship Convening industry leaders to create standards Pioneering new research for difficult diseases 8 new candidates entering Elanco s pipeline Diversifying innovation Creating value, leading change 2
3 Today s Landscape 1 in 3 Get the wrong nutrition 60% 20% Increase in demand Lost to disease 1.6 planets Overusing natural resources Health and Nutrition Challenges Growing Population 20% Lost to Disease Environmental Pressure
4 Understanding Resistance The United States Centers for Disease Control and Prevention (CDC) tracks 18 major antibiotic resistance threats. Only two, campylobacter and non-typhoidal Salmonella, are directly associated with animals Antibiotic classes used exclusively in animals pose virtually no risk of contributing to human bacterial resistance and can help reduce the need for shared-class antibiotics. 4
5 8 Point Plan Recap Act with responsibility globally. Eliminate concurrent use of shared-class antibiotics to treat the same disease. Cease marketing of growth promotion uses for shared-class antibiotics by the end of Support veterinary oversight, including helping build infrastructure globally. Help customers eliminate continuous use of shared-class antibiotics for therapy purposes by providing an alternative. Develop new animal-only antibiotics. Eliminate over-the-counter sales of shared-class antibiotics where oversight exists. Create alternatives. Invest in non-antibiotic solutions where there are few, or no, alternatives to shared-class antibiotics. 5
6 Responsible Use Reached more than 10,000 producers and vets globally to improve responsible use of antibiotics Completed submission of 67 labels for 5 shared-class molecules to move from over-the-counter use to be under the oversight of a veterinarian, where infrastructure exists. Where veterinarian oversight is not available, we are educating farmers on responsible use and administration of antibiotics Convening industry leaders to build veterinary training and capacity where gaps exist Delivering health monitoring tracking data to help producers make informed decisions, reduce need for antibiotics 6
7 Reduce Shared-Class Antibiotics Stopped all marketing of growth promotion use of shared-class antibiotics globally Completing 75 label change submissions to remove growth promotion claims around the world An additional 18 submissions in Latin American will be complete by 2017 Removing Tylan from Taiwan market 7
8 New Alternatives Vaccines AviPro (Product Line) Protein Imrestor Hemicell HT Inteprity Enzymes Hemicell XT Animal-Only Kavault 8
9 Advancing Science Target Areas Invested nearly 90 percent of our annual food animal research budget Identified nearly 50 candidates 8 new candidates already entering Elanco s pipeline 21 additional candidates completing proof-ofconcept studies over the next year 9
10 Advancing Science By 2020, we aim to deliver a total of 25 viable antibiotic alternative development projects By 2020, we aim to provide solutions addressing five disease challenges in a fundamentally new way Elanco Alternatives to Animal Antibiotics Grand Challenge: $2 million in support liver abscesses in beef cattle, necrotic enteritis and coccidiosis in poultry, and lawsonia and strep suis in pigs. 10
11 Open Invitation Elanco has committed to investing $2 million to fund solutions presented through a partnership with InnoCentive, which gives Elanco access to a network of 375,000 problem solvers. These solvers will look at five challenging diseases that typically require shared use antibiotics: liver abscesses in beef cattle necrotic enteritis and coccidiosis in poultry lawsonia and strep suis in pigs. 11
12 Continued Innovation Creating value by aggregating information, interventions and innovation Building nutritional health capability improve gastrointestinal health and microbiome focus on disease prevention using non-medicated feed additives such as enzymes, prebiotics and probiotics Anticipate delivering 2 new products to customers annually between 2017 and
13 Greater Collaboration: One Health Summit Convened 200 global animal protein leaders, including more than 50 CEOs Address critical issues: Increasing global veterinary training and capacity Enhancing metrics and monitoring Incentivizing innovation 13
14 Solutions must optimize the health of all versus maximizing the health of one. 14
15 One Year. One Purpose. One Health. OneHealth Summit Commitments Developing global standards of responsible antibiotic use in livestock. Support elimination of shared-class antibiotics for growth promotion purposes globally, regardless of whether they are allowed by local regulations. Continue to identify new and better ways to care for animals to enhance animal welfare and reduce the need for antibiotics, including fostering an environment that stimulates innovation. Support increasing veterinary training and capacity, particularly in developing countries, to ensure proper use of antibiotics and other tools. Improving antimicrobial resistance monitoring and reporting so we can accurately 2016, Elanco Animal Health, identify a division of Eli Lilly and issues Company and track progress against resistance. 15
16 Contact and More Information: More info on OneHealth and antibiotic stewardship: 16
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