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Antibiotic Policy Primer
2013 promises to be a busy year when it comes to antibiotic policies. The Food and Drug Administration (FDA) and Congress will be pursuing multiple paths to curb the overuse of these life-saving drugs in meat and poultry production, and we are going to need your help every step of the way to ensure we cross the finish line!
Here’s a primer to help you keep all of the proposed policies straight.
Eliminating the Use of Antibiotics as a Substitute for Good Animal Husbandry
Industrial meat and poultry producers often rely on antibiotics to make their food animals grow faster and to compensate for overcrowded and unsanitary conditions—and these practices are breeding superbugs that can infect us.
Last April, the FDA issued a pair of “guidances” designed to eliminate these practices. The first, known as Guidance #209, is a final document that declared antibiotic use for growth promotion and other economic purposes are inappropriate and should be ended. The second, known as Guidance #213, is a draft document that proposed to the drug industry how to comply with #209.
Nearly 220,000 people submitted comments to the FDA last summer, urging the agency to strengthen these measures. We have identified two major concerns that FDA should address:
First, the FDA must clarify the policy so that it eliminates the use of antibiotics not just to make animals grow faster but also to compensate for overcrowded and unsanitary conditions. In practice, these uses can be very similar, and both threaten human health.
Second, the agency must lay out a plan to monitor whether its policies are actually reducing antibiotic overuse. It should accomplish this by collecting and reporting more antibiotic sales and use data.
Be on the lookout for action alerts in 2013 to help us urge the FDA to strengthen Guidance #213 and finalize it as soon as possible.
Putting Veterinarians in the Driver’s Seat
While you cannot walk into a pharmacy and pick up antibiotics without a prescription, you can buy these drugs over the counter for use on farms. This lack of oversight is a big reason why antibiotics are so overused. Fortunately, the FDA took initial steps last year to increase veterinarian involvement of antibiotic use in meat and poultry production.
In 2013, we will be urging the FDA to take the next step in this process: issuing a draft
Veterinary Feed Directive (VFD) regulation.
Reporting More Antibiotic Sales DataSince 2009, the FDA has
reported annually how many antibiotics are sold for use on industrial farms. While the reports have been enlightening—for the first time, we discovered that more than 70 percent of medically important antibiotics sold in the United States were intended for food animals—they are missing some critical data. And as noted, most of those antibiotics are available as over-the-counter drugs for livestock and poultry.
In 2013, we will work to broaden the agency’s ability to answer more key questions: How many antibiotics are being used just to make animals grow faster and to compensate for unsanitary conditions? How many drugs are sold over the counter versus by prescription? What types of animals are getting which antibiotics?
Fortunately, on Feb. 26, 2013, Representatives Henry Waxman (D-Calif.) and Louise Slaughter (D-N.Y.) introduced the Delivering Antimicrobial Transparency in Animals (DATA) Act (H.R. 820) in the U.S. House of Representatives. On May 8, 2013, Senators Kirsten Gillibrand (D-NY), Dianne Feinstein (D-CA) and Susan Collins (R-ME) introduced the Antimicrobial Data Collection Act (S. 895). The bills would authorize the FDA to collect and report data that would shed light on how antibiotics are being used on industrial farms.
Comprehensive Legislation to Curb Antibiotic Overuse
Introduced by Representative Louise Slaughter (D-NY) on March 14, the Preservation of Antibiotics for Medical Treatment Act (PAMTA) (H.R. 1150) would protect eight classes of antibiotics important for treating sick people. It would withdraw their use from food animal production unless animals or herds are sick with disease or unless drug companies can prove that their use does not harm human health. This bill is co-sponsored by 47 members of Congress.
On June 27, Senator Dianne Feinstein (D-CA) introduced the Preventing Antibiotic Resistance Act (S. 1256), a bipartisan bill that would also eliminate certain antibiotic-related practices that contribute to the rise of drug-resistant bacteria and endanger human health. Senators Susan Collins (R-ME), Kirsten Gillibrand (D-NY), Jack Reed (D-RI), Barbara Boxer (D-CA) and Maria Cantwell (D-WA) are original co-sponsors of the bill.
Getting all of these policies adopted by Congress or the FDA will take hard work, but you can help! Please stay tuned for more news from us and action alerts asking you to write to your members of Congress and the administration in support of these bills and agency actions.
Senator Dianne Feinstein (D-CA) today introduced the Preventing Antibiotic Resistance Act, a bipartisan bill that would eliminate certain antibiotic-related practices that contribute to the rise of drug-resistant bacteria and endanger human health. The legislation is co-sponsored by Senators Susan Collins (R-ME), Kirsten Gillibrand (D-NY), Jack Reed (D-RI), Barbara Boxer (D-CA) and Maria Cantwell (D-WA).
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Find the latest facts, figures and other key resources that illustrate how antibiotic overuse on industrial farms is breeding dangerous superbugs and what’s being done to protect the public’s health.
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This bibliography lists the latest published scientific and economic literature concerning the contribution of routine antibiotic use in food animals to the growing public health crisis of human antibiotic resistance. Research on how antibiotic use in food animal production contributes to the growing health crisis of antibiotic resistance dates back more than 30 years.
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Pew Charitable Trusts today applauded Senators Kirsten Gillibrand (D-NY), Dianne Feinstein (D-CA), and Susan Collins (R-ME), for introducing the Antimicrobial Data Collection Act, which would require the U.S. Food and Drug Administration, or FDA, to report more information on the annual sales of antibiotics used among industrial farm animals. The bipartisan bill would also give the agency a deadline to finalize policies proposed last year to eliminate the use of antibiotics for growth promotion purposes in meat production.
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"As a nation, we need to exercise greater care with our use of antibiotics, in both humans and animals, so that these medications remain effective in treating serious bacterial infections."
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On April 23, chefs from across the country traveled to Washington to ask Congress to eliminate the overuse of antibiotics in meat and poultry production.
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On April 16, more than 50 moms, dads, chefs, farmers, and pediatricians came to Washington to call on Congress and the Obama administration to protect the public from superbugs by eliminating the overuse of antibiotics in food animal production.
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SuperChefs Against Superbugs, an initiative of the Pew Campaign on Human Health and Industrial Farming, is a movement of chefs nationwide who have expressed their support of ending the misuse and overuse of antibiotics in food animal production. As a result, the SuperChefs are urging the Food and Drug Administration to strengthen its antibiotic policies.
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SuperChefs Against Superbugs, an initiative of the Pew Campaign on Human Health and Industrial Farming, is a movement of chefs who want to stop the overuse of antibiotics in food animal production. On April 23, the following seven chefs visited Capitol Hill to explain why they serve meat and poultry raised without antibiotics.
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It used to be easy to treat healthy children with common bacterial infections; a regimen of antibiotic pills could usually wipe out the disease. Today, patients might need to go home on intravenous antibiotics because oral therapies will no longer work. Antibiotic resistance is to blame.
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A past bout of salmonella led Maine resident Danielle Wadsworth to travel to Washington, D.C. this week to argue for stronger regulations to curtail the use of antibiotics in livestock farming. She took part Wednesday in "Supermoms Against Superbugs," an initiative of the Pew Campaign on Human Health and Industrial Farming.
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Dr. Cecilia Di Pentima is in Washington, D.C., for “Supermoms against Superbugs” to push for laws to curtail the use of antibiotics in livestock farming — one of many fronts in the battle to preserve the effectiveness of the medicines. Family physicians in the South, including Tennessee, have also been identified as inadvertent purveyors of drug-resistant bacteria by prescribing too many antibiotics.
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Each year, tens of thousands of Americans die and hundreds of thousands are hospitalized because of bacterial infections resistant to antibiotics. Antibiotic overuse on industrial farms is a big part of the problem. The largest U.S. meat and poultry producers feed antibiotics to healthy animals over much of their lives to make them grow faster and to compensate for the overcrowded and unsanitary conditions in which they are bred and slaughtered.
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On behalf of the undersigned organizations representing medical, public health, scientific, agricultural, environmental, animal protection, and other organizations, we urge you to include H.R. 820, the Delivering Antimicrobial Transparency in Animals (DATA) Act, as part of the final Animal Drug User Fee Act (ADUFA). This legislation provides a reasonable, common-sense approach to better understanding antibiotic use in agriculture.
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On Tuesday, April 16, more than 50 moms, dads, and other caregivers will participate in the second annual Supermoms Against Superbugs Advocacy Day. These doctors, chefs, farmers, and survivors of drug-resistant infections will call on President Barack Obama, the U.S. Food and Drug Administration, and Congress to shine a light on industrial farms’ antibiotic use and to put an end to the practices that threaten our health.
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