Transcript Antibiotic Stewardship and Health Care for Our

Health Care Practices for Our Food Animals
A CT, Mass, RI, SARE Professional Development Program
2014-2017
CT NOFA 2016 --Antibiotic Stewardship and Health Care for Our Animals
Presenters: Michael Keilty, UConn SARE Tri-State PDP Coordinator
Jean King, UConn SARE Tri-State Project
Ron Celella, DVM, Woodbury, CT
www.meatsystems.uconn.edu
UConn and Tristate NESARE
Professional Development Program
Projects
October 20-21, 2000 Alternative and Herbal Livestock
Health Conference
2008-2011 Producing Natural Local Meat for Consumers
2011-2014 Grass Fed All Year Long
2014-2017 Health Care Practices for our Food Animals

Antibiotic Use and Resistance: Moving Forward Through Shared
Stewardship November 2014

Antibiotic Stewardship: From Metrics to Management November
2015
www.animalagriculture.org
SARE Workshop AGENDA August 13, 2015, Litchfield
1. Food and Drug Administration – “Current Regulations and Compliance Activities”
Joseph T. Frost, MPH, RD, CD
Commander, US Public Health Service, Investigator, Food Specialist, Food and Drug
Administration, Swanton, Vermont
2. USDA’s Food Safety and Inspection Service --“FSIS Food Safety and Drug Residues”
Laura K. Unkauf, DVM, MPH, Supervisory Public Health Veterinarian, USDA FSIS
Dr. Laura Unkauf is an Enforcement Investigation Analysis Officer trained Supervisory
Public Health Veterinarian for USDA’s Food Safety and Inspection Service (FSIS). She
received her D.V.M. from Tufts University in 2004 and her Master of Public Health in
Epidemiology and Biostatistics from Tufts University in 2009.
3. "Antibiotics in Animals for Human Consumption - Hyperbole, Handwaving, or a
Horror-story?"
Nicholas Bennett MA(Cantab), MBBChir, PhD, FAAP, Assistant Professor of Pediatrics,
Co-Director of Antimicrobial Stewardship, Medical Director, Division of Pediatric
Infectious Diseases and Immunology, Connecticut Children's Medical Center.
Deaths Attributable to Antimicrobial Resistance every year by 2050
Source: UK Report – Review on Antimicrobial Resistance 2014
STUDY --High-density livestock operations, crop field
application of manure, and risk of community-associated
MRSA infection, Pennsylvania, USA
Johns Hopkins School of Public Health and Geisinger Health System, PA
2005-2010
Assessing the association between individual exposure to swine and
dairy/veal industrial agriculture and risk of MRSA infection
Context: Manure produced by livestock who are given feed containing
antibiotics is subsequently applied to crop fields and may put community
members at risk for antibiotics –resistant infections.
Conclusion: Proximity to swine manure application to crop fields and
livestock operations each was associated with MRSA and skin and soft
tissue infections. These findings contribute to the growing concern
about the potential public health impacts of high-density livestock
production.
29 Massachusetts Hospitals Commit to Antibiotic
Stewardship through Food Purchasing - March 8, 2016
Twenty-nine member hospitals from across the state have signed the Massachusetts
Hospital Association’s (MHA) Antibiotic Stewardship Commitment in collaboration
with Health Care Without Harm (HCWH), agreeing to purchase and serve at least
one meat item that is raised without routine antibiotics within their food services
menu offerings. By doing so, these hospitals leverage their purchasing dollars to
stimulate broader market shifts, connect their food service operations more closely
with their clinical priorities, and improve the overall health of their workers,
patients, and community
This commitment comes at a time when the Centers for Disease Control has
deemed rising rates of antibiotic resistance to be the “most pressing public health
concern of our time” and the Centers for Medicare and Medicaid Services has
mandated that all nursing homes institute antibiotic stewardship programs.
In October 2015 SUBWAY Restaurants announced a commitment to transition to
only serving chicken raised without antibiotics important to human medicine and
confirmed that it is beginning to transition to serving only protein from animals
that have never received antibiotics across all of its 27,000+ U.S. restaurants in
early 2016.
SUBWAY began selling a chicken sandwich on March 1 made with antibiotic-free,
all white-meat chicken with no artificial color and flavor. They aim to be fully
antibiotic-free in the United States by 2025, to convert to chicken products that
don't have antibiotics by the end of 2016, all antibiotic-free turkey products in
the next two to three years, and all antibiotic-free pork and beef products
between 2020 and 2025.
What is next for this
project?
APRIL 22, 2016 WORKSHOP
at UMASS 10 am- 1pm South Deerfield Farm, 89-91 River Road, South Deerfield, MA
Maintaining and enhancing protocols to treat sick animals
I.
Katherine A. Beltaire, DVM, DACT, Veterinary & Animal Sciences, UMASS
Management of Anthelmintic Resistance on the Farm
II.
R. Craig Jones and John Breakell-- Field Representatives Agri-Mark Dairy Cooperative
FARM (Farmers Assuring Responsible Management)
Milk and Dairy Beef Drug Residue Prevention
III.
Jennifer Hashley – Director, New Entry Sustainable Farming Project
Alternative Production Practices to Enhance Poultry Health
Moving Forward
• Eliminate all antibiotics, drugs and classes of drugs used in
humans for use in food animals
• Significant increase in public investment by national and
international organizations such as WHO and UN in
research on new antibiotics for food animals
• Public funding and research on alternatives to use of
antibiotics for food animal and fodder production
• Required record keeping by all using antibiotics in food
production
• Public recycling of unused drugs
www.meatsystems.uconn.edu