1. Report of the AMR conference The Hague Mr Herbert P. Barnard Director International Affairs Ministry of Health, Welfare and Sport The Netherlands

2. Impression of the conference 2 GHSA meeting Jakarta, August 20-21, 2014

3. Why this conference, why in the Netherlands? AMR received huge political attention in Netherlands Netherlands was heavy veterinary user of antibiotics over 50% reduction of use in veterinary medicine achieved in 4 year time key item for Netherlands EU presidency in 2016 strong collaboration WHO and the Netherlands on AMR need for kick-start of WHO Global Action Plan joint effort of the Netherlands, WHO, OIE, FAO GHSA meeting Jakarta, August 20-21, 2014 3

4. Objective of meeting political commitment and contributions to the WHO Global Action Plan focus on various examples of an effective approach in human and animal health the conclusions used for WHO Global Action Plan GHSA meeting Jakarta, August 20-21, 2014 4

5. 5 Who were interested? more then 20 Minister’s of Health & Agriculture from all over the world more than170 delegates from 37 countries DGs from WHO, OIE, assistent DG FAO European Commissioner for Health Media: headlines 8 o’clock news headlines national news papers speech Daphne Deckers: 600.000 views

6. The patients perspective focus on what AMR really is: a patients problem: After you take antibiotics, you’re cured, right; this is what we have come to believe. Antibiotics are strong, they cure all, and they make you better, …until they don’t. In your/her case, 7 out of 8 antibiotics didn’t work anymore….I’m on number 8 now. We are facing a time that these medicines are failing us, and what are we going to do? The solution will take all of you to act! We should not be defeated by our own passive attitude. GHSA meeting Jakarta, August 20-21, 2014 6

7. Scenario based policy discussion engaging an facilitated discussion stimulating and thought provoking forces to choose what to do: prioritize! GHSA meeting Jakarta, August 20-21, 2014 7

8. Outcome Statement GHSA meeting Jakarta, August 20-21, 2014 8 www.conferenceamr2014.nl

9. GHSA meeting Jakarta, August 20-21, 2014 9 Main topics outcome statement In human and veterinary medicine: infectionprevention specified, controled, restrained use Innovative ways for development of new antibiotics Precautionary principle Discussion to reserve critical antibitocis for human use Special responsibility of ministers of health Stepwise multisectoral approach Collaborative research Economic impact analysis Global antibiotic awareness day www.conferenceamr2014.nl

10. The way forward We have to set achievable goals and share forces to achieve them; there is no time to lose. National action helps in human and veterinary healthcare. We need international leadership; Integrated, multisectoral action is needed full commitment to WHO Global Action Plan GHSA can accelerate action and commitment GHSA meeting Jakarta, August 20-21, 2014 10

11. Let’s join forces for future health GHSA meeting Jakarta, August 20-21, 2014 11