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Armando E. Hoet, DVM, PhD, DACVPMDirector, Veterinary Public Health Program

Hoet © 2018

IICA-OSU-Antimicrobial Drug Resistance Group for the Caribbean

Armando E. Hoet, DVM, PhD, DACVPMDirector, Veterinary Public Health Program

Antigua

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14 1

St. Kitts & Nevis

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St. Vincent and the Grenadines

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33 Participants 14 Caribbean Countries**

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TRAINING ON ANTIMICROBIAL USE AND ANTIMICROBIAL RESISTANCE IN AGRICULTURE

Phase 1: Multi-country Pilot Studies in Primary Production Caribbean countries

December 2015 July 2015

From Design to Implementation

Standard Operating Procedures

PILOT STUDIES ON PRE-HARVEST AND RETAIL POULTRY

Webinar Training on Field and Lab SOPs

>200 Participants 7 Caribbean Countries

PILOT STUDIES ON PRE-HARVEST AND RETAIL POULTRY

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

PILOT STUDIES ON PRE-HARVEST AND RETAIL POULTRY

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

Pilot 1: 100% Pilot 2: 100% Phenotyping and MIC: 100% WGS: 100%

PILOT STUDIES ON PRE-HARVEST AND RETAIL POULTRY

Whole Genome Sequencing

CLONAL CLUSTERS

16 steps Systematization Tool

Hoet©2018

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* Preliminary Description

Paraguay* Priority Level Action

Beef High Include in National Plan

Poultry High Include in National Plan

Fresh Cheese High Include in National Plan

Swine High Include in National Plan

Wild Caught Fish High Include in National Plan

Eggs High Include in National Plan

Aquaculture Moderate Targeted Studies

Small Ruminants Moderate Targeted Studies

Buffalos Moderate Targeted Studies

Quail (Eggs) Moderate Targeted Studies

Hoet©2018

Dominican Republic

COLOMBIA– Nov 2017/Done Plan development – IP Implementation – 2019 - 2020

ECUADOR – Sep 2017/Done Plan development – IP Implementation – 2019 - 2020

BRAZIL – Sept 2018/Done Plan development – IP Implementation – 2019 - 2020

CHILE– June 2018/ Done Plan development – IP Implementation – 2019

PARAGUAY– May 2017/Done Plan development – IP Implementation – 2018 - 2019

DOM. REP. – May 2018/Done Plan development – IP Implementation – 2019 - 2020

BELIZE – Sept 2018/Done Plan development – IP Implementation – 2019 - 2020

COSTA RICA – May 2018/Done Plan development – IP Implementation – 2020 - 2021

GeneralAssembly

SECTION 1:

Drug Residues

SECTION 2:

Antibiotic Use

SECTION 3:

Antimicrobial Resistance

SECTION 4:

Risk Communication

TOPIC/ PROBLEM(S)

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Group 1Group n

Group 1Group n

Group 1Group n

Group 1Group n

TOPIC/ PROBLEM(S)

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Group 2Group n

Group 2Group n

Group 2Group n

Group 2Group n

TOPIC/ PROBLEM(S)

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Group 3Group n

Group 3Group n

Group 3Group n

Group 3Group n

Objectives:• Socialize results from

surveillance programs

• Evaluate and discuss identified gaps and/or issues

• Identify innovate solutions and interventions in an multidisciplinary setting

• Prioritize potential solutions to develop an action plan

Focus Forward

► GAP: <40% of Swine farmers use/keep ABX records

Progressive Management Pathway for AMR

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4STAGEST

AGE

STAG

E

STAG

E

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0%

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0%

Overall

Overall

Overall

Overall

0%KPI

0%KPI

0%KPI

0%KPI

60% 50%

67% 50%

43% 50%

75% 67%

60%

67%

4STAGE

43%

75%ST

AGE

STAG

E

Overall

Overall

Overall

Overall

50%

50%

50%

67%

KPI

KPI

KPI

KPI

STAG

E

71% 100%

67% 100%

60% 50%

75% 100%

4STAGEST

AGE

STAG

E

STAG

E

71%

60%

67%

75%

Overall

Overall

Overall

Overall

100%

100%

50%

100%

KPI

KPI

KPI

KPI

0% 0%

0% 0%

0% 0%

83% 80%

4STAGEST

AGE

STAG

E

STAG

E

0%

0%

0%

83%

Overall

Overall

Overall

Overall

0%KPI

0%KPI

0%KPI

80%KPI

Armando E. Hoet, DVM, PhD, DACVPMDirector, Veterinary Public Health Program

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