Veterinary Services To implement the new Antimicrobial Resistance campaign October 07 OIE-AMR-Veterinary-Services-8P-V.indd 4/0/07 3:47
To implement the new AMR communication campaign Misuse and overuse of antimicrobials But can HELP, particularly as a member of the Veterinary Services. Indeed, you have a role to play in fighting antimicrobial resistance. Animals count on you to encourage your authorities and veterinarians to implement the OIE international Standards, and globally to ensure that we handle antimicrobials with care to preserve their efficacy and protect our future. To help you, the OIE has created a new communication campaign. Let s implement it in your country! ARE THE POWERBROKER Encourage the main communication targets to apply the OIE standards Discover the new campaign and its tools OIE-AMR-Veterinary-Services-8P-V.indd Implement the campaign in your country 3 Collect results and let us know how successful the campaign was 4/0/07 3:47
Discover the new campaign and its tools The campaign poster, available with different animals (cow, dog, pig, sheep, poultry, fish) in A3. You can use it for all the animal health stakeholders in your country. HANDLE Fight #AntiMicrobialResistanceialResistance Misuse and overuse of antimicrobials But you can help. By acting prudently when using antimicrobials, you can preserve their efficacy for our future. OIE-AMR-Veterinary-Services-8P-V.indd 3 4/0/07 3:47
For more information and details on the OIE AMR international standards: www.oie.int/amrstandards Dosage regimen (dose, treatment intervals, duration of treatment). Withdrawal periods for meat and milk. Amount of antimicrobial (to be) provided, depending on dosage and number of animals. Labelling of all veterinary drugs supplied. The ability of antimicrobials to select for resistance, and the importance In agreement with national legislation. for human and animal health. When appropriate registered product The need to observe responsible isn t available. and prudent use recommendations. Antimicrobials were discovered in the 0 th century and have made With client informed consent. Appropriate storage conditions a larger contribution to life expectancy than any other medication. and proper disposal. Antimicrobials It is have the veterinarian s transformed responsibility human and to veterinary define medicine. the conditions of responsible use including the Record keeping. dosage regimes, route of administration and Nowadays, withdrawal the emergence period in of these resistance cases is taking a major into concern: effective medecines account to control recommendations and treat animal of the OIE and List. human diseases may Veterinary professional organisations should soon no longer work. Antimicrobial resistance is a major threat to animal develop species-specific clinical practice health and welfare, food supply and food safety worldwide. recommendations for the responsible and prudent use of antimicrobials. Quantities of antimicrobials used per animal species. Details of all antimicrobials supplied to each farm. Treatment schedules (including animal ID and withdrawal period). Antimicrobial susceptibility data. Comments concerning the response of animals to treatment. Adverse reactions including lack of response due to antimicrobial resistance. Veterinarians To help keep your knowledge up-to-date and to ensure implementation of good practices of antimicrobial use. Information on disease prevention and management. Fight #AntiMicrobialResistance Misuse and overuse of antimicrobials But you can help. By acting prudently when using antimicrobials, you can preserve their efficacy for our future. Fight #AntiMicrobialResistance Misuse and overuse of antimicrobials But you can help. By acting prudently when using antimicrobials, you can preserve their efficacy for our future. Discover the new campaign and tools The campaign s toolkit includes material dedicated to all animal health stakeholders. These tools highlight the role each stakeholder has to play in ensuring that antimicrobials are used prudently at national level, in line with OIE international Standards that you can consult here: www.oie.int/amrstandards We need you to take action to ensure antimicrobials are handled with care. ANTIMICROBIALS We ARE need you to take BUT THEY action ARE LOSING to ensure to control and treat antimicrobials infection are handled at increasing with rate. care. The risk that disease-causing agents will for develop the animal resistance health to sector an antimicrobial have the key increases role of safeguarding animal health, whenever antimicrobials are human overused health, or food used supply inappropriately. and food safety at national level, supporting economic development. A strong inter-sector collaboration Your role is is ensuring needed the to preserve proper policies the efficacy are of in antimicrobials place from farm to fork and beyond. by ensuring they are handled prudently when used in humans, animals or plants. The World Organisation for Animal Health, the OIE, has developed international Standards on antimicrobial resistance to help governments to support animal health with harmonised policies and rules. should: Ensure that legislation supports Prevent the importation, ma- responsible and prudent use of 3 nufacturing and circulation of As you have a role to play. antimicrobials and that Veterinary non-quality products. Illegal sales Services which play a key role in the should be brought under control and In addition to actions needed in the fight human against health AMR and have plants the capacity sectors, we need you to perpetrators ensure should be prosecuted. that the responsible and prudent to use implement of antimicrobials legislation. in animals is practiced in your country. Support and finance research into The OIE has developed intergovernmental standards on antimicrobial resistance Control the use of antimicrobials 4(AMR) to help the development of methods for the maintain their efficacy. These texts cover the use of antimicrobials, development of surveillance under the supervision of well-trained prevention, diagnosis and treatment programmes, monitoring quantities of antimicrobials used, and risk analysis of the emergence veterinarians. of diseases to reduce the dependence and spread of resistant bacteria in terrestrial and aquatic animals. Use them to ensure that Ensure that antimicrobials can on antimicrobials, including rapid your country can fight the AMR threat. only be obtained with a veterinary diagnostic tests and vaccines. The reverse of this factsheet provides prescription, a summary based of the on main scientific points for the responsible and prudent use of antimicrobials in animals. Support the organisation of evidence. You can also consult the full version of 5 these texts here: www.oie.int/amrstandards awareness campaigns on the Support and fund minimum geo- responsible and prudent use of Well-structured veterinary services, graphical a strong coverage by veterinarians antimicrobials in animals among national legislation, awareness actions for animal and health surveillance. stakeholders. research supporting these initiatives Enable are crucial. and support Veterinary Statutory Bodies which oversee 6 veterinary qualifications as well www.oie.int/antimicrobial-resistance as the ethical standards and professional excellence of veterinarians including antimicrobial stewardship. page document, GIF IMPLEMENT OIE STANDARDS : the Architects We need the full involvement and support of policy. Their role is to ensure that effective policies are in place from farm to fork and beyond. Only with the appropriate national legislations in line with OIE international Standards we will be able to build the foundation of a responsible and prudent use of antimicrobials. Appropriate use Train yourself and raise & prescriptions awareness of your clients on AMR What should be written on the prescription for antimicrobials? Why? About what? When is extra-label or off-label antimicrobial WITH used CARE allowed? THEY SAVE LIVES! Data TO ACT NOW TO PRESERVE ANTIMICROBIAL EFFICACY FOR TOMORROW. recording What data should be recorded by the vet? What guidelines should be developed? For more details, refer to the OIE international standards: Article 6.9.6. Responsibilities of veterinarians of the OIE Terrestrial Animal Health Code. Article 6..7. Responsibilities of veterinarians and other aquatic animal health professionals of the OIE Aquatic Animal Health Code. OIE List of antimicrobial agents of veterinary importance. www.oie.int/amrstandards 4 page document, GIF IMPLEMENT OIE STANDARDS Veterinarians Veterinarians: the Headliners Being in contact with both animals and farmers, veterinarians are first on the battle front of antimicrobial resistance. They play a key role in this fight, by ensuring that antimicrobials are only used when necessary and in a prudent way, as well as offering professional advice to farmers and animal owners. They must be fully aware of their role and you can help them understand and apply the rules of responsible and prudent use, in line with OIE international Standards. OIE-AMR-Veterinary-Services-8P-V.indd 4 4/0/07 3:47
Pharmaceutical industry For more information and details on the OIE WE AMR NEED international standards: www.oie.int/amrstandards Animal feed manufacturers For more information and details on the OIE AMR international standards: www.oie.int/amrstandards Wholesale and retail distributors For more information and details on the OIE AMR international NEEDstandards: www.oie.int/amrstandards Pharmaceutical industry Animal feed manufacturers Wholesale and retail distributors We need you to handle antimicrobials with care The pharmaceutical BUT THEY ARE industry: LOSING at an increasing rate. the Gatekeeper The role of the pharmaceutical industry is to develop and manufacture safe and effective The risk that disease-causing agents will develop resistance to antimicrobials increases antimicrobials. The industry should help fight antimicrobial resistance by producing quality whenever these precious medicines are used inappropriately. Once bacteria are resistant, medicines and ensure they end up in the right hands and are used prudently and responsibly. the antimicrobial is ineffective and can no longer treat the disease. This phenomenon is called antimicrobial resistance. Your leadership and influence is central to this fight, demonstrating the professionalism and commitment that you bring to the sector. Human, animal and plant sectors have a shared responsibility to prevent or minimise antimicrobial resistance selection pressures on pathogens. Continued availability and efficacy of existing antimicrobial classes and development of new ones are essential to maintain the health and welfare of animals. The responsible and prudent The use of pharmaceutical these invaluable medicines according industry should: to intergovernmental OIE Standards will help maintain their efficacy. Ensure the safety, efficacy and Highlight the risk of antimicro- quality of their antimicrobials, 5 bial resistance and the need and adhere to good manufacturing for responsible and prudent use practices. whenever providing or supplying WE ALL HAVE A ROLE TO PLAY, AND, antimicrobials. Obtain marketing authorisation, THE PHARMACEUTICAL and comply with the codes of Participate in training on the advertising to not advertise 6 prudent and responsible use INDUSTRY, CAN HELP veterinary products containing of antimicrobials. antimicrobial agents directly Together, we need to ensure the to responsible the food animal producer. Contribute to research to help and prudent use of antimicrobials in animals 7 combat antimicrobial resistance, to preserve their availability and efficacy. Only use officially authorised prioritise and focus on developing 3 distribution systems for alternatives to antimicrobials, Tackling pathogen resistance to the antimicrobials marketing and is export a priority of objective of the OIE. such as vaccines and rapid and Through its international Standards, veterinary the OIE medicinal advocates products for responsible and prudent affordable use diagnostic tests. of antimicrobial agents essential containing to human antimicrobial and animal health agents. and welfare by all animal health actors, including the pharmaceutical industry. Cooperate with the competent 4 authorities and share detailed sales data for the monitoring of antimicrobial use and surveillance of antimicrobial resistance. page document, Pharmaceutical industry Pharmaceutical industry: the Gatekeeper Because the use of approved high quality antimicrobials is crucial in the fight against antimicrobial resistance, the pharmaceutical industry can play an important role in keeping antimicrobials efficient and available for animal health. Research, pharmacovigilance programme and appropriate marketing requirements are all actions pharmaceutical industry can and must do. The pharmaceutical industry s leadership and influence is central to this fight, demonstrating their professional responsibility and commitment to the sector. We need you to handle antimicrobials with care BUT THEY ARE LOSING Animal feed manufacturers: at an increasing rate. You are the Intermediaries The risk that disease-causing Feed agents manufacturers will develop have resistance a key role to antimicrobials to Producers increases of animal feed containing whenever these precious medicines play in preserving are overused antimicrobial or used inappropriately. efficacy Once antimicrobials bacteria should adhere to best are resistant, the antimicrobial and is availability. ineffective By and limiting can no the longer access treat of the disease. practice guidelines in order to combat This phenomenon is called medicated antimicrobial feed resistance to veterinary (AMR). prescription, antimicrobial resistance. they can counter overuse and miss use AMR is a threat to the health and welfare of humans and animals, whether aquatic As feed manufacturers it is your responsi- that leads to increased antimicrobial or terrestrial. However, the development of new antimicrobials has not kept bility. pace Your leadership and influence is resistance. Acting today to protect the with the increase of resistance. central to this fight, demonstrating your future of antimicrobials efficacy. professionalism and commitment to the Continued availability and efficacy of existing antimicrobial classes are essential. sector. Handling these invaluable medicines responsibly and prudently according to intergovernmental OIE Standards will help maintain their efficacy and availability for both human and animal health. Manufacturers of antimicrobial-containing feed for animals WE ALL HAVE should: A ROLE TO PLAY, AND, Be approved AS for the A manufacture MANUFACTURER of Only supply to farmers following medicated of feed, antimicrobial-containing and follow all legal feed 5for a animals, veterinary prescription. requirements for medicated feeds. CAN HELP Ensure appropriate labelling Only use approved sources of me- 6 (level of medication, approved claim, Together, dicines. we need Ensure to ensure that only the approved responsible and prudent intended use of species, warnings and antimicrobials sources in of animals medications to preserve are added their to availability and cautions) efficacy, with product identification and thus feed, preserve at a level, human and and for animal a species health and (ingredients, inclusion rates), direc- purpose permitted by the drug pre- tions for use and withdrawal time. Tackling mix pathogen label or a resistance veterinary to prescription. antimicrobials is a priority objective of the World Organisation for Animal Health Keep (OIE). appropriate records Through Avoid its international contamination Standards, with the harmful OIE advocates 7for responsible to allow traceability. and 3prudent agents use and of prevent antimicrobial contamination agents - essential to human and animal health of non-medicated and welfare feed. - by all animal health actors, including Cooperate with the competent manufacturers of feed containing antimicrobials for 8animals. authorities and share sales and Implement best manufacturing distribution data for monitoring 4 practices for optimal hygiene of antimicrobial use. and appropriate mixing to guarantee the homogeneity of antimicrobials in the feed. page document, Animal feed manufacturers Animal feed manufacturers: the Intermediaries Feed manufacturers have a key role in preserving antimicrobial efficacy and availability. By limiting the access of medicated feed to veterinary prescription they can counter overuse and misuse that leads to increase in antimicrobial resistance. For commercial reasons it is sometimes difficult to pursuade feed manufacturers on the importance of acting today to protect the future of antimicrobial efficacy. This short document not only aims to inform them about the concrete actions they can put in place but also to sensitize them on the importance of preserving the efficacy of antimicrobials. We need you to handle antimicrobials with care BUT THEY ARE LOSING Wholesale and retail distributors: at an increasing rate. You are the Sentinel The risk that disease-causing Because agents distributing will develop drugs resistance such as antibiotics to antimicrobials dations increases aimed at the improvement of animal whenever these precious medicines comes with are responsibilities, used inappropriately. you should Once be bacteria health are resistant, and animal welfare, while preventing the antimicrobial is ineffective aware and of can the no importance longer treat of the preserving disease. the This phenomenon or reducing is the selection, emergence and called antimicrobial resistance efficacy (AMR). and availability of antimicrobials. spread of antimicrobial resistance. You must be informed of the importance of AMR is a threat to the health and welfare of humans and animals, whether aquatic Antimicrobials marketing and distribution distributing only high quality antimicrobials or terrestrial. However, the development of new antimicrobials has not kept falls pace under your responsibility and control. and always on a veterinary prescription. with the increase of resistance to existing antimicrobials. Your leadership and influence is central to Responsible and prudent use includes imple- this fight, demonstrating your professio- Continued availability and efficacy of existing antimicrobial classes are essential. menting practical measures and recommen- nalism and commitment to the sector. Handling these invaluable medicines responsibly and prudently according to intergovernmental OIE Standards, will help maintain their efficacy, marketing authorisation, and availability for both human and animal health. Wholesale and retail distributors should: Only WE use ALL approved HAVE sources A ROLE TO PLAY, Comply with the co of medicines. 5 that are compatibl AND, AS PART OF ANTIMICROBIAL of responsible and Manage veterinary antimicrobials DISTRIBUTORS, CAN HELP in line with best storage and Keep detailed rec 6 Comply with the codes of advertising that are compatible with the principles of responsible and prudent use. Keep detailed records (supplier, transport practices. prescriber, user, name of the Tackling pathogen resistance to product, batch number, quantity, Ensure antimicrobials antimicrobials are only is a priority objective shelf of life) to allow traceability. 3 distributed on the the valid World prescription of a veterinarian, Cooperate with the competent Organisation for Animal Health (OIE). Through including its international Standards, 7 authorities and provide detailed Together, we need to ensure the responsible if relevant in the the case OIE of nationally advocates for responsible and sales data for the monitoring of and prudent use of antimicrobials regulated in animals internet prudent sales. use of antimicrobial agents - antimicrobial use. to preserve their availability and efficacy, essential to human and animal health and thus preserve human and animal Ensure health all products and are welfare appropriately labelled. Provide clear and Ensure all staff members are - by all animal health actors, 4 including wholesale and retail 8distributors. correct information on product use, adequately qualified. Participate expiry date and withdrawal period. in and provide training on the appropriate storage, transport and disposal of antimicrobials. OU Wholesale and retail distributors Wholesale and retail distributors: the Sentinels Because distributing drugs such as antimicrobials comes with responsibilities, wholesalers must be aware of the importance of preserving the efficacy and availability of antimicrobials. They must be informed of the importance of distributing only high quality antimicrobials and always on a veterinary prescription. Their professionalism is critical to this fight, demonstrating their professional responsibility and commitment to the sector. page document, Farmers Farmers Dedicated tools will be developed for farmers in 08. OIE-AMR-Veterinary-Services-8P-V.indd 5 4/0/07 3:47
Implement the campaign in your country These tools are intended to help you, as a member of the Veterinary Services in your country, to implement a successful campaign. These documents summarise concisely how your target can act to fight antimicrobial resistance. You can send these technical documents by email, post mail, or distribute them in physical meetings. You can easily identify this document s target audience through the associated picto. Veterinarians Pharmaceutical industry We need you to take action to ensure antimicrobials are handled with care. e The risk that disease-causing agents will develop resistance to an antimicrobial increases whenever antimicrobials are overused or used inappropriately. BUT THEY ARE LOSING at an increasing rate. A strong inter-sector collaboration is needed to preserve the efficacy of antimicrobials by ensuring they are handled prudently when used in humans, animals or plants. The World Organisation for Animal Health, the OIE, has developed international Standards on antimicrobial resistance to help governments to support animal health with harmonised policies and rules. As you have a role to play. In addition to actions needed in the human health and plants sectors, we need you to ensure that the responsible and prudent use of antimicrobials in animals is practiced in your country. LOSING The OIE has developed intergovernmental standards on antimicrobial resistance (AMR) to help Animal feed manufacturers Wholesale and retail distributors Farmers maintain their efficacy. These texts cover the use of antimicrobials, development of surveillance programmes, monitoring quantities of antimicrobials used, and risk analysis of the emergence and spread of resistant bacteria in terrestrial and aquatic animals. Use them to ensure that your country can fight the AMR threat. The reverse of this factsheet provides a summary of the main points for the responsible and prudent use of antimicrobials in animals. You can also consult the full version of these texts here: www.oie.int/amrstandards Well-structured veterinary services, a strong national legislation, awareness actions and research supporting these initiatives are crucial. www.oie.int/antimicrobial-resistance The tools of this OIE international communication campaign are available in English, French and Spanish on: www.oie.int/antimicrobial-resistance OIE-AMR-Veterinary-Services-8P-V.indd 6 4/0/07 3:48
READY TO RUN R CAMPAIGN? LET S GO! OIE-AMR-Veterinary-Services-8P-V.indd 7 Understand the messages fully and take ownership of the campaign. Discover and carefully read all the tools in the communications package. These can be found in the dossier sent to each country or at the download address. 3 Assess your budget and build your project team. 4 Adapt the tool to your country (translate if needed). 5 Identify and mobilise your partners and suppliers (printing and professional press magazines). 6 Print your documents if necessary. 7 Organise top-level meetings with your key partners. 8 Be aware of everything and every opportunity, you are the project leader! 9 Assess the impact of your campaign. 4/0/07 3:48
3 Collect results and let us know how successful the campaign was To estimate the campaign s outcomes and ultimately guide future campaigns, evaluation is important to assess successes and failures and determine whether the campaign s objectives were met. To facilitate this process, we propose using the following indicators: Number of leaflets, posters and technical brochures sent physically and electronically. Number of leaflets, posters and technical brochures printed. Number of social media posts. HANDLE Number of meetings and congresses organised. Fight #AntiMicrobialResistanceialResistance Misuse and overuse of antimicrobials But you can help. By acting prudently when using antimicrobials, you can preserve their efficacy for our future. We need you to take action to ensure antimicrobials are handled with care. Human resources allocated on the AMR campaign. BUT THEY ARE LOSING at an increasing rate. The risk that disease-causing agents will develop resistance to an antimicrobial increases whenever antimicrobials are overused or used inappropriately. A strong inter-sector collaboration is needed to preserve the efficacy of antimicrobials by ensuring they are handled prudently when used in humans, animals or plants. The World Organisation for Animal Health, the OIE, has developed international Standards on antimicrobial resistance to help governments to support animal health with harmonised policies and rules. As you have a role to play. In addition to actions needed in the human health and plants sectors, we need you to ensure that the responsible and prudent use of antimicrobials in animals is practiced in your country. The OIE has developed intergovernmental standards on antimicrobial resistance (AMR) to help maintain their efficacy. These texts cover the use of antimicrobials, development of surveillance programmes, monitoring quantities of antimicrobials used, and risk analysis of the emergence and spread of resistant bacteria in terrestrial and aquatic animals. Use them to ensure that your country can fight the AMR threat. Financial resources allocated to the AMR campaign. The reverse of this factsheet provides a summary of the main points for the responsible and prudent use of antimicrobials in animals. You can also consult the full version of these texts here: www.oie.int/amrstandards Well-structured veterinary services, a strong national legislation, awareness actions and research supporting these initiatives are crucial. www.oie.int/antimicrobial-resistance And you will certainly have more qualitative feedback on campaign perceptions from your collaborators or targets. Remember to choose and define your indicators at the start of the campaign! Otherwise, you might fail in collecting the necessary data during the campaign for eventual evaluation. OIE-AMR-Veterinary-Services-8P-V.indd 8 4/0/07 3:48