Advantages of and ways forwards for integrated One Health approaches to antimicrobial resistance management in Vietnam

Introduction to AMR

If no actions are taken to address the global antimicrobial resistance (AMR) threat, it is estimated that by 2050 AMR will cost around10 million lives every year worldwide. AMR can lead to serious economic implications, such as causing illness of workers and delays in workflows.

Antibiotic resistance genes are exchanged between zoonotic, environmental bacteria and clinical pathogens through plasmid transmission, and environmental bacteria can contribute to the dissemination of antibiotic resistance. In addition, travellers can carry AMR bacteria to different parts of the world. The trade and movement of livestock and livestock products can also facilitate the outflow and inflow of AMR bacteria. Through these complex interactions among several actors, no country or sector can singlehandedly come up with effective solutions to AMR.

One Health and AMR

One Health is an added value in terms of better health and well-being for humans and animals, financial savings and enhanced environmental services, originating from the closer cooperation of health sectors together with other concerned disciplines and sectors. One Health research has greatly contributed to zoonoses control in resource‐poor settings by showing health and financial benefits to all sectors and by jointly using human and animal health services. One Health aims to improve the health of communities, their animals and the integrity of their environment by translating research into policy and practice.

One Health shows multi‐directional relationships among human health, animal health and environmental health. New integrated disease surveillance systems are under evaluation, but no consensus is yet available on the definition, objectives, components and criteria performance of such systems. International health agencies such as the World Health Organization (WHO), World Organisation for Animal Health (OIE), and Food and Agriculture Organization of the United Nations (FAO) would also welcome a performance evaluation for integrated AMR surveillance – beyond the frameworks for endemic and emerging zoonoses.

Objectives of the AMR short course

The goal of this AMR learning event in Vietnam is to formulate ways forward for integrated methods and inter-sectoral collaboration. Vietnamese postgraduate trainees will have a background in associated disciplines such as medical (human and animal), public health, agriculture including aquaculture, animal and food sciences, policy, economics, and microbiology, as well as social scientists. 

Course agenda

Day 1, 25 July
Introduction to global epidemiology of AMR
Health and economic threat of AMR
Situation of AMR in Vietnam
Policies in Vietnam and SE Asia
Day 2, 26 July
Private sector perspective: Mechanism of AMR, barriers and incentives to develop new antibiotics
Clinical trial
One Health and transdisciplinarity
Qualitative methods
Lab methods
Day 3, 27 July
Integrated AMR surveillance system
Case studies
Group work: Define topic, plan field work
Group work: Literature review
Day 4, 28 July
Field work in Ha Nam or Bac Ninh province
Exploration of the local context of livestock and aquaculture production
Group work
Reflection and return to Hanoi
Day 5, 29 July
Preparation of presentation and report
Open discussion
Day 6, 30 July
Literature review and proposal/grant writing

Course organizers/speakers

Esther Schelling
  • Deputy Head of Human and Animal Health Unit, Swiss TPH
Jӧrg Hummerjohann
  • Head of the Research Group Bacteriogical Food Safety at Agroscope, Switzerland 
Jeffrey Blaine Bender
  • Research expert at Minnesota University
Pham Thi Ngoc
  • Director of the National Institute of Veterinary Research (NIVR) 
Pham Duc Phuc
  • Deputy Director at CENPHER; HSPH
Huynh Minh Viet
  • CEO, BioSpring
Nguyen Van Kinh
  • Director of National Hospital of Tropical Diseases
Nguyen Hong Ha
  • Vice Director of National Hospital of Tropical Disease 
Nguyen Viet Hung
  • Scientist and acting regional representative for East and Southeast Asia at International Livestock Research Institute (ILRI) 
Vu Thi Thu Huong
  • Head of Anaerobic Laboratory, National Institute of Hygiene Epidemiology
Jeffrey Blaine Bender
  • Research expert at Minnesota University