Growing Forward 2 - Final Report Project II | Page 10

PHASE A: INTRODUCTION
In Phase A, the list of suggested actions resulting from Project I was refined and
reduced to a list of six Priority Initiatives selected by Ontario food-producing animal
veterinarians as those they believe are the most important and potentially effective
for them to champion to reduce the development of antibiotic resistance in organisms
affecting both human and animal health.
CVO Project I produced 111 Suggested Actions based on the input
from Ontario food-producing animal veterinarians. This number of
actions far exceeds the number that can reasonably be considered
for implementation. As well, there was no attempt made in Project I
to prioritize the Suggested Actions, or to assess them as to potential
effectiveness or value. potentially effective for them to champion to reduce the development
of antibiotic resistance in organisms affecting human and animal
health. The full report, “Highest Ranked Initiatives Identified by Ontario
Food-Producing Animal Veterinarians to Minimize the Development of
Antibiotic Resistance: Survey Results August – September 2016” can be
found at www.cvo.org/Reports.
In Phase A, the list of resulting from Project I was refined and reduced
to a list of six Priority Initiatives selected by Ontario food-producing
animal veterinarians as those they believe are the most important and The list of 111 Suggested Actions from Project I can be seen in Table
1, categorized under four headings including Regulation & Legislation,
Research & Surveillance, Liaison & Education and Quality Assurance.
Table 1: Suggested Actions from CVO Project I
Regulation & Legislation
Access to antibiotics
•
•
•
•
•
•
•
•
•
• antibiotics available only through a veterinary prescription – establish a protocol to phase this in over time
Category I drugs administered by veterinarian only
mandatory reduction in use of antibiotics over time
ban use of APIs by un-licensed individuals
eliminate or modify “over the counter” (OTC) antibiotic sales
monitor and only allow OTC sales with a Livestock Medicine Certificate and proof of veterinary-client-
patient relationship (VCPR)
eliminate importation of antibiotics by end user, i.e. own-use-importation (OUI)
strengthen oversight of imported antibiotics and Canadian Border Services Agency enforcement
standardize import requirements
disqualify producers on food safety / quality assurance programs who use OUI
National & provincial
consistency •
• province wide pricing of antibiotics
national standards for antibiotic sales
Other changes •
•
•
•
• ban labeling of antibiotics for growth/production
update MIB
streamline prescription writing requirements of the Canadian Food Inspection Agency (CFIA)
veterinarians support CFIA inspections and monitoring
government subsidy of producers’ herd or flock health plan
Research related to the
reduced usage of antibiotics •
•
•
•
• impact of absence of growth promotants
impact of raised without antibiotics (welfare, financial)
develop cost effective alternatives to antibiotics such as probiotics and vaccines
understand drivers of usage of antibiotics
establish management techniques to support reduced usage
Additional research • expanded labeling for minor species (esp. sheep and goats) of antibiotics and minor usage, reduce
impediments to labeling
specific disease control
withdrawal times
share data worldwide, learn from other programs
develop and assess new antibiotics
veterinarians contribute to coordinated, integrated research (government veterinarians, industry groups,
government, researchers)
emphasize strong research infrastructure
more risk