Share

UN adopts declaration on antimicrobial resistance

The researchers found that organic farming practices could reduce the spread of antibiotic-resistant bacteria.

Advertisement

It is estimated that more than 700,000 people die each year due to drug-resistant infections, though it could be much higher because there is no global system to monitor these deaths.

Dr Martin Blaser, who chairs US President Barack Obama’s Advisory Council for Combating Antibiotic Resistant Bacteria, said the scale of antibiotic use in the world is “enormous”, exceeding 300,000 tons a year.

It really caught my attention when a friend of mine, an otherwise healthy chest physician in his late 40s, told me recently that he nearly died of pneumonia. At a press briefing, Fukuda said the pledge by heads of state to take action was indicative of the seriousness of the crisis.

In a statement, Médecins Sans Frontiéres said it was seeing drug-resistant infections that can only be treated with the last line of antibiotics everywhere it works, “from the war-wounded in Jordan, to newborns in Pakistan and burn patients in Haiti, to people with multi-drug-resistant tuberculosis in South Africa”.

“No one country, sector or organization can address this issue alone”, Thomson said. Food companies are not especially transparent about what drugs are being used on different species and how they are being used, and the government mandates little be made public.

In the past few years, the U.S. Food and Drug Administration has taken steps to address the issue, Fauci noted.

“Last but not least, public awareness campaigns to educate the public, for example about the improper use of antibiotics, are paramount to the success of this commitment”.

“Each year, more than 30,000 women and 400,000 newborns die from infections around the time of birth”, said Julie Bishop, Australia’s minister for foreign affairs, at the AMR meeting.

The root of the problem is that antibiotics are being misused around the world.

Antimicrobial resistance occurs naturally over time, usually through genetic changes. It was the overprescribing and misuse of antibiotics over the past 50 years that allowed these superbugs to emerge. Their findings showed that the transfer of mobile antibiotic resistance genes between farm animals and the human gut is mainly controlled by bacterial phylogeny, but under ecological constraints. It was first published on September 19, 2016.

Fauci didn’t comment on that study directly, but said US hospitals and providers need to rein in antibiotic prescriptions.

Dr. Stuart Levy is director of the Center for Adaptation Genetics and Drug Resistance at Tufts University in Boston. Only three times before has the United Nations convened heads of state to tackle an urgent health problem. Stopping early can boost the odds that some bad bugs will survive, mutate and become resistant to the drug. “Encouraging best practice and responsible use of antibiotics, which safeguard animal health and welfare, is a must”, the government report said.

But a USA law that, among other things, extended companies’ patent exclusivity seems to have had some impact.

Over the past half century, only two new classes of antibiotics reached the market. And about three dozen are under development. Soon it started showing up in other countries, too. “It’s very easy to do compared to developing new antibiotics”. Antibiotics are routinely added to the feed or water of agricultural livestock – cattle, pigs and poultry – in order to make these animals fatter. “The pledge by the United Nations member states is a significant step in the right direction to address an issue that threatens modern medicine as we know it”. Part of their efforts involves looking at antibiotic resistance in soils.

Dire warnings about the growing problem of antimicrobial resistance worldwide prompted an urgent high-level meeting at the United Nations in New York Wednesday. And on Tuesday, the nonprofit Center for Disease Dynamics, Economics and Policy is holding a meeting of health experts to highlight the global scope of the antibiotics issue. Developing countries insisted on retaining the elements related to delinkage, according to an observer.

Advertisement

But for Laxminarayan and other experts, the session can already be seen as a major success in that it’s a recognition that the world needs to turn its attention to the issue.

Rising concern over drug-resistant germs prompts UN response