Addressing Antimicrobial Resistance (AMR) on Dairy Farms: A One Health Case Study from Punjab, India

D. Vijay, Pankaj Dhaka, J. Bedi
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Abstract

This case study explores the antimicrobial usage (AMU) practices on Punjab’s dairy farms, aiming to address the challenge of antimicrobial resistance (AMR) through collaborative efforts. It uncovers diverse AMU practices contributing to misuse, particularly on farm management-related diseases, such as mastitis, reproductive disorders, diarrhoeal diseases, and blood parasite infections. Some animal farms displayed high AMU levels of ‘critical importance’ category antibiotics, as per the World Health Organization. Additionally, some farmers exhibited inadequate knowledge and understanding of the importance of completing adequate antimicrobial therapy courses. The key risk factors for incorrect AMU include lack of awareness among the informal animal health service providers (without formal education/qualification), over-the-counter access of antibiotics, self-treatment practices by the farmers, and limited understanding of AMR’s public health implications. The study undertook a series of initiatives to combat AMR, including subject awareness workshops, biosecurity awareness activities comprising proper disposal of farm waste, and workshops for veterinarians, para-veterinarians, and farmers, sensitizing about AMR’s adverse consequences. Recommendations include enhancing access to qualified veterinarians, discouraging reliance on unauthorized practitioners, enhancing diagnostic capabilities, and providing technical support for disease prevention. Establishing AMU and AMR surveillance systems is essential for informed decision-making. Collaborative efforts are vital to raise awareness, promote responsible AMU, and ensure animal and public health security. These joint actions among dairy chain stakeholders are imperative to combat AMR and foster sustainable dairy production while protecting animal and human health. © The Authors 2023
应对奶牛场的抗菌药耐药性 (AMR):印度旁遮普省的一个健康案例研究
本案例研究探讨了旁遮普省奶牛场的抗菌药使用(AMU)实践,旨在通过合作努力应对抗菌药耐药性(AMR)的挑战。研究揭示了导致滥用抗菌药物的各种做法,尤其是与牧场管理相关的疾病,如乳腺炎、繁殖障碍、腹泻疾病和血液寄生虫感染。根据世界卫生组织的标准,一些动物养殖场的 AMU 水平很高,属于 "至关重要 "类抗生素。此外,一些养殖户对完成适当的抗菌治疗课程的重要性认识不足,理解不够。造成不正确 AMU 的主要风险因素包括非正规动物保健服务提供者(未受过正规教育/未取得资格)缺乏相关意识、非处方抗生素的使用、养殖户的自我治疗行为以及对 AMR 的公共卫生影响了解有限。这项研究采取了一系列措施来防治 AMR,包括举办主题宣传讲习班、开展生物安全宣传活动(包括正确处理农场废物),以及为兽医、准兽医和农民举办讲习班,提高他们对 AMR 不良后果的认识。建议包括增加获得合格兽医服务的机会,不鼓励依赖未经授权的从业人员,提高诊断能力,并为疾病预防提供技术支持。建立 AMU 和 AMR 监测系统对于知情决策至关重要。合作对于提高认识、促进负责任的AMU以及确保动物和公共卫生安全至关重要。乳业链利益相关者之间的这些联合行动对于抗击AMR、促进可持续乳业生产以及保护动物和人类健康至关重要。 作者 2023
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