Download CHANGES IN ANTIMICROBIAL USE FOR FOOD ANIMALS IN

CHANGES IN
ANTIMICROBIAL USE FOR
FOOD ANIMALS IN CANADA
Simon Otto, BSc DVM PhD
Assistant Professor, Environmental Health Sciences
[email protected]
Alberta Beekeepers Commission – IPM Workshop
February 8, 2017
Outline
• AMR importance
• Social License
• Health Canada
changes
• Pan-Canadian
AMR Framework
• AB AMR Activities
AMR – Animal Health Impacts
AMR – Animal Health Impacts
Social License
(Sean Royer, 2015 – AB Ag and Forestry)
• Definition: The privilege of operating with
minimal formalized restrictions (legislation,
regulation or market requirements) based on
maintaining public trust by doing what is right.
• Public Trust: a belief that activities are
consistent with social expectations and the
values of the community and other stakeholders.
* Centre for Food Integrity
• NOT something you can “own”
Canadian’s Knowledge of Farming
What drives consumer trust?
• Shared values
are 3-5x more
important for
building trust than
demonstrating
competence.
Journal of Rural Sociology,
2009
• Policy proposals – medically important
antimicrobials:
– Removal of Growth Promotion claims
– VETERINARY OVERSIGHT
Pan-Canadian AMR Framework
Stewardship Task Group
• Antimicrobial Stewardship:
– a system-wide approach
that includes coordinated
interventions designed to
promote, improve, monitor,
and evaluate the judicious
use of antimicrobials to
preserve their future
effectiveness and promote
and protect human and
animal health
3
Governance
En
Stewardship Recommendations
1. Create and fund a pan-Canadian AMS
network that includes human and animal
health to provide ongoing leadership and
coordinated action
2. Implement a robust system for collecting
AMU data for benchmarking to supporting
continuous improvement of stewardship
programs
Stewardship Recommendations
3. Develop pan-Canadian harmonized
governance tools, such as regulations
and organizational accreditation
requirements, across jurisdictions
4. Build knowledge about stewardship:
a. Enhance and harmonize educational
curricula for prescribers, including continuing
education opportunities
b. Build public awareness of the impact of AMU
Surveillance Task Group
• Purpose of AMR/U Surveillance is to
inform:
1. Stewardship activities to improve human
and animal healthcare, guide judicious
use [treatment decisions] and reduce
unnecessary use
2. Interventions and policy decisions at
local, provincial and federal levels to
protect Canadians [and animals] from
AMR
Surveillance - Recommendations
1. Clear definition of surveillance objectives
– System design = the defined needs
2. Build on current engagement of
stakeholders to develop AMR/U
surveillance systems
3. Central, harmonized, integrated
database/platform across sectors
4. Better technical guidance – data
collection, collation, etc.
IPC Task Group
• IPC = infection prevention and control
• IPC = biosecurity
• Broad discussion about strategies to
prevent any infection in human and animal
health (food and companion animals);
thereby reducing the need for antimicrobial
use
IPC Recommendations
1. Govt of Canada leadership to engage
FPT partners and stakeholders to
develop and deliver IPC communication,
education and training programs + tools
across human and animal health
2. FPT governments, with stakeholders,
facilitate and promote the application and
oversight of IPC best practices in human
and animal health
IPC Recommendations
3. FPT governments work with affected
communities and stakeholders to address
inequalities in capacity to deliver IPC
programs
4. IPC-focused research to understand the
effectiveness (and sustainability) of IPC
practices across the human and animal
health settings
Research & Innovation Task Group
1. Support an appropriately funded, crosssectoral, network to share data, expertise
and resources to facilitate discovery of
alternative and antimicrobial therapies,
best practices and economic and
production impacts of interventions
R&I – Recommendations Cont.
2. Explore alternatives and adjuvants to
antimicrobials, including diagnostics, as a
Canadian approach that addresses the
needs of both human and veterinary
medicine
3. Support clinical/field trials for alternatives,
adjuvants and antimicrobials to respond
to the threat of AMR
R&I – Recommendations Cont.
4. Provide economic/policy/regulatory incentives,
to build human resources and industrial
capacity to encourage commercialization within
antimicrobial, alternatives, and adjuvant drug
development
5. Develop a fast tracked low cost process for
approving and/or licensing drugs that meet
predefined criteria of unmet medical need using
similar models that are adopted by other
countries
Alberta AMR Activities
• Alberta Agriculture and Forestry (AF)
– AB Farmed Animal Health and Welfare
Steering Committee
– 2016 Stakeholder engagement
• Alberta One Health Antimicrobial
Workshop (Nov 23-24, 2016)
• ABVMA, AF, AH
Alberta AMR Activities
• Alberta Government AMR Strategy
– Joint project lead by AB Health with AB Ag
and Forestry
– Contractor to lead stakeholder engagement
and strategy development
– Incorporating AF engagement work and
outputs of ABVMA workshop
FPT Discussions - Honey Bees
• AB history – Tylosin
• How to adapt to the new reality?
• More in Part 3
Conclusions
• Global initiative driving change in Canada
and Alberta
• Despite what we think in agriculture, the
public is driving change
– Social license –consumer confidence
• Objective of this workshop is to improve
communications on how to do things right
and adjust to a new reality
Thank you!