resistance policy A One Health Approach Ministry of Health, Welfare - - PowerPoint PPT Presentation

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resistance policy A One Health Approach Ministry of Health, Welfare - - PowerPoint PPT Presentation

Feb 08, 2024 549 likes •741 views

Dutch antibiotic resistance policy A One Health Approach Ministry of Health, Welfare and Sport Ministry of Economic Affairs Ministry of Infrastructure and the Environment AMR Media Seminar 16 11- 2015 Background (1) Doing

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Dutch antibiotic resistance policy

A One Health Approach Ministry of Health, Welfare and Sport Ministry of Economic Affairs Ministry of Infrastructure and the Environment AMR Media Seminar 16 – 11- 2015

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AMR-NL@minvws.nl 2

Background (1)

  • Doing relatively well in health

care Focus on veterinary measures since 2008

  • Political will
  • Self-regulation
  • Transparency
  • Independent monitoring

and benchmarking

  • Enforcement
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Background (2)

AMR-NL@minvws.nl 3

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The Dutch One Health approach

AMR-NL@minvws.nl 4

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Healthcare

  • avoidable healthcare-associated infections will be reduced by

50%

  • incorrectly prescribed antibiotics across the entire healthcare

chain reduced by at least 50%

  • reduction in the emergence and spread of multiresistant bacteria

in healthcare becomes visible

  • infections and deaths due to antibiotic resistance in the

Netherlands will remain at the current level or decrease

  • possibilities for effective treatment of patients with infections

with resistant bacteria will not reduce any further

AMR-NL@minvws.nl 5

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Animals

  • Actions to further decrease

use of all critical antibiotics

  • Actions to combat and

prevent carbepenem resistance in livestock

  • Develop new policy, focus
  • n prevention

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Food safety

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Environment

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Development new antibiotics and resistance

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Communication

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10 million deaths attributable to AMR every year in 2050

11 The Review on Antimicrobial Resistance, Chaired by Jim O’Neill. December 2014

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International cooperation

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Less (spread of) antibiotic resistance by:

  • Higher efficiency
  • Share best practices

Through:

  • Implementation WHO Global Action Plan
  • Global Health Security Agenda AMR

Action Package

  • EU (Presidency)
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EU presidency

  • One health leadership
  • Solid national Action Plans
  • Commit to EU Action
  • Legislate prudent use of

antibiotics in animals in the interest of public health

  • A next step in the

development of new antibiotics

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AMR Health Research in the Netherlands

Directly funded

  • Academia (MoResearch – lump sum)
  • PPP (MoA)
  • National Institute of Public Health (MoH, MoA)
  • Municipal Health services (MoH)
  • Industry, SMEs

Funded via National Health Council (MoH)

  • Antibiotic Use and occurance of AMR
  • Bacterial evolution
  • New technologies (incl diagnostics)
  • Optimising therapeutic use
  • Innovative prevention

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Governance

RIVM: direct steering based on specific requestes and agreed offers ZonMW:

  • Programme based on overall priorities government
  • Governed by ‘new’ programme committee

Mixed expertise Government as observer

  • Steering committee for JPI AMR (Health and agriculture)

Rest: ????

How to link up with other initiatives? (also agriculture)??

  • >

Advice expected soon

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New programme on its way

Knowlegde Agenda developed: gaps identified Government requested new programme

  • not all gaps addressed: focus
  • So far: not a joint programme with agriculture
  • Specific role for additional (international) programmes

Budget 18 mln for 10 years New programme hopefully presented during EU Precidency Event (10th of Februrary)

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