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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
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Appendix B

Workshop Agenda

TUESDAY, JUNE 20, 2017

9:00 am ET Opening Remarks
Victor Dzau, National Academy of Medicine
The Global Momentum for Antimicrobial Resistance—Moving from Knowledge to Action
Keiji Fukuda, University of Hong Kong
Devising and Prioritizing a Strategy for Immediate Action and Implementation to Combat Antimicrobial Resistance
Dame Sally Davies, UK Department of Health
Workshop Overview and Goals
Lonnie King, Workshop Chair

Session I: Key Gaps and Needs in Our Understanding of the Microbial and Genetic Movements Across the One Health Domains

PART A: Strengthening the Knowledge and Evidence Base
Rima Khabbaz,
Moderator

10:00 am 20 Years of the National Antimicrobial Resistance Monitoring System (NARMS): What Have We Learned So Far, and What Is Next?
Patrick McDermott, U.S. Food and Drug Administration
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Quality and Gaps in Surveillance Across the One Health Domains: Critical and Immediate Actions
Paula J. F. Cray, North Carolina State University
Global Perspectives and Challenges for Antimicrobial Resistance Surveillance in the Environment
James M. Tiedje, Michigan State University
11:10 am Break

PART B: The Impact of Antimicrobials in the Environment—The Neglected Link
Jeffrey Silverstein,
Moderator

11:20 am The Interface and Pathways of Gene Transfer Across the One Health Domains
Lance Price, The George Washington University
Environmental Compartments of Antimicrobial Resistance and Antibiotic Metabolites
Ed Topp, Agriculture and Agri-Food Canada
Management Options for Reducing the Transfer of Antimicrobials to the Environment and Ameliorating the Risk
Lisa Durso, U.S. Department of Agriculture
Pharmaceutical Industry to Reduce Environmental Impact from Production of Antimicrobials: What Can Be Done?
Stephen Brooks, Pfizer Inc.
12:45 pm Lunch Break
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×

Session II: Social and Behavioral Sciences and Antimicrobial Resistance—Modifying Behavior and Choices

PART A: Reducing the Use—Achieving Desired Behavior Change Through Stewardship Programs, Incentives, and Policy for Responsible Use of Antimicrobials
Franck Berthe,
Moderator

1:30 pm Pathways to Effective Guidance for Reducing the Use of Antimicrobials in Health Care Settings
Helen W. Boucher, Tufts Medical Center
Animal Health and Welfare Programs and Guidelines for Antimicrobial Usage—The Gap Between Knowledge and Practice Behavior
David Sjeklocha, Cattle Empire, LLC
The Changing Paradigm of Antimicrobial Use in Veterinary Medicine—Implications of the FDA Guidance on Growth Promotion and Changes to the Veterinary Feed Directive
Randall Singer, University of Minnesota
Consumer and Retailers Perspectives in the Food Industry—The New Social Value of Food
Bruce Stewart-Brown, Perdue Farms, Inc.
3:00 pm Break

PART B: Reducing the Need—Achieving Desired Behavior Change Through Prevention Measures and Education
Mary Wilson,
Moderator

3:15 pm Enhancing Practitioner Knowledge and Adoption of Infection Prevention and Control Measures for Both Food and Companion Animal Veterinarians
H. Morgan Scott, Texas A&M University
Leveraging Behavioral Interventions to Achieve Appropriate Antibiotics Prescribing Practices in Health Care Settings
Jeffrey A. Linder, Northwestern University Feinberg School of Medicine
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Educating the Next Generation of Health Professionals—How Will Opportunities for Interprofessional Education and Learning Make a Difference?
Andrew T. Maccabe, Association of American Veterinary Medical Colleges
Darrell G. Kirch, Association of American Medical Colleges
4:50 pm Wrap-Up
Lonnie King, Workshop Chair
5:00 pm Adjourn
5:05 pm Reception

WEDNESDAY, JUNE 21, 2017

8:30 am ET Welcome
Lonnie King, Workshop Chair

Session III: Reducing the Need for Antimicrobials—Critical Research and Development Actions
Kent Kester,
Moderator

8:35 am Effective Scientific Advances and Promising Research to Reduce the Need for Antimicrobials
Human Health Perspective
L. Clifford McDonald, U.S. Centers for Disease Control and Prevention
Animal Health Perspective
Tim Johnson, University of Minnesota
Vaccination to Reduce Antimicrobial Resistance Burden—How Should We Use Existing Vaccines? What Vaccines Might We Seek to Develop?
Keith Klugman, Bill & Melinda Gates Foundation
The Value of Diagnostic Tools to Combat Antimicrobial Resistance—What Type of Tools Should Be Prioritized?
Ellen Jo Baron, Stanford University Medical Center; Cepheid
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Critical Incentive Strategies for Accelerating R&D to Fight Against Antimicrobial Resistance
Gregory Daniel, Duke-Margolis Center for Health Policy

Session IV: Strengthening Partnerships and International Cooperation
Peter Sands,
Moderator

10:45 am Implementation of the Global Action Plan on Antimicrobial Resistance at the Country Level—To What Extent Is the Integration with the IHR Core Capacity Building Efforts Possible?
Evelyn Wesangula, Ministry of Health, Kenya
Immediate Strategies to Develop or Redefine Partnerships
Partnerships in the Age of Bedaquiline: Successes, Challenges, and the Beginning of the End of Tuberculosis
Robert Newman, Johnson & Johnson
Integrating Food Safety, Animal Health, and Plant Health to Improve the Integrity of the Food Supply Chains
Angela Siemens, Cargill Protein Group
Regulatory and Policy Frameworks
Kathy Talkington, The Pew Charitable Trusts
Partnerships to Combat Antimicrobial Resistance
John Rex, CARB-X
12:45 pm Lunch Break

Session V: Moving Knowledge to Action—Devising and Prioritizing a Strategy for Immediate Action and Implementation

1:30 pm Introduction to Session
James Hughes, Emory University
1:40 pm Group Discussion: Focus on the Most Impactful, Feasible, and Immediate Actions Across the One Health Domains
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Purpose to address the critical question: What are the top three immediate or short-term actions within each of these themes that could result in the biggest impact that is feasible and cost-effective?
Group 1: Surveillance
Jeffrey Duchin, Moderator
Group 2: Stewardship, Infection Prevention, and Behavior Modification
John Rex, Moderator
Group 3: Current Basic and Applied Research and Development
Emily Erbelding, Moderator
Group 4: Global Policy and Coordination
Suerie Moon, Moderator
2:30 pm Synthesis and General Discussion
James Hughes, Emory University
3:20 pm Closing Remarks
Lonnie King, Workshop Chair
David Relman, Forum Chair
3:30 pm Adjourn
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Page 125
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Page 126
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Page 127
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Page 128
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Page 129
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2017. Combating Antimicrobial Resistance: A One Health Approach to a Global Threat: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24914.
×
Page 130
Next: Appendix C: Biographical Sketches of Workshop Speakers and Moderators »
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As of 2017, the emergence and spread of antimicrobial resistance continues unabated around the world, leaving devastating health and economic outcomes in its wake. Those consequences will multiply if collaborative global action is not taken to address the spread of resistance. Major drivers of antimicrobial resistance in humans have been accelerated by inappropriate antimicrobial prescribing in health care practices; the inappropriate use of antimicrobials in livestock; and the promulgation of antibiotic resistance genes in the environment.

To explore the issue of antimicrobial resistance, the Forum of Microbial Threats planned a public workshop. Participants explored issues of antimicrobial resistance through the lens of One Health, which is a collaborative approach of multiple disciplines - working locally, nationally, and globally - for strengthening systems to counter infectious diseases and related issues that threaten human, animal, and environmental health, with an end point of improving global health and achieving gains in development. They also discussed immediate and short-term actions and research needs that will have the greatest effect on reducing antimicrobial resistance, while taking into account the complexities of bridging different sectors and disciplines to address this global threat. This publication summarizes the presentations and discussions from the workshop.

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