FVE and responsible use of antimicrobials

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FVE and responsible use of antimicrobials Rafael Laguens FVE President EAEVE General Assembly Uppsala, 13 May 2016 Federation of Veterinarians of Europe

Federation of Veterinarians of Europe 46 national associations 38 European countries 4 FVE Sections UEVP (Practitioners) UEVH (Hygienists Public Health Officers) EASVO (Veterinary State Officers) EVERI (Education, Research, Industry)

FVE s mission The European veterinary profession, embodied by FVE, strives to enhance animal health, animal welfare, public health and protect the environment by promoting the veterinary profession. Together with its members, FVE aims to support veterinarians in delivering their professional responsibilities to the best possible standard, and that this expertise is recognized and valued by society.

Content report: 6 chapters Demography Demand for veterinary services Veterinary practices Working as a vet Future of veterinary profession Country pages 13 000+ vets replied to the survey (statistical confidence +/-0,85 % at 95% confidence level) 26 Member Organisations

Key findings demography Estimated veterinarians in EU 182 900 Age versus Gender In Europe (FVE): 242 700 44 % aged under 40 53 % female 78 % work full-time Private practice 60 % of veterinarians 19 % work in public service 48 % work with/on issues related to companion animals Reported unemployment is 3 % (reality will be higher)

WWW.FVE.ORG

AMR is a Global One- Health problem High in priority list of politicians At global level Berlin Declaration on Antimicrobial Resistance is calling for an integrated approach of WHO, FAO and OIE to ensure consistency in responses to this global challenge At European level Antimicrobial resistance Action Plan ESVAC (European Surveillance of Veterinary Antibiotic Consumption) At national level National programmes of Denmark, France, the Netherlands, Germany, etc.

Veterinarians have an important role in assuring the proper use of antimicrobials, to keep them effective, so they can continue to protect animal and human health, now and in the future.

FVE Activities FVE opinion and position papers FVE surveys FVE guidance leaflets Liaison with stakeholders Advocacy and Lobbying Support research

FVE opinion and position papers: Antimicrobial resistance = resistance against antibiotics or anthelmintics, coccidiostats, FVE position on Antimicrobial Resistance Veterinary prescription Internet sales of veterinary medicines: how to regulate it properly FVE leaflets on responsible use of antimicrobials, e.g. in companion animals, horses, livestock, etc (23 languages) Anthelmintic resistance Opinion on coccidiostats in preparation All medicines shall be prescribed by a veterinarian following an examination and diagnosis or an established health plan. Internet sales of antibiotics must be banned. /news/papers.php?y=medicines

FVE Surveys: HMA and FVE survey Factors influencing antibiotic prescribing habits and use of sensitivity testing amongst veterinarians in Europe veterinaryrecord.bmj.com/content/early/2013/09/25/vr.101454.full Antibiotics used most commonly to treat animals in Europe veterinaryrecord.bmj.com/content/175/13/325.full FVE survey on pharmacovigilance (with the support of EMA) Aim: to get insight in reasons for (not) reporting adverse reactions and lack of efficacy Received ~3400 replies Answers are being analysed now FVE reply to EMA and EFSA about use of antimicrobials in food producing animals

FVE liaison with stakeholders:

FVE liaison with stakeholders: Joint statements FVE CPME Memorandum of understanding (updated 2015) FVE-AVMA-CVMA Joint statement on Judicious use of Antimicrobials Guidance leaflets /veterinary/medicines.php#18 www.epruma.eu/publications/all-publications.html

FVE liaison with stakeholders: Conferences and events 2015 Events European Antibiotic Awareness Day FESASS-FVE-LUX Presidency: Farmers and veterinarians together tackle antimicrobial resistance 2016 Events EPRUMA event EPRUMA workshop: responsible use of animal medicines Brussels, 13 October 2016 Save the date! Information on /news/presentations.php

FVE Advocacy and lobbying: Review of EU legislation and Evaluation of the Commission s Action Plan on AMR Regular contacts with all European Institutions Strengthening the position of the veterinarian and the prescription Regular health visits and preventive health planning CIA s under special conditions (e.g. sensitivity testing) Monitoring of antibiotic use One Health: Multi-sectorial & global approach

FVE supports further research: and dissemination of information

Veterinary Schools and responsible use of medicines Research Antimicrobial resistance mechanisms (incl. anthelmintic resistance) Alternatives and best practices Diagnostics New products Training Biosecurity Prevention Regular visits Veterinary prescription after examination and diagnosis Monitoring Pharmacovigilance

Thank you for your attention