1. Global AMR Surveillance | 3 December 2014 1 |1 | AMR surveillance: Roadmap for a global programme AMR surveillance: Roadmap for a global programme

2. Global AMR Surveillance | 3 December 2014 2 |2 | What we need to achieve Global (WHO, with FAO, OIE): –Report regularly on global and regional trends –Integrate surveillance (human, animal, agriculture) National (countries): – reference (coordinating) centre ability to systematically collect and analyse.......from both healthcare facilities and community –at least one reference laboratory –meet recommendations of AGISAR, OIE animal codes, Codex A. –share information

3. Global AMR Surveillance | 3 December 2014 3 |3 | What capacities are needed? (building blocks) Standards –What data, how collected –How much? External Quality Assessment (EQA) –National, international Technical support –WHO collaborating centres, others National capacity –Technical and financial support Coordination –Regional, global Analysis and reporting –Tools –Database –Data sharing "collaborative platform" –Protocols/agreements Frequency, format for reports and publications

4. Global AMR Surveillance | 3 December 2014 4 |4 | How do we proceed? Example: technical & other support What do we need? –Standards, protocols and methods –EQA –Training and education –Data management tools –Analysis and reporting –Pathogen or disease specific expertise –Regional coordination –Monitoring and evaluation Needs analysis

5. Global AMR Surveillance | 3 December 2014 5 |5 | How do we proceed (2)? How do we supply these needs? –National capacity –Bi-lateral, multilateral cooperation –Collaborating Centres –Regional centres or hubs –WHO resources (global, regional, country) –Other agencies, non-governmental organizations Which of the above are best means to meet needs, and how? Design

6. Global AMR Surveillance | 3 December 2014 6 |6 | How do we proceed (3)? Implementation –Use or adaptation of existing capacity WHO CCs Regional networks Twinning and other forms of direct support –Fill the gaps Extend existing capacity Share practices New........ Implementation

7. Global AMR Surveillance | 3 December 2014 7 |7 | Example: global influenza surveillance: vaccine selection

8. Global AMR Surveillance | 3 December 2014 8 |8 | Needs analysis 2014-5 Design 2015-6 Outline Plan 2014 report Country situation analysis Global action plan Early implementation full implementation Evaluation of early implementation (lessons learned)