European strategic action plan on antibiotic resistance (2011 2020) & Global action plan on AMR (2015) Dr Danilo Lo Fo Wong Programme Manager AMR WHO Regional Office for Europe Round table From discussion strategies to on ac-on AMR - from a food safety perspec-ve 1930 November June 2015, 2015, Tirana, Berlin, Germany Albania
WHO efforts on an-microbial resistance 2015 2014 2013 2012 2011 2003 2001
Global report on surveillance Most important findings of this report: Very high rates of resistance observed in all WHO regions. Many gaps in information on pathogens of major public health importance. Key tools to tackle AMR, e.g. surveillance systems, do not exist in many countries http://www.who.int/drugresistance/documents/surveillancereport/en/
Worldwide country situation analysis Most important findings of this report: 33/133 countries have action plan Widespread over-the-counter sales $ Lack standard treatment guidelines Lack infection prevention and control Low public awareness
Global AMR Action Plan - Strategic Objectives 1. Improve awareness and understanding 2. Strengthen knowledge and evidence base 3. Reduce incidence of infection 4. Optimize use of antimicrobial agents 5. Develop economic case for sustainable investment
Framework for action http://apps.who.int/gb/ebwha/pdf_files/eb136/b136_20-en.pdf
European strategic action plan on antibiotic resistance (2011 2020) WHO European action plan adopted by all 53 Member States Recognizing AMR neglected in many countries of the region No systematic AMR surveillance in large part of the Region Need for intersectoral coordination International spread through travel and trade Need for international standards and data sharing
Action Plan Strategic Objectives 1. Strengthen intersectoral coordination 2. Strengthen surveillance of antibiotic resistance 3. Promote rational use and strengthen surveillance of antibiotic consumption 4. Strengthen infection prevention and control and surveillance in health care settings 5. Prevent emerging resistance in veterinary and food sectors 6. Promote innovation and research on new drugs 7. Improve awareness, patient safety, and partnership
WHO/Europe vs global action plan European Ac,on Plan Global AMR Ac,on Plan Awareness Knowledge Preven-on Op-mize use Business case Coordina,on Surveillance Ra,onal use Preven,on Agriculture Innova,on Awareness
Expanding AMR surveillance throughout Europe European Antimicrobial Resistance Surveillance Network (EARS-Net) Central Asian and Eastern European Surveillance of Antimicrobial Resistance (CAESAR) European Centre for Disease Prevention and Control World Health Organization Regional Office for Europe Countries submitting data to CAESAR Countries visited for CAESAR Addressing participation the challenges of AMR Countries to be visited for CAESAR in the participation Northern Dimension area Countries participating in EARS-Net
Expanding AM use surveillance throughout Europe European Surveillance of Antimicrobial Consumption Network (ESAC-Net) WHO Antimicrobial Medicines Consumption network (AMC) European Centre for Disease Prevention and Control World Health Organization Regional Office for Europe Countries which reported 2011 data to From WHO strategies to ac-on - Countries in the process of collecting Addressing data the challenges of AMR Countries invited to join Countries participating in ESAC-Net
Infection prevention and control SAVE LIVES: Clean Your Hands - WHO's global annual campaign 2014 link to AMR
AMR in the food chain Booklet: AMR from a food safety perspective National workshops Albania, Tajikistan, Uzbekistan, Turkmenistan Subregional workshops Balkans (Albania), Central Asia (Kazakhstan) Advisory Group on Integrated Surveillance of AMR (AGISAR) World Health Day 7 April 2015
Awareness Day Materials: Infograph Website Video Press release Presentation Activities Events & twitter chat
> 40 European countries join the European Antibiotic Awareness Day
The first WAAW 16-22 November 2015
AMR is everyone's business
Five key campaign messages for the public https://youtu.be/btamy1nvjs 1. Antibiotics don t cure viral diseases like colds and flu 2. Only take antibiotics a health professional has prescribed to you 3. Always finish your course of antibiotics 4. Never share antibiotics 5. Wash your hands to prevent infections
European Region joins new WAAW WHO/Europe urges all countries in the European Region to join the first Antibiotics: Handle with Care campaign Join the global community to advocate for rational use Action to decrease antibiotic resistance globally
Acknowledgments Division of Communicable Disease, Health Security & Environment Guenael Rodier Cristiana Salvi Siff Malue Nielsen AMR Coordination Danilo Lo Fo Wong Nienke van de Sande-Bruinsma Saskia Nahrgang Food Safety Hilde Kruse Health Systems and Public Health Hans Kluge Health Technologies and Pharmaceuticals Hanne Bak Pedersen Guillaume Dedet Influenza & other Respiratory Pathogens Caroline Brown Pamela Hepple Vaccine Preventable Diseases & Immunization Robb Butler Catharina de Kat-Reynen Alert and Response Operations Ana Paula Coutinho
Thank you for your auen-on
EC vs WHO/Europe action plans WHO EURO SO 1 Intersectoral collabora-on SO2 ABR surveillance SO3 AB consump-on and ra-onal use SO4 IPC & surv health care seyngs SO5 ABR in Veterinary and food sector SO6 Research & innova-on new drugs SO7 Awareness, pa-ent safety, partnership European Commission AP1 Appropriate use of AMs AP2 regulatory framework Vet meds and feed AP3 Prudent use in Vet AP4 IPC health care seyngs AP5 Legal tool for IPC in animals AP6 RTD new drugs AP7 New Abs in Vet Med AP8 Preven-on & control of AMR in all sectors AP9 Surv human AMR and consump-on AP10 Surv animal AMR and consump-on AP11 Coordinate Research efforts AP12 Survey & compara-ve effec-veness research