1. Improving Antibiotic Use with the e-Bug Resources
Dr Vicki Young
e-Bug Project Manager, Public Health England

2. Overview for the Next Hour
The importance of antibiotic education
What is e-Bug?
e-Bug activities to teach about antibiotics
KS1 to KS5
Student resources

3. Antimicrobial Resistance
“Antimicrobial resistance is a ticking time-bomb not only for the UK but also for the world. We need to work with everyone to ensure the apocalyptic scenario of widespread antimicrobial resistance does not become a reality.”
- Professor Dame Sally Davies
Antimicrobial resistance (AMR) occurs when bacteria develop ways of surviving against antibiotics that previously destroyed them

4. Why is AMR an issue?
There are high proportions of resistant bacteria that cause common infections (e.g. urinary tract infections, pneumonia) in all parts of the world (WHO, 2014)
PHE review estimates that by 2050 the global cost of AMR will be up to $100 trillion and will account for 10 million extra deaths a year (PHE, 2014)
We will all be affected if antibiotics no longer work on common infections!

5. November 2015

6. We need to teach children about prudent antibiotic use as they are our future generation of antibiotic users and prescribers
Well, it is necessary to teach children and young people about prudent antibiotic use as they are the future generation of users of antibiotics. However, it is also equally important to consider that in schools, infections and illness are a key contributor to student absenteeism. Also, half of children and young people consulting their GP have some type of infection, and antibiotics are the most commonly prescribed childhood medication. So if we’re able to reduce the number of infections in children, we’ll in turn reduce the amount of antibiotics being used by children.

7. But equally important:
Within schools, infections are a major cause of absenteeism
Half of children consulting their GP have an infection
Antibiotics are the most common childhood medicines
Well, it is necessary to teach children and young people about prudent antibiotic use as they are the future generation of users of antibiotics. However, it is also equally important to consider that in schools, infections and illness are a key contributor to student absenteeism. Also, half of children and young people consulting their GP have some type of infection, and antibiotics are the most commonly prescribed childhood medication. So if we’re able to reduce the number of infections in children, we’ll in turn reduce the amount of antibiotics being used by children.
If we reduce childhood infections, we reduce antibiotic use

8. What is e-Bug?

9. What is e-Bug?
A free microbiology, hygiene and health education resource for junior and senior school students, and young adults (15-18yrs)
Established in 2006 by the Health Protection Agency, e-Bug is now funded and operated by Public Health England
e-Bug aims to teach young people important health messages around the spread, treatment, and prevention of infection

10. Public Health England (PHE)
An executive agency of the Department of Health
Formed in April 2013 by bringing together over 70 organisations
PHE has 7 key priorities

11. PHE’s 7 Priorities Tackling obesity, particularly amongst children
Reducing smoking, stopping children starting
Reducing harmful drinking and alcohol related hospital admissions
Ensuring every child has the best start in life
Preventing Dementia and reducing prevalence in year olds
Reducing rates of TB
Tackling the growth of antimicrobial resistance
Here are PHE’s 7 priorities. As you can see, many of our priorities relate to children and young people, and trying our best to help them to grow into healthy adults. Where the e-Bug team comes in is the last priority, tackling the growth of Antimicrobial resistance

12. The e-Bug Resources 4-7 yrs 7-11 yrs 11-15 yrs 15-18 yrs
Online Science Show
7-11 yrs
Junior school teacher pack
Student website
11-15 yrs
Senior school teacher pack
15-18 yrs
Young adult teacher pack
Peer education resources
Launched in 2011
Launched in 2009
Launched in 2014/15

13. The Classroom Resource
The teacher packs contains detailed lesson plans, activities, worksheets and extension activities on 11 different topics to engage children in interactive classroom learning.

14. 7-11 years (KS2) and 11-15 years (KS3)
The Pack Contents
7-11 years (KS2) and years (KS3)
Micro-organisms
An Introduction
Useful Microbes
Harmful Microbes
Spread of Infection
Hand Hygiene
Respiratory Hygiene
Food Hygiene
Farm Hygiene
Sexual Transmission
Chlamydia
Prevention of Infection
The Body’s Natural Defences
Vaccinations
Oral Hygiene
Treatment of Infection
Antibiotic Use and Medicine
Microbes
Antibiotics
4-7 Years (KS1)
15-18 Years (KS4/5)

15. The e-Bug Website
This is the landing page of the e-Bug website. From here, teachers and other educators can enter the teacher specific site.

16. Teacher Website
The e-Bug teacher website houses all the e-Bug resources in downloadable form including lesson plans, activity demonstrations and PowerPoint
presentations.
Here is the e-Bug teacher website. All of the e-Bug resources are available for free to download from the website. We have detailed lesson plans on the 10 different topics mentioned for classroom based learning, in addition to many other resources that are not included in the pack, such as videos and other multimedia. The news section continues to be updated for teachers and detailed curriculum links are also available.

17. The e-Bug Website
On the home page of e-Bug, students can enter their appropriate site, so either the junior or the senior site.

18. Student Websites
The student websites contains lots activities, enabling students to carry on their learning at home.
Junior and Senior:
Disease Fact Files
Revision Guides
Quiz
Games
Downloads
Hall of Fame
Home Science

19. Student Websites
The student websites contains lots activities, enabling students to carry on their learning at home.
Young Adult:
Hot Topics
Coursework and Revision
Infection Advice
Videos
Patient Stories
Animations
Links

20. Science Show website

21. Science Show website Science Show Videos Posters Fact sheets
Activities for KS1

22. EU and Beyond
The e-Bug resources are currently being translated into all EU languages, Arabic and Mandarin, with 21 language websites live.
The e-Bug team works with partners in 24 countries.
September 2014 to August 2015:
151,239 worldwide visits!
As I mentioned previously, e-Bug is an international project. The e-Bug resources are currently being translated into all the EU languages, Turkish and Arabic. At the moment, there are 19 language websites live for students and educators to access.
We work with partners in 24 countries to spread key health messages across the world. And in this academic year between September and April, the e-Bug website had over worldwide visits.
*Saudi Arabia
not shown

23. e-Bug activities to teach about antibiotics KS1 - 5
As I mentioned previously, e-Bug is an international project. The e-Bug resources are currently being translated into all the EU languages, Turkish and Arabic. At the moment, there are 19 language websites live for students and educators to access.
We work with partners in 24 countries to spread key health messages across the world. And in this academic year between September and April, the e-Bug website had over worldwide visits.

24. KS1 Antibiotic activities

25. KS2 Antibiotic activities
Introduction
Lesson plan
Comic Strip
Discussion points
Word Mix up

27. KS3 Antibiotic activities
Introduction
Lesson plan
Practical activity
Worksheet
Answer sheet

29. KS4/5 Antibiotic activities

30. KS4/5 Antibiotic activities
Lesson Plan
The e-Bug antibiotic lesson plan explores how antibiotics work and how bacteria differ from viruses or human cells:
Animations and a student worksheet describe how antibiotic resistance arises and spreads.
A presentation covers antibiotic discovery and resistance.
A quiz allows you to test your students’ knowledge on antibiotics before or after the lesson. National data allows students to compare their answers to a wider population.
Finally, students use statistical tests to analyse antibiotic resistance data.

31. KS4/5 Antibiotic activities
Animation
Clip 1:
How antibiotics work to kill bacteria
The difference between bacteriostatic and bactericidal antibiotics
Why antibiotics do not work on viruses
Clip 2:
How antibiotic resistance arises
Clip 3:
How antibiotic resistance spreads between bacteria by horizontal and vertical gene transfer
How antibiotic resistance spreads between people
Clip 4:
How to take antibiotics correctly

32. KS4/5 Antibiotic activities
Quiz

33. KS4/5 Antibiotic activities
Debate kit

34. Young Adult Peer Education resources
e-Bug has a peer education lesson for year olds on antibiotics:
Older students can undertake the activities with younger students
Or students of the same age could run the activities for their peers
The lesson plan details how teachers can run these activities in their schools.

35. Young Adult Peer Education resources
Information for Teachers
Exam links/Learning outcomes
Background Information for Peer Educators
Introducing Antibiotics

36. Young Adult Peer Education resources
Introducing Antibiotics

37. Young Adult Peer Education resources
Information for Teachers
Exam links/Learning outcomes
Background Information for Peer Educators
Introducing Antibiotics
Antibiotic Resistance

38. Young Adult Peer Education resources
Antibiotic Resistance
Antibiotic resistant bacteria
Bacteria
Antibiotic
Antibiotic resistance can spread to other bacteria
Antibiotic resistance is passed on when bacteria reproduce

39. Young Adult Peer Education resources
Information for Teachers
Exam links/Learning outcomes
Background Information for Peer Educators
Introducing Antibiotics
Antibiotic Resistance
Taking Antibiotics Correctly

40. Young Adult Peer Education resources
Taking Antibiotics Correctly

41. Young Adult Peer Education resources
Information for Teachers
Exam links/Learning outcomes
Background Information for Peer Educators
Introducing Antibiotics
Antibiotic Resistance
Taking Antibiotics Correctly
Optional: Extension/Homework
Advance Preparation

42. Student websites - Junior and Senior

43. Student websites - Young Adult

44. Summary
e-Bug hosts many resources to teach about antibiotics
KS1 – KS5 resources for teachers
Lesson plans
Interactive activities
Worksheets
Animations
Student resources for junior students, senior students and young adults

45. Thank you for your time www.e-bug.eu Vicki Young

46. Questions/feedback? What do you want to see from e-Bug around the topic of antibiotics?