The U.S. Weakens a UN Declaration on Antibiotic Resistance


Last May, the United Nations (U.N.) released the first draft of a global plan to tackle antibiotic resistance that aligned with a call from world leaders’ expert advisors to take “bold and specific action.” That included a commitment to reduce the use of antibiotics used in the food and agriculture system by 30 percent by 2030.

But when those leaders meet at the U.N. on Thursday to adopt the Political Declaration on Antimicrobial Resistance, that concrete goal and others will be missing from the latest draft.

After months of negotiations and edits to the proposal, these ambitious—and likely effective—commitments have been replaced with a toothless target: to “strive to meaningfully reduce” antibiotic use in agriculture. Now, experts and advocates are concerned that this new, vague provision, among other weakened commitments, will be included in the final declaration.

“I think it’s a serious mistake,” said Andre Delattre, the senior vice president and COO for programs at the Public Interest Network, which has advocated for reducing antibiotic use on farms as a matter of public interest for years. “We’ve known for a very long time that the overuse of antibiotics in animal agriculture is really problematic for public health. Saying we’re going to reduce without setting targets just shows we’re not as serious as we should be about the problem.”

The news comes at a pivotal moment. While the urgency of antibiotic resistance as a public health threat is well known, a new study released last week upped the ante. According to a systemic analysis of the problem, researchers predicted deaths directly caused by resistance will increase nearly 70 percent between 2022 and 2050, rising to around 2 million per year globally, with another 8 million deaths associated with the issue.

In the U.S., the largest volume of antibiotics are used in animal agriculture. Also, the preventive dosing of animals with medically important drugs—that is, drugs for treating humans—is still routine. This use of drugs can drive the development of resistant bacteria that then threaten human lives. Reducing or eliminating the use of medically important antibiotics in livestock would slow the development of resistant bacteria, experts say, safeguarding the efficacy of important drugs for longer.

“It is estimated that by 2050, as many as 10 million people globally will die annually from antibiotic-resistant infections unless the United States joins with other countries to quickly take aggressive action to address this issue.”

U.S. officials were at least partially responsible for weakening the U.N. declaration’s commitments on animal agriculture. The advocacy organization U.S. Right to Know obtained a document showing that the U.S. was one of a few meat-producing countries that suggested deleting the 2030 goal. The organization also cites the fact that a Washington, D.C. trade group representing the animal drug industry objected to the goal. In response to questions about involvement in the U.N. declaration, a U.S. Department of Agriculture (USDA) spokesperson referred Civil Eats to the U.S. Food and Drug Administration (FDA). FDA officials did not respond by press time.

Steve Roach, the Safe & Healthy Food Program Director at Food Animal Concerns Trust (FACT), has been tracking U.S. policy on antibiotic use in agriculture for years. He said that on the international stage, he’s seen the U.S. “actively undermining” stronger policies time and time again.

“The U.S. always seems to be aiming for something weaker,” he said. For example, he said the U.S. worked to keep targets for the reduction of antibiotic use out of international food safety standards. The U.S. was also one of five countries—all top users of antibiotics in animal agriculture— that did not sign onto an earlier global agreement, called the Muscat Ministerial Manifesto on AMR, that did include targeted reductions.

And Roach said that this approach on the global stage mirrors how federal agencies continue to approach the issue at home. “We’ve been calling for targets for years, and FDA is always saying, ‘We don’t have enough data to determine how much use is inappropriate. So, therefore, we don’t support targets,’” he said.

The FDA does track the volume of medically important antibiotics sold for use in animals, but it is still not tracking exactly how those drugs are being used on farms. Instead, it has funded small pilot projects and is now in the process of working with the meat industry on a voluntary reporting system.

The agency outlined some of those efforts in a letter sent to Senator Cory Booker (D-New Jersey) last week. The letter was in response to concerns Booker raised in July about updates he felt would weaken guidance the FDA creates for the industry on responsible antibiotic use. Booker’s team was far from satisfied with the agency’s response and said that after more than a decade of attention, they found it incredibly troubling that basic issues of data collection and setting concrete targets were still unresolved.

Source: civileats.com


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