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Antimicrobial resistance in the
animal sector
Arshnee Moodley, Team leader, Antimicrobial Resistance, ILRI
a.moodley@cgiar.org
ReAct Africa and South Centre 2022 annual conference
Lusaka, Zambia
25–27 July 2022
2
Antimicrobials are essential! But AMR cannot be
eradicated
Humans
Environment
Animals
Food safety &
security
Water & soil
quality,
climate
change, crop
production
productivity,
welfare,
zoonosis
AMU
&
AMR
3
How much antibiotics do we use in animals?
“Two thirds of global consumption of antibiotics is in livestock production!!”
UK One Health report 2019 using 2017 data
https://www.farmantibiotics.org/
4
AMU in animals: Little use of human CIAs in Africa
10%
37%
36%
17%
Global Distribution of Animal Biomass
Africa America Asia and Oceania Europe
$3/100g
$5/100ml
5
AMR levels amongst commensal ruminant isolates in a study in
Ethiopia
0
20
40
60
80
100
TMP AML GEN TET CIP SXT CHL CTX
E. coli Susceptibility_Ruminants_Ethiopia
Resistance Susceptible
6
AMR levels amongst clinical poultry isolates in a study in Uganda
0
20
40
60
80
100
GEN TET CIP SUL CHL CTX TMP
E.coli susceptibility_poultry_clinical_Uganda
Resistance Susceptible
7
0
20
40
60
80
100
GEN TET CIP SUL CHL CTX TMP
E. coli susceptibility_Poultry_Bangladesh
Resistance Susceptible
AMR levels amongst poultry clinical isolates in a study in
Bangladesh
8
We have AMR in our livestock but what does it mean
and to whom?
Becareful
how we
interpret
this data!
9
What is the burden of AMR in animals?
?
Innes et al., 2020
? ?
?
How we address AMR in the agricultural sector in
LMICs? Be mindful of the unintended impacts
Livelihoods = Household income
Food & nutritional security
Gender and Youth equity
Intensifying food systems
Feed crisis and climate change
Semi-intensive farmers
Poor consumer power
We can’t regulate our
way to reducing AMU
and AMR: Regulation is
needed but it’s not
enough
We can’t train our way
to reducing AMU and
AMR: Capacity building
is useful if incentives
are in place
11
Mindful that animal production systems, resources and capacities
are different: Which system are we focusing on?
UK
UG
UG
KE
12
• Many actors and influencers in the production system
• Sensitive business affected by internal and external factors instantly
• Clear gender issues
• Farmers have different farming profiles with different behaviors but similar priorities and
aspirations “take care of my family and grow my business”
Who has to change their practices?
Big Semi-Intensive
Farmers
Small Semi-Intensive
Farmers
13
What are the incentives for change? Or the cost-benefits?
Regulate, formalise or modernize vs. informal, dispersed, rural, untraceable &
tradition or culture
Consumer/market drive is unlikely to be a major driver
14
How much would it cost to vaccinate vs. treat poultry?
• Tetracycline = $3/100g
• Mix in 150L water for 750 birds (assuming each bird consumes
0.2L/day)
• Newcastle Disease Vaccine (subsidized vaccine) = $0.035/dose
(mixed in water)
• For 750 birds = $26.25.
• Often give vitamins (additional cost)
• Combination vaccine ($0.09/vaccine + $0.05 vet= $0.14)
• For 750 birds = $105
15
Behaviour adoptions: When do farmers adopt new behaviours?
Motivators
• Maximize profits
• Fear
• By law
• Social proof
Barriers
• Affordability
• High effort required
• Lack of knowledge (risks, how to, efficacy)
Mitigating agricultural associated AMR risks together!
THANK YOU

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Antimicrobial resistance in the animal sector

  • 1. Antimicrobial resistance in the animal sector Arshnee Moodley, Team leader, Antimicrobial Resistance, ILRI a.moodley@cgiar.org ReAct Africa and South Centre 2022 annual conference Lusaka, Zambia 25–27 July 2022
  • 2. 2 Antimicrobials are essential! But AMR cannot be eradicated Humans Environment Animals Food safety & security Water & soil quality, climate change, crop production productivity, welfare, zoonosis AMU & AMR
  • 3. 3 How much antibiotics do we use in animals? “Two thirds of global consumption of antibiotics is in livestock production!!” UK One Health report 2019 using 2017 data https://www.farmantibiotics.org/
  • 4. 4 AMU in animals: Little use of human CIAs in Africa 10% 37% 36% 17% Global Distribution of Animal Biomass Africa America Asia and Oceania Europe $3/100g $5/100ml
  • 5. 5 AMR levels amongst commensal ruminant isolates in a study in Ethiopia 0 20 40 60 80 100 TMP AML GEN TET CIP SXT CHL CTX E. coli Susceptibility_Ruminants_Ethiopia Resistance Susceptible
  • 6. 6 AMR levels amongst clinical poultry isolates in a study in Uganda 0 20 40 60 80 100 GEN TET CIP SUL CHL CTX TMP E.coli susceptibility_poultry_clinical_Uganda Resistance Susceptible
  • 7. 7 0 20 40 60 80 100 GEN TET CIP SUL CHL CTX TMP E. coli susceptibility_Poultry_Bangladesh Resistance Susceptible AMR levels amongst poultry clinical isolates in a study in Bangladesh
  • 8. 8 We have AMR in our livestock but what does it mean and to whom? Becareful how we interpret this data!
  • 9. 9 What is the burden of AMR in animals? ? Innes et al., 2020 ? ? ?
  • 10. How we address AMR in the agricultural sector in LMICs? Be mindful of the unintended impacts Livelihoods = Household income Food & nutritional security Gender and Youth equity Intensifying food systems Feed crisis and climate change Semi-intensive farmers Poor consumer power We can’t regulate our way to reducing AMU and AMR: Regulation is needed but it’s not enough We can’t train our way to reducing AMU and AMR: Capacity building is useful if incentives are in place
  • 11. 11 Mindful that animal production systems, resources and capacities are different: Which system are we focusing on? UK UG UG KE
  • 12. 12 • Many actors and influencers in the production system • Sensitive business affected by internal and external factors instantly • Clear gender issues • Farmers have different farming profiles with different behaviors but similar priorities and aspirations “take care of my family and grow my business” Who has to change their practices? Big Semi-Intensive Farmers Small Semi-Intensive Farmers
  • 13. 13 What are the incentives for change? Or the cost-benefits? Regulate, formalise or modernize vs. informal, dispersed, rural, untraceable & tradition or culture Consumer/market drive is unlikely to be a major driver
  • 14. 14 How much would it cost to vaccinate vs. treat poultry? • Tetracycline = $3/100g • Mix in 150L water for 750 birds (assuming each bird consumes 0.2L/day) • Newcastle Disease Vaccine (subsidized vaccine) = $0.035/dose (mixed in water) • For 750 birds = $26.25. • Often give vitamins (additional cost) • Combination vaccine ($0.09/vaccine + $0.05 vet= $0.14) • For 750 birds = $105
  • 15. 15 Behaviour adoptions: When do farmers adopt new behaviours? Motivators • Maximize profits • Fear • By law • Social proof Barriers • Affordability • High effort required • Lack of knowledge (risks, how to, efficacy)
  • 16. Mitigating agricultural associated AMR risks together!