1 00:00:00,000 --> 00:00:05,440 So to round out today, we're really excited to have Rupina Priyawal with us 2 00:00:05,440 --> 00:00:11,320 to lead a live podcast to introduce AMR Aware. 3 00:00:11,320 --> 00:00:16,960 So Rupina is a pediatric infectious disease physician and 4 00:00:16,960 --> 00:00:19,920 assistant professor at the University of Saskatchewan. 5 00:00:19,920 --> 00:00:22,800 She's actively involved in national trials and 6 00:00:22,800 --> 00:00:27,840 retrospective chart reviews, public health collaborations for syphilis outbreaks. 7 00:00:27,840 --> 00:00:32,160 And spends the rest of her time in education as the pediatric undergraduate 8 00:00:32,160 --> 00:00:34,520 medical education program director. 9 00:00:34,520 --> 00:00:37,320 Dr. Priyawal is also the founder, host, and 10 00:00:37,320 --> 00:00:41,520 producer of a Canadian infectious disease podcast, the Canadian Breakpoint, 11 00:00:42,960 --> 00:00:46,240 which was established in November 2021. 12 00:00:46,240 --> 00:00:51,720 The podcast has growing listenership with over 6,000 unique downloads to date 13 00:00:51,720 --> 00:00:55,780 from listeners in Canada, the US, the UK, India, and Australia. 14 00:00:55,780 --> 00:00:59,360 The podcast is designed to create awareness of increasing AMR and 15 00:00:59,360 --> 00:01:00,840 our fight against it. 16 00:01:00,840 --> 00:01:03,400 To focus on discussions around new diagnostic methods, 17 00:01:03,400 --> 00:01:07,080 how to implement new technologies in lab and clinical medicine, and 18 00:01:07,080 --> 00:01:09,320 to review emerging infectious diseases. 19 00:01:09,320 --> 00:01:13,760 We're really excited to have Rupina here to talk to Brad on stage as part of 20 00:01:13,760 --> 00:01:16,000 a live podcast today, so welcome Rupina. 21 00:01:16,000 --> 00:01:26,560 All right, thank you everyone. 22 00:01:26,560 --> 00:01:30,320 I really appreciate everyone staying for the segment, 23 00:01:30,320 --> 00:01:32,480 even though it's one of the last ones. 24 00:01:32,480 --> 00:01:38,040 And I'm really excited because this is the first time that we're doing a live 25 00:01:38,040 --> 00:01:42,920 podcast, so I'm really grateful to Bayamir and Kaja and 26 00:01:42,920 --> 00:01:47,320 Elizabeth for helping me arrange this, so thank you so much. 27 00:01:47,320 --> 00:01:51,800 And then I do want to give a shout out to my producer and 28 00:01:51,800 --> 00:01:55,520 marketing advisor, Summer Stewart, who's been helpful. 29 00:01:55,520 --> 00:02:00,320 So as I don't think I need to give more of an introduction to Brad, 30 00:02:00,320 --> 00:02:03,280 because Brad wears many hats. 31 00:02:03,280 --> 00:02:08,600 We just heard an amazing stewardship talk from him. 32 00:02:08,600 --> 00:02:13,080 And now we're going to change gears a bit and 33 00:02:13,080 --> 00:02:18,040 talk back a little bit about the AMR initiative. 34 00:02:19,240 --> 00:02:24,080 And so thank you, Brad, for taking this opportunity to- 35 00:02:24,080 --> 00:02:24,960 Thanks for having me. 36 00:02:24,960 --> 00:02:28,960 Yeah, stay on the stage, first of all, for a longer period of time. 37 00:02:28,960 --> 00:02:34,480 And also being open to being interviewed on this topic. 38 00:02:34,480 --> 00:02:35,520 Happy to do so. 39 00:02:35,520 --> 00:02:36,800 Thanks. 40 00:02:36,800 --> 00:02:40,560 So without further ado, so 41 00:02:40,560 --> 00:02:45,680 basically what we're gonna be talking about today is the AMR launch. 42 00:02:45,680 --> 00:02:52,000 And so Brad is going to give us a lot of information about the AMR initiative. 43 00:02:52,000 --> 00:02:54,880 I know there's been a wealth of information over the last two days. 44 00:02:54,880 --> 00:02:59,200 I've learned so much during this symposium and I've been so 45 00:02:59,200 --> 00:03:00,640 grateful to be here. 46 00:03:00,640 --> 00:03:06,280 And so we are going to change gears and talk about the new AMR initiative. 47 00:03:06,280 --> 00:03:10,080 So Brad, can you begin by summarizing not only for our audience here, but 48 00:03:10,080 --> 00:03:15,200 also my audience that's tuning in live and will be listening to the podcast 49 00:03:15,200 --> 00:03:17,000 on a later date? 50 00:03:17,000 --> 00:03:22,600 What is the new AMR awareness campaign and why is this important? 51 00:03:22,600 --> 00:03:23,520 Yeah, thanks, Rapina. 52 00:03:23,520 --> 00:03:28,480 So this new campaign is called AMR Aware Canada. 53 00:03:28,480 --> 00:03:34,000 It was just launched this month, just in time for World AMR Awareness Week 2024. 54 00:03:34,000 --> 00:03:36,640 And just in time for this conference as well. 55 00:03:36,640 --> 00:03:40,480 I think we heard a lot during this conference about the importance of working 56 00:03:40,480 --> 00:03:43,920 together across sectors, across disciplines. 57 00:03:43,920 --> 00:03:48,120 And I think one of the important first steps in that, kind of a foundational step, 58 00:03:48,120 --> 00:03:52,640 is to try to get everyone on the same page as to what is AMR? 59 00:03:52,640 --> 00:03:55,400 What are we as a group to do about this? 60 00:03:55,400 --> 00:03:59,160 And I think that's what AMR Aware Canada aims to do is provide kind of 61 00:03:59,160 --> 00:04:05,920 a foundational level of understanding and awareness about AMR in Canada. 62 00:04:05,920 --> 00:04:11,640 So AMR Aware Canada refers to this campaign, but it's also a brand new website. 63 00:04:11,640 --> 00:04:17,040 So AMRAware.ca, and that's shown up there on the screen with the QR code. 64 00:04:17,040 --> 00:04:21,040 And we can put the website link in the show notes as well. 65 00:04:21,040 --> 00:04:25,160 And that's got a number of great resources, some really good campaign resources for 66 00:04:25,160 --> 00:04:30,120 this World AMR Awareness Week can be shared with your colleagues and 67 00:04:30,120 --> 00:04:31,760 with the general public. 68 00:04:33,320 --> 00:04:36,720 I should highlight though the great work by National Collaborating Center for 69 00:04:36,720 --> 00:04:42,160 Infectious Diseases, NCCID, the folks there, Harpa and Amanda have done some nice 70 00:04:42,160 --> 00:04:45,280 work pulling together some really great visuals. 71 00:04:45,280 --> 00:04:50,720 One of which is this five things to know about antimicrobial resistance. 72 00:04:50,720 --> 00:04:54,280 Each of those five things has their own graphic that can be shared and 73 00:04:54,280 --> 00:04:57,200 they're really quite suitable for sharing on social media. 74 00:04:59,120 --> 00:05:01,320 So I'm happy to go through the five things. 75 00:05:01,320 --> 00:05:04,440 I think they might be useful to briefly talk about them, but 76 00:05:04,440 --> 00:05:08,440 I encourage people to go to the website to find out more. 77 00:05:08,440 --> 00:05:14,480 But the five things are basically what kind of this network of us at the AMR 78 00:05:14,480 --> 00:05:18,840 Aware Canada, I should have also mentioned, is a network of individuals. 79 00:05:18,840 --> 00:05:24,480 So it's about 20 collaborators, about 50 individuals, and I'm one of those. 80 00:05:24,480 --> 00:05:29,920 And we all had a chance to kind of review some of these statements and visuals. 81 00:05:29,920 --> 00:05:32,720 And these are the five things that we think are important for 82 00:05:32,720 --> 00:05:35,720 people to know about AMR. 83 00:05:35,720 --> 00:05:39,640 So one of which is that antimicrobial resistance is growing at a rate 84 00:05:39,640 --> 00:05:43,800 that's faster than we're able to keep up with the development of new antibiotics. 85 00:05:43,800 --> 00:05:48,760 All of these, by the way, are things that I think we as a group tend to know, but 86 00:05:48,760 --> 00:05:50,760 we don't think that everyone else knows about this. 87 00:05:50,760 --> 00:05:52,360 So there's an opportunity to share this. 88 00:05:53,600 --> 00:05:58,440 So number two is the fact that these infections that are caused by 89 00:05:58,440 --> 00:06:02,440 antimicrobial resistant organisms are becoming very difficult to treat and 90 00:06:02,440 --> 00:06:04,000 in some cases impossible to treat. 91 00:06:05,480 --> 00:06:09,520 Antimicrobial use is a big driver of antimicrobial resistance, 92 00:06:09,520 --> 00:06:11,880 whether it be inappropriate or appropriate. 93 00:06:11,880 --> 00:06:15,160 But the challenge is we know that there's a lot of inappropriate usage and 94 00:06:15,160 --> 00:06:21,000 we can address that to reduce the unnecessary harm that patients are exposed to. 95 00:06:22,240 --> 00:06:24,200 And then a big thing we heard from Dr. 96 00:06:24,200 --> 00:06:27,000 Loxman-Iranian this morning about prevention. 97 00:06:27,000 --> 00:06:28,040 So prevention is key. 98 00:06:29,240 --> 00:06:34,160 Things like hand hygiene, things like immunization can help prevent infections, 99 00:06:34,160 --> 00:06:38,040 which can prevent downstream antimicrobial use. 100 00:06:38,040 --> 00:06:43,280 And then the fifth thing is a final call to action about the importance of 101 00:06:43,280 --> 00:06:47,840 learning about antimicrobial stewardship, both from the perspective of the prescriber, 102 00:06:47,840 --> 00:06:51,840 the right drug, the right dose, right route and duration, only when needed. 103 00:06:51,840 --> 00:06:53,640 And from the patient's perspective as well. 104 00:06:55,360 --> 00:06:58,040 Yeah, and so actually looking at the website itself, 105 00:06:58,040 --> 00:07:01,160 I felt like it was very user friendly this year. 106 00:07:01,160 --> 00:07:07,000 And also a lot of resources and tools that can help clinicians, 107 00:07:07,000 --> 00:07:13,320 can help us communicate with the rest of our colleagues, but also with the public. 108 00:07:13,320 --> 00:07:16,760 And so there's a wealth of information there. 109 00:07:16,760 --> 00:07:20,000 And like you mentioned, it is a multifaceted problem. 110 00:07:20,000 --> 00:07:25,440 And that's discussed, that has been discussed over the last two days as well 111 00:07:25,440 --> 00:07:28,680 here, and really seeing the angles and different perspective. 112 00:07:28,680 --> 00:07:33,400 And actually, like you mentioned that there's over 50 collaborators. 113 00:07:33,400 --> 00:07:40,840 I think that perspective is really good to see from our end as well, 114 00:07:40,840 --> 00:07:45,080 because we can see that we're not looking at the problem from one angle. 115 00:07:45,080 --> 00:07:47,160 So that's fantastic. 116 00:07:47,160 --> 00:07:53,360 So with AMR Aware Canada being a unified campaign in Canada, 117 00:07:53,360 --> 00:07:59,240 and pretty much across the country, what are some of the leading Canadian programs 118 00:07:59,240 --> 00:08:03,480 or practices that are related to the awareness? 119 00:08:03,480 --> 00:08:05,400 Yeah, I think this is like so 120 00:08:05,400 --> 00:08:07,520 many great things that are happening across the country. 121 00:08:07,520 --> 00:08:11,040 You could spend an entire podcast just talking about this. 122 00:08:11,040 --> 00:08:14,280 But I think I'd like to highlight a couple of things. 123 00:08:14,280 --> 00:08:19,120 We heard a lot about upper respiratory tract infections being a major driver of 124 00:08:19,120 --> 00:08:22,200 unnecessary antibiotic use in the primary care setting. 125 00:08:22,200 --> 00:08:26,120 So that is a big target for patient awareness and education. 126 00:08:26,120 --> 00:08:30,480 And Choosing Wisely Canada has done some really good work on that. 127 00:08:30,480 --> 00:08:33,960 They have a toolkit called the Cold Standard Toolkit. 128 00:08:33,960 --> 00:08:37,120 It has a list of resources, recommendations for 129 00:08:37,120 --> 00:08:42,320 prescribing for common upper respiratory tract infections in primary care. 130 00:08:42,320 --> 00:08:45,800 And one of the resources I think was discussed in a couple of talks is 131 00:08:45,800 --> 00:08:47,320 the viral prescribing pad. 132 00:08:47,320 --> 00:08:52,960 So basically, if a patient presents with an illness that's likely caused by a virus, 133 00:08:52,960 --> 00:08:54,880 they don't need to go home empty handed. 134 00:08:54,880 --> 00:08:59,840 They can go home with this viral prescribing pad that has recommendations for 135 00:08:59,840 --> 00:09:03,720 supportive care but doesn't have any antibiotic to use. 136 00:09:03,720 --> 00:09:09,440 So give some opportunity for them to learn about what they can do to monitor 137 00:09:09,440 --> 00:09:11,000 when they should be following up. 138 00:09:11,000 --> 00:09:16,320 And it kind of validates the fact that they have symptoms, 139 00:09:16,320 --> 00:09:19,200 that they just need to be addressed without antibiotics. 140 00:09:19,200 --> 00:09:25,920 Yeah, and yesterday there was a talk in regards to decision support that was 141 00:09:25,920 --> 00:09:30,960 mentioned and I think all of these tools, especially being a clinician myself, 142 00:09:30,960 --> 00:09:35,960 having those decision tools on that support without having to 143 00:09:35,960 --> 00:09:40,560 call an infectious disease physician or let's say it's in the middle of the night 144 00:09:40,560 --> 00:09:44,560 and you don't have the resources or you're in a center where you don't have a 145 00:09:44,560 --> 00:09:47,640 specialist or a subspecialist where you can have that conversation. 146 00:09:47,640 --> 00:09:53,160 But yet you can kind of make an informed decision and guide your patient through that. 147 00:09:53,160 --> 00:09:56,120 That's fantastic that there's tools like this that exist. 148 00:09:56,120 --> 00:10:00,880 Yeah, there's a great section on the website just under resources. 149 00:10:00,880 --> 00:10:06,320 It's kind of like a wizard that you can filter the resources out by your audience 150 00:10:06,320 --> 00:10:10,920 type, by the resource type, by the condition. 151 00:10:10,920 --> 00:10:13,920 So I think that's a useful tool to check out. 152 00:10:13,920 --> 00:10:19,120 And that's perfect because again we're talking about patient level awareness too 153 00:10:19,120 --> 00:10:21,800 and case by case and so that's fantastic. 154 00:10:21,800 --> 00:10:26,960 Yeah, and it's so nice to see that we have, during the symposium I really realized 155 00:10:26,960 --> 00:10:31,080 that all of us are in the room trying to do the same thing and have that 156 00:10:31,080 --> 00:10:35,600 collaboration and so nice that we have something that's unified and centralized 157 00:10:35,600 --> 00:10:41,960 for us to actually, similar to when we have guidelines that we can follow. 158 00:10:41,960 --> 00:10:45,520 Now we have tools and resources that we can access in one place. 159 00:10:45,520 --> 00:10:46,520 It's fantastic. 160 00:10:46,520 --> 00:10:50,720 I think they've done, AMR Aware Canada has done a fantastic job on that. 161 00:10:50,720 --> 00:10:52,720 So thank you. 162 00:10:52,720 --> 00:10:54,880 Moving on to more about the campaign. 163 00:10:54,880 --> 00:11:01,680 So I'm not sure if people are familiar with this but there's been the Go Blue for 164 00:11:01,680 --> 00:11:03,680 AMR campaign. 165 00:11:03,680 --> 00:11:08,800 If you've tuned into the podcast, The Canadian Breakpoint in our last season on 166 00:11:08,800 --> 00:11:14,120 episode 8, we had after words from University of Manitoba discuss the Go Blue 167 00:11:14,120 --> 00:11:15,120 for AMR. 168 00:11:15,120 --> 00:11:18,400 So basically highlighted that campaign. 169 00:11:18,400 --> 00:11:22,440 Can you give us some more information about that and maybe for our audience if 170 00:11:22,440 --> 00:11:23,800 they're unfamiliar with it? 171 00:11:23,800 --> 00:11:24,800 For sure, yeah. 172 00:11:24,800 --> 00:11:29,800 So I think we've kind of all experienced the difficulty in trying to explain 173 00:11:29,800 --> 00:11:33,280 antimicrobial resistance to family members or to the general public. 174 00:11:33,280 --> 00:11:36,880 It's a microscopic threat. 175 00:11:36,880 --> 00:11:38,880 Literally it's invisible. 176 00:11:38,880 --> 00:11:43,240 So the World Health Organization has come up with this color campaign a few years 177 00:11:43,240 --> 00:11:45,240 ago called Go Blue. 178 00:11:45,240 --> 00:11:48,760 And it's really to try to make the invisible more visible. 179 00:11:48,760 --> 00:11:54,680 And so it's a color campaign to encourage everyone during the week, World AMR 180 00:11:54,680 --> 00:11:56,680 Awareness Week, to do a few different things. 181 00:11:56,680 --> 00:11:58,680 And it's actually quite easy to participate. 182 00:11:58,680 --> 00:12:00,680 I'm participating right now wearing the color blue. 183 00:12:00,680 --> 00:12:02,680 That's one thing you can do. 184 00:12:02,680 --> 00:12:08,200 Another thing is across the country there are a variety of landmarks that are 185 00:12:08,200 --> 00:12:14,600 illuminated in blue to mark World AMR Awareness Week from coast to coast. 186 00:12:14,600 --> 00:12:20,200 Canada Place in BC is going to light up a confederation building in Newfoundland. 187 00:12:20,200 --> 00:12:24,680 Right here in Toronto the CN Tower will light up on November the 24th. 188 00:12:24,680 --> 00:12:30,320 So I have a map that I'm putting together just collating all of the different 189 00:12:30,320 --> 00:12:34,640 sites that will be lighting up and so I'm happy to put that in the show notes as 190 00:12:34,640 --> 00:12:39,600 well so people can go out and take photos and post them online. 191 00:12:39,600 --> 00:12:41,600 There is a hashtag. 192 00:12:41,600 --> 00:12:43,600 It's hashtag Go Blue for AMR. 193 00:12:43,600 --> 00:12:49,720 If you search that on any of your platforms, X or Blue Sky, you should be 194 00:12:49,720 --> 00:12:57,680 able to find out what's going on around you or at that time around the campaign 195 00:12:57,680 --> 00:13:00,680 and see what other sites have been illuminated in blue. 196 00:13:00,680 --> 00:13:07,920 That's fantastic and this is a world, like a global hashtag as far as I know. 197 00:13:07,920 --> 00:13:13,680 So it would be something that you can see other countries participating in as well. 198 00:13:13,680 --> 00:13:14,680 For sure. 199 00:13:14,680 --> 00:13:15,680 Yeah. 200 00:13:15,680 --> 00:13:20,520 And I think one of the key things is that we make sure it's clear why we're going 201 00:13:20,520 --> 00:13:22,520 blue, why these buildings are lit up blue. 202 00:13:22,520 --> 00:13:23,520 Yes. 203 00:13:23,520 --> 00:13:29,360 So that's the opportunity to close the loop and share these photos online, use the 204 00:13:29,360 --> 00:13:33,960 hashtag and explain to everyone why going blue is important to you. 205 00:13:33,960 --> 00:13:34,960 Right. 206 00:13:34,960 --> 00:13:37,440 Yeah and I did see the CN Tower and it was a little bit tricky because this week's 207 00:13:37,440 --> 00:13:42,480 been the Swiftie week as well so it's hard to tell if it's pink or blue at certain 208 00:13:42,480 --> 00:13:46,960 times but I don't know if you guys can tell but I'm wearing blue earrings because I 209 00:13:46,960 --> 00:13:50,840 looked in my entire wardrobe and realized I have no blue clothing except for my 210 00:13:50,840 --> 00:13:58,480 McDavid Oilers jersey and I didn't think that would be appropriate to wear today. 211 00:13:58,480 --> 00:14:05,200 So in terms of moving forward, you talked a little bit about public awareness. 212 00:14:05,200 --> 00:14:11,880 I think that over the last two days is something that even myself, I've reflected 213 00:14:11,880 --> 00:14:18,280 upon and thought about do I do a good job with discussing this with my patients or 214 00:14:18,280 --> 00:14:26,440 their families and how do I communicate effectively and I think all of us have a 215 00:14:26,440 --> 00:14:32,360 lot of knowledge about antimicrobial resistance and we're able to use the 216 00:14:32,360 --> 00:14:39,640 microbiology information that we have and also the organisms and antibiotics and 217 00:14:39,640 --> 00:14:42,080 pharmacists guide us on this as well. 218 00:14:42,080 --> 00:14:48,120 So I think we have a great network in our communities from a healthcare standpoint 219 00:14:48,120 --> 00:14:52,800 but how do we effectively communicate this with the public and so are there 220 00:14:52,800 --> 00:14:58,200 strategies and ways because I struggle with this being in pediatrics and you 221 00:14:58,200 --> 00:15:04,240 know I'm dealing with families where there is obviously serious conditions 222 00:15:04,240 --> 00:15:08,840 sometimes we have oncology patients that will be in for long periods of time 223 00:15:08,840 --> 00:15:14,040 there's resistance developing and you know that it's happening but how do we 224 00:15:14,040 --> 00:15:18,720 effectively communicate this with our families and our patients? 225 00:15:18,720 --> 00:15:20,320 Yeah, it's a great question. 226 00:15:20,320 --> 00:15:23,720 I think there's a lot of opportunity here for improvement. 227 00:15:23,720 --> 00:15:25,920 We know that this is necessary. 228 00:15:25,920 --> 00:15:28,520 It's still an educational gap that needs to be filled right? 229 00:15:28,520 --> 00:15:34,600 Like there's public opinion research from the Public Health Agency of Canada that 230 00:15:34,600 --> 00:15:39,520 shows that about one third of Canadians still believe that antibiotics will help 231 00:15:39,520 --> 00:15:42,040 you know treat viral infections. 232 00:15:42,040 --> 00:15:47,200 So there's obviously some misconceptions we need to address and you know there's a 233 00:15:47,200 --> 00:15:51,440 lot of campaigns that have been launched some of them been studied some of them 234 00:15:51,440 --> 00:15:58,120 haven't been studied the ones that have been mixed results sometimes opportunity 235 00:15:58,120 --> 00:16:01,600 for improvement in terms of the quality of those campaigns so we still don't 236 00:16:01,600 --> 00:16:04,840 really know a whole lot about how to best communicate. 237 00:16:04,840 --> 00:16:10,280 What we kind of have a sense from the literature is it's best to address it from 238 00:16:10,280 --> 00:16:15,160 multiple angles have more active approaches so face-to-face learning is 239 00:16:15,160 --> 00:16:18,520 probably a bit better than mass media alone but the combination might be 240 00:16:18,520 --> 00:16:24,520 better engaging both the prescriber and the patient so the supply side and the 241 00:16:24,520 --> 00:16:29,800 demand side you know coming at it from those angles as well. 242 00:16:29,800 --> 00:16:34,600 I really like this report from the Wellcome Trust in the UK it's called 243 00:16:34,600 --> 00:16:40,960 Reframing Resistance so it's a really nice way to describe resistance to the 244 00:16:40,960 --> 00:16:45,720 general public in ways that it might help to resonate a bit more. 245 00:16:45,720 --> 00:16:51,240 So one thing that they recommend is to frame this problem as something that is 246 00:16:51,240 --> 00:16:56,240 currently happening and that it's happening here so it's currently 247 00:16:56,240 --> 00:16:57,960 undermining modern medicine. 248 00:16:57,960 --> 00:17:01,920 Some people tend to think oh it's a problem elsewhere or it will be a problem 249 00:17:01,920 --> 00:17:06,080 in the future but you have to bring it back to the present that this is an 250 00:17:06,080 --> 00:17:10,320 issue that is happening right now and it could happen to you. 251 00:17:10,320 --> 00:17:13,440 One thing that people tend to not resonate so much that we do a lot is we 252 00:17:13,440 --> 00:17:17,840 throw out very big numbers like oh two million deaths per year due to 253 00:17:17,840 --> 00:17:19,600 antimicrobial resistance. 254 00:17:19,600 --> 00:17:23,000 You know it is obviously important for us to know those figures but from a 255 00:17:23,000 --> 00:17:28,840 general public perspective it's not as resonant if it's not personal. 256 00:17:28,840 --> 00:17:32,880 So one thing they recommend is to make it as personal as possible so use 257 00:17:32,880 --> 00:17:38,360 stories personal stories of people who've had experienced AMR and the 258 00:17:38,360 --> 00:17:43,200 suffering associated with those infections can be more helpful than just 259 00:17:43,200 --> 00:17:45,600 the statistics alone. 260 00:17:45,600 --> 00:17:49,040 And then making it clear that you know this is not all doom and gloom this is 261 00:17:49,040 --> 00:17:52,920 solvable there's things that we can all do and that everyone has a role to play. 262 00:17:52,920 --> 00:17:57,280 So I think those are some tidbits that we've learned about and I think the AMR 263 00:17:57,280 --> 00:18:01,120 Canada campaign has really embodied them in terms of like if you look at their 264 00:18:01,120 --> 00:18:05,880 website there is a page on stories you can look at stories of people who've had 265 00:18:05,880 --> 00:18:10,680 experiences with AMR that can be shared and kind of make it a bit more 266 00:18:10,680 --> 00:18:11,680 personalized. 267 00:18:11,680 --> 00:18:17,840 Yeah and I think often there's that disconnect or that piece of information 268 00:18:17,840 --> 00:18:22,120 that's missing where you know people don't discuss it very often within 269 00:18:22,120 --> 00:18:27,960 families or amongst one another and we I don't know if we're doing a great job 270 00:18:27,960 --> 00:18:31,600 because we're creating that oh asking the questions like have they traveled 271 00:18:31,600 --> 00:18:38,080 been hospitalized in a different country that type of thing to kind of see which 272 00:18:38,080 --> 00:18:42,520 resistant pathogens that we're dealing with so I don't know if that's we've 273 00:18:42,520 --> 00:18:46,720 kind of created that miscommunication but I think you make a really good point 274 00:18:46,720 --> 00:18:52,800 is to to for them to understand that this is not a problem elsewhere it's 275 00:18:52,800 --> 00:18:58,360 happening here it's a concern in our hospitals it's a concern for our patients 276 00:18:58,360 --> 00:19:05,400 and and their families and so I think and like you mentioned the website has I 277 00:19:05,400 --> 00:19:11,080 was able to they have videos and they have written stories on the website so 278 00:19:11,080 --> 00:19:16,280 for I think it's really nice for family other families because we know with 279 00:19:16,280 --> 00:19:25,880 even chronic conditions there's forums other outlet tools for families and so 280 00:19:25,880 --> 00:19:29,200 if they are dealing with a resistant organism or they're not completely 281 00:19:29,200 --> 00:19:34,200 understanding that I think it's nice for them to have that support system and 282 00:19:34,200 --> 00:19:39,800 aimer aware Canada has really given us those tools so that's fantastic one 283 00:19:39,800 --> 00:19:44,040 thing that we hear about you know is a misconception that often needs to be 284 00:19:44,040 --> 00:19:47,840 dispelled is the fact that it's the bacteria it's the microbes that become 285 00:19:47,840 --> 00:19:51,720 resistant and not the patient yeah and you know that's a misconception that's 286 00:19:51,720 --> 00:19:56,680 probably important really important to dispel because it relates to how those 287 00:19:56,680 --> 00:20:00,720 bacteria can then go on to spread to their family and friends and loved ones 288 00:20:00,720 --> 00:20:04,960 so it may make it a little bit more meaningful to address that 289 00:20:04,960 --> 00:20:08,960 misconception as well right yeah and then looking at it from many different 290 00:20:08,960 --> 00:20:12,480 angles like the stewardship standpoint the infection control and I think we've 291 00:20:12,480 --> 00:20:19,840 heard of heard a lot about that over the last two days so it's fantastic in terms 292 00:20:19,840 --> 00:20:23,960 of as health care providers so kind of carrying back to us and not the public 293 00:20:23,960 --> 00:20:30,720 what can we do more at this time so we talked about wearing blue taking pictures 294 00:20:30,720 --> 00:20:34,920 but what else can we do for the awareness I mean I think coming to the 295 00:20:34,920 --> 00:20:42,360 symposium and telling others that we're at the symposium and how fantastic 296 00:20:42,360 --> 00:20:47,760 the talks were over the last two days is helpful but what else can we do to raise 297 00:20:47,760 --> 00:20:53,080 awareness for AMR yeah I think because we're talking about AMR aware Canada 298 00:20:53,080 --> 00:20:58,480 today I think I'm gonna encourage people we have this time of captive 299 00:20:58,480 --> 00:21:03,800 audience here to try to share these resources with people who you think might 300 00:21:03,800 --> 00:21:08,720 find them useful whether it be your colleagues or other people that you 301 00:21:08,720 --> 00:21:13,640 work with people within your team your comms team that they can send these out 302 00:21:13,640 --> 00:21:18,840 during world AMR awareness week I think a lot of the resources here are very 303 00:21:18,840 --> 00:21:25,600 well suited to social media so I'd ask you if you have some time today go on to 304 00:21:25,600 --> 00:21:31,760 whatever your preferred platform is and share AMR aware CA and then use the 305 00:21:31,760 --> 00:21:39,640 symposium hashtag I've got a hash I've got some posts up there already on on 306 00:21:39,640 --> 00:21:48,600 X Twitter previously known as Twitter on blue sky LinkedIn threads under the 307 00:21:48,600 --> 00:21:54,360 hashtag AMR symposium 2024 you'll find some of these posts and resources that 308 00:21:54,360 --> 00:21:59,000 are already there feel free to just retweet them but if you want another 309 00:21:59,000 --> 00:22:03,000 approach is to take some of the images from the campaign material and share 310 00:22:03,000 --> 00:22:06,400 them yourself and I think you know making it personal and sharing about why 311 00:22:06,400 --> 00:22:11,560 you think it's really important to address AMR from your own perspective 312 00:22:11,560 --> 00:22:16,400 that's fantastic thank you so much Brad and I think what I've learned over the 313 00:22:16,400 --> 00:22:22,000 last few days is that we need to educate we need to advocate and then the most 314 00:22:22,000 --> 00:22:27,320 important thing is that we need some action in order for us to combat this 315 00:22:27,320 --> 00:22:34,240 AMR threat and it's really nice to see that there were multiple people in the 316 00:22:34,240 --> 00:22:40,000 room with the same passion and I really look forward to working with everyone 317 00:22:40,000 --> 00:22:46,480 and hopefully we can continue to have symposiums like this I can educate and 318 00:22:46,480 --> 00:22:50,320 there's been some fantastic work going on you're doing some fantastic work with 319 00:22:50,320 --> 00:22:56,080 the stewardship side things so thank you so much and with that I will say thanks 320 00:22:56,080 --> 00:23:01,760 for joining us on the podcast and yeah and it was fantastic and thank you by 321 00:23:01,760 --> 00:23:29,040 mirror for hosting this great symposium