Opening Comments for the 2015 NIAA Antibiotic Symposium

Welcome and Opening Comments for the 2015 NIAA Antibiotic Symposium2015 NIAA Antibiotic Symposium Opening Comments Dr. Chris Braden, Director, Division of Foodborne, Waterborne, and Environmental Diseases; National Center for Emerging and Zoonotic Infectious Diseases; Centers for Disease Control and Prevention (CDC), introduces symposium attendees and what to expect during the event [video].

Antibiotics Symposium Tone

Human Health Viewpoint and Setting the Tone for the Antibiotic SymposiumHuman Health Viewpoint On Antibiotics Dr. Robert Tauxe, Deputy Director, Division of Foodborne, Waterborne and Environmental Diseases, Center for Disease Control and Prevention (CDC), gives a public human health perspective about antibiotics in medicine. Dr. Tauxe summarizes the current disease threat and trends in resistance [video].

Perspective: Antibiotics and Swine

Antibiotic Stewardship for SwineSwine Antibiotic Stewardship Dr. Jennifer Koeman, Director, Producer and Public Health, National Pork Board, shares the ideas behind the "Nexus of Farming, Food and Public Health" as part of the stewardship of antibiotic use in pork farming. Dr. Koeman shares the antibiotic education, research, and communication that the National Pork Board is developing to help swine pork farmers. Key closing thought from Dr. Koeman is pork producers support the science-based principles to develop guidelines on antibiotic use having professional veterinary input for antibiotic use guidance [video].

Panel: Discussion on Antibiotics

Panel Discussion on Antibiotics with General Session SpeakersGeneral Session Speakers Take On Antibiotic Questions Dr. Chris Braden, Dr. Thomas Shryock, Dr. Robert Tauxe, and Dr. Mike Apley participate in a panel discussion on antibiotics from a variety of angles. Some of the panel questions address goals of the Presidential Advisory Commission plus some of the differences in agriculture use of antibiotics [video].

Panel: Antimicrobial Resistance Addressed

Panel on Antimicrobial ResistanceWhat About Antimicrobial Resistance? Dr. Larry Granger, Dr. Craig Lewis, Dr. Benjamin Park, and Dr. Chase Crawford provide a panel view on antimicrobial resistance. Questions included lab sampling approaches for understanding antibacterial resistance and what other farm focused data the FDA would like to collect on antibiotic use [video].

Panel: Question and Answer on Antibiotic Stewardship

Panel Discussions on Antibiotic StewardshipAntibiotic Stewardship Dr. Chuck Hofacre, Dr. Tim Lapara, Dr. Jennifer Koeman, and Dr. David Sjeklocha participate on a panel focused on antibiotic stewardship. Some of the focus questions ask how stewardship programs are measured as "successful" and what some of the unintended consequences of directives #209 and #213 in the future might be [video].

Consumer Expectations About Antibiotics

Antibiotics and Animals Building Consumer TrustBuilding Consumer Trust for Antibiotics and Animals Ms. Christine Summers, Costco, talks about how Costco handles the conversation of antibiotics with 80 million members. Ms. Summers drive the business with high quality and safe expectations. Ms. Summers points that the Costco members are highly educated, well paid, and have a heightened awareness. What Costco does is proactively engage with their members and be part of the daily dialog about food [video].

Antibiotics and In-Patients

In-Patient Antimicrobial Resistance (AMR) IssuesIn-Patient Antimicrobial Resistance Dr. Arjun Srinivasan, Associate Director for Healthcare-Associated Infection Prevention Programs, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), talks about what is being done in hospitals to improve antibiotic use. Dr. Srinivasan outlines notable goals about the future of patient care around antibiotics. Key in hospitals is that physicians do not like to be "managed" so the shift is forward the phase "stewardship". Take aways: Many experts, including advisers to the President, have called for the government to require hospitals and nursing homes to have antibiotic stewardship programs [video].

Perspective: Antibiotics and Beef

Antibiotic Use in the Beef Industry: The Producer PerspectiveBeef Antibiotic Stewardship Dr. Tiffany Lee, Beef Cattle Institute, Kansas State University, provides information on the beef producer perspective and their view of antibiotic stewardship. Dr. Lee points out this survey is aimed at discovering more about the producer side and provide a voice to producers. Dr. Lee summarizes the results and some of the direction beef producers are taking with their use of antibiotics [video].

Perspective: Antibiotics and Poultry

Antibiotic Stewardship for PoultryPoultry Antibiotic Stewardship Dr. Chuck Hofacre, Center for Food Safety, Department of Avian Medicine, College of Veterinary Medicine, University of Georgia, brings the poultry perspective on antibiotic resistance and stewardship actions being taken by farm operations. One aspect of poultry production that is key is cost. And he says several key drivers of change in poultry antibiotic use are large retailers, not the end consumer; government regulations; and export markets. Dr. Hofacre says the key person for this stewardship role is the veterinarian. This presentation also provides a summary of the US poultry industry and the top level economics of how it operates [video].

Perspective: State Level Antibiotics For Humans

Antimicrobial Stewardship - the State Health Department PerspectiveState Level Antimicrobial Stewardship Dr. Marion A. Kainer, Director, Healthcare Associated Infections and Antimicrobial Resistance Program, Tennessee Department of Health, provides a state level view of antibiotic stewardship in the State of Tennessee. One of the key actions that helped reduce healthcare associated infections was the public reporting of hospital names in published metric reports. Dr. Kainer closes with recommendations from the Council of State and Territorial Epidemiologists (CSTE), of which a key items is increased funding at the state level for monitoring antimicrobial resistance [video].

On The Ground: Antibiotics and Beef

Antibiotic Stewardship for BeefAntibiotic Stewardship for Beef Dr. David Sjeklocha, Director of Animal Health and Welfare, Cattle Empire, shares the antibiotic stewardship for beef view. Dr. Sjeklocha focuses on a boots on the ground view of the Cattle Empire feed yard system and their management of antibiotics [video].

What Is Global Health Security?

Antimicrobial Resistance in Humans and the Global Health Security AgendaAntimicrobial Resistance Impacts Global Health Security Dr. Benjamin Park, Senior Advisor for International Healthcare Quality, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), gives insight on the global health security threats antibiotic resistance could have. One of the focus areas being looked at are the countries that do not have the ability to respond well or survive prolonged occurrences of disease outbreaks where antibiotics are failing. Some of the details Dr. Park provides focuses on the process steps to identify issues and be ahead of the issue in the high risk countries [video].

Updates on FDA Approach To Antibiotics

US FDA Antibiotic StrategyUS FDA Antibiotic Strategy Dr. Craig Lewis, Veterinary Medical Office, Center for Veterinary Medicine, U.S. Food and Drug Administration (FDA), explains why organizations like the US FDA needs to collect data and analysis around antibiotic resistance. The current plan aims to develop an approach to offer greater transparency, organize analysis to assess Guidance #213 adoption, and understand the rollout of the new FDA antibiotic policies, regulations, and stewardship [video].

Are Antibiotics Seeping Into The Groundwater?

Stewardship and the Environment - Wastewater Treatment and AntibioticsWastewater Treatment and Antibiotics Dr. Tim Lapara, Professor, Department of Civil, Environmental, and Geoengineering, University of Minnesota, looks at how antibiotics in the environment filter out through the ecosystem of lakes, rivers, and streams. Dr. Lapara shares current research into wastewater treatment and how antibiotics are discovered in the various stages of treatment. Take home message: Treated wastewater still contains a lot of antibiotic resistance genes [video].

Do We Understand Out-Patient Antibiotic Resistance Issues?

Out-Patient Antibiotic Resistance (AMR) IssuesOut-Patient Antibiotic Resistance Dr. Lauri Hicks, Commander, U.S. Public Health Service, Medical Epidemiologist, Respiratory Diseases Branch; Medical Director, Get smart: Know When Antibiotic Work Program; Centers for Disease Control and Prevention (CDC), shares the Get Smart Program - Know When Antibiotics Work. This marketing and communication program is to help providers and patients by: Promoting provider adherence to appropriate prescribing guidelines; Decreasing demand for antibiotics among healthy adults and parents of young children; and Increasing adherence to prescribed antibiotics. Take aways: Messages need to be tailored to specific groups and changing behavior and culture takes time [video].

What Is The USDA Strategy On AMR?

USDA Antimicrobial Resistance Strategy - Farm Foundation ResultsFarm Foundation Result Highlights Dr. Larry Granger, Antimicrobial Resistance Program; Animal and Plant Health Inspection Service, Veterinary Services; U.S. Department of Agriculture (USDA), describes the USDA antimicrobial resistance strategy from conversations of round tables through the Farm Foundation Public Meetings. Dr. Granger looks at the USDA surveillance, data collection, and analysis action being taken and how it coordinates with the US FDA guidelines. Some of his take aways: There will be some impacts to minor species; veterinarians are concerned about compliance and liability; and measurement of success is a major issue [video].

What Do APLU and AAVMC Recommend About Antibiotics?

Actions and Recommendations on Antibiotics from the Universities (APLU) and Colleges of Veterinary Medicine (AAVMC)Actions and Recommendations on Antibiotics Dr. Chase Crawford, Director, Antimicrobial Resistance Initiative, Association of American Veterinary Medical Colleges; Association of Public & Land-grant Universities, talks about what agriculture's role is in addressing antibiotic resistance. Key is partnering with the human health initiatives and seek to continue to protect animal health. Dr. Crawford brings a perspective from key task force members, like the Association of American Veterinary Medical Colleges (AAVMC) and the Association of Public and Land-grant Universities (APLU) [video].

CDC on Antibiotics, Funding and CARB Program

CDC’s Overall Effort on Antibiotics, FY 2015 Requested Funding and CARB ProgramCDC’s Overall Effort on Antibiotics, FY 2015 Requested Funding and CARB Program Dr. Beth Bell, Director of the National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), talks about the overall efforts and work of the CDCs work on antibiotic resistance. Dr.Bell shares the federal government level view of combating antibiotic resistant bacteria. She leads in with an overview of the disease burden, risks to US citizens, and the economic impacts. Dr. Bell points out how communication plays a part in helping the efforts of awareness and action [video].

Panel: Consumers Expectations On Antibiotics

Panel Discussion with Consumer Speakers About AntibioticsConsumer Speakers About Antibiotics Note: This panel discussion video not published at panel's request.