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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

Three webinars on Codex and food safety for Latin America and the Caribbean

Three webinars for Latin America and the Caribbean will be held in 2023 to strengthen the implementation of Codex standards.  The webinar on future challenges in food safety will be held in April, followed by the webinar on the application of Codex standards (regional experiences) in July, and the webinar on food safety under the One Health approach will take place in October.  “The growing population worldwide, the increase in food demand, and the consequent growth of the food industry added to [...]
18 April 2023

ACT project in Mongolia: Prudent use of antimicrobials discussed among herders

The “Action to support implementation of Codex AMR Texts (ACT)” project was presented at the Herders Forum in Mongolia on 2 March 2023, where more than 400 herders, livestock specialists, and local governors discussed the government's policies for the development of the agricultural sector, livestock production and responsible and prudent use of antimicrobial drugs and food safety. “This was a good opportunity to present the ACT project and discuss the responsible and prudent use of antimicrobial drugs in livestock. Our survey, [...]
03 April 2023

ACT project: Building networks is critical to achieving project goals

Representatives from the Food and Agriculture Organization of the United Nations (FAO) and the Korean Ministry of Food and Drug Safety reviewed the progress and priorities of the project “Action to support implementation of Codex AMR Texts (ACT)” at a consultation meeting earlier this March.   Attending the session, Tom Heilandt, Codex Secretary, said: "We are happy to implement the ACT project with the support from the Government of Korea. This year Codex is turning 60. This project is one of the [...]
15 March 2023

ACT project / Jorge Pinto Ferreira, FAO, describes how six countries evaluated their implementation of Codex AMR Texts

As part of the “Action to support implementation of Codex AMR Texts (ACT)” project, six countries have finished assessing their antimicrobial resistance (AMR) situation, in particular the status of implementation of measures to minimize and contain foodborne AMR. This was part of capacity building activities to manage the development and transmission of foodborne AMR through the adoption and implementation of relevant Codex standards. To learn more about this process and the expected impact, we talked to Jorge Pinto Ferreira, FAO [...]
04 January 2023

ACT project / Pakistan brings together 50 experts to discuss progress on AMR

As part of the “Action to support implementation of Codex AMR Texts (ACT)” project, FAO Pakistan organized a national workshop on antimicrobial resistance (AMR) on 24-26 October 2022 in Islamabad, Pakistan. More than 50 experts representing different sectors concerned with AMR human health, animal health, agriculture, poultry, dairy and pharmaceutical industry reviewed the key areas of the AMR National Action Plan (NAP).  “We assessed the progress of the implementation, as well as engaged food and agriculture stakeholders, and identified gaps and [...]
28 November 2022

ACT project part of One Health approach to combat antimicrobial resistance in foodborne pathogens

WHO roundtable discussion in Croatia Antimicrobial resistance (AMR) is not only a human health threat, but also a food safety issue. Antimicrobial use in food animals – for treatment, disease prevention or, in some countries outside the European Union, growth promotion – allows resistant bacteria and resistance genes to emerge and spread from food animals to humans through the food chain. To address this issue, the World Health Organization (WHO) organized a roundtable discussion on 10 November 2022, in close collaboration [...]
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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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