The AMR One Health Policy Toolkit: Animal - Human Interface Dr Mark Schipp December 2014

“ To slow the development and spread of AMR and conserve the effectiveness of antimicrobials” preventing infections and the spread of resistant infections improving surveillance, and improving the appropriate use of antimicrobials Department of Agriculture Murdoch AMR Symposium 2 8 December 2014 One Health – One Strategy

Department of Agriculture Murdoch AMR Symposium 3 8December 2014 Specific action areas Infection prevention and control Surveillance Antimicrobial stewardship Communication and education International engagement Research and development Governance

Department of Agriculture Murdoch AMR Symposium 4 8December 2014 Infection prevention and control National Biosecurity Farm level Biosecurity

Department of Agriculture Murdoch AMR Symposium 5 8December 2014 Surveillance $ 11 million from the Commonwealth Government AMR surveillance and usage monitoring Several surveys performed over the years – low levels of AMR both human and animal Work is ongoing to build a repeatable survey based on existing systems in agriculture and human health

Department of Agriculture Murdoch AMR Symposium 6 8December 2014 Surveillance (cont.) Antibiotic usage report by APVMA 587 tonnes per a year 2005 – 2010 Usage levels per animal similar to Finland and lower than Denmark

Department of Agriculture Murdoch AMR Symposium 7 8December 2014 Antimicrobial stewardship Veterinary prescription required Fluoroquinolones not used in food producing animals in Australia Only one third generation cephalosporin injectable available for food animals New antimicrobials assessed for human AMR risk by APVMA - One Health approach

Department of Agriculture Murdoch AMR Symposium 8 8December 2014 Communication and education Awareness campaigns – One Health approach Professional Education and support - Australian Veterinary Association

Department of Agriculture Murdoch AMR Symposium 9 8December 2014 International engagement National AMR strategy – One Health WHO, OIE and Global Health Security Agenda

Department of Agriculture Murdoch AMR Symposium 10 8December 2014 Research and Development CSIRO Biosecurity flagship Pharmaceutical firms and vaccines Companion animals

Department of Agriculture Murdoch AMR Symposium 11 8December 2014 Governance Steering Group - Health and Agriculture Strategic and technical advisory group human and animal health experts

Department of Agriculture Murdoch AMR Symposium 12 8December 2014 Conclusion Australia has stringent antimicrobial controls, and we are in a strong position More data on AMR required, and we are addressing this. With continued positive collaboration with agriculture, health, government and industry We will achieve our stated One Health goal : “ To slow the development and spread of AMR and conserve the effectiveness of antimicrobials”