ABSTRACT

Commission Findings ......................................................................................................................46 Background on Public Health ..........................................................................................................46 Pew Commission and Public Health Recommendations .................................................................46 Complete Public Health Recommendations of the Pew Commission ............................................. 47

1. Restrict the use of antimicrobials in food animal production to reduce the risk of antimicrobial resistance to medically important antibiotics. ............................................... 47 Background ........................................................................................................................... 47

2. Clarify antimicrobial de”nitions to provide clear estimates of use and facilitate clear policies on antimicrobial use. .......................................................................48 Background ........................................................................................................................... 49

3. Improve monitoring and reporting of antimicrobial use in food animal production to assess accurately the quantity and methods of antimicrobial use in animal agriculture. .... 49 Background ........................................................................................................................... 49

4. Improve monitoring and surveillance of antimicrobial resistance in the food supply, the environment, and animal and human populations in order to re”ne knowledge of antimicrobial resistance and its impacts on human health. ..................................................50 Background ...........................................................................................................................50