Regional Workshop on AMR in South East Asia Penang (Malaysia): March 2018

Size: px
Start display at page:

Download "Regional Workshop on AMR in South East Asia Penang (Malaysia): March 2018"

Transcription

1 Regional Workshop on AMR in South East Asia Penang (Malaysia): March 2018 Prof : Htay Htay Tin drhtayhtaytin@gmail.com DDG ( Laboratory) National Focal Point for AMR Ministry of Health and Sports Myanmar 1

2 2

3 3

4 Myanmar National Action Plan on AMR (NAP-AMR) in Line with Global Action Plan on AMR ( GAP-AMR) as at 2018 January Presence of national AMR multi-sectoral committee and NAP-AMR in line with GAP-AMR - National AMR Multisectoral Committee (Established) 2018 January -NAP-AMR Launched July Awareness campaigns to the public -WAAW.. Held in 2017 November -Some government-led activities in parts of the country to raise awareness about AMR and actions to address it Education and training strategies for professionals -Relevant policies developed and ad-hoc training courses in some disciplines 4

5 National human AMR surveillance Laboratory capacity strengthening -Covering over 40 public hospitals -Guidelines developed but not fully implemented, limited quality data -N.H.L is recognised as National AMR lab of Myanmar at present -DDG (Lab) is National Focal point of Laboratory capacity strengthening Early warning systems No effective system in place 5

6 Rational use of antimicrobials and surveillance of Use & Sale National policy for control of human use of antimicrobials (AMR Stewardship Program, AMSP) National Drug Policy 2001 But weak to develop a plan to National AMSP NRA/DRA system set up for oversight but not fully functional National policy & plan on surveillance of use of antimicrobials under development or developed & approved but less implemented Rational use of antimicrobials and surveillance of Use & Sale Indicator 4.4 Regulation of finished antibiotic products and active pharmaceutical ingredients (APIs) Regulation with limited capacity but strategic planning in place for capacity building and appropriate budgeting - 6

7 Infection Prevention Control & AMR Stewardship program Indicator 5.1 AMR stewardship program in HCS -Awareness of Infection Prevention Control Committee and Team, SOPs, Guidelines, Job Description and Training to all level of health providers -Weekly supervision with checklist Infection Prevention Control & AMR Stewardship program Indicator 5.2 Surveillance of healthcare associated infections (HAI) - Weak surveillance of HAI 7

8 Infection Prevention Control & AMR Stewardship program Indicator 5.3 IPC program in HCS -Capacity building plans implemented in selected healthcare facilities _But cannot cover all levels of HCS Infection Prevention Control & AMR Stewardship program Indicator 5.4 Sanitation & hygiene and vaccination in the community Research & Development to Combat AMR Indicator 6.1 Research & development and innovation on AMR prevention and containment -Formal campaign to enhance sanitation & hygiene and vaccination is implemented -Hand hygiene campaign, Health Education, Symposium ) - Award to the best IPC of HCS Very few R&D -Existing structure has a plan to foster research and innovation on AMR 8

9 9

10

11 11

12 2016, June 12

13 13

14 14

15 NAP Governance Structure in Myanmar 15

16 National Multisectoral Steering Committee(NMSC) Combating AMR Myanmar Endorsed January Chairman.. Union Minister of Health and Sports 19 members from multisectoral in One-Health approach DDG ( Labs ).. Secretary 16

17 Common Bacteria associated with (HAI ) Hospital Acquired Infections : WHO High Priority Pathogens Staphylococcus aureus Pseudomonas aeruginosa Acinetobacter species Escherichia coli Klebsiella species 17

18 Percentage Antibiotic susceptibility patterns of Escherichia coli in Myanmar (2016) 100% 89% 88% 90% 80% 70% 83% 78% 66% 63% 56% 60% 50% 40% 52% 51% 44% 44% 40% 40% 40% 34% 32% 32% 31% 29% 29% 27% 30% 20% 10% 0% 17% 8% Antibiotics 18

19 Percentage Antibiotic susceptibility patterns of Klebsiella species in Myanmar (2016) 100% 90% 80% 86% 82% 74% 70% 68% 67% 64% 60% 60% 60% 53% 52% 52% 50% 48% 50% 40% 30% 20% 10% 0% 40% 39% 38% 36% 34% 28% Antibiotics 19

20 Percentage Antibiotic susceptibility patterns of Pseudomonas aeruginosa in Myanmar (2016) 100% 90% 80% 70% 60% 50% 81% 81% 75% 75% 65% 59% 57% 57% 53% 53% 52% 49% 40% 30% 20% 10% 0% Antibiotics 20

21 Percentage Antibiotic susceptibility patterns of Staphylococcus species in Myanmar (2016) 100% 91% 90% 80% 70% 79% 77% 74% 74% 74% 72% 71% 69% 67% *MRSA 61% 60% 56% 55% 54% 60% 50% 40% 30% 20% 10% 11% 0% Antibiotics 21

22 Percentage Antibiotic susceptibility patterns of Acinetobacter species in Myanmar (2016) 100% 90% 80% 70% 79% 78% 78% 68% 62% 60% 50% 40% 30% 45% 42% 41% 40% 35% 28% 25% 24% 20% 10% 5% 0% Antibiotics 22

23 Percentage WHO High Priority Pathogens in Myanmar (ESBL producing Enterobacteriaceae, VRE and MRSA)(2016) 50% ESBL producing Enterobacteriaceae, 47% Methicillin-resistant Staphylococcus aureus, 40% 40% Vancomycin-resistant Enterococcus species, 30% 30% 20% 10% 0% Pathogenic Bacteria 23

24 24

25 25

26 Myanmar National Policy on Health Laboratories had been disseminated in September, 2016 Development of National Strategic plan for Health Laboratories : NSPHL ( ) was adopted in line with National Policy on Health Laboratories National surveillance for AMR is highly listed in NSPHL National Action Plan : NAP for AMR was endorsed in endorsed in July according to GLASS. NMSC is endorsed on 2018 January.. Union Minister of MoHS is Chairperson 26

27 Role of NHL for AMR NEQAS Identification and Antibiotic Sensitivity Testing of Bacteria, (40) Central, Teaching, States, Regional and some District Level Hospitals (2017) Participate in International EQAS, NIH, Thailand National Data collection from Hospitals and support to SOPs, Guidelines Workshops on AMR (WHO)- Standard Laboratory Method and Management of Data Entry (WHONET training) Standing as Reference Laboratory for AMR 27

28 Current activities on AMR 1.Collaboration with National Centre for Global Health and Medicine (NCGM), Japan on their Whole Genome Sequencing of Multi-drug resistant Gram Negative Bacteria 2.Technical Collaboration Agreement : Advancement in Clinical practice through Microbiology Education between Ministry of Health and Sports, Myanmar & biomérieux Pte.Ltd (Singapore) ( ) 28

29 Activities of World Antibiotic Awareness Week Nay Pyi Taw

30 Activities of World Antibiotic Awareness Week

31 Activities of World Antibiotic Awareness Week

32 Current activities ( Symposium on Antimicrobial Resistance awareness at 46 th Myanmar Research Congress) 32

33 Laboratory perspective of combating AMR (64 th Myanmar Medical Conference) ( ) 33

34 Challenges in NAPAMR Limited Laboratory Capacity for AMR Human resource Skill and training regarding clinical microbiology laboratory for Microbiologists and technicians, staff rotation Staff motivation Machines, Materials & Instruments for C&S Conventional C& S Automated Vitek2, Bact Alert (FOC?/Budget?) Limited number of Biosafety Safety Cabinet Budget for full laboratory capacity support?? 34

35 Challenges in NAPAMR Communication Communication between clinicians and the laboratory persons in consulting antibiotic resistance pattern of various samples Limited use of antibiogram result by clinician Clinical notes & diagnosis on request form.. Inadequate Unaffordable LIS Laboratory Information system effectively Data storage and Reporting- Limited IT facilities and internet access in some labs (WHONET data analysis) 35

36 Challenges in NAPAMR Sample Collection & Transportation.. Quality and timely transportation of sample are critical considerations to get qualified AMR results. Space- Not enough working space Storage- Not enough lab equipments like refrigerator, deep freezer etc in some labs for samples storage Less awareness about the laboratory / health care associated infection, partly effected by their heavy workload and duties Waste disposal -Difficult to get uniform colour coated plastic bag and waste container according to biosafety guideline / autoclavable bag 36

37 Challenges in NAPAMR Limited use of antibiotic guidelines and antibiotic policy in some hospitals ( AMU) Monthly CME and 3 monthly meeting in some hospitals but no regular meeting in some hospitals Less functional hospital Infection control committee meeting annually/twice per year/quarterly Unlimited access to laboratory working area Antibiotic Stewardship Program -not started yet in many hospitals Coordination between area of human and animal health based on one health approach 37

38 Health Care Associated Infection Prevention and Control 38

39 39

40 HIC,Strengthening Symposium February

41 HIC,Strengthening Symposium February

42 Current activities of IPC (Analysis of hospitals data as at Feb 2018) Building the Infection Prevention Control Committee and team in hospitals Awareness of Infection Prevention Control Committee and Team, SOPs, Guidelines, Job Description and Training to all level of health providers Weekly supervision with checklist Review and Reward 42

43 Current activities of IPC (Analysis of hospitals data as at Feb 2018) Providing the requirements to maintain the infection prevention control function Fumigation of Operation theatre and labor room biannually Following the hospital management guideline according to level of hospital Health education about IPC to communities Environmental sanitation activities collaborated with local authorities 43

44 Ways Forward (Short term) Hospital antibiotic policy guideline Infection control meeting - 3 monthly Monitoring and evaluation 6 monthly Cooperation between patients wards and supportive department Training and health education Clinicians and Laboartory cooperation in monthly basis upon hospital antibiogram analysis Requisition of separate budget for IPC 44

45 Ways Forward ( Short term) Requisition of equipment and machines for IPC Providing of clothing of patients and health providers IPC checklist in every patients wards Immunization of all health care providers with hepatitis B vaccine Installation of exhausted fan at infectious patients room 45

46 Ways Forward (Medium & Long term) IPC documents (IPC policy, strategy, plan and guidelines) Need national level IPC committee at MoHS.. -Compliance with IPC measures -Routine surveillance of hospital acquired infection Work closely with other national structure / department/ committee ( Multilateral cooperation) 46

47 Myanmar NEQAS of AST Started.. Since 2005 is EQAS provider and analyzer Now.. around 40 teaching hospitals, specialist hospitals and State / Regional level public hospitals are participated Then provide the data to WHONET 47

48 Joint External Evaluation Process, GHSA Stakeholders Meeting for JEE ( ) Training on Internal Assessment Teams ( ) to ( ) Internal Assessment Teams Visit ( ) to ( &) Internal Assessment Teams Debriefing ( ) Report to WHO ( ) External Team Visit ( ) to ( ) 7 5 years Strategic Plan for JEE ( ) to ( ) 48

49 DDG ( Laboratory) National Focal point of JEE / IHR in 3 areas 1.National Laboratory System strengthening 2. AMR 3. Biosafety 49

50 JEE Report on Antimicrobial Resistance, Myanmar 50

51 JEE Recommendations on AMR, Myanmar Launch and disseminate the National action plan for detection and reporting of priority AMR pathogen ( Done at 2017 July) Sustain the quality and services of laboratories that are able to detect and report priority AMR pathogen aligned with the GLASS ( NHL as National AMR lab and WHONET courses) 51

52 Establish an evidence-based public communications program targeting audiences in policy making, human and animal health practice, the general public and professional on prudent use of antimicrobials ( Underway) Sustain the surveillance capacity of existing 25 (human) and 3 (animal) laboratory ( Now more on Human Health surveillance laboratory to 40 numbers ) 52

53 JEE Recommendations on AMR, Myanmar Sustain the quality assessment scheme of NEQAS Develop surveillance system for usage of antimicrobial in human and animal sectors (OH approach) Disseminate the National action plan that includes Hospital infection prevention and control program ( Done ) Implement according to the Hospital infection prevention and control program in NAP ( Underway) Achieve a national steering committee for AMR and technical working groups to coordinate and implement each objectives ( Established NMSC 0n 2018 Jan.. TWGs are developed accordingly) 53

54 Future Works To Be Done National AMR Surveillance National Laboratory Network Strengthening Early Warning System for emerging drug resistance trends Strengthening of IPC and AMR Stewardship Programe in Healthcare Setting WHONET...continuously implemented for epidemiological and laboratory AMR surveillance data entry, storage and transmission in human and animal sector labs & GLASS IT platform.. Will start soonest 54

55 Future Work To Be Done Surveillance of rational antimicrobial use Establish a systematic, standardized process to collect, assess and share data, maps and trends on AMR hazards Promoting establishment of One health surveillance Cooperate AMR knowledge in undergraduate and post graduate medical, nursing and basic health teaching curriculum 55

56 56

2016/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 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 information

National Action Plan development support tools

National Action Plan development support tools National Action Plan development support tools Sample Checklist This checklist was developed to be used by multidisciplinary teams in countries to assist with the development of their national action plan

More information

NAP on AMR: Singapore

NAP on AMR: Singapore 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 information

First-year experiences in implementing Thailand s National Strategic Plan on AMR

First-year experiences in implementing Thailand s National Strategic Plan on AMR First-year experiences in implementing Thailand s National Strategic Plan on AMR 2017-2021 Dr. Nithima Sumpradit Food and Drug Administration Ministry of Public Health, Thailand Regional Workshop on AMR

More information

The 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 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 information

Implementation 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 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 information

Activities for Zoonotic Diseases in Cambodia

Activities for Zoonotic Diseases in Cambodia Ministry of Agriculture, Forestry and Fisheries General Directorate of Animal Health and Production 3 rd COORDINATION CONFERENCE FOR THE ZOONOTIC DISEASES ACTION PACKAGE (ZDAP), STRENGTHENING COOPERATION

More information

World Organisation for Animal Health

World Organisation for Animal Health World Organisation for Animal Health 2017 Progressive Actions for Achievement of global health security Dr Susan Corning BA MSc BVSc MRCVS FRSPH Global Health Security Agenda Steering Group Meeting Geneva,

More information

Canada s Activities in Combatting Antimicrobial Resistance. Presentation to the JPIAMR Management Board March 29, 2017

Canada s Activities in Combatting Antimicrobial Resistance. Presentation to the JPIAMR Management Board March 29, 2017 Canada s Activities in Combatting Antimicrobial Resistance Presentation to the JPIAMR Management Board March 29, 2017 AMR in Canada Surveillance data indicates that rates of infection for some resistant

More information

Antimicrobial Stewardship: The South African Perspective

Antimicrobial Stewardship: The South African Perspective Antimicrobial Stewardship: The South African Perspective Precious Matsoso Director General; National Department of Health; South Africa 13 th November 2015 Why do we need an AMR strategy and implementation

More information

National Action Plan on Antimicrobial Resistance: Timor-Leste

National Action Plan on Antimicrobial Resistance: Timor-Leste National Action Plan on Antimicrobial Resistance: Timor-Leste 2017-2020 Ministry of Health, Timor-Leste May 2017 Developed by the Antimicrobial Resistance team of the Ministry of Health, Timor-Leste with

More information

The Philippine Action Plan to Combat Antibiotic Resistance: One Health Approach

The Philippine Action Plan to Combat Antibiotic Resistance: One Health Approach The Philippine Action Plan to Combat Antibiotic Resistance: One Health Approach Celia Carlos, MD, FPPS, FPIDSP, FPSMID, CESO IV Director III Research Institute for Tropical Medicine, Department of Health

More information

The Philippine Action Plan to Combat Antimicrobial Resistance: One Health Approach

The Philippine Action Plan to Combat Antimicrobial Resistance: One Health Approach The Philippine Action Plan to Combat Antimicrobial Resistance: One Health Approach Prese ted at the Workshop o Natio al A tio Plan on Antimicrobial Resistance for Developing Countries Focusing on Resistance

More information

EUROPEAN COMMISSION DIRECTORATE-GENERAL FOR HEALTH AND FOOD SAFETY REFERENCES: MALTA, COUNTRY VISIT AMR. STOCKHOLM: ECDC; DG(SANTE)/

EUROPEAN COMMISSION DIRECTORATE-GENERAL FOR HEALTH AND FOOD SAFETY REFERENCES: MALTA, COUNTRY VISIT AMR. STOCKHOLM: ECDC; DG(SANTE)/ EUROPEAN COMMISSION DIRECTORATE-GENERAL FOR HEALTH AND FOOD SAFETY Health and food audits and analysis REFERENCES: ECDC, MALTA, COUNTRY VISIT AMR. STOCKHOLM: ECDC; 2017 DG(SANTE)/2017-6248 EXECUTIVE SUMMARY

More information

Summary of the latest data on antibiotic resistance in the European Union

Summary 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 information

REPORT ON THE ANTIMICROBIAL RESISTANCE (AMR) SUMMIT

REPORT ON THE ANTIMICROBIAL RESISTANCE (AMR) SUMMIT 1 REPORT ON THE ANTIMICROBIAL RESISTANCE (AMR) SUMMIT The Department of Health organised a summit on Antimicrobial Resistance (AMR) the purpose of which was to bring together all stakeholders involved

More information

Managing AMR at the Human-Animal Interface. OIE Contributions to the AMR Global Action Plan

Managing AMR at the Human-Animal Interface. OIE Contributions to the AMR Global Action Plan Managing AMR at the Human-Animal Interface OIE Contributions to the AMR Global Action Plan 6th Asia-Pacific Workshop on Multi-Sectoral Collaboration for the Prevention and Control of Zoonoses Dr Susan

More information

Surveillance of AMR in PHE: a multidisciplinary,

Surveillance of AMR in PHE: a multidisciplinary, Surveillance of AMR in PHE: a multidisciplinary, integrated approach Professor Neil Woodford Antimicrobial Resistance & Healthcare Associated Infections (AMRHAI) Reference Unit Crown copyright International

More information

Pan-Canadian Action Plan on Antimicrobial Resistance and Antimicrobial Use

Pan-Canadian Action Plan on Antimicrobial Resistance and Antimicrobial Use Pan-Canadian Action Plan on Antimicrobial Resistance and Antimicrobial Use Lindsay Noad Public Health Agency of Canada (PHAC) November 29 th, 2017 Purpose To provide an update on the development of the

More information

Perspective on AnA Global timicrobial Resistance

Perspective on AnA Global timicrobial Resistance National Center for Emerging and Zoonotic Infectious Diseases Perspective on AnA Global timicrobial Resistance Dawn M. Sievert, PhD, MS Associate Director for Antimicrobial Resistance Division of Foodborne,

More information

Antimicrobial 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 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 information

World Health Organization Emerging and other Communicable Diseases, Surveillance and Control

World Health Organization Emerging and other Communicable Diseases, Surveillance and Control WHO/EMC/BAC/98.6 Antimicrobial Resistance Monitoring: Update of Activities 1997/1998 World Health Organization Emerging and other Communicable Diseases, Surveillance and Control This document has been

More information

Highlights on Hong Kong Strategy and Action Plan on Antimicrobial Resistance ( ) (Action Plan)

Highlights on Hong Kong Strategy and Action Plan on Antimicrobial Resistance ( ) (Action Plan) 香港藥學會 The Pharmaceutical Society of Hong Kong Kowloon G.P.O. Box 73552, Yau Ma Tei, Kowloon, Hong Kong Society s Fax: (852) 2376-3091 E-mail: pharmacist@pshk.hk Websites: http://pshk.hk Highlights on Hong

More information

CHALLENGES AND COLLABORATION

CHALLENGES AND COLLABORATION GHSA Meeting on Step towards Regional Strategic Collaboration in Asia-Pacific on Workforce Development, National Laboratory System Strengthening and Antimicrobial Resistance Prevention to Respond to Global

More information

OIE mission in the framework of One Health Focus on antimicrobial resistance (AMR)

OIE mission in the framework of One Health Focus on antimicrobial resistance (AMR) Dr Rachid Bouguedour OIE Representative for North Africa OIE mission in the framework of One Health Focus on antimicrobial resistance (AMR) General Assembly of REEV-Med Hammamet, Tunisia 13 December 2017

More information

OIE AMR Strategy, One Health concept and Tripartite activities

OIE AMR Strategy, One Health concept and Tripartite activities Dr Mária Szabó Chargée de mission OIE AMR Strategy, One Health concept and Tripartite activities Training Seminar for Middle East Focal Points for Veterinary Products Beirut, Lebanon 2017 Summary OIE strategy

More information

Stratégie et action européennes

Stratégie 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 information

National Surveillance of Antimicrobial Resistance

National Surveillance of Antimicrobial Resistance National Surveillance of Antimicrobial Resistance Report to Ministry of Health by Sri Lanka College of Microbiologists SLCM ARSP & NLBSA Technical Committees December 2014 National Surveillance of Antimicrobial

More information

Antimicrobial Resistance, yes we care! The European Joint Action

Antimicrobial 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 information

The National Action Plan on Antimicrobial resistance in Vietnam Period from 2013 to 2020

The National Action Plan on Antimicrobial resistance in Vietnam Period from 2013 to 2020 The National Action Plan on Antimicrobial resistance in Vietnam Period from 2013 to 2020 Ha Ngo Thi Bich Medical Service Administration Ministry of Health of Vietnam MINISTER OF HEALTH DEPUTY MINISTER

More information

Chulalongkorn University Veterinary AMR activities. Faculty of Veterinary Science, Chulalongkorn University

Chulalongkorn University Veterinary AMR activities. Faculty of Veterinary Science, Chulalongkorn University Chulalongkorn University Veterinary AMR activities Faculty of Veterinary Science, Chulalongkorn University Chulalongkorn University 19 faculties 3 colleges, 1 school 15 institutes Services Trainings Academic

More information

Dr Marc Sprenger Director Antimicrobial Resistance Secretariat Global action plan on antimicrobial resistance

Dr Marc Sprenger Director Antimicrobial Resistance Secretariat Global action plan on antimicrobial resistance Global Action Plan on Antimicrobial Resistance Dr Marc Sprenger Director Antimicrobial Resistance Secretariat When are we entering the post-antibiotic era? For some diseases we have already entered! Fatal

More information

SECOND REPORT FROM THE COMMISSION TO THE COUNCIL

SECOND 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 information

ANTIBIOTIC STEWARDSHIP

ANTIBIOTIC STEWARDSHIP ANTIBIOTIC STEWARDSHIP S.A. Dehghan Manshadi M.D. Assistant Professor of Infectious Diseases and Tropical Medicine Tehran University of Medical Sciences Issues associated with use of antibiotics were recognized

More information

Action for Combatting AMR in Veterinary Sector

Action for Combatting AMR in Veterinary Sector Hirofumi Kugita OIE Regional Representative for Asia and the Pacific Action for Combatting AMR in Veterinary Sector AMR Symposium, 1 st G7 CVO Forum 24 November 2016 * Tokyo, Japan OIE: An intergovernmental

More information

DR. BASHIRU BOI KIKIMOTO

DR. 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 information

Overview of Day 1. Dr. Alex Costa World Health Organization. National AMR Workshop Phnom Penh, Cambodia May 2014

Overview of Day 1. Dr. Alex Costa World Health Organization. National AMR Workshop Phnom Penh, Cambodia May 2014 Overview of Day 1 Dr. Alex Costa World Health Organization National AMR Workshop Phnom Penh, Cambodia 29-30 May 2014 SESSION 1: GLOBAL AND REGIONAL AMR SITUATION Introduction to Antimicrobial Resistance

More information

Dr 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 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 information

THE GOVERNMENT OF FIJI FIJI NATIONAL ANTIMICROBIAL RESISTANCE ACTION PLAN

THE GOVERNMENT OF FIJI FIJI NATIONAL ANTIMICROBIAL RESISTANCE ACTION PLAN THE GOVERNMENT OF FIJI FIJI NATIONAL ANTIMICROBIAL RESISTANCE ACTION PLAN 2015 2 TABLE OF CONTENTS Foreword... 4 Acknowledgments... 5 Acronyms... 6 Introduction... 7 Summary of country situational analysis

More information

Pan-Canadian Framework and Approach to Antimicrobial Resistance. Presentation to the TATFAR Policy Dialogue September 27, 2017

Pan-Canadian Framework and Approach to Antimicrobial Resistance. Presentation to the TATFAR Policy Dialogue September 27, 2017 Pan-Canadian Framework and Approach to Antimicrobial Resistance Presentation to the TATFAR Policy Dialogue September 27, 2017 PURPOSE Purpose To provide TATFAR members with an overview of Canada s coordinated

More information

ONE HEALTH AND THE POWER OF PLATFORMS. One Health Models for Cross-Sectoral Coordination on Zoonotic Diseases

ONE HEALTH AND THE POWER OF PLATFORMS. One Health Models for Cross-Sectoral Coordination on Zoonotic Diseases ONE HEALTH AND THE POWER OF PLATFORMS One Health Models for Cross-Sectoral Coordination on Zoonotic Diseases OPENING REMARKS INDONESIA Dr. Fuadi Darwis, MPH Senior Advisor, Advisory Board, National Disaster

More information

OIE Regional Commission for Europe Regional Work Plan Framework Version adopted during the 85 th OIE General Session (Paris, May 2017)

OIE Regional Commission for Europe Regional Work Plan Framework Version adopted during the 85 th OIE General Session (Paris, May 2017) OIE Regional Commission for Europe Regional Work Plan Framework 2017-2020 Version adopted during the 85 th OIE General Session (Paris, May 2017) Chapter 1 - Regional Directions 1.1. Introduction The slogan

More information

OIE GLOBAL DATABASE ON AMU IN ANIMALS

OIE GLOBAL DATABASE ON AMU IN ANIMALS OIE GLOBAL DATABASE ON AMU IN ANIMALS The database contributes to the Global Action Plan and will allow to establish baseline information on the use of antimicrobials in animals. The information gathered

More information

OIE Strategy on Antimicrobial Resistance and the Prudent Use of Antimicrobials in Animals Part I

OIE Strategy on Antimicrobial Resistance and the Prudent Use of Antimicrobials in Animals Part I Dr Elisabeth Erlacher-Vindel Head of the Antimicrobial Resistance and Veterinary Products Department OIE Strategy on Antimicrobial Resistance and the Prudent Use of Antimicrobials in Animals Part I 2nd

More information

WHO s first global report on antibiotic resistance reveals serious, worldwide threat to public health

WHO s first global report on antibiotic resistance reveals serious, worldwide threat to public health New WHO report provides the most comprehensive picture of antibiotic resistance to date, with data from 114 countries 30 APRIL 2014 GENEVA - A new report by WHO its first to look at antimicrobial resistance,

More information

Would you like to be added to our mailing list to receive updates on the development of the global action plan?* Y X N

Would you like to be added to our mailing list to receive updates on the development of the global action plan?* Y X N Would you like to be added to our mailing list to receive updates on the development of the global action plan?* Y X N Yes. General questions 1. From the perspective of your organization, what are the

More information

Australia s response to the threat of antimicrobial resistance

Australia s response to the threat of antimicrobial resistance Australia s response to the threat of antimicrobial resistance Professor Warwick Anderson AM Chief Executive Officer National Health and Medical Research Council Australia s health system Antimicrobial

More information

GHSA Prevent-1 (AMR) road map: Progress and implementation plan Dr. Anders Tegnell, Ministry of Health and Social Affairs, Sweden

GHSA Prevent-1 (AMR) road map: Progress and implementation plan Dr. Anders Tegnell, Ministry of Health and Social Affairs, Sweden GHSA Prevent-1 (AMR) road map: Progress and implementation plan Dr Anders Tegnell, Ministry of Health and Social Affairs, Sweden One Health One World Increasing antibiotic resistance Antibiotic use and

More information

Antibiotics and resistance in the WHO Regional Office for Europe. Dr Nienke van de Sande On behalf of the AMR Working Group

Antibiotics and resistance in the WHO Regional Office for Europe. Dr Nienke van de Sande On behalf of the AMR Working Group Antibiotics and resistance in the WHO Regional Office for Europe Dr Nienke van de Sande On behalf of the AMR Working Group Strengthening the fight against antimicrobial Antimicrobial APRES resistance Symposium

More information

Action and Experience of Containment of AMR in Veterinary Sector JAPAN

Action 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 information

Combat Antimicrobial Resistance

Combat Antimicrobial Resistance Dr Hirofumi Kugita OIE Regional Representation for Asia and the Pacific Overview of OIE Activities to Combat Antimicrobial Resistance Workshop on Development of Surveillance Framework for Antimicrobial

More information

New Opportunities for Microbiology Labs to Add Value to Antimicrobial Stewardship Programs

New Opportunities for Microbiology Labs to Add Value to Antimicrobial Stewardship Programs New Opportunities for Microbiology Labs to Add Value to Antimicrobial Stewardship Programs Patrick R. Murray, PhD Senior Director, WW Scientific Affairs 2017 BD. BD, the BD Logo and all other trademarks

More information

Evaluation of EU strategy to combat AMR

Evaluation 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 information

ANTIMICROBIAL RESISTANCE and causes of non-prudent use of antibiotics in human medicine in the EU

ANTIMICROBIAL RESISTANCE and causes of non-prudent use of antibiotics in human medicine in the EU ANTIMICROBIAL RESISTANCE and causes of non-prudent use of antibiotics in human medicine in the EU Health and Food Safety John Paget (NIVEL) Dominique Lescure (NIVEL) Ann Versporten (University of Antwerp)

More information

Antimicrobial Resistance in the South-East Asia Region

Antimicrobial Resistance in the South-East Asia Region Situational Analysis on Antimicrobial Resistance in the South-East Asia Region Report 2016 Background 1 Situational Analysis on Antimicrobial Resistance in the South-East Asia Region Report 2016 CONTENTS

More information

Regional Analysis of the OIE PVS Missions in South-East Asia with a focus on APFS

Regional Analysis of the OIE PVS Missions in South-East Asia with a focus on APFS Regional Analysis of the OIE PVS Missions in South-East Asia with a focus on APFS Regional Seminar for OIE National Focal Points for Animal Production Food Safety Hanoi, Vietnam, 24-26 June 2014 Dr Agnes

More information

OIE Resolution and activities related to the Global Action Plan. Regional Seminar for OIE National Focal Points for Veterinary Products 4 th Cycle

OIE Resolution and activities related to the Global Action Plan. Regional Seminar for OIE National Focal Points for Veterinary Products 4 th Cycle Dr Elisabeth Erlacher Vindel Deputy Head of the Scientific and Technical Departement World Organisation for Animal Health (OIE) OIE Resolution and activities related to the Global Action Plan Regional

More information

What is the problem? Latest data on antibiotic resistance

What 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 information

EU strategy to fight against Antimicrobial Resistance

EU 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 information

Antimicrobial Stewardship Northern Ireland

Antimicrobial Stewardship Northern Ireland Antimicrobial Stewardship Northern Ireland Dr Lorraine Doherty Assistant Director of Public Health (Health Protection) Public Health Agency 15 November 2011 Co Authors Dr Muhammad Sartaj. SpR Public Health

More information

Global Action Plan on AMR and Follow up

Global Action Plan on AMR and Follow up Global Action Plan on AMR and Follow up Awa AIDARA KANE World Health Organization, Geneva, Switzerland Alexander Fleming's Nobel Prize Lecture ex It is not difficult to make microbes resistant to penicillin.

More information

Role of the expanded OIE Collaborating Centre for Food Safety

Role of the expanded OIE Collaborating Centre for Food Safety Role of the expanded OIE Collaborating Centre for Food Safety Research Center for Food Safety (RCFS) Graduate School of Agricultural and Life Sciences, the University of Tokyo, Japan Veterinary Public

More information

Action for Combatting AMR in Veterinary Sector

Action for Combatting AMR in Veterinary Sector Hirofumi Kugita OIE Regional Representative for Asia and the Pacific Action for Combatting AMR in Veterinary Sector AMR Symposium, 1 st G7 CVO Forum 24 November 2016 * Tokyo, Japan OIE: An intergovernmental

More information

OIE strategy on AMR and the Prudent Use of Antimicrobials

OIE strategy on AMR and the Prudent Use of Antimicrobials Dr. Jocelyn Mérot OIE Sub-Regional Representation for North Africa OIE strategy on AMR and the Prudent Use of Antimicrobials 14th JPC REMESA 19-20 July 2017 Naples (Italy) The OIE Strategy on AMR and the

More information

Prudent use of antimicrobial agents Dairy Sector Initiatives. Robin Condron Dairy Australia

Prudent 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 information

OIE PVS Pathway including Veterinary Education

OIE PVS Pathway including Veterinary Education OIE PVS Pathway including Veterinary Education OIE Global Conference on the Prudent Use of Antimicrobial Agents for Animals: International Solidarity to Fight against Antimicrobial Resistance Paris (France)

More information

Antimicrobial Resistance at human-animal interface in the Asia-Pacific Region

Antimicrobial Resistance at human-animal interface in the Asia-Pacific Region Antimicrobial Resistance at human-animal interface in the Asia-Pacific Region Gyanendra Gongal Scientist International Health and Regulations Health Security and Emergency Response WHO South-East Asia

More information

A World United Against Infectious Diseases: Cross Sectoral Solutions

A World United Against Infectious Diseases: Cross Sectoral Solutions A World United Against Infectious Diseases: Cross Sectoral Solutions Key note speech by Bernard Vallat, Director General of the World Organisation for Animal Health Her Royal Highness Princess Maha Chakri

More information

1/30/ Division of Disease Control and Health Protection. Division of Disease Control and Health Protection

1/30/ Division of Disease Control and Health Protection. Division of Disease Control and Health Protection Surveillance, Outbreaks, and Reportable Diseases, Oh My! Assisted Living Facility, Nursing Home and Surveyor Infection Prevention Training February 2015 A.C. Burke, MA, CIC Health Care-Associated Infection

More information

ANTIMICROBIAL RESISTANCE THE AUSTRALIAN CONTEXT. Professor Brendan Murphy Australian Government Chief Medical Officer

ANTIMICROBIAL RESISTANCE THE AUSTRALIAN CONTEXT. Professor Brendan Murphy Australian Government Chief Medical Officer ANTIMICROBIAL RESISTANCE THE AUSTRALIAN CONTEXT Professor Brendan Murphy Australian Government Chief Medical Officer AMR in Australia Good understanding but to date not much outcome from actions. The AURA

More information

OIE Strategy on Antimicrobial Resistance and the need for new diagnostic tools

OIE Strategy on Antimicrobial Resistance and the need for new diagnostic tools Dr Elisabeth Erlacher-Vindel Head Science and New Technologies Department OIE Strategy on Antimicrobial Resistance and the need for new diagnostic tools 12 th OIE SEMINAR 18 th WAVLD, Sorrento (Italy),

More information

Global Communication on AMR in Animal Health: Tripartite and OIE Efforts

Global Communication on AMR in Animal Health: Tripartite and OIE Efforts Catherine Bertrand-Ferrandis Head of the Communication Unit Taylor Gabourie AMR Communications Officer Global Communication on AMR in Animal Health: Tripartite and OIE Efforts Marrakech, Morocco 29 31

More information

Global 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 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 information

Resolution adopted by the General Assembly on 5 October [without reference to a Main Committee (A/71/L.2)]

Resolution adopted by the General Assembly on 5 October [without reference to a Main Committee (A/71/L.2)] United Nations A/RES/71/3 General Assembly Distr.: General 19 October 2016 Seventy-first session Agenda item 127 Resolution adopted by the General Assembly on 5 October 2016 [without reference to a Main

More information

Action Plan Goal 2 Surveillance and Monitoring Strategies:

Action Plan Goal 2 Surveillance and Monitoring Strategies: Action Plan Goal 2 Surveillance and Monitoring Strategies: o Introduce molecular analysis approach to AMR surveillance o Expand the scope of monitoring in aquaculture o Establish a monitoring system for

More information

COMMISSION OF THE EUROPEAN COMMUNITIES

COMMISSION 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 information

One Health Collaboration to combat Antimicrobial resistance

One Health Collaboration to combat Antimicrobial resistance One Health Collaboration to combat Antimicrobial resistance Dr Awa Aidara-Kane, World Health Organization Dr Elisabeth Erlacher-Vindel, World Organization for Animal Health (OIE) Dr Patrick Otto, Food

More information

WORKSHOP AGENDA. Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies (CTI A (SCSC))

WORKSHOP AGENDA. Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies (CTI A (SCSC)) Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies (CTI 25 2014A (SCSC)) Day 1 Awareness Objective: Enhance awareness, skills and knowledge in the field

More information

Antimicrobial resistance: the challenges for animal health

Antimicrobial resistance: the challenges for animal health Elisabeth Erlacher Vindel Deputy Head of the Scientific and Technical Departement World Organisation for Animal Health (OIE) Antimicrobial resistance: the challenges for animal health Rabat, 17 Feb. 2015

More information

Council of the European Union Brussels, 13 June 2016 (OR. en)

Council 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 information

AMR in AFRICA. Dr Marc Sprenger Director AMR Secretariat. Antimicrobial resistance in Africa

AMR in AFRICA. Dr Marc Sprenger Director AMR Secretariat. Antimicrobial resistance in Africa AMR in AFRICA Dr Marc Sprenger Director AMR Secretariat 1 AMR in AFRICA Infectious diseases (including malaria and TB) still result in a very high burden of disease. HIV has exacerbated this. 2 Why AMR

More information

Antibiotic Resistance in the Post-Acute and Long-Term Care Settings: Strategies for Stewardship

Antibiotic Resistance in the Post-Acute and Long-Term Care Settings: Strategies for Stewardship Antibiotic Resistance in the Post-Acute and Long-Term Care Settings: Strategies for Stewardship J. Hudson Garrett Jr., PhD, MSN, MPH, FNP-BC, PLNC, CDONA, IP-BC, GDCN, CDP, CADDCT, CALN, VA-BC, AS-BC,

More information

Overview of Canada's Federal Actions to Address Antimicrobial Resistance and Antibiotic Stewardship

Overview of Canada's Federal Actions to Address Antimicrobial Resistance and Antibiotic Stewardship Overview of Canada's Federal Actions to Address Antimicrobial Resistance and Antibiotic Stewardship Jacqueline Arthur, RN, BScN Centre for Communicable Diseases and Infection Control Commonwealth Laboratory

More information

Workshop Summary and Action Items

Workshop Summary and Action Items Venue: Sandton Hilton Date: 14 February 2015 Workshop Objectives: 1. To develop a list of action items in order of priority to strengthen surveillance in SA and identify possible resources to take these

More information

The European AMR Challenge - strategic views from the human perspective -

The 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 information

USA ACTION PLAN FOR COMBATING ANTIBIOTIC-RESISTANT BACTERIA

USA ACTION PLAN FOR COMBATING ANTIBIOTIC-RESISTANT BACTERIA 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 information

Measures relating to antimicrobial resistance (AMR)

Measures 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 information

Stratégies et actions au niveau européen et international: populations humaines

Stratégies 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 information

Workplan on Antibiotic Usage Management

Workplan on Antibiotic Usage Management IMPACT Forum: Antibiotic Guideline in Perspective Workplan on Antibiotic Usage Management Dr. Raymond Yung Consultant Microbiologist PYNEH 20 April 2002 May 2002 Dr. Raymond Yung 1 Objective 1. Heighten

More information

Dr Nata Menabde Executive Director World Health Organization Office at the United Nations Global action plan on antimicrobial resistance

Dr 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 information

Promoting One Health : the international perspective OIE

Promoting One Health : the international perspective OIE Promoting One Health : the international perspective OIE Integrating Animal Health & Public Health: Antimicrobial Resistance SADC SPS Training Workshop (Animal Health) 29-31 January 2014 Gaborone, Botwana

More information

Overview of the OIE PVS Pathway

Overview of the OIE PVS Pathway Overview of the OIE PVS Pathway Regional Seminar for OIE National Focal Points for Animal Production Food Safety Hanoi, Vietnam, 24-26 June 2014 Dr Agnes Poirier OIE Sub-Regional Representation for South-East

More information

Dr Mária Szabó Science and NewTechnologies Departement OIE AMR Strategy and the Prudent Use of Antimicrobials

Dr Mária Szabó Science and NewTechnologies Departement OIE AMR Strategy and the Prudent Use of Antimicrobials Dr Mária Szabó Science and NewTechnologies Departement OIE AMR Strategy and the Prudent Use of Antimicrobials Regional Workshop for National Focal Points for Veterinary Products (5 th Cycle) Bangkok (Thailand)

More information

Antimicrobial resistance (AMR)

Antimicrobial resistance (AMR) New chapter in tackling antimicrobial resistance in Thailand Nithima Sumpradit and colleagues describe the experience of Thailand in developing its national strategic plan on antimicrobial resistance and

More information

The European road map against antimicrobial resistance

The European road map against antimicrobial resistance The European road map against antimicrobial resistance (a changing paradigm for drug discovery and development?) Paul M. Tulkens*, MD, PhD Cellular and Molecular Pharmacology Louvain Drug Research Institute

More information

Antimicrobial Use and Antimicrobial Resistance a strategy for animal agriculture Forum 2014

Antimicrobial Use and Antimicrobial Resistance a strategy for animal agriculture Forum 2014 Antimicrobial Use and Antimicrobial Resistance a strategy for animal agriculture Forum 2014 Working Group NFAHW Council-Michel Major (chair), Jim Fairles, Jennifer MacTavish, Scott Dingwell, Marc Cormier

More information

Antimicrobial resistance (EARS-Net)

Antimicrobial 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 information

Government Initiatives to Combat Antimicrobial Resistance (AMR)

Government Initiatives to Combat Antimicrobial Resistance (AMR) Government Initiatives to Combat Antimicrobial Resistance (AMR) in the Philippines Ma. Virginia G. Ala, MD, MPH, CESO III Director IV and Program Manager National Center for Pharmaceutical Access and Management,

More information

World Veterinary Association

World Veterinary Association World Veterinary Association Since 1863 Representing the Global Veterinary Profession WVA s Experience and Supportive Tools to promote Prudent Use of Antimicrobials Worldwide Dr Zeev NOGA Deputy Executive

More information

Advancing Good Veterinary Governance in South East Asia through the OIE Performance of Veterinary Services Pathway

Advancing Good Veterinary Governance in South East Asia through the OIE Performance of Veterinary Services Pathway Advancing Good Veterinary Governance in South East Asia through the OIE Performance of Veterinary Services Pathway November 2017 Good veterinary governance leads to effective, efficient, sustainable, and

More information