1. NEW ENGLAND FARMERS UNION 2016 Annual Convention December 3, 2016
Antibiotic Stewardship and Health Care of Our Food Animals
NEW ENGLAND FARMERS UNION
2016 Annual Convention December 3, 2016
Michael T. Keilty Sustainable Agriculture Research Associate, UConn Extension, Tri-State PDP Program
Jean C. King, UConn SARE Tri-State PDP, Food Policy Consultant
michael

2. Northeast SARE 12 states and Washington, D.C. Host Institutions:
University of Vermont
University of Connecticut
Michael

3. Competitive Grant Opportunities
Large Grants Program
Research & Education Grants
Professional Development Grants
Small Grants Program
Farmer Grants
Partnership Grants
Sustainable Communities Grants
Graduate Student Grants
Michael

4. Sustainable Agriculture
Wendell Berry
“Sustainable agriculture”…refers to a way of farming that can be continued indefinitely because it conforms to the terms imposed upon it by the nature of places and the nature of people.
USDA
More profitable farm income
Promote environmental stewardship
Enhance quality of life for farm families and communities
Michael

5. Alternative Health Practices for Livestock
2000 – UConn Alternative Heath Care Practices for Livestock Conference
Important concerns about food safety, particularly about antibiotics and chemical residues in meat, milk and other livestock foods have stimulated new interest in alternative methods for livestock health.
Alternative Health Practices for Livestock, edited by Thomas Morris & Michael Keilty, Blackwell Publishing 2006
Michael

6. Tri-State SARE Project History
Producing Natural Local Meat for Consumers The three state SARE plan focused on increasing production of local meat in the region. The project worked to improve livestock producers’ and agricultural service providers’ knowledge and skills in the areas of forages and grazing and studied the relationship between local meat production and animal processing Grass Fed All Year Long The project moved to address processing capacity shortages by promoting year round breeding of beef cattle that would result in year round slaughter and processing Health Care Practices for our Food Animals The project is addressing the current use of antibiotics in food animal production, regulations that will reduce antibiotic use, protocols to keeps animals healthy and concerns about the effects on humans of antibiotics in food animals.
Michael

7. Jean

8. Tri-State SARE Program 2014-17
Health Care Practices for Our Food Animals An Antibiotic Stewardship Initiative The three-year grant creates educational programs for agricultural service providers, veterinarians and university educators to address the following key topics: Year 1 -- Current antibiotic/drug use in food animal production; FDA and USDA regulations, labeling; availability of drugs Year 2 -- Maintaining and enhancing protocols to treat sick food animals; analyzing production practices Year 3 -- Educational tools for agricultural service providers to use with farmers that may reduce uses of drugs and antibiotics, and enhance food animal environment
Jean

9. Michael/Jean

10. Action to combat antibiotic-resistance bacteria
2014 Report to the President by the President’s Council of Advisors on Science and Technology results in the establishment of a task force on combating antibiotic resistance bacteria and required a five year action plan by 2015.
2015 Plan announced – top two goals of five
GOAL 1: Slow the Emergence of Resistant Bacteria and Prevent the Spread of Resistant Infections [including elimination of the use of medically-important antibiotics for growth promotion in food- producing animals and bring other agricultural uses of antibiotics, for treatment, control, and prevention of disease, under veterinary oversight.]
GOAL 2 : Strengthen National One-Health Surveillance Efforts to Combat Resistance Objectives
Jean

11. Tri-State SARE Workshop 2015
Joseph T. Frost, MPH, RD, CD, Commander, US Public Health Service, Investigator, Food Specialist, FDA “Current Regulations and Compliance Activities” Laura K. Unkauf, DVM, MPH, USDA’s Food Safety and Inspection Service “FSIS Food Safety and Drug Residues” 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. "Antibiotics in Animals for Human Consumption - Hyperbole, Handwaving, or a Horror-story?"
Michael

12. Dr. Nicholas Bennett - Changing Practices
1950s - 2 million lbs of antibiotics, none for animal growth
~40% of antibiotics used for animal growth
~80% of antibiotics used for animal growth
Jean

13. Dr. Bennett Where's the evidence that this is a real problem?
Do animals develop drug-resistant organisms?
Is resistance dependent on antibiotic exposure?
Can farm animals transmit resistant organisms to humans?
Can resistant organisms get into food products?
Are there other environmental impacts?
Jean

14. Journal of Hazardous Materials 2015
Antibiotic resistance genes in manure-amended soil and vegetables at harvest
Antibiotic Resistant Genes (ARGs) were also detected on harvested vegetables grown in manure-amended soil, including root endophytes, leaf endophytes, and phyllo-sphere microorganisms.
Jean

15. JAMA 2013
High-Density Livestock Operations, Crop Field Application of Manure, and Risk of Community-Associated Methicillin-Resistant Staphylococcus aureus Infection in Pennsylvania
Proximity to swine manure application to crop fields and livestock operations each was associated with MRSA and skin and soft tissue infection.
Jean

16. Agricultural Applications for Antimicrobials
Agricultural Applications for Antimicrobials. A Danger to Human Health: An Official Position Statement of the Society of Infectious Diseases Pharmacists 2016
The link between antibiotic use in animals and antibiotic resistance in humans is unequivocal.
April M Nailor, UConn professor et al
jean

17. December 14, 2016 SARE Workshop
UConn Extension Tolland Office, 24 Hyde Avenue, Vernon, CT 9:30 am to 1 pm
FDA Veterinary Feed Directive – Michael Murphy, Veterinary Medical Officer, Center for Veterinary Medicine, FDA
Agricultural Applications for Antimicrobials. A Danger to Human Health: An Official Position Statement of the Society of Infectious Diseases Pharmacists Michael D. Nailor, PharmD, UConn School of Pharmacy
Panel – Moving Forward
Michael Darre, UConn
Henry Talmage CT Farm Bureau
Craig Jones, Agri-Mark Sheila Andrew, UConn
Register at
Michael

18. Antibiotic Use and Resistance: Moving Forward Through Shared Stewardship November 2014
Antibiotic Stewardship: From Metrics to Management November 2015
Antibiotic Use – Working Together for Better Solutions November 2016
Mtk jk

19. How Resistance Develops
SARE Workshops April 2016 Katherine A. Beltaire, DVM, DACT, Veterinary Animal Sciences, UMASS Management of Anthelmintic Resistance on the Farm goats September 2016 Dr. Katherine Petersson, Associate Professor, URI Anthelmintic Resistance in Production Systems
MIchael

20. What’s happening now FDA VETERINARY FEED DIRECTIVE
The marketing status of medically important antimicrobials for use in feed or water for food animals will change from over-the-counter to prescription or to veterinary feed directive (VFD) on January 1, 2017.
The intent is to implement measures that address public health concerns while insuring animal health needs are met.
Jean

21. Community Response
October SUBWAY Restaurants announced a commitment to transition to only serving chicken raised without antibiotics important to human medicine.
More than 300 leading medical organizations, including the American Medical Association, the American Public Health Association, and the American Academy of Pediatrics openly advocate ending the use of non-therapeutic antibiotics in animal agriculture to protect public health and the environment.
November 2016 Maryland’s Challenge: Antibiotic Resistance, Public Health, and the Future of Agriculture, Public Forum
Organized by the Natural Resources Defense Council, Maryland Environmental Health Network, Clean Water Action, Maryland Public Interest Research Group to discuss the public health and safety aspects of routine antibiotic use in livestock feed.
Jean

22. From Consumer Reports December 2016
“antibiotics in animals contribute to the rise of antibiotic-resistant bacteria, which infect an estimated 2 million people each year in the U.S., of whom 23,000 die, according to the CDC.”
Jean

23. Michael/Jean