Joint FAO/WHO/OIE Expert Meeting on Critically Important Antimicrobials
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The need for access to antimicrobials in both human and veterinary medicine is critical. However, with increasing resistance to antimicrobials, it has been necessary for WHO and OIE to develop lists of critically important antimicrobials for human and veterinary use respectively. A comparison of these two lists highlights the overlap that occurs. Therefore FAO/WHO/OIE implemented an expert meeting to review the overlap, identify the current and potential hazards to public health result ing from this and, find an appropriate balance between animal health needs and public health considerations. In addition this meeting sought to identify the combinations – human-pathogen-antimicrobial use and animal species – that could be considered by risk managers as the priority combinations for future risk-benefit assessment and review current management strategies and options for maintaining the efficacy of critically important antimicrobials for humans and animals. This report contains the findings of that expert meeting and gives particular attention to principles and approaches for prioritization for risk assessment and the identification and characterization of preliminary risk management activities for minimizing the risk of antimicrobial resistance associated with food animals. In addition it includes a series of recommendations to FAO, WHO, OIE and national governments related to assessment and management of antimicrobial resistance resulting from the use of antimicrobials in food animals.