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Considerable disagreement exists over the definitions of prudent antimicrobial use and stewardship in agriculture and food production. This arises from a fundamental problem: so-called objective science remains insufficient for determining what is judicious – or injudicious – use, simply because any use of an antimicrobial will apply pressures that select for resistant bacteria. Justifiable antimicrobial use policies, therefore, are not for science alone to decide; they can only be properly deliberated through broader public discourse. To be credible, such a conversation needs to fully consider social norms, moral imperatives (to both humans and animals), and ethical features that should frame future antimicrobial stewardship practices. In his talk, Prof. Scott explored these issues using real examples from around the world and the United States, reflecting policy decisions at farm, industry, country, and global levels. He then examined longer-term, more sustainable approaches to antimicrobial resistance that go beyond the technical to fully account for the conflicting moral obligations inherent in balancing animal welfare and public health.
- Interview with Food and Agriculture Organization of the United Nations (June 22, 2016)
- Prof. Scott will discuss the following publications:
- Report: "Guidelines on Use of Medically Important Antimicrobials in Food-producing Animals," World Health Organization (Nov. 7, 2017)
- Response: "USDA Chief Scientist Statement on WHO Guidelines on Antibiotics," (Nov. 7, 2017)
- Response: "NPPC Statement On WHO Call For Ban On Prevention Uses Of Antibiotics," (Nov. 7, 2017)
- Response: "WHO antimicrobial guidelines fall short of protecting human and animal health," (Nov. 10, 2017)
- Article: WHO seeks end to antibiotic use without disease (Dec. 13, 2017)
- Report: "Critically Important Antimicrobials for Human Medicine, 5th revision," World Health Organization (2017)
- Article:"Are Antibiotics Turning Livestock into Superbug Factories?" Giorgia Guglielmi, Science Magazine (Sept. 28, 2017)
- Report: "Tackling Drug-resistant Infections Globally," Review Committee on Antimicrobial Resistance, Jim O'Neill, Chair (May, 2016)
- Report: Combating Antimicrobial Resistance: A One Health Approach to a Global Threat, National Academies of Sciences, Engineering and Medicine (Dec. 8, 2017)
- Article: "High Levels of Antibiotic Resistance Found Worldwide, New Data Shows," World Health Organization (Jan. 29, 2018)
- The Antimicrobial Stewardship Project of CIDRAP (the Center for Infectious Disease Research and Policy), a Consortium member, is a comprehensive repository of accurate, current reporting on this and related topics. Visit their website here.
Provided by the Consortium on Law and Values in Health, Environment & the Life Sciences in collaboration with the Center for Infectious Disease Research and Policy (CIDRAP) and Microbiota Therapeutics Program