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An agency of the European UnionSales of veterinary antimicrobial agents in 31 European countries in 2018 - Trends from 2010 to 2018 - Tenth ESVAC report
Sales of veterinary
antimicrobial agents in31 European
countries in 2018Trends from 2010 to 2018
Tenth ESVAC report
Mission statement
animal health.Legal role
The European Medicines Agency (hereinafter the Agency" or EMA) is the European Union (EU) body responsible for by Member States for the evaluation, supervision and pharmacovigilance of medicinal products. The Agency provides the Member States and the institutions of the EU and the European Economic Area (EEA) countries of medicinal products for human or veterinary use referred to it in accordance with the provisions of EU legislation relating to medicinal products. The founding legislation of the Agency is Regulation (EC) No726/2004 of the European Parliament and the Council of 31
March 2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a EuropeanMedicines Agency
1Principal activities
Working with the Member States and the European Commission (EC) as partners in a European medicines network, the Agency: Provides independent, science-based recommendations on general issues relevant to public and animal health that involve medicines; help bring new medicines to the market by means of a single, EU-wide marketing authorisation granted by the EC; Implements measures for continuously supervising the development and improve the availability of innovative new medicines; Recommends safe limits for residues of veterinary medicines used in food-producing animals, for the establishment of 1OJ L 136, 30.4.2004, p. 1
Involves representatives of patients, healthcare professionals and other stakeholders in its work, to facilitate dialogue on issues of common interest; Publishes impartial and comprehensible information about medicines and their use; Develops best practice for medicines evaluation and supervision in Europe and contributes alongside the Member States and the EC to the harmonisation of regulatory standards at the international level.Guiding principles
We are strongly committed to public and animal health. We support research and innovation to stimulate the development of better medicines. We value the contribution of our partners and stakeholders to our work. We assure continual improvement of our processes and We adhere to high standards of professional and personal integrity. We communicate in an open, transparent manner with all of our partners, stakeholders and colleagues.We promote the well-being, motivation and ongoing
professional development of every member of the Agency. Sales of veterinary antimicrobial agents in 31 European countries in 2018Trends from 2010 to 2018
Tenth ESVAC report
21 October 2020
EMA/24309/2020
Veterinary Medicines Division
Acknowledgements
The members and observers of the ESVAC sales advisory expert group - Kari Grave (chair), Christina Greko, Katariina
Furthermore, Reinhard Fuchs, Klemens Fuchs, Antita Adriaens, Dries Minne, Bart Hoet, R eshat Jashari, Ivaylo Ivanov, European Medicines Agency staff members Kristine Ignate, Filipa Mendes O liveira, Zoltan Kunsagi, Helen Jukes andCitation
Correspondence
Any correspondence relating to this report should be sent by email to:DISCLAIMER
Sales of veterinary antimicrobial agents in 31 European countries in 201 8Tenth ESVAC report
2About the European Medicines Agency
is the protection and promotion of public and animal health through the evaluation and supervision of medicines for 1valid in all EU Member States and, after implementation at national level, in the EEA-EFTA states (Iceland, Liechtenstein
The Agency, with the help of its Committee for Medicinal Products for Veterinary Use (CVMP), and its Antimicrobials
2 in relation to the use of antimicrobials and the risk of antimicrobial resistance (AMR), with the intention of prom oting the continued availability of effective antimicrobials for use in animals while, at the same time, acting to min imise risks to animals or humans arising inSeptember 2009, following a request from the EC to develop a harmonised approach to the collection and reporting
About the report
The tenth ESVAC report presents data on the sales of veterinary antimicrobial agents from 31 European countries in 2018,
changes in consumption of veterinary antimicrobials for the years 2010-2018 (The report emphasises certain classes or subclasses of antimicrobials included in Category B of the categorisation made by
the EMA Antimicrobial Advice ad hoc Expert Group (AMEG) in 2019 (see selection criteria in Annex 5 3 , the need for those antimicrobials 4Category B of the AMEG categorisation includes those veterinary antimicrobials where the risk to public health
of the AMEG categorisation 5 1 2Available from the European Medicines Agency website () via Home > Veterinary regulatory > Overview >
3 sixth/en/ 4 5Although macrolides are not included in Category B, the CVMP has made recommendations indicating that, among other things, the
responsible use of antimicrobials (macrolides) should be strongly prom oted, and that although acknowledging that macrolides areIn 2017, the European Centre for Disease Prevention and Control (ECDC), the European Food Safety Authority (EFSA) and
of AMR in bacteria from humans and food-producing animals (JIACRA II report) 6evaluating the association between the sales of antimicrobials and occurrence of AMR in animals and humans, the report
7 to assist EU Member States inassessing their progress in reducing the use of antimicrobials and occurrence of AMR in both humans and food-producing
veterinary antimicrobials; sales of 3rd- and 4th-generation cephalosporins; sales of quinolones (specifying the proportion
The data and information included in this report have been reviewed and approved by the ESVAC National Contact Points
Advice on how to read this report:
It is generally agreed that it usually takes at least three to four years to establish a valid baseline for the data
on sales of veterinary antimicrobial agents. Consequently, the data from countries that have collected such data
It should be emphasised that the data presented in this report should not be used alone as a basis for setting
management priorities; additional data on the production of animals per country and animal demography,
available veterinary medicinal products and other factors should also be considered.It should be underlined that data presented in this report should not be used for direct comparison between
countries, as more detailed information and analysis would be needed. 6Available on the EMA webpage () via: Home > Veterinary regulatory > Overview > Antimicrobial resistance >
Analysis of consumption and resistance (JIACRA):
7Available on the EMA webpage () via Home > Veterinary regulatory > Overview > Antimicrobial resistance >
Analysis of consumption and resistance (JIACRA) > Outcome indicators (Table of contents
Summary ........................................................................Introduction
.....................................121. Technical notes
...........................14 14 14 15 15 15 17 17 172. Results
21by antimicrobial class22 by pharmaceutical form pharmaceutical form28 28
29
30
of sales of other quinolones31 32
33
35
38
38
41
42
45
57
3. Discussion ........................................................................
...................................584. Concluding remarks ........................................................................
.....................59Annex 1. Additional tables and charts ......................................................................60
Annex 2. Variables to be reported or used for calculation of active ingredient for each antimicrobial veterinary medicinal product; standardisation of the data ..........71Annex 3. Population correction unit (PCU)
Annex 4. List of antimicrobial classes/active ingredients reported in th e ESVAC......77Annex 5. Selection of antimicrobial classes
of WHO CIAs and AMEG Category B highlighted in the report .................................79 Annex 6. Distribution of veterinary medicines; legal framework and data sources by country ........................................................................ ............80Annex 7. References to national reports ...................................................................93
.........95 Annex 9. ESVAC sales advisory expert group members and observers ...................101 13 for 31 European countries, in 201824 for 31 European countries, for 201824 for food-producing species, in mg/PCU, aggregated by 31 European countries, for 201825 in 31 European countries, for 201825 other quinolones and polymyxins for food-producing species, in mg/PCU, for 31 European countries, in 2018 substance per population correction unit (mg/PCU), by pharmaceutical form, in 31 European countries, for 201827 agents for food-producing animals, aggregated by the 31 European countries, for 201827 in mg/PCU, for 31 countries, for 201828 in mg/PCU, by country, for 201829 by pharmaceutical form, in mg/PCU, by country, for 201829 by country, for 201830 in mg/PCU, by country, for 201830 by country, for 201831 in mg/PCU, by country, for 201831 by country, for 201832 in mg/PCU, by country, for 201832 (1 PCU = 1 kg), by country, in 201834 by country, in 201834 oral powders and oral solutions containing 1, 2, 3 and 4 antimicrobial agents, in 2018 (reported according to the ATCvet hierarchical system), by country, for 201837 by subclass, by country, in 201838 other quinolones, 3rd- and 4th-generation cephalosporins and polymyxins, for 25 EU/EEA countries, from 2011 to 2018 (note the difference in the scales of the y-axes) 39from 2011 to 201840 in tonnes, by country, from 2010 to 201841 by country, from 2010 to 201842 by country, from 2010 to 201845 by country, from 2010 to 2018 by country, from 2010 to 201847 by country, from 2010 to 201848 for food-producing species, in mg/PCU, by country, from 2010 to 201853 from 2010 to 2018 by country, from 2010 to 201857 14 at national level, national data providers, sources for ESVAC data and characteristics of data, by country, for 201818 and all other pharmaceutical forms (used mainly in food-producing anima ls), by country, in 201821 for food-producing animals, PCU and sales in mg/PCU, by country, for 2018 22 in 31 European countries in 201823 for 201833 respectively, to or from another Member State and PCU (net balance) in 201835 by country, from 2010 to 201843 49
51
54
List of tables
Tables and charts in Annexes 1-9
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