Working(across(sectors(to(tackle(An0microbial( Resistance...

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Working across sectors to tackle An0microbial Resistance (AMR) Na0onal Health and Family Planning Commission of the People’s Republic of China Dr. Ka’nka de Balogh Senior Animal Health and Produc’on Officer The Food and Agriculture Organiza0on of the United Na0ons Regional Office for Asia and the Pacific Bangkok, Thailand

Transcript of Working(across(sectors(to(tackle(An0microbial( Resistance...

Page 1: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Working  across  sectors  to  tackle  An0microbial  Resistance  (AMR)  

Na0onal  Health  and  Family  Planning  Commission  of  the  People’s  Republic  of  China    

Dr.  Ka'nka  de  Balogh  Senior  Animal  Health  and  Produc'on  Officer  

 The  Food  and  Agriculture  Organiza0on  of  the  

United  Na0ons  Regional  Office  for  Asia  and  the  Pacific  

Bangkok,  Thailand    

Page 2: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

Consumption of livestock products is growing rapidly...

100

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400

500

Index

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61=1

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1960 1970 1980 1990 2000 2010

Roots and tubers CerealsMeat MilkEggs

Eggs  

Meat  

Milk  Cereals  

Roots  and  tubers  

Source:  FAO  SOFA  2009  

Page 3: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

             An0bio0c  Excre0on  by  Farm  Animals  (kg/10km2)  

Source: Adapted from Van Boeckel et al., 2015; Assumption: 50% of consumption excreted

Page 4: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

AnimalFeeds Meat

Direct Contact

EXTENDED

CARE FACILITIES

HOSPITALIZED

HUMANCommercial Abattoirs / Processing

Plants

Rendering

FOOD ANIMALS

SHEEP CATTLE

SWINE

POULTRYVEAL

CALVES

Offal

COMPANIONANIMALS

Vegetation,Seed Crops, Fruit

Sewage

Drinking water

Drinking Water

Sea / Lakes

SwimmingAQUACULTURE

Rivers andStreams

EPIDEMIOLOGY EPIDEMIOLOGY OF OF

ANTIMICROBIAL ANTIMICROBIAL RESISTANCERESISTANCE

Industrial &Household

AntibacterialChemicals

OTHER FARMED

LIVESTOCK

COMMUNITY- URBAN-RURAL

WILDLIFE

SOIL

Handling Preparation

Consumption

after Linton AH (1977), modified by Irwin RJ

Dead stock

Farm Effluents and Manure Spreading

Page 5: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

Global leader for food and agriculture

Global leader for animal health and welfare standards

Global leader for human health

One-Health collaboration The  Tripartite  (and  other  intergovernmental  organizations),  to  support  the  development  and  implementation  of  national  action  plans  and  antimicrobial  resistance  activities  at  the  national,  regional  and  global  levels  

Page 6: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

 Environmental  Health  

Human  Health  and  well  being  including  food  

safety  

Animal  (terrestrial  and  aqua0c)  Health  

 Wildlife  

Domes'c  

Socio-­‐Poli0cal-­‐Economic  Environment  

Trad

e  

Plant  Health  

Healthy  Environment  

Expanding the One-Health Concept

Page 7: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

Page 8: Working(across(sectors(to(tackle(An0microbial( Resistance ......Health(for(all(and(all(for(health((•( Santépourtousettouspourlasanté((Saludparatodosytodosparalasalud ((• •人人享有健康

Health  for  all  and  all  for  health    •    Santé  pour  tous  et  tous  pour  la  santé    Salud  para  todos  y  todos  para  la  salud    •  •人人享有健康 一切为了健康    Здоровье  для  всех  и  все  для  здоровья      •     الصحة للجميع واجلميع للصحة 

Na0onal  Health  and  Family  Planning  Commission    of  the  People’s  Republic  of  China      

Developing National Action Plans through stakeholder consultation

Thank  you!  

Contact:  [email protected]