who/europe priorities and activities. danilo lo fo wong (who/europe)

Strengthening the fight against antimicrobial resistance in Bosnia and Herzegovina: current situation and future challenges, 29 October 2013

3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks

11-13 February 2015, Stockholm, Sweden



WHO Regional Office for Europe

Priorities and activities for

addressing antibiotic resistance

Dr Danilo Lo Fo Wong Programme Manager AMR

On behalf of the WHO/Europe AMR Working Group




European strategic action plan on antibiotic resistance (2011 – 2016)

• 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




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




Country Situation Analysis • Country situation analysis

– Visit key Ministries, institutions, agencies, laboratories

– Mission report with observations and recommendations

– Follow-up activities

• Goal

– Appointment of National AMR Focal Point

– Installation of Intersectoral Coordination Mechanism (ICM)

– Development of national AMR action plan

• Performed: Albania, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Georgia, Kyrgyzstan, Moldova, Tajikistan, Uzbekistan, Turkmenistan




CAESAR Network (Central Asian and eastern European Surveillance of Antimicrobial Resistance)

• Network of national surveillance networks in non-EU MS

• Joint initiative – European Society of Clinical

Microbiology and Infectious Diseases (ESCMID)

– Dutch National Institute of Public Health (RIVM)

• Close collaboration with ECDC – Use methodology compatible to EARS-Net




Expanding AMR surveillance throughout Europe

European Centre for Disease Prevention and Control World Health Organization Regional Office for Europe

Countries submitting data to CAESAR Countries visited for CAESAR participation Countries to be visited for CAESAR participation Countries participating in EARS-Net

European Antimicrobial Resistance Surveillance Network

(EARS-Net)

Central Asian and eastern European Surveillance of

Antimicrobial Resistance (CAESAR)




Region-wide AM use data • Technical workshops

– Training, data collection and analysis of national AM use data

– Non-EU Member States

• Joined initiative – University of Antwerp, Belgium

• Close collaboration ECDC – Use methodology compatible

with EU Member States

Lancet Infect Dis 2014 Published Online, March 20, 2014

http://dx.doi.org/10.1016/S1473-3099(14)70071-4




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 data Countries invited to join Countries participating in ESAC-Net




Infection prevention and control • Global Infection Prevention and Control

Network (GIPCN)

• SAVE LIVES: Clean Your Hands - WHO's global annual campaign

• 2014 – link to AMR




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)

• Global Foodborne Infections Network (GFN)




Materials: • Infograph

• Website

• Video

• Press release

• Presentation

Activities • Country events (press conferences, seminars)

• EC/ECDC/WHO twitter chat

Awareness day




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




Partnership

http://www.escmid.org/

http://www.nivel.nl/en




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 – Ganna Bolokhovets

• Influenza & other Respiratory Pathogens – Caroline Brown

• Vaccine Preventable Diseases & Immunization

– Robb Butler • Alert and Response Operations

– Ana Paula Coutinho – Jukka Pukkila




No action today… No cure tomorrow

Thank you for your attention

who/europe priorities and activities. danilo lo fo wong (who/europe)

Health & Medicine