Mary Gordoncillo FAO Initiatives on AMR Surveillance in Asia · shop on Development of Surveillance...
Transcript of Mary Gordoncillo FAO Initiatives on AMR Surveillance in Asia · shop on Development of Surveillance...
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shop on Development of Surveillance Framework for AIndia Habitat Cen
3 4 Augu3‐4 Augu
FAO Initiatives on AM
Antimicrobial Resistance in Food Animals and Environntre, New Delhiust 2017ust 2017
MR Surveillance in Asia
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OUTLINE OF PRESENTATION
s Areas of the FAO Action Plan on AMR
Initiatives on AMR Surveillance in AsiaInitiatives on AMR Surveillance in Asia
1. Development of the Regional Framework for AMR
2. Development of Regional Guidelines on AMR Surve
3. Strengthening of Laboratory Capacity on AMR Surv
4. Assessment of National Capacities related to AMR
5. Support to country initiatives on AMR Surveillance
6. Other support to regional work on AMR Surveillan
Surveillance
eillance
veillance
Surveillance
e
nce
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These ongoing FAO Initiative
OSRO/RAS/502/USA: AddrLivestock Aquaculture and CLivestock, Aquaculture and C
GCP/GLO/710/UK Engaging Saharan Africa and South ancombat antimicrobial resista
FMM/RAS/298/MUL Strengaction plans on prudent andfisheries (aquatic animal hea( q
es on AMR in Asia are supported by:
essing Antimicrobial Usage in Asia’s Crop Production SystemsCrop Production Systems
the food and agriculture sectors in sub‐nd South‐east Asia in the global efforts to ance using a One Health approach
gthening capacities, policies and national d responsible use of antimicrobials in alth and aquaculture component)q p )
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These ongoing FAO Initiative
OSRO/RAS/502/USA: AddrLivestock Aquaculture and CLivestock, Aquaculture and C
GCP/GLO/710/UK Engaging Saharan Africa and South ancombat antimicrobial resista
FMM/RAS/298/MUL Strengaction plans on prudent andfisheries (aquatic animal hea( q
es on AMR in Asia are supported by:
essing Antimicrobial Usage in Asia’s Crop Production SystemsCrop Production Systems
the food and agriculture sectors in sub‐nd South‐east Asia in the global efforts to ance using a One Health approach
gthening capacities, policies and national d responsible use of antimicrobials in alth and aquaculture component)q p )
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Focus Areas of the FAO Actioon Plan on AMR
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FAO Initiatives on AMR Survveillance in Asia
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FAO Initiatives on AMR Surv
ROUTINE AMR SURVEILLANCE IN
veillance in Asia
N THE ANIMAL HEALTH SECTOR
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1. Development of the Regiona
Consultation Consultation Consultation Consultation AMR survAMR surv
l Framework for AMR Surveillance
Workshop on Workshop on Workshop on Workshop onveillanceveillance
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1. Development of the Regional Framework for AMR Surveillance
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1. Development of the Regiona
AMR Transmission Pathways
l Framework for AMR Surveillance
• Antimicrobial resistance (AMR) in bacterial organisms does not
i bi l i l h i lrecognize biological, physical, or sectoral boundaries.
• Its potential transmission pathwainclude broad areas of disciplines are often traditionally segregatedagriculture, humans, environmennd wildlifend wildlife
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1. Development of the Regiona
AMR Transmission Pathways
l Framework for AMR Surveillance
AGRICULTURE | THE ANIMAL HEALTH S
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1. Development of the Regiona
AMR Transmission Pathways
l Framework for AMR Surveillance
AGRICULTURE | THE ANIMAL HEALTH S
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1. Development of the Regiona
e collective and coordinated actions oss these multiple disciplines canoss these multiple disciplines can erage on the strengthened sectoral ountability towards AMR igationigation.
s ensures that the efforts of nations address this global issue will benefit m the respective expertise of each tor, and that actions are also well‐,tained by their respective mandates
l Framework for AMR Surveillance
AGRICULTURE | THE ANIMAL HEALTH S
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1. Development of the Regiona
MR surveillance in food‐borne microorganisms from healthy animals imicroorganisms from healthy animals ior food consumption;
MR surveillance in animal pathogens d f l ll b l l
p gecovered from clinically or sub‐clinicalseased livestock;
MR surveillance in aquaculture in bothMR surveillance in aquaculture in bothealthy and clinical cases which will privolve the fisheries sector, in coordinathe environmental sector; e e o e ta secto ;
MR monitoring in farm settings (eg., mnd slurry) in coordination w/ the
i lnvironmental sector;
l Framework for AMR Surveillance
intendedintended
lllly
hh imarily tion with
manure
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1. Development of the Regiona
VED PRACTICES
UNDERSTANDING
ENCE‐BASED ACTIONS IN THE ANIMAL H
l Framework for AMR Surveillance
PROTECTION OF PUBLIC
HEALTH SECTOR TOWARDS AMR MITIGAT
IMPROVED PRA
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1. Development of the Regiona
JOINT RISK ASSESSMENT
EATMENT GUIDELINE
ANTIBIOGRAM
EATMENT GUIDELINE
AGRICULTURE + ANIMAL
LABORATORY DATABASE
ANTIBIOGRAM SURVEILLANCE DATABASE
LABORATORY DATABASE
LABORATORY TESTING
DIAGNOSTIC SAMPLES SAMPLES FROM THE SLAUGHTERHOUSE, FIELD, EN
Clinical samplesPetsLivestock that require treatmentAq ac lt re
• Sampling along supply chains of food and agriculture system
Aquaculture
ASSIVE SURVEILLANCE ACTIVE SURVEILLANCE
l Framework for AMR Surveillance
HUMAN HEALTH
REGULATIONS COMPLIANCE/AWARENESS
EPIDEMIOLOGIC INFORMATION ON AMR
PRUDENT USE OF ANTIBIOTICS
GOOD PRODUCTION PRACTICES
EPIDEMIOLOGIC INFORMATION ON AMR:MAGNITUDE AND NATURE OF AMR PROBLEMS
NVIRONMENT ETC. I f ti l h i• Information on supply chain of food and agriculture system + antibiotic use (AMU) along the chains
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2. Development of Regional Gu
Development of the Development of the Development of the Development of the AMR survAMR surv
idelines on AMR Surveillance
regional guidelines regional guidelines regional guidelines regional guidelinesveillanceveillance
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2. Development of Regional Gu
ONALLY‐HARMONIZED GUIDELINES FOR:
MR surveillance in food‐borne microorgagom healthy animals intended for food onsumption;
MR surveillance in animal pathogens recoom clinically or sub‐clinically diseased liv
ill i l i b h hMR surveillance in aquaculture in both hend clinical cases which will primarily involsheries sector, in coordination with the nvironmental sector;nvironmental sector;
MR monitoring in farm settings (eg., manurry) in coordination w/ the environmenturry) in coordination w/ the environment
idelines on AMR Surveillance
nisms ✓ ✓
✓
✓
overed vestock;
l h
✓
✓ealthy ve the ✓
ure and al sector;al sector;
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2. Development of Regional Gu
efforts of Member Countries arking to contribute to this global drive benefit from having a regional eline that is:
anchored on existing international tandards
aking well into account the unique ettings in the region
regionally‐harmonized
idelines on AMR Surveillance
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2. Development of Regional Gu
✓
idelines on AMR Surveillance
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2. Development of Regional Gu
regionally‐harmonized guidelines will:
help Member States in preparing to carry out their respective national AMR
illurveillance
help obtain a cohesive body of regional nformation
idelines on AMR Surveillance
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2. Development of Regional Gu
DEAL: All countries in the Region ence AMR surveillance in all critical
Regional vision on AMR sur
EALITY: Countries need progressiveEALITY: Countries need progressive ng of relevant capacities for:
DesigningDesigningPlanningImplementation
ional AMR surveillance program in nimal Health Sector
idelines on AMR Surveillance
rveillance
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3. Strengthening Laboratory cap
Training on Standardized anTraining on Standardized anTraining on Standardized anTraining on Standardized anAMR Surveillance in Food AAMR Surveillance in Food A
1212--15 June 2017; 215 June 2017; 2
pacity on AMR Surveillance
nd Harmonized Methods fond Harmonized Methods fond Harmonized Methods fond Harmonized Methods foAnimals in SouthAnimals in South--East AsiaEast Asia2121--24 August 201724 August 2017
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3. Strengthening Laboratory cappacity on AMR Surveillance
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4. Assessment of national capac
Pilot Missions using ATLAPilot Missions using ATLAPilot Missions using ATLAPilot Missions using ATLALaboratory and AMR SLaboratory and AMR S
March to May March to May 20172017: Thailand, Indon: Thailand, Indon
cities on AMR Surveillance
ASS (Assessment Tool for ASS (Assessment Tool for ASS (Assessment Tool for ASS (Assessment Tool for Surveillance Systems)Surveillance Systems)nesia, Myanmar, Vietnam, Lao PDRnesia, Myanmar, Vietnam, Lao PDR
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4. Assessment of national capaccities on AMR Surveillance
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5. Support to country initiatives
V i ti l il t jV i ti l il t jVarious national pilot projVarious national pilot projPlanning * Training * FielPlanning * Training * Fiel
s on AMR Surveillance
j t AMR S illj t AMR S illjects on AMR Surveillancejects on AMR Surveillanced implementation * Othersd implementation * Others
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5. Support to country initiativess on AMR Surveillance
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6. Other reinforcements to regioonal efforts on AMR Surveillance
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6. Other reinforcements to regio
CONSULTATION MASEAN MEMB
DANCE DOCUMENT ON AMR RVEILLANCE IN THE REGION
onal efforts on AMR Surveillance
MEETING WITH BER STATES
SETTING UP OF THE AMR TECHNICAL ADVISORY GROU
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Thanwww.fao.org/anti
Antimicrobial-R
nk you.imicrobial-resistance