Staying ahead of the antimicrobial resistance curve

Antimicrobial resistance (AMR) is a significant health issue worldwide, including here in Alberta.

AMR occurs when bacteria, viruses, fungi and microscopic parasites change over time and no longer respond to previously effective medicines, making infections harder to treat and increasing the risk of disease spread and potentially severe outcomes. The prevalence of AMR is increasing globally, having the potential to not only negatively impact human health, but also animal health and welfare, the environment and Alberta’s agri-food industries.

In response to this growing issue, Alberta’s government has developed a framework to address AMR. Alberta’s One Health Antimicrobial Resistance Framework for Action (AMR Framework) lays the groundwork for Alberta's response to antimicrobial resistance and guides efforts to effectively address this growing threat.

“We are taking immediate action to curb and prevent the potential harm that antimicrobial resistance could have on the health of Albertans. Thanks to Alberta’s existing expertise, robust infrastructure, and a clear framework to build upon, we are well-positioned to strengthen our resistance efforts for future generations.”

Adriana LaGrange, Minister of Health
The framework was developed through extensive engagement with AMR partners, including human and animal health professionals, professional associations and licensing bodies, healthcare delivery partners, agriculture and agri-food industries, and academics, to provide crucial structure and direction for Alberta's approach to AMR. It acknowledges the One Health (interconnections between human, animal and environmental health) approach for coordinating efforts among the ministries of Health, Agriculture and Irrigation, and Environment and Protected Areas.

“Antimicrobial resistance affects animal health and the agriculture sector far and wide and is likely to get worse without coordinated efforts. This framework outlines Alberta’s response on all fronts to ensure our farmers and ranchers can face this issue head-on and continue to produce healthy, high-quality food for people worldwide.”

RJ Sigurdson, Minister of Agriculture and Irrigation
The AMR Framework will be implemented through a phased approach, with Alberta’s government investing $5 million over the next two years to support antimicrobial stewardship. The funding will support antimicrobial stewardship in acute care settings and veterinary practices and will include development of AMR resources and communications. It will also help identify and develop strategies to implement local, national and or international antimicrobial stewardship guidelines in both human and animal health sectors.

“The AMR Framework provides an evidence-informed, collaborative approach to combat a global challenge that we are also experiencing here in Alberta. By taking action, we are making sure that our health care system continues to protect the health and well-being of all Albertans.”

Dr. Mark Joffe, chief medical officer of health
 
“Whether abroad or here in Alberta, our elderly and vulnerable are particularly at risk. Complications from related infections lead to longer stays in hospital and more deaths. Action is needed and the framework that has been developed will be an important tool in this battle.”

Dr. Shelley Duggan, president, Alberta Medical Association
 
“Veterinarians and animal caregivers use multiple approaches to prevent and treat diseases, and antimicrobials are an important tool in their toolbox. Ensuring these medicines remain effective is critical to protecting animals, the public and the sustainability of our agri-food industries.”

Dr. Keith Lehman, chief provincial veterinarian
 
“A better understanding of antimicrobial resistance in the environment will be important as we move forward. With the AMR Framework in place, we look forward to continuing our collaboration with Alberta’s government to develop science-based solutions that protect Alberta’s natural environment and ecosystems.”

Dr. Jonathan Thompson, chief scientist
This investment in AMR stewardship activities is expected to have long-term impacts that include improved health outcomes and decreased health care costs.