FAO contributing to the AMR Global and Regional Action Plans Peter Black Deputy Regional Manager FAO RAP ECTAD
FAO contributing to the AMR Global Action Plan AMR is not a stand-alone issue. 68 th World Health Assembly (25 May 2015) Adoption of the Global Action Plan (GAP) on antimicrobial resistance (FAO and OIE contribution) 39 th FAO Conference (6-13 June 2015) Adoption of the Resolution on AMR 83 rd World Assembly of the OIE Delegates Adoption of the Resolution No. 26 on AMR
FAO contributing to the AMR Global Action Plan WHO/FAO/OIE Tripartite are engaged to actively: Raise awareness Strengthen national capacities to address AMR Support countries to establish appropriate policy, institutional and regulatory frameworks and networks Support harmonized AMR surveillance and global monitoring of usage of antimicrobials Promote research and development of new antimicrobial agents, diagnostics and vaccines and new approaches to AMR prevention and control Support efforts to fight against circulation of poor quality or counterfeit products Promote improved infection prevention and control measures, thereby progressively reduce usage of antimicrobial agents
FAO contributing to the AMR Global Action Plan FAO calls for a One Health and food chain approach when addressing AMR as it is a cross-sectoral issue Rome Declaration on Nutrition (ICN2) - Rome, 19-21 November 2014 food systems need to contribute to preventing and addressing infectious diseases, including zoonotic diseases, and tackling antimicrobial resistance FAO Resolution on AMR (http://www.fao.org/antimicrobial-resistance/en/) AMR is an increasingly serious threat to public health and sustainable food production that requires a response spanning all sectors of government and society AMR inter-departmental working group This inter-departmental FAO Working Group meets on a regular basis, chaired by Chief Veterinary Officer Dr Juan Lubroth and brings together FAO officers from Animal Health, Animal Production, Codex Alimentarius, Fisheries, Food Safety and Plant Codex Alimentarius texts on foodborne antimicrobial resistance This special publication has been prepared to support the WHO Global Action Plan on AMR. The publication compiles the two Codex specific texts on foodborne AMR: Guidelines for Risk Analysis of Foodborne Antimicrobial Resistance (CAC/GL 77-2011) and Code of Practice to Minimize and Contain Antimicrobial resistance (CAC/RCP 61-2005) FAO/WHO-AGISAR collaboration on AMR to support national capacities for integrated AMR detection and surveillance; and antimicrobial use monitoring in the poultry, beef, pig and aquaculture value chains
Context: AMR futures in Asia By 2030, antimicrobial consumption in Asia is projected represent 82% of the current global antimicrobial consumption in food animals in 2010 serious challenge because these countries are currently experiencing the most rapid increase in demand for meat products, but regulations on antimicrobial use (for the domestic market) are still lacking and surveillance information on antimicrobial consumption is either nonexistent or not publicly available. Source: Global trends in antimicrobial use in food animals Thomas P. Van Boeckela, Charles Brower, Marius Gilbert, Bryan T. Grenfell, Simon A. Levin, Timothy P. Robinson, Aude Teillanta, and Ramanan Laxminarayan at www.pnas.org/cgi/doi/10.1073/pnas.1503141112
context the five countries with the greatest projected percentage increases in antimicrobial consumption by 2030 are likely to be: Myanmar 205% Indonesia 202% Nigeria 163% Peru 160% Vietnam 157% Biggest gross users in 2030: China (30%), the United States (10%), Brazil (8%), India (4%), and Mexico (2%) Source: Global trends in antimicrobial use in food animals Thomas P. Van Boeckela, Charles Brower, Marius Gilbert, Bryan T. Grenfell, Simon A. Levin, Timothy P. Robinson, Aude Teillanta, and Ramanan Laxminarayan at www.pnas.org/cgi/doi/10.1073/pnas.1503141112
Context
Antimicrobial consumption in chickens (A) and pigs (B) in 2010. Purple indicates new areas where antimicrobial consumption will exceed 30 kg per 10 km 2 by 2030. Source: Global trends in antimicrobial use in food animals Thomas P. Van Boeckela, Charles Brower, Marius Gilbert, Bryan T. Grenfell, Simon A. Levin, Timothy P. Robinson, Aude Teillanta, and Ramanan Laxminarayan at www.pnas.org/cgi/doi/10.1073/pnas.1503141112
Regional Activities USAID funded project on AMR 2 million USD over 3 years Asia focus - ASEAN and SAARC
Regional Activities Impact: Livelihood of producers improved and safe food is provided to consumers contributing to food and nutrition security, human health and poverty alleviation in the region. Outcome: A more prudent use of antimicrobials in the livestock production industry in Asia to contain AMR development and spread
Project outputs 1: Improved understanding and documentation of AMU and AMR in livestock production industry 2: Enhanced awareness amongst target groups of AMR impacts and AMU best practices. 3: Established regional platform for promotion of AMU stewardship in Asia 4: Strengthened capacities in surveillance of AMR and antimicrobial residue in livestock/livestock products
FAO contribution to Country Activities Varies by country Regional advocacy and policy engagement increasing demand and opportunities for in country activity