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1、Antibiotic Stewardship and Health Care of Our Food AnimalsNEW ENGLAND FARMERS UNION 2016 Annual Convention December 3,2016Michael T.Keilty Sustainable Agriculture Research Associate,UConn Extension,Tri-State PDP Program Jean C.King,UConn SARE Tri-State PDP,Food Policy ConsultantNortheast SARE12 stat
2、es andWashington,D.C.Host Institutions:University of VermontUniversity of ConnecticutCompetitive Grant OpportunitiesCompetitive Grant OpportunitiesLarge Grants ProgramResearch&Education GrantsProfessional Development GrantsSmall Grants ProgramFarmer GrantsPartnership GrantsSustainable Communities Gr
3、antsGraduate Student Grants Sustainable AgricultureWendell Berry “Sustainable agriculture”refers to a way of farming that can be continued indefinitely because it conforms to the terms imposed upon it by the nature of places and the nature of people.USDA More profitable farm incomePromote environmen
4、tal stewardshipEnhance quality of life for farm families and communitiesTri-State SARE Project History2008-2011ProducingNaturalLocalMeatforConsumersThethreestateSAREplanfocusedonincreasingproductionoflocalmeatintheregion.Theprojectworkedtoimprovelivestockproducersandagriculturalserviceprovidersknowl
5、edgeandskillsintheareasofforagesandgrazingandstudiedtherelationshipbetweenlocalmeatproductionandanimalprocessing.2011-2014GrassFedAllYearLongTheprojectmovedtoaddressprocessingcapacityshortagesbypromotingyearroundbreedingofbeefcattlethatwouldresultinyearroundslaughterandprocessing.2014-2017HealthCare
6、PracticesforourFoodAnimalsTheprojectisaddressingthecurrentuseofantibioticsinfoodanimalproduction,regulationsthatwillreduceantibioticuse,protocolstokeepsanimalshealthyandconcernsabouttheeffectsonhumansofantibioticsinfoodanimals.Tri-State SARE Program 2014-17Health Care Practices for Our Food AnimalsA
7、n Antibiotic Stewardship InitiativeThethree-yeargrantcreateseducationalprogramsforagriculturalserviceproviders,veterinariansanduniversityeducatorstoaddressthefollowingkeytopics:Year1-Currentantibiotic/druguseinfoodanimalproduction;FDAandUSDAregulations,labeling;availabilityofdrugsYear2-Maintainingan
8、denhancingprotocolstotreatsickfoodanimals;analyzingproductionpracticesYear3-Educationaltoolsforagriculturalserviceproviderstousewithfarmersthatmayreduceusesofdrugsandantibiotics,andenhancefoodanimalenvironmentAction to combat antibiotic-resistance bacteriaAction to combat antibiotic-resistance bacte
9、rial2014Report to the President by the Presidents Council of Advisors on Science and Technology results in the establishment of a task force on combating antibiotic resistance bacteria and required a five year action plan by 2015.l2015 Plan announced toptwogoalsoffiveGOAL1:Slow the Emergence of Resi
10、stant Bacteria and Prevent the Spread of Resistant Infections including elimination of the use of medically-important antibiotics for growth promotion in food-producing animals and bring other agricultural uses of antibiotics,for treatment,control,and prevention of disease,under veterinary oversight
11、.GOAL2:Strengthen National One-Health Surveillance Efforts to Combat Resistance Objectives Tri-State SARE Workshop 2015JosephT.Frost,MPH,RD,CD,Commander,US Public Health Service,Investigator,Food Specialist,FDA“CurrentRegulationsandComplianceActivities”LauraK.Unkauf,DVM,MPH,USDAs Food Safety and Ins
12、pection Service“FSISFoodSafetyandDrugResidues”NicholasBennettMA(Cantab),MBBChir,PhD,FAAP,Assistant Professor of Pediatrics,Co-Director of Antimicrobial Stewardship,Medical Director,Division of Pediatric Infectious Diseases and Immunology,Connecticut Childrens Medical Center.AntibioticsinAnimalsforHu
13、manConsumption-Hyperbole,Handwaving,oraHorror-story?Dr.BennettDr.BennettWheres the evidence that this is a real problem?Wheres the evidence that this is a real problem?Doanimalsdevelopdrug-resistantorganisms?Isresistancedependentonantibioticexposure?Canfarmanimalstransmitresistantorganismstohumans?C
14、anresistantorganismsgetintofoodproducts?Arethereotherenvironmentalimpacts?JAMA 2013High-DensityLivestockOperations,CropFieldApplicationofManure,andRiskofCommunity-AssociatedMethicillin-ResistantStaphylococcus aureusInfectioninPennsylvaniaProximity to swine manure application to crop fields and lives
15、tock operations each was associated with MRSA and skin and soft tissue infection.Agricultural Applications for Antimicrobials.A Agricultural Applications for Antimicrobials.A Danger to Human Health:An Official Position Danger to Human Health:An Official Position Statement of the Society of Infectiou
16、s Diseases Statement of the Society of Infectious Diseases Pharmacists 2016Pharmacists 2016Thelinkbetweenantibioticuseinanimalsandantibioticresistanceinhumansisunequivocal.April2016.MNailor,UConnprofessoretalAntibiotic Use and Resistance:Moving Forward Through Shared Stewardship November 2014 Antibi
17、otic Stewardship:From Metrics to Management November 2015Antibiotic Use Working Together for Better Solutions November 2016 How Resistance Develops SARE WorkshopsApril2016KatherineA.Beltaire,DVM,DACT,VeterinaryAnimalSciences,UMASSManagement of Anthelmintic Resistance on the Farm goatsSeptember 2016
18、Dr.KatherinePetersson,AssociateProfessor,URIAnthelmintic Resistance in Production Systems Whats happening nowFDAVETERINARYFEEDDIRECTIVEThe marketing status of medically important antimicrobials for use in feed or water for food animals will change from over-the-counter to prescription or to veterina
19、ry feed directive(VFD)on January 1,2017.The intent is to implement measures that address public health concerns while insuring animal health needs are met.Community ResponseOctober2015-SUBWAYRestaurantsannouncedacommitmenttotransitiontoonlyservingchickenraisedwithoutantibioticsimportanttohumanmedici
20、ne.2015-Morethan300leadingmedicalorganizations,includingtheAmericanMedicalAssociation,theAmericanPublicHealthAssociation,andtheAmericanAcademyofPediatricsopenlyadvocateendingtheuseofnon-therapeuticantibioticsinanimalagriculturetoprotectpublichealthandtheenvironment.November2016MarylandsChallenge:Ant
21、ibioticResistance,PublicHealth,andtheFutureofAgriculture,PublicForumOrganizedbytheNaturalResourcesDefenseCouncil,MarylandEnvironmentalHealthNetwork,CleanWaterAction,MarylandPublicInterestResearchGrouptodiscussthepublichealthandsafetyaspectsofroutineantibioticuseinlivestockfeed.From Consumer Reports December 2016From Consumer Reports December 2016l“antibioticsinanimalscontributetotheriseofantibiotic-resistantbacteria,whichinfectanestimated2millionpeopleeachyearintheU.S.,ofwhom23,000die,accordingtotheCDC.”