Antimicrobial Stewardship in Canadian Agriculture & Veterinary Medicine (Dairy Session)

1. Toronto, ON November 1, 2011 Antimicrobial Stewardship in Canadian Agriculture & Veterinary Medicine(Dairy Session) Education of Veterinarians Ron Johnson, DVM, PhD, DACVCP Ontario Veterinary College

2. Education of FutureDVMs Are we adequately educating veterinary students regarding antimicrobial stewardship? • “The emphasis on food safety aspects of antimicrobial use focuses on residue avoidance rather than resistance” • “In all clinical teaching in Ruminant Farm Service in 4th year, prudent antimicrobial use is deeply ingrained in discussion involving antimicrobials use; there is some discussion of AMR issues” • “Pretty minimal and non-core; depends on interest areas of lecturer/rotation supervisor; no clear mandate exists on these areas”

3. Education of FutureDVMs • Prudent Antimicrobial Use • Antimicrobial Resistance Yes No No No Yes Yes • Health Canada Advisory Committee Report (2002; Can Vet J 2002; 43: 836-837) • #38: “Encourage Canadian veterinary colleges and associations to ensure that preventative medicine, prudent use of antimicrobials and resistance are given high priority in veterinary undergraduate, post graduate and continuation education programs”.

4. Educational Resources Available to DVMs • Professional and Regulatory Bodies • Canadian Veterinary Medical Association • OABP • Health Canada • Canadian Food Inspection Agency • Veterinary Drug Directorate • CVO • Involvement with Canadian Quality Milk Program • CgFARAD (Global Food Animal Residue Avoidance Databank

5. Professional & Regulatory Bodies Canadian Veterinary Medical Association • Antimicrobial Prudent Use Guidelines (2008) • http://canadianveterinarians.net/Documents/Resources/Files/1211_11385_CVMA_pug_e_web.pdf • Guidelines for Legitimate Use of Compounded Drugs in Veterinary Practice (2006) • http://canadianveterinarians.net/Documents/Resources/Files/722_CG_Final_Aug_07E.pdf Health Canada • Policy of Extra-Label Drug Use in Food-Producing Animals (2009) • http://www.hc-sc.gc.ca/dhp-mps/vet/label-etiquet/pol_eldu-umdde-eng-php

6. Canadian Quality MilkProgram “An on-farm safety program to help producers prevent and reduce food safety hazards and risks on their farms” Dairy producers monitor critical areas and implement best management practices to: • Effectively cool and store milk • Sanitize their equipment and make sure their wash water is clean • Safely transport their animals • Closely monitor the use of medicine and chemicals to prevent residues in milk

7. Canadian Quality MilkProgram “Best Managed Practices 4: Medicines and Chemicals Used on Livestock” • Storage and handling • Treatment choice • Administration • Identification of treated cattle • Records

8. “Canadian gFARAD plays an important role in the prevention of violative drug and chemical residues in foods of animal origin” • Integral to the Canadian agri-food system ensuring food safety while protecting the reputation of Ontario and Canadian producers with our national and international trading partners • Facilitates the translation and transfer of critical food animal drug residue and pharmacokinetics knowledge to end-users and key stakeholders when drugs are used extra-label or animals are exposed to toxic chemicals • Supports the traceability of potentially violative drug residues

9. What do we do at CgFARAD • Service • Training of HQP • Education • Research

12. Provincial Distribution of Request By Commodity Group (2010)

13. Percent of Dairy Requests By Province (2009)

17. Milk for Thought AVMA/CVMA Accreditation Regulatory bodies Associations Violative Residues Costs Animal Welfare Alternative Therapies

18. Thank You