As a result of their deliberations, committees may make recommendations which they include in their reports for the consideration of the House of Commons or the Government. Recommendations related to this study are listed below.

The Forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action

Recommendation 1

That the Public Health Agency of Canada accelerate the development of the  Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action. The Pan-Canadian Action Plan should include measurable goals and targets, as well as clear timelines for implementation.

Federal Leadership

Recommendation 2

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, the Public Health Agency of Canada appoint a federal advisor to be the national champion for combatting antimicrobial resistance across Canada.

Recommendation 3

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, the Public Health Agency of Canada emphasize global leadership, with targeted investments for research and development of drugs and other treatments for drug-resistant tuberculosis.

Antimicrobial Stewardship

Recommendation 4

That the Public Health Agency of Canada ensure that the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action focus on identifying ways to scale up current best practices in antimicrobial resistance stewardship across Canada.

Recommendation 5

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, the Public Health Agency of Canada work with the provinces and territories and their health professional regulatory bodies to develop educational materials for physicians and nurse practitioners, and for the public, in relation to the responsible use of antimicrobials.

Recommendation 6

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, the Public Health Agency of Canada work with the provinces and territories and their health professional regulatory bodies to develop voluntary national prescribing guidelines.

Recommendation 7

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, Health Canada consider improving access to alternative therapies for food animals, such as probiotics, to reduce the use of antimicrobials in food animals.

Surveillance

Recommendation 8

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action , the Public Health Agency of Canada expand the role of The Canadian Antimicrobial Resistance Surveillance System to integrate and scale up existing data systems.

Funding

Recommendation 9

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, the Government of Canada provide stable and adequate funding to support research and innovation in the area of antimicrobial resistance, including support for small and medium-sized enterprises to bridge the “valley of death”; the promotion of public-private partnerships; and the promotion of or funding for behavioural research to address antimicrobial overprescribing practices from both a patient and physician/nurse practitioner perspective.

Recommendation 10

That, as part of the forthcoming Pan-Canadian Action Plan for the Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action, the Government of Canada explore the possibility of funding a network of centres of excellence on antimicrobial resistance.