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Engaging agrifood systems to generate data-for-action in tackling antimicrobial resistance

Addressing antimicrobial resistance through a One Health approach in Sub-Saharan Africa, and South and South-East Asia









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    Booklet
    Africa Regional Strategy on Antimicrobial Resistance Communications and Advocacy 2022
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    Antimicrobial resistance (AMR) occurs when germs, including bacteria, viruses, fungi and parasites change over time and no longer respond to antimicrobials – antibiotics, antivirals, antifungals and antiparasitic agents – making infections harder to treat and increasing the risk of disease spread, severe illness and death. Antimicrobial resistant germs are found in people, animals, food, plants and the environment (in water, soil and air). They can spread from person to person or between people and animals,including from food of animal origin. While AMR occurs naturally over time, usually through genetic changes, the main drivers of AMR include the misuse and overuse of antimicrobials in human health and agriculture; lack of access to clean water, sanitation and hygiene (WASH) for both humans and animals; poor infection and disease prevention and control in healthcare facilities and farms; poor access to quality, affordable medicines, vaccines and diagnostics; lack of awareness and knowledge; and weak enforcement of legislation. Minimizing the emergence and spread of AMR requires a coordinated, focused multisectoral and multinational effort. The Africa Regional Strategy on Antimicrobial Resistance Communications and Advocacy was developed to serve as a guide for African countries to improve awareness of AMR and its consequences in Africa, to promote careful use of antimicrobials among key stakeholders, and to support countries to communicate on AMR in a consistent manner.
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    Surveillance data of the Indian Network for Fishery and Animal Antimicrobial Resistance (INFAAR)
    An analytical report 2019–2022
    2024
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    Antimicrobial resistance (AMR) is now recognized as a major global public health problem which has been aggravated by the irrational use of antimicrobial agents in human and animal health as well as the presence of these agents in the environment. AMR in animal pathogens makes disease treatments ineffective, increases the severity of the disease, reduces productivity and leads to economic losses. In addition, more than half the quantity of antimicrobials used in animals/fish is excreted as waste contaminating soil, water and the environment. This also contributes to the emergence and spread of AMR through selection pressure on microorganisms in the environment. Besides, antimicrobial usage (AMU) can lead to presence of antimicrobial residues in edible animal/fish products which could become a public health risk. Understanding the dynamics of AMR and its surveillance can only be done through quality laboratory services. Laboratory-based surveillance is an integral part of Objective 2 of the National Action Plan of India (2017–2021), which was developed in alignment with the Global Action Plan for AMR. The Indian Council of Agricultural Research (ICAR), with technical assistance from FAO, has established a network of its institutions, the Indian Network for Fishery and Animal Antimicrobial Resistance (INFAAR), to generate nationally representative surveillance data on AMR.
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    Tackling antimicrobial use and resistance in pig production: lessons learned in Denmark 2019
    This report describes a campaign to limit the use of antimicrobials – specifically antibiotics – in the Danish swine-producing sector. It is a testimony of the collaboration between the regulatory sector within the Ministry of Environment and Food (and its agriculture-focused precursors), private veterinary practitioners and swine producers (large and small), to tackle the unsustainable overuse of antibiotics in the industry, and is a retrospective tribute to all those who had the foresight to make significant changes to ensure consumer protection – improving hygiene at primary sites of swine production, developing options for intervention through a system of surveillance and collation of data from feed mills to veterinary practitioner prescriptions, identifying sites for intervention, setting targets, restructuring the relationship between the veterinary services and farmers, and implementing changes in behaviour for greatest impact. Denmark in many ways laid out a plan before there was any known roadmap to follow; every step was based on continuous analysis and feedback to the operators – private and public – for ongoing monitoring and accountability as a driver for change. Meeting the challenge of AMR involves learning from one another. It is hoped that this historical guide may serve other countries, food producers, regulators, veterinarians and those responsible for veterinary structures, as well as academia, to identify ways forward to limit the emergence and spread of AMR that threatens public health, animal health and safe food production worldwide.

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