Transcript Presentation slides

It is not difficult to make
microbes resistant to
penicillin in the laboratory,
and the same has occasionally
happened in the body.
Alexander Fleming, 1945
Nobel Prize Acceptance Speech
1
The End of Modern Medicine?
Epidemiology
of AMR
AQUACULTURE
Drinking
water
Farm effluents &
manure spreading
Rendering
Seas &
lakes
Drinking
water
Rivers &
streams
Soil
Sewage
Vegetables, seed
crops, fruits &
vegetables
Offal
Animal
feeds
Irrigation
water
Antibiotics
WILDLIFE
Dead
stock
Swim
Industrial &
household
antimicrobial
chemicals
Swine
Hospital
FOOD Cattle
ANIMALS
Sheep
Antibiotics
Poultry
Commercial
abattoirs &
processing
plants
Meat &
fish
Handling,
preparation,
consumption
COMPANION
ANIMALS
HUMANS
Urban
areas
Others
Care
facilities
Rural
areas
Food processing
antimicrobials
Direct contact
2
Antimicrobial resistance
Diagram based on Linton (1977), as adapted by Rebecca Irwin, Health Canada (Prescott 2000) and IFT
Economic costs
Europe – cost of AMR
€1.5bn and 600m lost days of
productivity per year
Russia
UK – cost of AMR
83% of families use unnecessary
antibiotics at home
£10bn/yr societal costs plus
£20k per patient episode
USA – cost of AMR
Healthcare costs alone
$21-34bn/yr
Japan and Antarctica
Resistant bacteria found in
water samples
3
Antimicrobial resistance
Map and statistics from World Economic Forum “Global Risks 2013”
except UK statistics, which are based on work published by Richard Smith of LSHTM
THE GLOBAL PICTURE
4
Antimicrobial resistance
Can we make a difference?
5
Antimicrobial resistance
Public information and education
http://bit.ly/CMObook
6
Antimicrobial resistance
http://bit.ly/CMOatTEDx