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  1. Antimicrobial Resistance

NARMS 20th Anniversary Timeline

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NARMS 20th Anniversary Timeline


NARMS: National Antimicrobial Resistance Monitoring System

A collaborative program of state and local health departments, universities, the U.S. Food and Drug Administration, Centers for Disease Control and Prevention, and the U.S. Department of Agriculture, serving as a U.S. public health surveillance system that tracks antibiotic resistance in bacteria that are found in retail meats, human patients, and food-producing animals.



  • NARMS formed at recommendation of FDA advisory committee
  • Human component of NARMS launched with testing of non-Typhi Salmonella and E. coli O157


  • Animal monitoring component launched with testing of Salmonella


  • Animal monitoring component expanded to include Campylobacter


  • Animal monitoring component expanded to include testing of E. coli


  • Retail meat component of NARMS launched with testing of Salmonella, Campylobacter, E. coli and Enterococcus


  • NARMS expands testing nationwide for Salmonella and E. coli O157 in people


  • NARMS data help inform FDA regulatory decision to withdraw approval of the last fluoroquinolones drug approved for use in poultry


  • NARMS data helps solve Salmonella Heidelberg outbreak in ground turkey


  • NARMS data inform FDA decision to prohibit some uses of cephalosporins in food-producing animals
  • NARMS expands Salmonella retail meat testing to: CA, CO, CT, GA, LA, MD, MN, MO, NM, NY, OR, PA, TN, WA


  • NARMS data inform implementation of FDA guidances for industry #209 and #213 on the Judicious Use of Medically Important Antimicrobial Drugs in Food-Producing Animals


  • Enhanced testing program in processing plants allows random, nationally representative testing of animals


  • NARMS starts using whole genome sequencing of Salmonella


  • NARMS Now launched, making isolate-level data available online


  • FDA's NARMS team wins U.S. Department of Health and Human Services Ventures Program Award to design public health surveillance mobile app
  • CDC awards grants enabling every state to sequence all human isolates of Salmonella
  • NARMS announces grant award to expand retail meat testing to 18 states