Action for Combatting AMR in Veterinary Sector...Hirofumi Kugita OIE Regional Representative for...

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


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


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


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.


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


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

World Organisation for Animal Health · Protecting animals, Preserving our future | 12Trai

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VETERINARY HEALTH

PROFESSIONALS Veterinary Education

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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


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)



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



Completeness of Templates

Baseline Information + Option

28%

23%

49%

No reply

Baseline Information onlyn=180



Reporting options = types of submission of data

n=89

32%

64%

3%

33%

68%

BASELINEINFORMATION

OPTION 1

OPTION 2

OPTION 3

Quantitative

QualitativeData



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)



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



Route of Administration

84%

15%

1%

Oral Injection Other

n=29



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

Action for Combatting AMR in Veterinary Sector...Hirofumi Kugita OIE Regional Representative for...

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