Health Care Practices for Our Food Animals

1. Health Care Practices for Our Food Animals A CT, Mass, RI, SARE Professional Development Program 2014-2017 CT NOFA 2016 --Antibiotic Stewardship and Health Care for Our AnimalsPresenters: Michael Keilty, UConn SARE Tri-State PDP Coordinator Jean King, UConn SARE Tri-State Project Ron Celella, DVM, Woodbury, CT www.meatsystems.uconn.edu

2. UConn and Tristate NESAREProfessional Development Program Projects October 20-21, 2000 Alternative and Herbal Livestock Health Conference 2008-2011 Producing Natural Local Meat for Consumers 2011-2014 Grass Fed All Year Long 2014-2017 Health Care Practices for our Food Animals

4. Antibiotic Use and Resistance: Moving Forward Through Shared Stewardship November 2014 • Antibiotic Stewardship: From Metrics to Management November 2015 www.animalagriculture.org

5. SARE Workshop AGENDA August 13, 2015, Litchfield 1. Food and Drug Administration – “Current Regulations and Compliance Activities” Joseph T. Frost, MPH, RD, CD Commander, US Public Health Service, Investigator, Food Specialist, Food and Drug Administration, Swanton, Vermont 2. USDA’s Food Safety and Inspection Service --“FSIS Food Safety and Drug Residues”   Laura K. Unkauf, DVM, MPH, Supervisory Public Health Veterinarian, USDA FSIS Dr. Laura Unkauf is an Enforcement Investigation Analysis Officer trained Supervisory Public Health Veterinarian for USDA’s Food Safety and Inspection Service (FSIS). She received her D.V.M. from Tufts University in 2004 and her Master of Public Health in Epidemiology and Biostatistics from Tufts University in 2009.     3. "Antibiotics in Animals for Human Consumption - Hyperbole, Handwaving, or a Horror-story?" Nicholas Bennett MA(Cantab), MBBChir, PhD, FAAP, Assistant Professor of Pediatrics, Co-Director of Antimicrobial Stewardship, Medical Director, Division of Pediatric Infectious Diseases and Immunology, Connecticut Children's Medical Center.

8. Deaths Attributable to Antimicrobial Resistance every year by 2050 Source: UK Report – Review on Antimicrobial Resistance 2014

9. STUDY --High-density livestock operations, crop field application of manure, and risk of community-associated MRSA infection, Pennsylvania, USA Johns Hopkins School of Public Health and Geisinger Health System, PA 2005-2010 Assessing the association between individual exposure to swine and dairy/veal industrial agriculture and risk of MRSA infection Context: Manure produced by livestock who are given feed containing antibiotics is subsequently applied to crop fields and may put community members at risk for antibiotics –resistant infections. Conclusion: Proximity to swine manure application to crop fields and livestock operations each was associated with MRSA and skin and soft tissue infections. These findings contribute to the growing concern about the potential public health impacts of high-density livestock production.

10. 29 Massachusetts Hospitals Commit to Antibiotic Stewardship through Food Purchasing - March 8, 2016 Twenty-nine member hospitals from across the state have signed the Massachusetts Hospital Association’s (MHA) Antibiotic Stewardship Commitment in collaboration with Health Care Without Harm (HCWH), agreeing to purchase and serve at least one meat item that is raised without routine antibiotics within their food services menu offerings. By doing so, these hospitals leverage their purchasing dollars to stimulate broader market shifts, connect their food service operations more closely with their clinical priorities, and improve the overall health of their workers, patients, and community This commitment comes at a time when the Centers for Disease Control has deemed rising rates of antibiotic resistance to be the “most pressing public health concern of our time” and the Centers for Medicare and Medicaid Services has mandated that all nursing homes institute antibiotic stewardship programs.

11. In October 2015 SUBWAY Restaurants announced a commitment to transition to only serving chicken raised without antibiotics important to human medicine and confirmed that it is beginning to transition to serving only protein from animals that have never received antibiotics across all of its 27,000+ U.S. restaurants in early 2016. SUBWAY began selling a chicken sandwich on March 1 made with antibiotic-free, all white-meat chicken with no artificial color and flavor. They aim to be fully antibiotic-free in the United States by 2025, to convert to chicken products that don't have antibiotics by the end of 2016, all antibiotic-free turkey products in the next two to three years, and all antibiotic-free pork and beef products between 2020 and 2025.

12. What is next for this project? APRIL 22, 2016 WORKSHOP at UMASS 10 am- 1pm South Deerfield Farm, 89-91 River Road, South Deerfield, MA Maintaining and enhancing protocols to treat sick animals I. Katherine A. Beltaire, DVM, DACT, Veterinary & Animal Sciences, UMASS Management of Anthelmintic Resistance on the Farm II. R. Craig Jones and John Breakell-- Field Representatives Agri-Mark Dairy Cooperative FARM (Farmers Assuring Responsible Management) Milk and Dairy Beef Drug Residue Prevention III. Jennifer Hashley – Director, New Entry Sustainable Farming Project Alternative Production Practices to Enhance Poultry Health

13. Moving Forward • Eliminate all antibiotics, drugs and classes of drugs used in humans for use in food animals • Significant increase in public investment by national and international organizations such as WHO and UN in research on new antibiotics for food animals • Public funding and research on alternatives to use of antibiotics for food animal and fodder production • Required record keeping by all using antibiotics in food production • Public recycling of unused drugs

14. www.meatsystems.uconn.edu