New ideas for combating antibiotic resistance

What priorities should the national Strategy on Antibiotic Resistance (StAR) focus on in the coming years? The Federal Office of Public Health (FOPH) discussed this question with experts from various disciplines. The inputs from the workshop will be incorporated in the One Health Action Plan 2024-27.

Since implementation of the StAR strategy began in 2016, the use of antibiotics has improved and antibiotic consumption in Switzerland has been further reduced. Antimicrobial substances are increasingly being prescribed more appropriately in human and veterinary medicine as well as in agriculture. Worldwide, however, the burden of disease caused by resistant pathogens continues to grow. This "silent pandemic" poses a global challenge and requires new forward-looking and sustainable strategic approaches.

Workshop with 70 experts

Such approaches were discussed by the Federal Offices of Public Health (FOPH), Agriculture (FOAG) and the Environment (FOEN) and the Federal Food Safety and Veterinary Office (FSVO) in mid-June at a workshop with around 70 representatives from medicine, science, business and politics, as well as from various federal offices. The aim of the discussion was to reflect on the priorities in the implementation of the national Strategy on Antibiotic Resistance (StAR) over the next few years. The workshop was part of the lead-up to the One Health Action Plan 2024-27. This plan sets out the aims and future measures in the strategy's various action areas.

Gruppo di progetto
Anne Lévy, Director FOPH (3rd of right), and the project management team StAR

Challenges at the global level

The StAR strategy is the foundation for addressing the problem of antimicrobial resistance in a systematic and cross-sector approach. The StAR project team is assembled of people from each relevant area: humans-animals-agriculture-environment – i.e. those areas in which antibiotics play a significant role. The strategy has already notched up some initial successes. Nevertheless, as FOPH Director Anne Lévy stressed in her opening speech, the future challenges posed by antibiotic resistance at the global level are considerable: "This continues to apply equally to Switzerland. In drawing up the One Health Action Plan 2024-27, we want to set priorities for the next few years and join forces." 

There is still a need for action

Although important objectives have been achieved, there is still a need for further action – as demonstrated by a review of the current implementation status of StAR. In response to this need, the 2024-27 Action Plan focuses on binding and innovative measures. The main directions of impact in the Action Plan are based on the accumulated experience, recommendations from science, from proposals put forward in political initiatives as well as on findings from the evaluations of the achievements of StAR since 2016.

One Health strategy is key

The One Health approach is again written large in the Action Plan: The cooperation between the various sectors promotes the exchange of knowledge and strengthens the joint efforts to control antibiotic resistance. Although each individual sector has its own specific challenges and defines corresponding measures, the interdisciplinary exchange highlights the interconnections between human and veterinary medicine, agriculture and the environment. 

Inputs from Austria

The workshop benefited from the input of Reinhild Strauss from Austria’s Federal Ministry for Social Affairs, Health, Care and Consumer Protection. Her presentation on the current challenges in antimicrobial resistance in Austria gave participants the opportunity to share views on parallels and differences in relation to Switzerland.

StAR Stakeholder Workshop

Federal Council decides on the Action Plan

Numerous valuable take-aways from the group discussions among the stakeholders will now be incorporated in the final version of the Action Plan. The Federal Council is expected to decide on the Action Plan in the spring of 2024. FOPH Director Anne Lévy expressed her hope "that we will implement the measures in all areas of the strategy defined in the Action Plan jointly, effectively and in a forward-looking manner."

Last modification 13.11.2023

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Swiss Strategy on Antibiotic Resistance (StAR)
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Schwarzenburgstrasse 157
3003 Bern
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