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Foodborne antimicrobial resistance (AMR): an economic concern









Topazio, D., Moledina, A. and LeJeune. J. 2023. Foodborne antimicrobial resistance (AMR): an economic concern. Rome, FAO.



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    Responding to the request from the 39th Session Codex Alimentarius Commission (CAC) and the ad hoc Codex Intergovernmental Task Force on Antimicrobial Resistance (TFAMR) for information about antimimcrobial resistance, this report provides scientific advice on the subject derived from a joint “FAO/WHO expert meeting on foodborne antimicrobial resistance: role of environment, crops and biocides” on 11-15 June 2018 in Rome, Italy. There is clear scientific evidence that foods of plant origin may serve as a vehicle of foodborne exposure to antimicrobial-resistant bacteria. Aquaculture products can also carry bacteria that are resistant to medically important antimicrobials. As such, concerted efforts should be made to mitigate their contamination at all stages of the food chain, from production to consumption. Notably, antimicrobials should only be used in crop production according to label guidelines in the context of integrated pest management strategies. To improve food safety, best management practices should be adhered to with respect to the use of human and animal wastes for soil amendment purposes and for the prevention of environmental contamination where aquatic animals are raised for food. Foods of plant and aquatic animal origin food incorporated in to integrated surveillance plans for antimicrobial resistance (AMR) monitoring. Because of the theoretical potential for disinfecting chemical to co-select for AMR, biocides should be used according to manufacturers’ recommendations.
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    Antimicrobial resistance (AMR) is a serious global health threat and a food safety issue of primary concern. Governments and international organizations have recognized that the issue has to be approached in a multidisciplinary manner, addressing animal, plant and human health as well as the environment under the One Health approach. This publication brings together the three Codex texts, two guidelines and a code of practice, that will support governments in designing and running a successful strategy to tackle foodborne AMR.
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    This Regional Antimicrobial Resistance (AMR) Monitoring and Surveillance Guidelines Volume 1 provides guidance in the development of AMR surveillance plan for food-borne bacteria, underscoring the key elements for harmonized AMR data generation, data collation and reporting of findings, while taking into consideration the standing context of the region. It aims to provide guidelines on the harmonized scheme for antimicrobial susceptibility testing and laboratory-based monitoring for AMR.

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