Legal and Regulatory Approaches
ISSUE: The Centers for Disease Control and Prevention (CDC) cannot mandate states to reform laws regarding reporting, but must rely on education, persuasion, and invitation.
ISSUE: Some existing products seem to have activity against resistant pathogens, but since this efficacy has not been documented, such indications do not appear in their labeling.
ISSUE: There is ambiguity as to whether requests for registration of antibiotics for use on agricultural products that are exported are governed by the environmental clauses or the food safety requirements of the North American Free Trade Agreement and/or the General Agreements on Tariffs and Trade. Nor does antibiotic resistance appear to be incorporated explicitly into discussions of food safety and the regulation and monitoring of imports.
OPTION: Collaborative dialogue, perhaps led by the World Health Organization and including representation from the World Trade Organization, European Union, and U.S. Departments of State and of Commerce.