European Surveillance of Veterinary Antimicrobial Consumption (ESVAC): 2009 - 2023

The European Surveillance of Veterinary Antimicrobial Consumption (ESVAC) project ran from 2009 to 2023 and reported on the sales of antimicrobial medicines used in animals across the European Union (EU). This type of information was essential to identifying possible risk factors that could lead to the development and spread of antimicrobial resistance in animals.
VeterinaryAntimicrobial resistance

The European Medicines Agency (EMA) started this project in September 2009, following a request from the European Commission to develop a harmonised approach for the collection and reporting of data on the use of antimicrobial agents in animals from EU and European Economic Area (EEA) Member States.

Voluntary participation in the ESVAC project increased from 9 to 31 reporting countries over the years.

The ESVAC project formally ended in November 2023 with the publication of its final report.

From January 2024, all EU / EEA Member States must report their data on the volume of sales and use of antimicrobial medicinal products in animals, in line with the Veterinary Medicinal Products Regulation.

EU / EEA Member States must use EMA's Antimicrobial Sales and Use Platform to report their data to EMA.

Since 2025, EMA publishes these data annually in the European Sales and Use of Antimicrobials for Veterinary Medicine (ESUVet) reports.

For more information, see:

Annual report on sales of veterinary antimicrobial medicinal products

Overall, most participating countries were successful in reducing the use of antimicrobials in food-producing animals between 2011 and 2022.

For the 25 countries that provided sales data continuously between 2011 and 2022, sales fell by 53% over this period.

Sales have fallen particularly sharply for antimicrobials in AMEG Category B, also classified by the World Health Organization as critically important in human medicine:

Antimicrobial classesReduction in total sales between 2011 and 2022
3rd and 4th generation cephalosporinsBy 49%
PolymyxinsBy 91%
FluoroquinolonesBy 25 %
Other quinolonesBy 90 %

Previous ESVAC annual reports

Select the expandable panels below to find the ESVAC reports related to the data collected from 2005 to 2021.

An overview of country-specific trends in the volume of sales of veterinary antimicrobial medicinal products between 2010 and 2021 is available in the country reports below.

Each one of the 31 countries has provided information corresponding to their data, and each section presents changes of sales by antimicrobial class, along with a brief summary and discussion of the data. 

Country reports on sales trends (2010-2022)

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Austria - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

 

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Belgium - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Bulgaria - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Croatia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022​

  

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Cyprus - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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​Czechia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Denmark - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

Estonian flag 

​Estonia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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​Finland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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France - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Germany - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Greece - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Hungary - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Iceland - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Ireland - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Italy - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Latvia - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Lithuania - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Luxembourg - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Malta - Sales trends (mg/PCU) of antibiotic VMPs for food-producing animals from 2010 to 2022

  

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Netherlands - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Norway - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Poland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Portugal - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Romania - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Slovakia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Slovenia - ​Portugal - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Spain - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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Sweden - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

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​Switzerland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

   

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United Kingdom - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2022

  

 

For the interpretation of data for individual countries, the following points should be considered:

  • 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;
  • differences in the selection of sales data providers and changes in already established systems collecting and handling the sales data may also have an impact;
  • data obtained through the first years of data collection should therefore be interpreted with due caution, and this is equally valid when major system changes occur.

Differences between countries should be interpreted with caution. Variations in reported sales (mg/PCU) and in sales patterns are likely to be partly due to differences in: 

  • occurrence of bacterial diseases;
  • composition of the animal population;
  • animal production systems;
  • prescription guidelines or practices;
  • daily doses used for various antimicrobial agents and pharmaceutical forms;
  • duration of antimicrobial treatment.

A number of countries offered comments related to activities combatting antimicrobial resistance in animals and explanations for the decline or increase of sales in their country. These include: 

  • implementation of national action plans to reduce the occurrence of resistance;
  • strategies and campaigns to promote prudent use of antimicrobials;
  • restrictions on use of certain antimicrobials in food-producing animals;
  • prescription control measures;
  • campaigns to raise awareness of the threat of antimicrobial resistance;
  • setting targets for reduction of antimicrobial sales;
  • underreporting and implementation of new data collection systems.

 

  

Austrian flag

  Austria - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

belgium.gif

  Belgium - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

Bulgarian flag

  Bulgaria - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Croatia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Cyprus - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Czechia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Denmark - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

Estonian flag

  Estonia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

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  Finland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  France - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Germany - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Greece - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Hungary - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

iceland.jpg

  Iceland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Ireland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Italy - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

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  Latvia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Lithuania - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Luxembourg - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Malta - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Netherlands - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

norway.jpg

  Norway - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

poland.gif

  Poland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Portugal - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

romania.gif

  Romania - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

slovakia.gif

  Slovakia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Slovenia - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Spain - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  Sweden - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

Swiss flag

    Switzerland - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

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  United Kingdom - Sales trends (mg/PCU) of antibiotic veterinary medicinal products for food-producing animals from 2010 to 2021

 

Austrian flag

 Austria - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

belgium.gif

 Belgium - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

Bulgarian flag

 Bulgaria - trends in the sales of antimicrobial VMPs for food-producing animals between 2011 and 2020

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 Croatia - trends in the sales of antimicrobial VMPs for food-producing animals between 2014 and 2020

cyprus.gif

 Cyprus - trends in the sales of antimicrobial VMPs for food-producing animals between 2011 and 2020

czechrepublic.gif

 Czechia - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

denmark.gif

 Denmark - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

Estonian flag

 Estonia - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

finland.gif

 Finland- trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

france.gif

 France - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

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 Germany - trends in the sales of antimicrobial VMPs for food-producing animals between 2011 and 2020

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 Greece - trends in the sales of antimicrobial VMPs for food-producing animals between 2015 and 2020

hungary.gif

 Hungary - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

iceland.jpg

 Iceland - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

ireland.gif

 Ireland - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

italy.gif

 Italy - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

latvia.gif

 Latvia - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

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 Lithuania - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

luxembourg.gif

 Luxembourg - trends in the sales of antimicrobial VMPs for food-producing animals between 2012 and 2020

malta.gif

 Malta - trends in the sales of antimicrobial VMPs for food-producing animals between 2017 and 2020

netherlands.gif

 Netherlands - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

norway.jpg

 Norway - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

poland.gif

 Poland - trends in the sales of antimicrobial VMPs for food-producing animals between 2011 and 2020

portugal.gif

 Portugal - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

romania.gif

 Romania - trends in the sales of antimicrobial VMPs for food-producing animals between 2014 and 2020

slovakia.gif

 Slovakia - trends in the sales of antimicrobial VMPs for food-producing animals between 2011 and 2020

slovenia.gif

 Slovenia - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

spain.gif

 Spain - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

sweden.gif

 Sweden - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

Swiss flag

   Switzerland - trends in the sales of antimicrobial VMPs for food-producing animals between 2011 and 2020

uk.gif

 United Kingdom - trends in the sales of antimicrobial VMPs for food-producing animals between 2010 and 2020

 

Austrian flag

 Austria - trends in the sales of veterinary antibiotics between 2010 and 2018

belgium.gif

 Belgium - trends in the sales of veterinary antibiotics between 2010 and 2018

Bulgarian flag

Bulgaria - trends in the sales of veterinary antibiotics between 2010 and 2018

croatia.gif

 Croatia - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Cyprus - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Czechia- trends in the sales of veterinary antibiotics between 2010 and 2018

denmark.gif

 Denmark - trends in the sales of veterinary antibiotics between 2010 and 2018

Estonian flag

 Estonia - trends in the sales of veterinary antibiotics between 2010 and 2018

finland.gif

 Finland - trends in the sales of veterinary antibiotics between 2010 and 2018

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 France - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Germany - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Greece - trends in the sales of veterinary antibiotics between 2010 and 2018

hungary.gif

 Hungary - trends in the sales of veterinary antibiotics between 2010 and 2018

iceland.jpg

 Iceland - trends in the sales of veterinary antibiotics between 2010 and 2018

ireland.gif

 Ireland - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Italy - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Latvia - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Lithuania - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Luxembourg - trends in the sales of veterinary antibiotics between 2010 and 2018

malta.gif

 Malta - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Netherlands - trends in the sales of veterinary antibiotics between 2010 and 2018

norway.jpg

 Norway - trends in the sales of veterinary antibiotics between 2010 and 2018

poland.gif

 Poland - trends in the sales of veterinary antibiotics between 2010 and 2018

portugal.gif

 Portugal - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Romania - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Slovakia - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Slovenia - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Spain - trends in the sales of veterinary antibiotics between 2010 and 2018

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 Sweden - trends in the sales of veterinary antibiotics between 2010 and 2018

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   Switzerland - trends in the sales of veterinary antibiotics between 2010 and 2018

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 United Kingdom - trends in the sales of veterinary antibiotics between 2010 and 2018

Sales data reporting form and protocol

To obtain standardised data, participating countries provided their sales data of veterinary antimicrobials and animal population data based on a data reporting protocol and data collection form, which are available below. EMA processed the data according to the protocol.

Population correction unit

The amounts of veterinary antimicrobial agents sold are linked to the animal demographics in each country. 

To normalise the sales data for the animal population that can be subjected to treatment with antimicrobial agents, ESVAC used a population correction unit (PCU) as a proxy for the size of the animal population. 

The way the PCU was calculated can be seen in Appendix 2 of the first ESVAC report.

Standardised units of measurement

To enable a more detailed analysis of trends in antimicrobial consumption, ESVAC prepared a system for the collection of harmonised and standardised data on consumption by animal species.

As a first step, EMA established standardised units of measurement for reporting antimicrobial consumption in specific animal species, called the 'defined daily dose' and 'defined course dose' for animals. 

For more information, see:

Reporting data by animal species

In February 2018, EMA published guidance on reporting antimicrobial consumption data by animal species. 

EMA also published an updated questions-and-answers document (Q&A) clarifying the rationale for certain recommendations, taking into account comments received during public consultation.

On 26 April 2017, the European Commission organised a workshop with EMA on data collection on consumption of veterinary antimicrobials in Europe. There was general consensus among stakeholders on the need to collect data on antimicrobial use by animal species, and on the benefits of such data collection.

Stratifying sales data by animal species

In July 2018, EMA launched a project for stratifying sales data of veterinary antimicrobials by animal species. 

This enabled an approximate estimation of consumption by different species, by allocating a proportion of the total sales to each species a veterinary antimicrobial is used in.

A protocol for collecting sales data for stratification is available below. It was based on the outcomes of a pilot project that tested this methodology and possible approaches to be used in EU/EEA Member States. Six volunteer Member States participated in the pilot.

ESVAC strategy 2016 - 2020

EMA developed an ESVAC strategy for 2016-2020. It incorporated stakeholder feedback gathered through a public consultation.

EMA brought together the best European expertise for harmonising data collection and analysis methodologies. It provided guidance on the collection of data per species, with a specific focus on the three major food-producing ones: pigs, cattle and broilers (poultry).

 

ESVAC meetings

EMA held meetings on monitoring the consumption of veterinary antimicrobial agents in Europe, bringing together representatives of Member States and other stakeholders. 

Find in the webpages linked below more information on these meetings, including reports and presentations.

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