The incidence of antimicrobial resistance (AMR) worldwide is getting worse. The issue of antimicrobial resistance, or AMR, is a new health threat and constitutes 1 in 10 world health threats. AMR is ...a serious problem in the world of health that must be addressed. Therefore, further studies will be carried out on AMR control by the government according to Health Law Number 36 of 2009 and examine the role of the POM in controlling AMR. This paper uses a normative research method, namely finding material from the literature or applicable regulations and conducting a qualitative analysis. The results of this study, the government has tried to fulfill the mandate of the Health Law by creating integrated AMR control across sectors through Permenko No 7/2021 concerning the National Action Plan for Antimicrobial Control. In addition, the Food and Drug Supervisory Agency laid out the AMR control policy through the Decree of the Head of BPOM No. HK.02.02.1.2.03.20.98 of 2020
Background: The Islamic Republic of Iran provided a national action plan against antimicrobial resistance (NAP/AMR) for 2016-2021. In this study, we have dealt with the background and Iran’s efforts ...in this way, compare Iran’s NAP/AMR with other international programs, represent efficient policy options, and the evaluation indicators of each purpose of Iran NAP/AMR. The indicators of each group are represented through the consensus of three academic researchers. Finally, our assessment reveals that performing a constant observation is highly required for a prearranged NAP/AMR. The political parties and stakeholders should punctually receive interpretable feedbacks; also, it is very important to conduct periodical assessments with the purpose of perceiving the purpose feasibility and determining the dimensions that require advancements.
•Antimicrobial resistance (AMR) constitutes a major threat to public health worldwide.•The World Health Organization recommends administering antibiotics only when necessary.•The Korean government ...published the first National Action Plan (NAP) in August 2016.•No other studies have examined the effects of the NAP on AMR in South Korea.•The implementation of the NAP was a factor in antibiotic consumption reduction in Korea.
The Korean government published the first National Action Plan (NAP) on antimicrobial resistance (AMR) in August 2016, followed by a second plan in November 2021. The objective of this study was to analyze changes in antibiotic use patterns after the implementation of the NAP in South Korea.
We analyzed National Health Insurance claims data for hospitals and clinics from January 2011 to December 2020. Consumption was measured using a defined daily dose per 1000 inhabitants per day (DID). We analyzed data for each year, dimension, and category of the Access, Watch, Reserve classification system by the World Health Organization. Monthly inpatient and outpatient antibiotic use were calculated, and an interrupted time-series (ITS) analysis to assess the trend in antibiotic use was conducted.
The consumption of antibiotics increased from 25.78 DID in 2011 to 29.06 DID in 2016, then decreased in 2017 after the implementation of the NAP on AMR. The watch group showed a temporal decrease after the implementation of the NAP; however, these figures increased until 2019, and the reserve group showed a downward trend beginning in 2017. According to the ITS analysis, the level (β2) and the slope of the trend (β3) of total antibiotic use decreased by 0.17 and 0.001, respectively. After implementation of the NAP, antibiotic use was reduced from 7.18 DID in 2016 to 4.84 DID in 2017 for amoxicillin and beta-lactamase inhibitors, 0.86 DID to 0.70 DID for ciprofloxacin, and 0.66 DID to0.66 DID for levofloxacin.
After the implementation of the NAP in South Korea, antibiotic use in terms of total antibiotics and fluoroquinolone in the watch and reserve groups decreased. Further policies to improve the use of antibiotics in the watch and reserve groups are needed.
Background
Understanding potential barriers to implementation of public health policy is important to ensure well-informed decisions, and stakeholders play critical roles in implementation. ...Stakeholder analysis is expected to shed light on Ghana’s progress with the implementation of the National Action Plan on Antimicrobial Resistance since the completion of the Global Health Security Agenda’s Joint External Evaluation. The outcome of stakeholder analysis can improve understanding of their roles and institutional capacity to promote prudent use of antibiotics in populations at the community level.
Methods
Eight semi-structured in-depth interviews were conducted with participants of the Joint External Evaluation process, including personnel from the policy, research, and practice programs in Ghana’s public health sector. In-person interviews were conducted between September and October 2018 in the Greater Accra and Upper West regions.
Results
The analysis revealed four main themes: national burden of disease and antibiotic resistance, policy development, implementation barriers, and strategies. Ghana’s national antimicrobial policy and action plans to enhance public education and awareness align with the objectives of the Global Action Plan on Antimicrobial Resistance. All respondents expressed concern about the increasing proliferation of antibiotic-resistant bacteria, which they attribute in part to the inappropriate use of antibiotics in local communities. Although Ghana has laws to regulate the sale of antibiotics, enforcement has been a major challenge. Inadequate funding for monitoring compliance comprises the greatest challenge. Stakeholders also acknowledged the importance of strengthening cross-sectoral collaboration, and the need to leverage resources from the animal and environmental sectors through a One Health approach to ensure successful implementation of the national action plan.
Conclusions
This study identified several opportunities for effective implementation of the Ghana’s National Action Plan on Antimicrobial Resistance. Stakeholders were enthusiastic about the effectiveness of the One Health approach, and there is strong political will to promote multisectoral partnership to advance implementation efforts.
Antimicrobial resistance (AMR) continues to pose a significant public health problem in terms of mortality and economic loss. Health authorities of several countries including India have formulated ...action plans for its containment. In this fight against AMR, it is important to realize the contribution by all the following four spheres: humans, animals, food and environment. This review incorporates all the spheres of One Health concept from the Indian perspective. India has one of the highest rates of resistance to antimicrobial agents used both in humans and food animals. The environment, especially the water bodies, have also reported the presence of resistant organisms or their genes. Specific socio-economic and cultural factors prevalent in India make the containment of resistance more challenging. Injudicious use of antimicrobials and inadequate treatment of waste waters are important drivers of AMR in India. Use of sludge in agriculture, improper discard of livestock animals and aquaculture industry are considered AMR contributors in other countries but Indian data regarding these are lacking. Efforts to combat AMR have been initiated by the Indian health authorities but are still at preliminary stages. Keeping in view the challenges unique to India, future directions are proposed.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
With the status as the world's top contributor of marine plastic debris, Indonesia has committed to reduce marine plastic debris up to 70% in 2025 by establishing the National Action Plan (NAP) on ...Marine Debris. The high amount of marine plastic debris as a result of transport and accumulation become a complex issue in Indonesia due to its ocean-atmospheric circulation, high population of coastal communities, and marine activities. Based on our findings, there are gap of publications related to marine debris in Indonesia that had been already published. Marine debris is ubiquitous and transboundary, as they were found in marine environment and transported by currents to various direction including uninhabited islands, thus, we propose more comprehensive future research about the impact of marine debris on ecosystem (e.g. biological impact of organisms in the water column, ecological alteration in distribution pattern, and invasive species), human health, and economic loss.
•Marine debris is leading Indonesia issue that poses risks for ecosystem functioning, public health, and maritime economies.•Through a national plan of action, Indonesia has committed to reduce marine debris in its waters by 70% by 2025.•To achieve the 2025 target, multidisciplinary studies, must be strengthened by international and local research partnerships.
ABSTRACT
Antimicrobial resistance (AMR) has the potential to reverse gains made in modern medicine and seriously jeopardize the lives of people and animals from infections that were once readily ...treatable (FAO/OIE 2015). Adopting a one health approach is critical to better understand and mitigate factors driving the emerging concern of AMR. Although the development and transmission of AMR in wildlife is not well understood, there is growing evidence that it is associated with proximity to humans or domestic animals. Papua New Guinea (PNG) faces some unique challenges for zoonotic spillover disease events and transmission of AMR between animals and humans. These challenges arise from the erosion of wildlife habitats due to deforestation and close contact of wildlife with villagers and their village-based livestock raised under free-range systems. Papua New Guinea’s human health system and the animal health field and laboratory services are resource-limited and are facing many human and animal disease challenges. The Fleming Fund Country Grant, implemented by the Burnet Institute Australia, is working with Papua New Guinea government and industry stakeholders to tackle AMR by encouraging information sharing, raising awareness, and supporting laboratory capacity in human and animal health for effective AMR surveillance. In addition, national legislation is being strengthened to support implementation of the Papua New Guinea Antimicrobial Resistance National Action Plan (Government of Papua New Guinea 2019) to encourage the judicious use and effective monitoring of antimicrobial medicines in humans and animals.
Abstract
Conservation of poorly known species is challenging as lack of knowledge on their specific requirements may hamper effective strategies. Here, by integrating biogeographical and landscape ...analyses, we show that informed actions can be delineated for species with limited presence-only data available. We combine species distribution and connectivity models with temporal land cover changes to define priority areas for conservation of the endemic Brazilian three-banded armadillo, one of the most threatened xenarthrans that was once considered extinct in the wild. We revealed that areas of savanna and grassland are the most suitable habitats for the species and that uplands in the Caatinga ecoregion have a greater likelihood for dispersal. The few remnant armadillo populations are spatially associated with core areas of natural vegetation remnants. Worrisomely, 76% of natural core areas were lost in the past 30 years, mirroring the species’ severe population decline. Preserving the remnant core natural areas should be a high priority to ensure the species’ survival. We highlight key areas for proactive and reactive conservation actions for the three-banded armadillo that will benefit other threatened sympatric species. Our integrative framework provides a set of valuable information for guided conservation management that can be replicated for other poorly known species.
The emergence of antimicrobial resistance (AMR) is a threat to public health. In 2015, the World Health Organization (WHO) introduced a global action plan to tackle AMR in the World Health Assembly. ...Pakistan's national action plan (NAP) for AMR was released in May 2017 by the Ministry of National Health Services. Based on the NAP, strategies have been initiated on a national and provincial scale in Pakistan.
This narrative review of the five components of the Pakistan NAP has been undertaken to discuss some of the challenges in implementation of the NAP for AMR in Pakistan including different opinions and views of key stakeholders, combined with suggestions on potential ways to reduce the burden of the AMR.
Going forward, healthcare authorities should focus on screening and monitoring of all the objectives of the NAP by establishing proper policies as well as promoting antimicrobial stewardship interventions and Infection prevention and control (IPC) practices. Overall, the comprehensive strengthening of the healthcare system is required to adequately implement the NAP, tackle continued inappropriate antimicrobial use and high AMR rates in Pakistan.
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