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NIBIOs ansatte publiserer flere hundre vitenskapelige artikler og forskningsrapporter hvert år. Her finner du referanser og lenker til publikasjoner og andre forsknings- og formidlingsaktiviteter. Samlingen oppdateres løpende med både nytt og historisk materiale. For mer informasjon om NIBIOs publikasjoner, besøk NIBIOs bibliotek.

2015

Sammendrag

The thesis examines MRSA in pig production and in the public health sector, seen from a One Health perspective. One Health is a common term covering human, animal and environmental health. The One Health concept recognizes that human health is linked to animal health and the environment. Comparing Norway and Denmark the thesis examines the differences and similarities in the agricultural sector and the public health sector of the two countries and explains why different strategies have been chosen to manage MRSA, in particular the MRSA strain CC398 (livestock-associated MRSA). The thesis combines interviews with 16 experts from different professions on the subject of MRSA and examine of relevant literature, public documentation and media coverage. The thesis is based on analyses of the public health sector and the agricultural sector in Norway and Denmark. The subject of the thesis - MRSA in pig production and in the public health sector, seen from a One Health perspective – covers three aspects: organization, strategy and context. It discusses the way in which the administration of the public health sector is organized, the collaboration between the public health sector and the agricultural sector, the use of antibiotics in the public health sector and in agriculture and the implementation of biosecurity measures in the public health sector and the pig industry. Norway has chosen a stamping out strategy when detecting the MRSA strain CC398 in pig herds. In each individual case the possible source of infection is identified and people working with pigs are monitored closely. The strategy is combined with the introduction of a code of practice and with information, advice and guidelines on biosecurity standards and other preventive measures for the agricultural sector. So far, Denmark has chosen to adopt a set of strategies described in an action plan, effective until 2018, and passed by the Danish parliament. The Danish strategies include a reduction in the use of antibiotics on pig farms (including the phasing-out of tetracycline and other measures), prioritization of hygiene measures in pig herds , a reduction of infections in individual pig herds (internal infections), mandatory biosecurity protocol, ongoing surveillance programmes to determine the development of MRSA CC398 prevalence over time, further research on MRSA CC398 and international efforts to monitor MRSA CC398 and the use of antibiotics. Although Denmark is ahead of Norway in perceiving MRSA from a One Health perspective, Norway has made good progress during the period 2013-2015 as a result of the stamping out strategy when detecting MRSA CC398. Stamping out requires close collaboration among public authorities and between the authorities and the agricultural sector. Both Norway and Denmark aim to keep all strains of MRSA out of hospitals and nursing homes, the so-called S/D strategy, and to ensure a low prevalence of MRSA. So far, the S/D strategy has proven successful in both countries.