The 130th Annual Meeting of APHA

Session: Antibiotics in U.S. Agriculture: Escalating Resistance Concerns and Policy Developments
4028.0: Tuesday, November 12, 2002: 8:30 AM-10:00 AM
Oral
Antibiotics in U.S. Agriculture: Escalating Resistance Concerns and Policy Developments
A broad consensus within the medical and public health communities now finds that antibiotic overuse in agriculture has led to increased problems with humans contracting infections that are drug resistant – especially via food contaminated with antibiotic-resistant pathogens. Evidence suggests that eight times or more antibiotics by volume are put into feed for healthy livestock and poultry – to make them put on weight faster, or to prevent infections under sometimes unhygienic farming conditions – than are used to treat sick people in the U.S. By recent estimates, medicated animal feeds consume nearly 25 million pounds of antibiotics each year, while treatment of human infections accounts for just 3 million pounds. Many antibiotics put into animal feeds and water are identical, or nearly so, to those used in human medicine, including penicillins, tetracyclines, macrolides, bacitracin, sulfonamides, and fluoroquinolones. This session examines recent developments around this issue, including: new science about the transmission of drug-resistant pathogens on food, from farms to consumers; new data concerning the spread of antibiotic-resistant bacteria from farms via non-food pathways; the U.S. Food and Drug Administration’s response to the problem, and the formation of Keep Antibiotics Working – a national campaign to eliminate the use of medically-important antibiotics for non-therapeutic purposes in food animals.
Learning Objectives: 1. Summarize the basis for concerns about antibiotic use in agriculture. 2. Identify two bacterial foodborne pathogens in which the agricultural use of antibiotics is thought to have contributed to greater problems with resistant infections in humans. 3. Describe three potential impacts of food production on public health not involving nutrition; 4.Describe three environmental indicators impacted negatively by modern trends in food production; 5.Describe potential non-food pathways of exposure to antibiotic resistant bacteria following the use of antibiotics in food animal production 6.List several factors contributing to the consideration of antibiotic resistance as an envrionmental problem.
See individual abstracts for presenting author's disclosure statement and author's information.
Panelist(s):Tamar F. Barlam, MD
David B. Wallinga, MD, MPA
Ellen Silbergeld, PhD
Organizer(s):John Neuberger, MBA, MPH, DrPH
Robin Lee, MPH
David B. Wallinga, MD, MPA
Moderator(s):David B. Wallinga, MD, MPA
8:30 AMAgricultural antibiotic use and food: Old problem, new science
Tamar F. Barlam, MD
9:00 AMKeeping antibiotics effective: Public health and public interest action
David B. Wallinga, MD, MPA
9:30 AMAgricultural antibiotic use is an environmental issue
Ellen Silbergeld, PhD, Lance Price
Organized by:Environment
Endorsed by:Epidemiology; Medical Care
CE Credits:CME, Environmental Health, Health Education (CHES), Nursing, Pharmacy, Social Work

The 130th Annual Meeting of APHA