Diario Oficial de la Unión Europea del 22/6/2023 - Comunicaciones e Informaciones
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Source: Diario Oficial de la Unión Europea - Comunicaciones e Informaciones
C 220/2
EN
Official Journal of the European Union
22.6.2023
4
The Commissions Communication of 29 June 2017 A European One Health Action Plan against AMR the 2017
AMR Action Plan 5 outlines over 70 actions covering human health, animal health and the environment, whose progress has been regularly monitored 6. However, further action is needed, in particular in the areas of human health and the environment, which requires the Commission and Member States to give more attention to these areas for instance through this Recommendation. The Council conclusions of 14 June 2019 on the next steps towards making the EU a best practice region in combating antimicrobial resistance 7 and the Council conclusions of 7 December 2021 on strengthening the European Health Union 8 contribute to the work against AMR in that respect.
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The EU4Health Programme 9 offers a sizeable investment in combating AMR, in particular through direct grants to Member State authorities for the implementation of AMR measures, amongst others supporting Member States in the implementation of One Health AMR National Action Plans, infection prevention and control of both community-acquired and healthcare-associated infections and antimicrobial stewardship strategies. This should serve to support the follow-up of this Council Recommendation across Member States. The Horizon Europe programme 10 will provide support to research and innovation actions and a partnership on One Health AMR 11, while financing from the European Investment Bank 12 and assistance under the Technical Support Instrument 13
could provide additional support to the implementation of this Council Recommendation.
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One Health AMR National Action Plans are essential for a coordinated AMR response across sectors. In the 2016
political declaration of the high-level meeting of the General Assembly on antimicrobial resistance 14, Member States committed to work at national, regional and global levels to develop, in line with the World Health Assembly resolution 68.7, multisectoral action plans, in line with a One Health approach and the Global Action Plan on AMR 15. The Council Conclusions of 17 June 2016 16 called on Member States to have in place before mid-2017
a national action plan against AMR, based on the One Health approach and in line with the objectives of the WHO
Global Action Plan on AMR.
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In its overview report of 18 October 2022 17, the Commission found that, while National Action Plans were in place in all Member States, with most based on a One Health approach at least to some extent, these action plans varied considerably in content and detail. It also concluded that many Member States should work more following a One Health approach, particularly regarding measures concerning the environment, which are often missing or not well developed. Finally, core components, such as the operational, monitoring and evaluation parts, were generally not well developed in the National Action Plan themselves, nor available in related documents. Furthermore, budgeting information was mostly absent from the National Action Plans. These issues raise concerns about the sustainable implementation of the National Action Plans and the arrangements in place in Member States to ensure that their strategic objectives are achieved effectively. Member States should therefore ensure they have National Action Plan based on the One Health approach, underpinned by appropriate structure, monitoring and resources.
5 https health.ec.europa.eu/system/files/2020-01/amr_2017_action-plan_0.pdf.
6 https health.ec.europa.eu/system/files/2022-04/amr_2018-2022_actionplan_progressreport_en.pdf.
7 Council conclusions of 14 June 2019 on the next steps towards making the EU a best practice region in combating antimicrobial resistance.
8 Council conclusions of 7 December 2021 on strengthening the European Health Union.
9 Regulation EU 2021/522 of the European Parliament and of the Council of 24 March 2021 establishing a Programme for the Unions action in the field of health EU4Health Programme for the period 2021-2027, and repealing Regulation EU No 282/2014 OJ L
107, 26.3.2021, p. 1.
10 Regulation EU 2021/695 of the European Parliament and of the Council of 28 April 2021 establishing Horizon Europe the Framework Programme for Research and Innovation, laying down its rules for participation and dissemination, and repealing Regulations EU No 1290/2013 and EU No 1291/2013 OJ L 170, 12.5.2021, p. 1.
11 https cordis.europa.eu/programme/id/HORIZON_HORIZON-HLTH-2024-DISEASE-09-01;
https research-and-innovation.ec.
europa.eu/system/files/2022-02/ec_rtd_he-partnerships-onehealth-amr.pdf.
12 https www.eib.org/en/index.htm.
13 Regulation EU 2021/240 of the European Parliament and of the Council of 10 February 2021 establishing a Technical Support Instrument OJ L 57, 18.2.2021, p. 1.
14 https digitallibrary.un.org/record/845917record-files-collapse-header.
15 https www.who.int/publications/i/item/9789241509763.
16 Council conclusions of 17 June 2016 on the next steps under a One Health approach to combat antimicrobial resistance.
17 https health.ec.europa.eu/publications/overview-report-member-states-one-health-national-action-plans-against-antimicrobialresistance_en.
