Introduction to the Global AMR Action Plan

Transcription

1 Introduction to the Global AMR Action Plan Dr Danilo Lo Fo Wong Programme Manager Antimicrobial Resistance

2 Antibiotic resistance WHO meetings, consultations, workshops in 1971, 1977, 1981, 1982, 1994, 1996, 1997, 1998, 1999, 2002, 2004, 2008, 2009 World Health Assembly resolutions in 1986, 1988, 1990, 1992, 1994, 1996, 1998, 2001, 2005, 2007, 2009 WHO global strategy for containment of antimicrobial resistance published in 2001 Despite progress, strategies for containment not widely implemented

3 Renewed global efforts Centralized secretariat at WHO HQ (December 2011) WHO Global AMR Task Force AMR Strategic and Technical Advisory Group (STAG) High-level awareness raising, e.g. World Health Assembly AMR Side Events 2012 hosted by Sweden, Ghana 2013 hosted by Sweden, UK 2014 hosted by Netherlands, UK and Turkey

4 Global AMR Action Plan Resolution adopted at World Health Assembly (May 2014) Call for Global Action Plan by WHA 2015 Stakeholder and public engagement Technical consultations AMR surveillance (Dec 12, Mar 14, Sep 14) STAG (Sept 13, Apr 14, Oct 14, Feb 15)

5 Global AMR Action Plan Online consultation 4 July to 1 September 2014 Contributions from MS, NGOs, Private, Academia, Int Organizations High-level ministerial meetings Netherlands (June 2014) Norway (Nov 2014) Sweden (Dec 2014) Submit to World Health Assembly 2015

6 Global AMR Action Plan

7 Guiding principles Whole-of-society engagement Actions based on best available knowledge and evidence Prevention first Access not excess Sustainability Incremental targets for implementation

8 Five strategic objectives: 1. Improve awareness and understanding 2. Strengthen the knowledge and evidence base 3. Reduce the incidence of infection 4. Optimize the use of antimicrobial medicines 5. Develop the economic case for sustainable investment

9 Framework for action

10 Implementing, monitoring and evaluation Countries to develop and implement national action plans building blocks National priorities, circumstances WHO to develop monitoring & evaluation framework Reporting every 2 years Other stakeholders to develop own action plans and report within normal reporting cycle

11 European strategic action plan on antibiotic resistance ( ) WHO European action plan adopted by all 53 Member States Recognizing AMR neglected in many countries of the region No systematic AMR surveillance in large part of the Region Need for intersectoral coordination International spread through travel and trade Need for international standards and data sharing

12 Action Plan Strategic Objectives 1. Strengthen intersectoral coordination 2. Strengthen surveillance of antibiotic resistance 3. Promote rational use and strengthen surveillance of antibiotic consumption 4. Strengthen infection prevention and control and surveillance in health care settings 5. Prevent emerging resistance in veterinary and food sectors 6. Promote innovation and research on new drugs 7. Improve awareness, patient safety, and partnership

13 Implementation activities Country situation analysis Albania, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Georgia, Kyrgyzstan, Moldova, Tajikistan, Turkmenistan, Uzbekistan National AMR workshops Belarus, The former Yugoslav Republic of Macedonia, Georgia, Moldova, Serbia, Turkey, Uzbekistan International AMR workshops November 2013, Bilthoven, The Netherlands July 2014, Tbilisi, Georgia February 2015, Copenhagen, Denmark

14 Expanding AMR surveillance throughout Europe European Antimicrobial Resistance Surveillance Network (EARS-Net) Central Asian and eastern European Surveillance of Antimicrobial Resistance (CAESAR) European Centre for Disease Prevention and Control World Health Organization Regional Office for Europe Countries submitting data to CAESAR Countries visited for CAESAR 9th participation EURL-AR Workshop 2015 Countries to be visited for CAESAR participation Countries participating in EARS-Net

15 Expanding AM use surveillance throughout Europe European Surveillance of Antimicrobial Consumption Network (ESAC-Net) WHO/Europe-ESAC Project Group European Centre for Disease Prevention and Control World Health Organization Regional Office for Europe Countries which reported 2011 data to WHO Countries in the process of collecting 9th EURL-AR data Workshop 2015 Countries invited to join Countries participating in ESAC-Net

16 Infection prevention and control SAVE LIVES: Clean Your Hands - WHO's global annual campaign 2014 link to AMR

17 AMR in the food chain Booklet: AMR from a food safety perspective National workshops Albania, Tajikistan, Uzbekistan, Turkmenistan Subregional workshops Balkans (Albania), Central Asia (Kazakhstan) Advisory Group on Integrated Surveillance of AMR (AGISAR) World Health Day 7 April 2015

18 Awareness day Materials: Infograph Website Video Press release Presentation Activities Country events (press conferences, seminars) EC/ECDC/WHO twitter chat

19 Campaign support Call for proposals (April 2014) Template, SMART objectives, selection criteria Proposal review (May 2014) Panel of expert partners (WHO, RIVM, ECDC, BAPCOC) Grants awarded (ARM, BIH, GEO, KGZ, MKD, MNE, SRB) Implementation June 2014 to February 2015 Workshop (February 2015) Exchange experiences and expertise

20 Partnership

21 Acknowledgments Division of Communicable Disease, Health Security & Environment Guenael Rodier Cristiana Salvi Siff Malue Nielsen AMR Coordination Danilo Lo Fo Wong Nienke van de Sande-Bruinsma Saskia Nahrgang Food Safety Hilde Kruse Health Systems and Public Health Hans Kluge Health Technologies and Pharmaceuticals Hanne Bak Pedersen Nina Sautenkova Influenza & other Respiratory Pathogens Caroline Brown Vaccine Preventable Diseases & Immunization Robb Butler Catharina de Kat-Reynen Alert and Response Operations Ana Paula Coutinho

22 No action today No cure tomorrow Thank you for your attention