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Antimicrobial resistance policy benchmarks in medicated feed









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    Book (series)
    Joint FAO/WHO Expert Meeting in collaboration with OIE on Foodborne Antimicrobial Resistance: Role of the Environment, Crops and Biocides
    Meeting report
    2019
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    Responding to the request from the 39th Session Codex Alimentarius Commission (CAC) and the ad hoc Codex Intergovernmental Task Force on Antimicrobial Resistance (TFAMR) for information about antimimcrobial resistance, this report provides scientific advice on the subject derived from a joint “FAO/WHO expert meeting on foodborne antimicrobial resistance: role of environment, crops and biocides” on 11-15 June 2018 in Rome, Italy. There is clear scientific evidence that foods of plant origin may serve as a vehicle of foodborne exposure to antimicrobial-resistant bacteria. Aquaculture products can also carry bacteria that are resistant to medically important antimicrobials. As such, concerted efforts should be made to mitigate their contamination at all stages of the food chain, from production to consumption. Notably, antimicrobials should only be used in crop production according to label guidelines in the context of integrated pest management strategies. To improve food safety, best management practices should be adhered to with respect to the use of human and animal wastes for soil amendment purposes and for the prevention of environmental contamination where aquatic animals are raised for food. Foods of plant and aquatic animal origin food incorporated in to integrated surveillance plans for antimicrobial resistance (AMR) monitoring. Because of the theoretical potential for disinfecting chemical to co-select for AMR, biocides should be used according to manufacturers’ recommendations.
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    A One Health Priority Research Agenda for Antimicrobial Resistance 2023
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    Antimicrobial resistance (AMR) has been recognized as one of the greatest global threats to humans, animals, plants and ecosystems health threatening the achievement of the Sustainable Development Goals. In our globally connected world, resistance to antimicrobials may spread and circulate among humans, animals, plants and the environment, necessitating a “One Health” approach. While the One Health approach is relevant to all efforts to prevent and control AMR, this priority research agenda focuses on research areas at the interface between sectors. This research agenda is a joint product of the Quadripartite organizations –FAO, UNEP, WHO and WOAH - and a result of extensive stakeholder and expert engagement. A structured mixed-methods approach was used including reviews of academic and grey literature, online open global survey, and consensus exercise by modified Delphi method in which global experts prioritized research areas for the five pillars: transmission, integrated surveillance, interventions, behavioral insights and change, and economics and policy. We hope this research agenda will serve as a guiding tool for countries, research institutes and funding bodies to support for One Health AMR research, helping policymakers, researchers and the multidisciplinary scientific community to work together across sectors on solutions that will prevent and mitigate AMR on a national, regional and global scale as further evidence on research strategies, interventions and policies is required to understand what works, in which contexts and for whom.
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    Book (stand-alone)
    Monitoring global progress on antimicrobial resistance 2018
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    Antimicrobial resistance (AMR) is a grave threat to human health and economic development[1]. Countries are at different stages in responding to the growing threat posed by AMR. Some countries, including many European countries, have experience with AMR policies in human and agricultural sectors for more than two decades. Others have only recently acted to contain AMR. WHO, FAO, OIE developed a Global Action Plan on AMR (GAP) in 2015 as a cross-sectoral approach to combatting AMR. All countries approved the GAP and agreed to adopt National Action Plans on AMR by 2017. The Tripartite Organisations have developed a framework for monitoring and evaluation to assist with the achievement of GAP, and created a national self-assessment survey containing questions structured around the objectives of the GAP. The first wave of this survey was sent to WHO’s 194 member countries in late-2016. The survey instrument was subsequently revised and a second wave was initiated in late-2017. In this report, we analyze countries’ responses to the second wave of the tripartite survey and describe the current level of global progress on AMR. We convey progress achieved towards the goals of the GAP across WHO regions and across country income groups to identify differences in progress and explore progress in relation to key agricultural sector indicators to examine whether the presence of a strong agricultural sector impacts progress made towards One Health goals at the national level.

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