1. WHO Regional Office for Europe
European strategic action plan on antibiotic resistance (2011 – 2020) & Global action plan on AMR (2015)
Dr Danilo Lo Fo Wong
Programme Manager AMR
WHO Regional Office for Europe

2. WHO efforts on antimicrobial resistance
2001
2011
2013
2012
2014
2015
WHO efforts on antimicrobial resistance
2003

3. Global report on surveillance
Most important findings of this report:
Very high rates of resistance observed in all WHO regions.
Many gaps in information on pathogens of major public health importance.
Key tools to tackle AMR, e.g. surveillance systems, do not exist in many countries

4. Worldwide country situation analysis
Most important findings of this report:
33/133 countries have action plan
Widespread over-the-counter sales
Lack standard treatment guidelines
Lack infection prevention and control
Low public awareness $

5. Global AMR Action Plan - Strategic Objectives
Improve awareness and understanding
Strengthen knowledge and evidence base
Reduce incidence of infection
Optimize use of antimicrobial agents
Develop economic case for sustainable investment

6. Framework for action

7. European strategic action plan on antibiotic resistance (2011 – 2020)
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

8. Action Plan Strategic Objectives
Strengthen intersectoral coordination
Strengthen surveillance of antibiotic resistance
Promote rational use and strengthen surveillance of antibiotic consumption
Strengthen infection prevention and control and surveillance in health care settings
Prevent emerging resistance in veterinary and food sectors
Promote innovation and research on new drugs
Improve awareness, patient safety, and partnership

9. WHO/Europe vs global action plan
European Action Plan
Global AMR Action Plan
Awareness
Knowledge
Prevention
Optimize use
Business case
Coordination X
Surveillance
Rational use
Agriculture X 
Innovation

10. Expanding AMR surveillance throughout Europe
European Antimicrobial Resistance Surveillance Network (EARS-Net)
Central Asian and Eastern European Surveillance of Antimicrobial Resistance (CAESAR)
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

11. Expanding AM use surveillance throughout Europe
European Surveillance of Antimicrobial Consumption Network (ESAC-Net)
WHO Antimicrobial Medicines Consumption network (AMC)
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

12. Infection prevention and control
SAVE LIVES: Clean Your Hands - WHO's global annual campaign
2014 – link to AMR

13. 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)
World Health Day 7 April 2015

14. Awareness Day Materials: Activities Infograph Website Video
Press release
Presentation
Activities
Events & twitter chat

15. > 40 European countries join the European Antibiotic Awareness Day
World Health Organization
3 October 2017
> 40 European countries join the European Antibiotic Awareness Day

16. The first WAAW – 16-22 November 2015

17. AMR is everyone's business
World Health Organization
AMR is everyone's business
3 October 2017

18. Five key campaign messages for the public
World Health Organization
3 October 2017
Antibiotics don’t cure viral diseases like colds and flu
Only take antibiotics a health professional has prescribed to you
Always finish your course of antibiotics
Never share antibiotics
Wash your hands to prevent infections

19. European Region joins new WAAW
WHO/Europe urges all countries in the European Region to join the first “Antibiotics: Handle with Care” campaign
Join the global community to advocate for rational use
Action to decrease antibiotic resistance globally

20. 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
Guillaume Dedet
Influenza & other Respiratory Pathogens
Caroline Brown
Pamela Hepple
Vaccine Preventable Diseases & Immunization
Robb Butler
Catharina de Kat-Reynen
Alert and Response Operations
Ana Paula Coutinho

21. Thank you for your attention

22. EC vs WHO/Europe action plans
European Commission
SO 1
Intersectoral collaboration
SO2
ABR surveillance
SO3
AB consumption and rational use
SO4
IPC & surv health care settings
SO5 ABR in Veterinary and food sector
SO6 Research & innovation new drugs
SO7 Awareness, patient safety, partnership
AP1 Appropriate use of AMs X
AP2 regulatory framework Vet meds and feed
AP3 Prudent use in Vet
AP4 IPC health care settings
AP5 Legal tool for IPC in animals
AP6 RTD new drugs
AP7 New Abs in Vet Med
AP8 Prevention & control of AMR in all sectors
AP9 Surv human AMR and consumption
AP10 Surv animal AMR and consumption
AP11 Coordinate Research efforts
AP12 Survey & comparative effectiveness research