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codexalimentarius > Themes > Antimicrobial Resistance

Antimicrobial Resistance

Antimicrobial resistance (AMR) is a major global threat of increasing concern to human and animal health. It also has implications for both food safety and food security and the economic well being of millions of farming households.

Food plays an important role in the development and spread of AMR. The presence of AMR microorganisms in agricultural production systems and food chains is a potential route of exposure for everyone. Good hygiene practices in agriculture, fundamental in achieving food safety, are also key to addressing antimicrobial resistance.

The role of Codex in AMR

Microorganisms (bacteria, parasites, viruses and fungi) in food are potential food safety hazards. The relationship of the use of antimicrobials (agents that can kill microorganisms or stop them from growing) in food-producing animals and the emergence of resistant microorganisms in the food chain is a concern and has been the subject of numerous national and international consultations.

The extent to which the use of antimicrobial agents in food animals (including aquaculture), horticulture or humans contributes to antimicrobial-resistant microorganisms in humans varies between the different microorganisms and different regions.

When humans ingest antimicrobial-resistant microorganisms in food, some species of microorganisms may cause illness. These and other species may also serve as a source of transferable resistance determinants for other microorganisms, including human pathogens.

In recognising the need for a more general and multidisciplinary response to deal with AMR, in 2006 Codex established a first Task Force on Antimicrobial Resistance to develop science-based guidance on how to assess and manage the risks to human health associated with the presence in food and feed (including aquaculture) and the transmission through food and feed of antimicrobial resistant microorganisms. A second Task Force, recently established in response to the increased global attention to the serious threat of AMR to public health, will develop science-based guidance to enable coherent management of antimicrobial resistance along the food chain.

Other Codex texts on veterinary drugs and their residues, food hygiene, animal feed, also contribute to tackle AMR by preventing the development and minimizing the transmission of AMR through the food chain.

Related Codex Texts

Reference Title Committee Last modified
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CXC 61-2005Code of Practice to Minimize and Contain Foodborne Antimicrobial ResistanceTFAMR2021
CXG 77-2011Guidelines for Risk Analysis of Foodborne Antimicrobial ResistanceTFAMR2021
CXG 94-2021Guidelines on integrated monitoring and surveillance of foodborne antimicrobial resistance TFAMR2021

News

WAAW 2023 / Global action to tackle the problem of AMR

World AMR Awareness Week (WAAW) 2023, 18 - 24 November, a global initiative to raise awareness and encourage action to tackle the emergence and spread of drug-resistant pathogens, is starting today.  Antimicrobial resistance (AMR) poses a threat to humans, animals, plants, and the environment, and it affects everyone. The theme for WAAW 2023, maintained from 2022 is: "Preventing antimicrobial resistance together". The theme emphasizes the need for a One Health approach involving multiple sectors to preserve the efficacy of antimicrobials. Addressing AMR requires collective efforts [...]
18 November 2023

ACT in the Plurinational State of Bolivia / Agreement to establish a sectoral AMR committee

The representatives from the Plurinational State of Bolivia discussed the next steps in addressing foodborne antimicrobial resistance (AMR), as part of the “Action to support implementation of Codex AMR texts (ACT)” project. Thirty-five people from different government departments, associations, the private sector and academia met on 23-25 October 2023 in Santa Cruz, Bolivia. “This workshop allowed us to reach commitments among different stakeholders. The participants agreed to establish a sectoral committee for AMR, a laboratory network for AMR in animal health, [...]
14 November 2023

ACT in Pakistan / Training of trainers on Codex standards and foodborne antimicrobial resistance

FAO Pakistan, in collaboration with the Animal Husbandry Commissioner Office of the Ministry of National Food Security and Research, conducted a three-day workshop on Codex standards and foodborne antimicrobial resistance (AMR). More than 40 participants from federal and provincial livestock departments, food authorities and other relevant departmentsattended thistraining of trainerson 23-25 October 2023 in Islamabad. This was the first-ever workshop to raise awareness among field veterinarians and food authorities on Codex and AMR.    “Understanding Codex standardsis criticalfor well-being and achieving the Sustainable Development [...]
08 November 2023
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Pakistan shares its experience in addressing foodborne AMR with Cambodia and Nepal

FAO Pakistan hosted a roadmap workshop to discuss priorities in addressing foodborne antimicrobial resistance (AMR) in Islamabad, Pakistan, on 11 September 2023. The event took place under the “Action to support implementation of Codex AMR texts (ACT)” project, with more than 60 participants from Pakistan, the ACT project coordinators in Cambodia and Nepal, and the regional coordinator for Asia. “This mission allowed all of those involved in the project to get a clear understanding of the current antimicrobial resistance and antimicrobial [...]
24 October 2023

ACT in Nepal / Strengthening food safety laboratory to monitor antimicrobial resistance

Nepal assessed the ability to test for antimicrobial resistance (AMR) in food samples by its central food safety laboratory as part of the “Action to support implementation of Codex AMR texts (ACT)” project. Related laboratory visits, workshops and stakeholder meetings took place in Katmandu from 19 to 21 September 2023. “This assessment and training helped us to understand the areas we need to improve to strengthen the AMR surveillance in the food sector", saidMatina Joshi Vaidya, Director-General of the Department of [...]
17 October 2023

World Food Day 2023 / Codex work on water contributes to safer food

World Food Day 2023 is celebrated under the theme "Water is life, water is food. Leave no one behind". FAO is hosting a week-long series of events from Monday 16 to Friday 20 October welcoming world leaders, experts, changemakers, youth and indigenous activists to spark global action for water, climate action and sustainable agrifood systems. Water is essential for life and it is, indeed, food. But it is also essential in food production and processing. Ensuring that water coming into contact [...]
16 October 2023

ACT Project

ACT Video 2023

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Key Facts

  • Around 500.000 human deaths each year are related to antimicrobial resistance 
  • 27 different antimicrobial classes are used in animals. 
  • Total global animal health market in 2011 was equivalent to USD 22 billion (OECD) 
  • Only 42 countries have a system to collect data on the use of antimicrobials in livestock (OIE)
  • No standardized data available on the global use of antimicrobials in livestock

Source FAO

Video

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