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The Veterinary Feed Directive: Past and Present
The document discusses the evolution and current guidelines for antibiotic use in the pork industry, particularly focusing on the Veterinary Feed Directive (VFD) and the importance of responsible antibiotic stewardship. It outlines key initiatives, collaborations, and resources aimed at improving antimicrobial resistance efforts and drug use oversight, while highlighting the reduction in sales of medically important antibiotics. Additionally, it emphasizes the need for ongoing veterinary guidance, disease prevention strategies, and record-keeping as part of comprehensive antibiotic stewardship programs.
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The Veterinary Feed Directive: Past and Present
- 1. The VFD: Pastand Present Heather Fowler, VMD MPH PhD DACVPM Director, Producer and Public Health National Pork Board January 24, 2019
- 2.
- 3. FDA Guidance forIndustry #209 and 213 • Growth promotion and nutritional efficiency labels removed January 1, 2017 for medically important (MI) antibiotics • ELDU in animal feed is illegal • Disease Treatment, Control and Prevention will require a veterinary order (VFD-feed or Rx-water) Required to be used for a specific, known disease or syndrome No refills 6 month expiration 3
- 4. Antibiotics - 2016Advertising Creative
- 5. Remember “USCARE” thisYear • Six Key Steps to Take Now • Easy to Remember • Call to Action
- 6. Producer Awareness • 4-PageFact Sheet • 10-Panel Pocket Brochure • 12-Page Pork Industry Guide for Responsible Use of Antibiotics (PQA Plus® supplement)
- 7. Producer Antibiotic ResourceCenter • Antibiotic Resource Center located: www.pork.org/antibiotics – All resources – FAQs – Additional clarifications from FDA
- 8.
- 9. One Health andAntibiotic Stewardship • Multidisciplinary approach to continuously improving in the AMR space • Requires collaborations among agencies, institutions, etc. • National Pork Board has taken a leadership role in the antibiotic use and resistance discussion
- 10.
- 11. Pew Charitable TrustsDiscussions • Brought together by Pew Charitable Trusts and Farm Foundation • Coalition of industry partners and key stakeholders • Goal: Develop universal standards on antimicrobial stewardship • Quarterly meetings to discuss progress and further development of a stewardship framework
- 12. Pew Charitable Trusts •Dec 18: Press Release highlighting achievements of all participants – Participants named release: NPPC, NPB – Other groups: Elanco Animal Health, Hormel Foods, Jennie-O Turkey Store, McDonald’s Corporation, National Milk Producers Federation, National Turkey Federation, Smithfield Foods, Inc., Tyson Foods, Walmart Inc., and Zoetis. • Next Steps TBD Continuous Improvement!
- 13.
- 14. Challenge Accepted • Yearlong stewardship campaign led by the CDC • NPB updated policy and position statement removing redundancy and restating commitment to stewardship • Visited with several groups at the CDC to identify opportunities for collaboration • Participated in Global One Health Day
- 15. NPB Position Statement •Last updated in June 2015 • Removed redundancy • Fine tuned message into a position statement only • Reinforced commitment to antimicrobial stewardship
- 16. US Food andDrug Administration (FDA)
- 17. FDA Sales Report,December 2018 • Sales of MIA decreased by 33% in the past year, 43% since 2015 – NMIA also decreased by 5% in the past year • Overall sales decreased by 22% • Tetracycline represents the largest quantity of antibiotic (class) sold – Sales of this class declined 15% • Sales in swine decreased by 35% and 7% for medically important and not medically important antibiotics respectively • Lowest values since reporting starting in 2009
- 18. FDA five yearplan, 2019-2023 • Move all medically important antibiotics under the oversight of the veterinarian • Review and update information on the duration of use for drugs where it currently lacking • Address stewardship concerns in the companion pet (cat/dog/etc.) space • Encourage development of alternative to antimicrobials • Improve stewardship across all species through education and outreach
- 19. FDA five yearplan, 2019-2023 • Publish a summary assessment of the VFD pilot inspections conducted in fiscal years 2016 – 2018 – Integrate VFD compliance into Drug Residue Inspection Program • Engage international partners on activities to combat AMR – Provide technical assistance to developing countries • Develop a system to collect on farm use data – Requires the development of use metrics (a meaningful denominator) • Expand NARMS to other animal and bacterial species, expand sampling • Publish reports that integrate available information
- 20. Raised Without Antibiotics •Worked with AASV and the NPB Animal Welfare Committee to develop new material for producers considering a transition to RWA • Veterinary student intern conducted assessments and drafted form to be reviewed and finalized by a panel of veterinarians as well as NPB and AASV staff • Brief, one page self-assessment tool available for download on the pork store
- 21. Learn more aboutvolunteer opportunities at the National Pork Board https://www.pork.org/about/get-involved/ Get Involved!
- 22. This message fundedby America’s Pork Producers
- 24. CORE COMPONENTS OFANTIBIOTIC STEWARDSHIP PROGRAMS Foundation Implementation Evaluation Know what to do, why, and communicate actions Implement foundation of knowledge Continuous Assessment of stewardship practices Commitment and culture Know about antibiotic stewardship and why it is needed Caregivers understand and embrace their role in stewardship Demonstrate commitment to stewardship Veterinarian guidance and partnership Understand VCPR and its importance Have a valid VCPR and animal health plan in place Demonstrate that veterinarian has an appropriate oversight role Disease prevention strategies Know spectrum of options to prevent diseases Implement appropriate husbandry, biosecurity and other prevention practices Demonstrate protocols and prevention practices Optimal treatment approaches Know how to recognize signs of disease and when and how to seek veterinary engagement Have sound diagnostic treatment practices and protocols in place Demonstrate that disease treatment outcomes are monitored Record Keeping Understand importance and value of accurate Have appropriate record keeping systems in place Demonstrate actionable record keeping
- 25. Implementation Guidelines Stewardship programsshould meet the following principles: • Provide transparency & build trust • Deliver meaningful, objective & actionable information • Ensure stewardship activities are consistent in approach • Afford accountability to all stakeholders • Drive continuous improvement & long-term sustainability • Ensure responsible, truthful and transparent communication among stakeholders
- 26. Stewardship Definition “Antibiotics arean essential tool in maintaining the health and well-being of humans and animals. A comprehensive approach to antibiotic stewardship is required to protect their efficacy, as well as ensure food safety and security. Because of the resistance challenge, antibiotic use in all settings needs to be carefully and responsibly managed. Essential to antibiotic stewardship and animal well-being are appropriate veterinary oversight; minimizing the need for antibiotics through biosecurity, good husbandry practices and other disease prevention strategies; optimizing treatment efficacy through sound decision- making; and appropriate drug selection and use. ” Source: Pew Charitable Trusts
Editor's Notes
- #4 Second main bullet has extra space before parenthesis. 6-month expiration
- #5 This resource center was part of a year long campaign aimed at preparing producers for the implementation of the VFD.
- #6 Furthermore, US. Care, not u scare, outlined ways for producer to bhegin to change their practices in preparation for the implementation of VFD
- #7 Producer awareness was raised via the use of fact sheets, producers, and supplemental materials in the PQA Plus program.
- #8 This aim was accomplished through the development and distribution of resources put together by the pork board as seen on the antibiotics resource center
- #12 This past Friday, September 22nd the Pew Charitable Trust held a one day workshop to continue the discussion on antimicrobial stewardship started at a previous meeting earlier in the year. The group consisted of industry stakeholders representing most of the barn yard as well as agencies representing industry customers and consumers. The overall goal was to develop universal standards on antimicrobial stewardship. The meeting was spent reviewing a definition of stewardship drafted at a prior meeting as well as reviewing the components of a stewardship plan that would apply across the board (LET ME KNOW IF YOU WANT COPIES OF THESE DOCUMENTS). The meeting ended with the formation of three different subcommittees that will continue to develop the stewardship program, discuss the group’s identify, as well as a communication plan for describing the efforts and the program to customers and consumers. A follow up meeting will likely take place q quarter. Heather will be serving on the stewardship program development subcommittee. The date of the next meeting has yet to be determined.
- #13 This past Friday, September 22nd the Pew Charitable Trust held a one day workshop to continue the discussion on antimicrobial stewardship started at a previous meeting earlier in the year. The group consisted of industry stakeholders representing most of the barn yard as well as agencies representing industry customers and consumers. The overall goal was to develop universal standards on antimicrobial stewardship. The meeting was spent reviewing a definition of stewardship drafted at a prior meeting as well as reviewing the components of a stewardship plan that would apply across the board. The meeting ended with the formation of three different subcommittees that will continue to develop the stewardship program, discuss the group’s identify, as well as a communication plan for describing the efforts and the program to customers and consumers. A follow up meeting will likely take place q quarter. Heather will be serving on the stewardship program development subcommittee. The date of the next meeting has yet to be determined.