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Evaluation of FAO’s role and work on antimicrobial resistance (AMR)











Annex 1. Terms of reference

Annex 2. Results of the FAO Members and country level surveys

Annex 3. Contribution by the AMR expert panel

Management response

Follow-up report


FAO. 2021. Evaluation of FAO’s role and work on antimicrobial resistance (AMR). Thematic Evaluation Series, 03/2021. Rome.



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    Monitoring and evaluation of the global action plan on antimicrobial resistance: framework and recommended indicators 2019
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    The Global Action Plan on Antimicrobial Resistance (GAP) is the world’s blueprint for tackling the emergence and spread of antimicrobial resistance (AMR), which threatens many of the global Sustainable Development Goals (SDGs) on health, food security, environmental wellbeing and socio-economic development. Adopted by the membership of WHO, FAO and OIE in 2015, the GAP was further endorsed in 2016 during the 71st session of the UN General Assembly. The framework for monitoring and evaluation of the GAP aims to provide a manageable system to assess the success of the GAP and inform operational and strategic decision making on AMR for the next five to ten years. This framework will enhance the availability and quality of data, consolidate data collection and reporting requirements – especially for human health – and increase accountability. Rooted in experience and expertise across diverse sectors, this initiative will also underpin the forthcoming global development and stewardship framework for AMR.
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    Outputs and activities of FAO Project FMM/RAS/298/MUL on antimicrobial resistance in fisheries and summary of FAO’s recent work on antimicrobial resistance in aquaculture 2020
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    This report presents the implementation activities and results of the Food and Agriculture Organization of the United Nations (FAO) Project FMM/RAS/298/MUL: Strengthening capacities, policies, and national action plans on prudent and responsible use of antimicrobials in fisheries. The objectives of this project were to develop and/or enhance the knowledge, skills and capacity of the participating Competent Authorities on fisheries and aquaculture, as well as to assist them in the development and implementation of policies and national action plans (NAPs) on the prudent and responsible use of antimicrobials. The project enhanced the capacities of national Competent Authority (technical specialists, inspection and laboratory staff) to enable productive engagement with other lead agencies (e.g. the World Health Organization [WHO], national agriculture, food safety and animal health authorities), particularly with respect to their aquaculture and fish food safety component contributions to the NAP and the integration of the aquatic sector within the One Health framework. The report also briefly summarizes the recent actions and activities taken by FAO related to AMR in aquaculture since the completion of this project, including awareness raising targeting policymakers and aquaculture stakeholders, relevant publications, candidate reference centers and other ongoing projects to date.
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    Book (series)
    Joint FAO/WHO Expert Meeting in collaboration with OIE on Foodborne Antimicrobial Resistance: Role of the Environment, Crops and Biocides
    Meeting report
    2019
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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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