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Meeting Report Meeting Report Biregional Technical Consultation on Antimicrobial Resistance in Asia 14–15 April 2016 Tokyo, Japan Report Series Number: RS/2016/GE/10(JPN) English only MEETING REPORT BIREGIONAL TECHNICAL CONSULTATION ON ANTIMICROBIAL RESISTANCE IN ASIA Convened by: WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC AND REGIONAL OFFICE FOR SOUTH-EAST ASIA Tokyo, Japan 14–15 April 2016 Not for sale Printed and distributed by: World Health Organization Regional Office for the Western Pacific Manila, Philippines August 2016 NOTE The views expressed in this report are those of the participants of the Biregional Technical Consultation on Antimicrobial Resistance in Asia and do not necessarily reflect the policies of the conveners. This report has been prepared by the World Health Organization Regional Office for the Western Pacific for Member States in the Region and for those who participated in the Biregional Technical Consultation on Antimicrobial Resistance in Asia in Tokyo, Japan, 14–15 April 2016. 2 CONTENTS ABBREVIATIONS ................................................................................................................................ 4 SUMMARY ............................................................................................................................................ 5 1. Introduction ..................................................................................................................................... 6 1.1 Meeting organization ................................................................................................................. 6 1.2 Meeting objectives ..................................................................................................................... 6 2. PROCEEDINGS ............................................................................................................................. 6 2.1 Opening session ......................................................................................................................... 6 2.2 Threat of AMR .......................................................................................................................... 7 2.3 Actions to contain AMR in Asia-Pacific region ........................................................................ 8 2.4 Awareness raising: target groups and messages ........................................................................ 8 2.5 Slowing down AMR through stronger health systems: the role of universal health coverage .. 8 2.6 Fighting AMR: a key action for attaining the SDGs ................................................................. 9 2.7 Governance for multisectoral national plans for containment of AMR .................................... 9 2.8 Monitoring the implementation of national actions plans on AMR .......................................... 9 2.9 Opportunities in Asia-Pacific region to contribute to the global response to AMR ................ 10 2.10 Closing session ...................................................................................................................... 10 3. CONCLUSIONS AND RECOMMENDATIONS ........................................................................ 11 3.1 Conclusions ............................................................................................................................. 11 3.2 Recommendations ................................................................................................................... 11 3.2.1 Recommendations for Member States .............................................................................. 11 3.2.2 Recommendations for WHO ............................................................................................ 12 ANNEXES ............................................................................................................................................ 14 Keywords: Asia / Drug resistance / Microbial / Infection control / Regional health planning 3 ABBREVIATIONS AMR antimicrobial resistance ASEAN Association of South-East Asian Nations FAO Food and Agriculture Organization of the United Nations G7 Group of Seven JANIS Japan Nosocomial Infections Surveillance OIE World Organisation for Animal Health SDG Sustainable Development Goal WHO World Health Organization 4 SUMMARY The Biregional Technical Consultation on Antimicrobial Resistance in Asia, held on 14–15 April 2016, was organized in connection with the meeting on antimicrobial resistance (AMR) attended by ministers of health from countries in the Asia-Pacific region on 16 April 2016 in Tokyo, Japan. Discussions focused on moving forward with comprehensive policies and actions to implement national action plans on AMR appropriate to each country context and on opportunities for strengthening regional collaboration. Recommendations provided priority action areas for implementation of the communiqué issued by ministers of health on 16 April 2016. The emergence and spread of AMR threatens our ability to treat infections and, ultimately, the achievement of the Sustainable Development Goals (SDGs). Addressing this threat requires a whole- of-government political commitment and strategies to engage the general public, professionals and policy-makers across all sectors of society. Continued momentum to take action on AMR is imperative to ensure that antimicrobials remain effective for future generations. The meeting discussed the importance of the multisectoral and multidisciplinary approach within the framework of the “One Health” approach. Focused action moving towards universal health coverage, food security, sustainable agriculture and aquaculture practices, and environmental protection constitutes a harmonized approach for reaching the SDGs. Ultimately AMR can threaten national development agendas. In order to ensure multisectoral collaboration and actions to contain AMR, effective governance mechanisms are crucial at the national, regional and global levels. The meeting discussed the need for a robust framework to monitor and evaluate implementation of national action plans. Accountability at the regional and global levels can be achieved through reporting, information sharing and harmonization of surveillance and regulation. The meeting also considered the need for enhanced research and development of novel antimicrobials, vaccines and diagnostics. The meeting provided a unique opportunity to consider options for collaboration in the Asia-Pacific region. Collective action on AMR is an excellent model of an integrated and indivisible approach to achieving the SDGs. 5 1. INTRODUCTION 1.1 Meeting organization The Biregional Technical Consultation on Antimicrobial Resistance in Asia was held in Tokyo, Japan, 14–15 April 2016, with participants from the ministries of health and agriculture from 12 countries in the South-East Asia and Western Pacific Regions. On day 1, welcome messages were provided by the World Health Organization (WHO) and by a representative of the host country, Japan. Following the formal opening, the consultation was divided into eight sessions: 1) the threat of antimicrobial resistance (AMR); 2) actions to contain AMR in Asia; 3) advancing awareness raising – target groups and messages; 4) slowing down AMR through stronger health systems – the role of universal health coverage; 5) slowing down AMR – a key action for reaching the Sustainable Development Goals (SDGs); 6) governance for multisectoral national plans for containment of AMR; 7) monitoring the implementation of national action plans on AMR; and 8) opportunities in the Asia-Pacific region to contribute to the global response to AMR. 1.2 Meeting objectives The objectives of the meeting were: 1) to share experiences in developing national multisectoral plans to combat AMR and to identify attributes and approaches to develop and implement effective multisectoral national action plans; 2) to identify an action framework for implementing the ministerial communiqué on AMR in Asia and accelerate implementation of national and global action plans on AMR to be presented to the Group of Seven (G7) Summit and United Nations General Assembly in 2016; and 3) to provide opportunities to foster collaboration among countries within and across WHO regions. 2. PROCEEDINGS 2.1 Opening session Dr Vivian Lin, Director of the Division of Health Systems in the WHO Regional Office for the Western Pacific, delivered the opening remarks on behalf of Dr Shin Young-soo and Dr Poonam Khetrapal Singh, the WHO Regional Directors for the Western Pacific and South-East Asia Regions respectively. She emphasized the opportunity that the consultation presented in fostering cooperation and partnerships among sectors, countries and international organizations in the Asia-Pacific region to ensure access to effective antimicrobials for future generations through actions to support the Communiqué of Tokyo Meeting of Health Ministers on Antimicrobial Resistance in Asia. 6 Dr Masato Kasuga, President of the National Centre for Global Health and Medicine, Japan, provided introductory remarks on behalf of the Ministry of Health and Labour Welfare, Japan, highlighting the importance of tackling AMR and Japan’s commitments through the launch on 5 April 2016 of the Japan National Action Plan on Antimicrobial Resistance 2016–2020. Following the introduction of participants, Dr Klara Tisocki, Coordinator of the Essential Medicines and Health Technologies Unit at the WHO Regional Office for the Western Pacific, introduced the meeting
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