Info Service on Health Issues (Aug18/06)
Dear friends and colleagues,
While countries worldwide have made significant progress developing national action plans to tackle antimicrobial resistance (AMR), serious gaps remain and require urgent action.
This was revealed in a recently released (July 18) report by the World Health Organization (WHO), the Food and Agriculture Organization (FAO) and the World Organisation for Animal Health (OIE).
The report analyses country responses to a self-assessment survey on their efforts to address AMR in human, animal (terrestrial and aquatic), plant, food safety and environmental sectors.
The report reveals wide discrepancies in progress among the countries.
Overall, 154 countries out of 194 WHO member states responded to the survey, with 93 countries reporting that they had a plan, and a further 51 having plans under development. At least seven other countries which did not respond to the survey are known to have national plans, taking the total to 100.
The survey response shows that in almost all domains – surveillance, education, monitoring and regulating consumption and use – more activity can be seen in the human sector. The report underlined an urgent need for resource prioritisation and more action in the animal and food sectors. ‘Only 64 countries (41.6%) have limited the use of critically important antimicrobials (human and animal) for growth promotion in agriculture,’ it stated.
According to the report, substantial data is also missing from the environment and plant sectors. This is an emerging area of concern and the issues and agenda for action are less clear. These sectors are often not represented in the multisectoral working group in many countries.
Although 78 countries have regulations in place to prevent environmental contamination, only 10 of them report having comprehensive systems to ensure regulatory compliance for all waste management, including regulations that limit the discharge of antimicrobial residues into the environment. This is insufficient to protect the environment from the hazards of antimicrobial production.
Only 53 countries report that they have a multisectoral working group that is fully functional although a further 77 have established such a group.
The report also notes that many middle- and low-income countries may need long-term financial assistance to implement their plans effectively and sustainably.
Please click here to access the report entitled Monitoring Global Progress on Addressing Antimicrobial Resistance - Analysis report of the second round of results of AMR country self-assessment survey 2018.