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 relatively well in health care Focus on veterinary measures since 2008 • Political will • Self-regulation • Transparency • Independent monitoring and benchmarking • Enforcement 2 AMR-NL@minvws.nl
Background (2) 3 AMR-NL@minvws.nl
The Dutch One Health approach 4 AMR-NL@minvws.nl
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 5 AMR-NL@minvws.nl
Animals • Actions to further decrease use of all critical antibiotics • Actions to combat and prevent carbepenem resistance in livestock • Develop new policy, focus on prevention 6
Food safety 7
Environment 8
Development new antibiotics and resistance 9
Communication 10
10 million deaths attributable to AMR every year in 2050 The Review on Antimicrobial Resistance, 11 Chaired by Jim O’Neill. December 2014
International cooperation 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) 12
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 13
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 14 Voettekst
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 15 Voettekst
16 Voettekst
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) 17 Voettekst
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