JOINING THE DOTS

Tackling Pharmaceuticals in the Environment and Antimicrobial Resistance in Europe

30 January 2018 • 14.30 – 16.30

European Parliament Room A5E-2 • Brussels

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Hosted by Annie Schreijer-Pierik, MEP (EPP, NL) and Nicola Caputo, MEP (S&D, IT)

Event organised by the European Public Health Alliance (EPHA), Changing Markets Foundation and the European Environmental Bureau (EEB)

The evolving policy debates about Pharmaceuticals in the Environment and Antimicrobial Resistance (AMR) are closely interconnected and should not take place in separate silos. This event aimed to “join the dots” between the two by discussing environmental pollution caused by pharmaceutical consumption in Europe (where water bodies and entire ecosystems are under strain) and by the production process of antibiotics in third countries.

The upcoming EU strategy on Pharmaceuticals in the Environment and the implementation of the new EU One Health Action Plan against AMR provided the backdrop for a lively discussion featuring policymakers, international experts, civil society and industry representatives to highlight the different facets of – and available solutions to – tackling both issues.

About the event

Programme

14.30

Welcome and introduction

14.35

Context and existing evidence

Setting the scene: Pharmaceuticals in the environment, antibiotics production / consumption practices and the rise of AMR

The global rise in multi-resistant bacteria and implications for patients

Pharmaceuticals in the water cycle

15.30

Policy and practical solutions: how can Europe tackle the problem?

European Commission response to the problem

Pharmaceutical residues and water – experiences with the Dutch approach

How European consumption of antibiotics is creating a global problem

Public procurement as a tool to reduce PiE and AMR

Pharmaceutical pollution, a concern for responsible investors

An industry perspective on pharmaceuticals in the environment & AMR

16.25

Closing remarks

Speakers

Annie Schreijer-Pierik, MEP

EPP, Netherlands

Nicola Caputo, MEP

S&D, Italy

Nina Renshaw

Secretary General, European Public Health Alliance

Dr Christoph Lübbert

University of Leipzig (Germany)

Prof Dr Jan Peter van der Hoek

EurEau and TU Delft (Netherlands)

Hans Stielstra

Deputy Head of Clean Water Unit, DG Environment, European Commission

Dr Caroline Moermond

RIVM (Netherlands)

Marc de Rooy

Ministry for Infrastructure and Water (Netherlands)

Lena Modigh Göransson

Västra Götalandsregionen (Sweden)

Magdalena Kettis

Head of Thematic Research, Nordea (Sweden)

Lucas Wiarda

Head of Sustainable Antibiotics Programme, DSM-Sinochem

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<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">It is high time we tackled <a href="https://twitter.com/hashtag/amr?src=hash&ref_src=twsrc%5Etfw">#amr</a> <a href="https://twitter.com/hashtag/pharmapollution?src=hash&ref_src=twsrc%5Etfw">#pharmapollution</a> says <a href="https://twitter.com/AnnieSchreijer?ref_src=twsrc%5Etfw">@AnnieSchreijer</a> <a href="https://t.co/peBGiJrIpd">pic.twitter.com/peBGiJrIpd</a></p>— EPHA (@EPHA_EU) <a href="https://twitter.com/EPHA_EU/status/958331978121711616?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Jan Peter van der Hoek from <a href="https://twitter.com/eureau?ref_src=twsrc%5Etfw">@eureau</a> & <a href="https://twitter.com/tudelft?ref_src=twsrc%5Etfw">@tudelft</a> moots Extended Producer Responsibility for pharmaceutical companies to address impacts of drugs in the environment. General public will otherwise be saddled with the costs <a href="https://twitter.com/hashtag/pharmapollution?src=hash&ref_src=twsrc%5Etfw">#pharmapollution</a></p>— Changing Markets (@ChangingMarkets) <a href="https://twitter.com/ChangingMarkets/status/958345285381640193?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Europe has the purchasing power to be part of the solution. We can’t manage what we don’t measure: targets are needed to know more about consumption -<a href="https://twitter.com/ninawren?ref_src=twsrc%5Etfw">@ninawren</a></p>— EPHA (@EPHA_EU) <a href="https://twitter.com/EPHA_EU/status/958333888375541760?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">In Brussels <a href="https://twitter.com/Europarl_EN?ref_src=twsrc%5Etfw">@Europarl_EN</a> to Join the Dots on <a href="https://twitter.com/hashtag/AMR?src=hash&ref_src=twsrc%5Etfw">#AMR</a> and pharmaceuticals in the environment with <a href="https://twitter.com/AnnieSchreijer?ref_src=twsrc%5Etfw">@AnnieSchreijer</a> <a href="https://twitter.com/EPHA_EU?ref_src=twsrc%5Etfw">@EPHA_EU</a> and <a href="https://twitter.com/Green_Europe?ref_src=twsrc%5Etfw">@Green_Europe</a> <a href="https://twitter.com/hashtag/pharmapollution?src=hash&ref_src=twsrc%5Etfw">#pharmapollution</a>. Read our new report here: <a href="https://t.co/5kL5g8SYvj">https://t.co/5kL5g8SYvj</a> <a href="https://t.co/i07ZYG4OAM">pic.twitter.com/i07ZYG4OAM</a></p>— Changing Markets (@ChangingMarkets) <a href="https://twitter.com/ChangingMarkets/status/958335963956154368?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Epsa is present at <a href="https://twitter.com/EPHA_EU?ref_src=twsrc%5Etfw">@EPHA_EU</a>, <a href="https://twitter.com/Green_Europe?ref_src=twsrc%5Etfw">@Green_Europe</a> 'Joining the dots. Tackling <a href="https://twitter.com/hashtag/pharmaceuticals?src=hash&ref_src=twsrc%5Etfw">#pharmaceuticals</a> in the <a href="https://twitter.com/hashtag/environment?src=hash&ref_src=twsrc%5Etfw">#environment</a> and <a href="https://twitter.com/hashtag/AntimicrobialResistance?src=hash&ref_src=twsrc%5Etfw">#AntimicrobialResistance</a> in <a href="https://twitter.com/hashtag/Europe?src=hash&ref_src=twsrc%5Etfw">#Europe</a>'<br>Dr. Christoph Lübbert:" <a href="https://twitter.com/hashtag/AMR?src=hash&ref_src=twsrc%5Etfw">#AMR</a> correlates highly with consumption in the respective country"<a href="https://twitter.com/hashtag/KeepAntibioticsWorking?src=hash&ref_src=twsrc%5Etfw">#KeepAntibioticsWorking</a> <a href="https://t.co/qvX0A705db">pic.twitter.com/qvX0A705db</a></p>— EPSA (@EPSA_Online) <a href="https://twitter.com/EPSA_Online/status/958336169237995520?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Who should bear the costs of preventing <a href="https://twitter.com/hashtag/pharmapollution?src=hash&ref_src=twsrc%5Etfw">#pharmapollution</a>? Nina Renshaw from <a href="https://twitter.com/EPHA_EU?ref_src=twsrc%5Etfw">@EPHA_EU</a> highlights that it should always be those producing pharmaceuticals that pay – in line with the polluter pays principle – an underlying principle of EU <a href="https://twitter.com/hashtag/envi?src=hash&ref_src=twsrc%5Etfw">#envi</a> policy! <a href="https://twitter.com/hashtag/AMR?src=hash&ref_src=twsrc%5Etfw">#AMR</a></p>— EEB (@Green_Europe) <a href="https://twitter.com/Green_Europe/status/958345343736872961?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Dr. Christoph Lübbert from <a href="https://twitter.com/UniLeipzig?ref_src=twsrc%5Etfw">@UniLeipzig</a> warns that we are “on the threshold of a post-antibiotic era” as a result of <a href="https://twitter.com/hashtag/AMR?src=hash&ref_src=twsrc%5Etfw">#AMR</a> & <a href="https://twitter.com/hashtag/pharmapollution?src=hash&ref_src=twsrc%5Etfw">#pharmapollution</a>. Read more about impact of toxic <a href="https://twitter.com/hashtag/pharma?src=hash&ref_src=twsrc%5Etfw">#pharma</a> production in India in <a href="https://twitter.com/ChangingMarkets?ref_src=twsrc%5Etfw">@ChangingMarkets</a> new report: <a href="https://t.co/yrFNwZ6Y8H">https://t.co/yrFNwZ6Y8H</a></p>— EEB (@Green_Europe) <a href="https://twitter.com/Green_Europe/status/958338556996603910?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Many industry representatives are concerned; <a href="https://twitter.com/hashtag/antibiotics?src=hash&ref_src=twsrc%5Etfw">#antibiotics</a> enter environment also through irresponsible use and animal farming, not just waste, says <a href="https://twitter.com/WiardaL?ref_src=twsrc%5Etfw">@WiardaL</a> <a href="https://twitter.com/DSM_Sinochem?ref_src=twsrc%5Etfw">@DSM_Sinochem</a></p>— EPHA (@EPHA_EU) <a href="https://twitter.com/EPHA_EU/status/958353147755487234?ref_src=twsrc%5Etfw">January 30, 2018</a></blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

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