Antimicrobial Stewardship in Canadian Agriculture &

Veterinary Medicine(Dairy Session)

Education of Veterinarians

Ron Johnson, DVM, PhD, DACVCPOntario Veterinary College

Toronto, ONNovember 1, 2011

Education of FutureDVMs

Are we adequately educating veterinary students regarding antimicrobial stewardship?

• “The emphasis on food safety aspects of antimicrobial use focuses on residue avoidance rather than resistance”

• “In all clinical teaching in Ruminant Farm Service in 4th year, prudent antimicrobial use is deeply ingrained in discussion involving antimicrobials use; there is some discussion of AMR issues”

• “Pretty minimal and non-core; depends on interest areas of lecturer/rotation supervisor; no clear mandate exists on these areas”

Yes

No

Education of FutureDVMs

• Prudent Antimicrobial Use

• Antimicrobial Resistance

• Health Canada Advisory Committee Report (2002; Can Vet J 2002; 43: 836-837)

• #38: “Encourage Canadian veterinary colleges and associations to ensure that preventative medicine, prudent use of antimicrobials and resistance are given high priority in veterinary undergraduate, post graduate and continuation education programs”.

Yes

NoYesNo

Educational Resources Available to DVMs

• Professional and Regulatory Bodies Canadian Veterinary Medical Association OABP Health Canada

Canadian Food Inspection AgencyVeterinary Drug Directorate

CVO

Involvement with Canadian Quality Milk Program

CgFARAD (Global Food Animal Residue Avoidance Databank

Canadian Veterinary Medical Association

• Antimicrobial Prudent Use Guidelines (2008) • http://canadianveterinarians.net/Documents/Resources/Files/

1211_11385_CVMA_pug_e_web.pdf

• Guidelines for Legitimate Use of Compounded Drugs in Veterinary Practice (2006)

• http://canadianveterinarians.net/Documents/Resources/Files/722_CG_Final_Aug_07E.pdf

Health Canada

• Policy of Extra-Label Drug Use in Food-Producing Animals (2009) • http://www.hc-sc.gc.ca/dhp-mps/vet/label-etiquet/pol_eldu-

umdde-eng-php 

Professional & Regulatory Bodies

“An on-farm safety program to help producers prevent and reduce food safety hazards and risks on their

farms”

Dairy producers monitor critical areas and implement best management practices to:

• Effectively cool and store milk• Sanitize their equipment and make sure their wash

water is clean• Safely transport their animals• Closely monitor the use of medicine and chemicals to

prevent residues in milk

Canadian Quality MilkProgram

“Best Managed Practices 4: Medicines and Chemicals Used on Livestock”

• Storage and handling

• Treatment choice

• Administration

• Identification of treated cattle

• Records

Canadian Quality MilkProgram

“Canadian gFARAD plays an important role in the prevention of violative drug and chemical residues in

foods of animal origin”

• Integral to the Canadian agri-food system ensuring food safety while protecting the reputation of Ontario and Canadian producers with our national and international trading partners

• Facilitates the translation and transfer of critical food animal drug residue and pharmacokinetics knowledge to end-users and key stakeholders when drugs are used extra-label or animals are exposed to toxic chemicals

• Supports the traceability of potentially violative drug residues

Service

Education

Research

Training of HQP

• What do we do at CgFARAD

Alberta10%

British Columbia10%

Manitoba10%

Ontario54%

Quebec12%

Saskatchewan3%

Maritimes2%

CgFARAD Requests 2010 Distribution by province

0

100

200

300

400

500

600528 520

231

61 52 51 4628 24 24 23 21 11

CgFARAD Requests for Different Commodity Groups - 2010

Turk

eys

Chick

ens/Br

oilers

Cattle

(Dairy

)

Goats

Chick

ens/Br

oiler B

reed

er

Shee

p

Swine

Cattle

(Bee

f)

Chick

ens/La

yers

Horse

Quail

0

100

200

300

400

500

600 Maritimes

Quebec

Ontario

Manitoba

Saskatchewan

Alberta

British Columbia

Req

uests

Receiv

ed

Provincial Distribution of Request By

Commodity Group (2010)

Percent of Dairy RequestsBy Province (2009)

Milk for ThoughtAVMA/CVMA Accreditation

Associations

Regulatory bodies

Animal Welfare

CostsViolative Residues

AlternativeTherapies

Thank You