EXPERIENCE WITH ANTIMICROBIAL DATA COLLECTION IN ANIMALS

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NEED FOR HARMONISATION JAPAN EXPERIENCE EXPERIENCE WITH ANTIMICROBIAL DATA COLLECTION IN ANIMALS

Transcript of EXPERIENCE WITH ANTIMICROBIAL DATA COLLECTION IN ANIMALS

NEED FOR HARMONISATION

JAPAN EXPERIENCE

EXPERIENCE WITH ANTIMICROBIAL DATA

COLLECTION IN ANIMALS

Today’s Topics 1. Regulation of Vet. Medicinal Products (VMPs) In Japan 2. Japanese Veterinary Antimicrobial Resistance Monitoring System (JVARM) 3. An overview of veterinary antimicrobial products in Japan

Reasonable and Safe Use of VMPs in Japan

Before Licensing Marketing

Approval System

- Prohibits distribution of unapproved drugs

At the retail level Veterinarian

- Must not prescribe without consultation

Prescription system

- Prohibits selling drugs without direction or prescription of vet.

Usage Restrictions on the usage

of vet. drugs

- Establishes usage standards

for vet. drugs

Distribution Restrictions on the

distribution of vet. drugs - Prohibits distribution without authorization

VMP Distribution

Distributor

Animal Owner

Veterinarian

Retailer

wholesaler

Distributor

Animal

×

Marketing Authorization

Holder

②Prescription

Indications

Dosage, administration, treatment period, withdrawal period others (public health concerns, technological concerns)

• Name of medicine

• Quantity

Information about treated animal

e.g.,) sex, age, identification number

Information about animal owner

Reasons for prescription

•Date of issue

•Information about veterinarian in charge

a set of 4 identical documents 1. For the veterinarian 2. For the regulating authority 3. For the distributor 4. For the animal owner

1)Regulation of Vet. Medicinal Products (VMPs) In Japan 2)JVARM 3)An overview of the availability of veterinary antimicrobial products in Japan used for therapy

General view of JVARM

1.Objective ・Nationwide monitoring of antimicrobial resistance ・Monitoring of veterinary antimicrobial use 2.Established in 1999

3.National Veterinary Assay Laboratory (NVAL) 4.Targeted bacterial species ・Indicator bacteria (E.coli & Enterococcus) ・food-borne pathogen (Salmonella & Campylobacter)

VMP Distribution

Distributor

Animal Owner

Veterinarian

Retailer pharmacy

wholesaler

Distributor

Animal

NVAL

report data annually

Monitoring of Antimicrobial Consumption

Pharmaceutical Affairs Law

Marketing Authorization Holder (MAH)

~2011 2012

Trade Name Trade NameSales amount

(¥1,000)

Sales amount

(¥1,000)

Volume of sales

(kg, L)

Volume of sales

(kg, L)

the names of antimicrobials the names of antimicrobials

Contents of the antimicrobials

The routes of administration The routes of administration

Target animal species Target animal species

Estimated Percentages of Sales

for Each Animals Species

Estimated Percentages of Sales

for Each Animals Species

The reported data from MAH

weight of the active ingredients

NVAL

Collates analyses and evaluates the data Publishes the data in a yearly report and posts it on the Web

http://www.maff.go.jp/nval/iyakutou/hanbaidaka/index.html

Sales Amount and Sales Volume of Antibiotics (2005)

Beef

Cattle

Dairy

cowPig Broiler Layer Dog/Cat

Tetracyclines Oxytetracycline oral 383,157 204154 1.8 1.3 84.5 8.1 4.3

injection 158,791 1162.7 11.6 5.6 82.5 0.07 0.07 0.09

total 541,948 205316.7

Doxycyclin HCl oral 520,321 23713.5 84.3 15.6

Estimated Percentages of Sales for Each Animal SpeciesAmount of

active

substance

(kg)

Sales

amount

(¥1000)

route of

administration

Active

substanceClass

1)Regulation of Vet. Medicinal Products (VMPs) In Japan 2)JVARM 3)An overview of the availability of veterinary antimicrobial products in Japan.

0,0

100,0

200,0

300,0

400,0

500,0

600,0

700,0

800,0

900,0

1000,0

2006 2007 2008 2009 2010 2011

Total

Tetracyclines

Sulfonamides

Macrolides

Penicillins

Aminoglycosides

Phenicols

Lyncomycin

Fluoroquinolones

Cephalosporins

Peptide

Quinolone

Nitrofran

Trends in veterinary antimicrobials sold in tonnes of active substance

0

100

200

300

400

500

600

BeefCattle DairyCow Horse Pig Broiler Layer Dog/Cat

200620072008200920102011

Sales of antimicrobial agents by target species, in tonnes of active substance, during 2006-11

0

50

100

150

200

250

300

350

400

450

200620072008200920102011

Sales of antimicrobial agents, in tonnes of active substance, during 2006-11

Trends in number of animals slaughtered in slaughterhouses and poultry slaughtering plants (1,000 heads/birds).

1

10

100

1 000

10 000

100 000

1 000 000

2006 2007 2008 2009 2010

Broiler

Fowl

Pig

Cattle

Horse

Calves

Conclusion

• JVARM is to monitor the consumption of veterinary antimicrobials from data released by Marketing Authorization Holder

• The data include weight in kilograms of the active ingredients

• Antimicrobials were most frequently used in pigs.

• Tetracycline had the highest sales volume.