action for combatting amr in veterinary sector...hirofumi kugita oie regional representative for...
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Hirofumi Kugita
OIE Regional Representative for Asia and the Pacific
Action for Combatting AMR in Veterinary Sector
AMR Symposium, 1st G7 CVO Forum24 November 2016 * Tokyo, Japan
World Organisation for Animal Health · Protecting animals, Preserving our future | 2
OIE: An intergovernmental technical and science-based Organisation
Creation of the
Office International
des Épizooties (OIE)
New preferred name:
World Organisation for
Animal Health (OIE)Creation of the
United Nations
1924 20031945
Headquarters (Paris, France)
Regional Representations
Sub-Regional Representations & Offices
● Astana
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OIE: Mandate
STANDARDS
for international trade of animals and animal
products
TRANSPARENCY
of the world animal disease situation
EXPERTISE
Collection and dissemination of
veterinary scientific information
SOLIDARITY
between countries to strengthen
capacities worldwide
under the mandate given by the WTO
animal disease prevention and control methods
including zoonoses Capacity building tools and programmes
Improving animal health and welfare worldwide
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Globalisation
Population growth
Demand for food
+1 billion people by 2050
Focus on developing countries
Demand for animal protein, increase by more than 50%
Unprecedented movement of people and commodities
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AMR – shared responsibility
Antimicrobial resistance (AMR) is not a new phenomenon, but concerns are growing
Antimicrobial agents are essential to ensure human health, animal health and welfare, and food security
The human, animal and plant sectors have a shared responsibility to prevent or minimise the development of antimicrobial resistance by both human and non-human pathogens.
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83rd General Session in May 2015:
Adopted: Resolution No 26 “Combating Antimicrobial Resistance and Promoting the Prudent Use of Antimicrobial Agents in Animals”
Tripartite collaboration
Support to Global Action Plan
Support to Development of National Action Plans
Collaboration with Public Health officials
Asked for an OIE database on AMU in animals
Improvement on veterinary legislation
Improvement of AMR inclusion in Vet education
Others
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DEVELOPMENT OF
STANDARDS & GUIDELINES FOR HARMONISATION
SURVEILLANCE OF
ANTIMICROBIAL
RESISTANCE
GOOD GOVERNANCE
AND CAPACITY BUILDING OF OIE FOCAL POINTS
TRAINING AND EDUCATION OF
VETERINARY HEALTH
PROFESSIONALS
OIE
AC
TIV
ITIE
S O
N A
MR
AVAILABILITY OF
QUALITY ANTIMICROBIALS
OTHERINITIATIVES
ANTIMICROBIAL USAGE
DATA COLLECTION
IN ANIMALSAWARENESS AND COMMUNICATION
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sDEVELOPMENT OF STANDARDS &GUIDELINES FOR HARMONISATION
• Updated and adopted between 2012 and 2015
• WHO and FAO participate in the ad hoc Group on AMR
• http://www.oie.int/en/international-standard-setting/terrestrial-code/access-online/
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OIE List of Antimicrobial Agents of Veterinary Importance:
• updated and adopted in May 2013 and May 2015
• to take into account concerns for human health
(WHO and FAO participated in this task)
Recommendation: Any use of antimicrobial agents in animals should be in accordance with OIE standards on responsible and prudent use
Veterinary Critically Important Antimicrobial AgentsVCIA• Both Criteria 1 and Criteria 2
Veterinary Highly Important Antimicrobial AgentsVHIA• Criteria 1 or Criteria 2
Veterinary Important Antimicrobial AgentsVIA• Neither Criteria 1 or 2
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TRAINING AND EDUCATION OF
VETERINARY HEALTH
PROFESSIONALS Veterinary Education
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TRAINING AND EDUCATION OF
VETERINARY HEALTH
PROFESSIONALS
SPECIFIC COMPETENCIES FOR DAY 1 GRADUATES:• Epidemiology • Transboundary animal diseases • Zoonoses (including food borne diseases) • Emerging and re-emerging diseases• Disease prevention and control programmes• Food hygiene • Veterinary products • Animal welfare • Veterinary legislation and ethics • General certification procedures • Communication skills
Veterinary Education
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
The WHO Global Action Plan:
“OIE, supported by FAO and WHO within the tripartite collaboration, should build and maintain a global database on the use of antimicrobial medicines in animals”
The first phase of data collection on antimicrobials used in animals was initiated at the end of 2015.
2nd round of data collection is currently on-going (4th quarter of 2016)
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Submission of questionnaires by OIE Member Countries
44/54
19/29
26/32
n=130
36/53
5/12
81.5
65.5
81.3
67.9
41.7
AFRICA AMERICAS ASIA EUROPE MIDDLE EAST
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Completeness of Templates
Baseline Information + Option
28%
23%
49%
No reply
Baseline Information onlyn=180
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Reporting options = types of submission of data
n=89
32%
64%
3%
33%
68%
BASELINEINFORMATION
OPTION 1
OPTION 2
OPTION 3
Quantitative
QualitativeData
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Authorisation of antimicrobial agents as growth promoters
YES = 34 NO = 96n=130
26%
74%
YES NO
Decrease in %
of countries that
authorise growth
promotors
(49% in 2012)
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Data Source
42
9
33
61
11
7
17 17
IMPORTS MANUFACTUERS MARKETINGAUTHORISATIONS
HOLDERS
WHOLESALERS FEEDMANUFACTURES
USE VETERINARIANS PHARMACIE
0
10
20
30
40
50
60
70
n=89
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Route of Administration
84%
15%
1%
Oral Injection Other
n=29
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OIE GLOBAL DATABASE ON AMU IN ANIMALS
Respective use of the antimicrobial classes
1.9%0.9% 0.0% 0.3% 0.3% 0.1%
4.0%
0.0% 0.3% 1.1%
15.8%
0.1% 0.1% 0.1%
7.4%
0.5%
4.8%
0.1% 0.0%
7.3%
47.8%
0.6%
7.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
n=89