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Antimicrobial Resistance (AMR) | Current Affairs & Hindu Analysis: Daily, Weekly & Monthly - UPSC PDF Download

Introduction

  • During India’s G20 presidency, the Delhi Declaration emphasized enhancing the global health structure.
  • A key focus was addressing Antimicrobial Resistance (AMR) through research and development (R&D), infection prevention, and control.
  • Commitments were made to ensure fair access to affordable and safe vaccines, therapeutics, diagnostics, and other medical interventions.

Current Status

  • A Lancet report from 2021 estimated that approximately 4.95 million deaths were linked to bacterial AMR.
  • This figure matches the impact of diseases like HIV and malaria.
  • Regions like Sub-Saharan Africa and South Asia displayed higher death rates, indicating heightened vulnerability to AMR.

Implications:

  • The escalating levels of antimicrobial resistance pose a threat to advancements in public health related to infectious diseases.
  • It also endangers treatments for conditions like cancer and impacts medical procedures such as transplants.
  • Low and middle-income countries with limited healthcare infrastructure are particularly at risk due to these challenges.

Government Actions:

  • Initiatives such as Free Diagnostic Services and Kayakalp have been implemented to address these issues.
  • India took an early step in formulating a comprehensive National Action Plan on Antimicrobial Resistance (NAP-AMR) in 2017, demonstrating proactive efforts.
  • The NAP-AMR has notably emphasized surveillance and research initiatives.

Global Instances

  • Indonesia has established its national surveillance strategies.
  • Australia has prioritized animal health and committed to reducing antibiotic usage in livestock.
  • Brazil has successfully reduced antibiotic usage among its population.
  • The UK and the US are directing investments into research for the development of new diagnostics, medications, and vaccines against AMR.

Way Forward

  • Nations should devise regional action plans targeting Antimicrobial Resistance (AMR).
  • G20 nations could explore establishing an international funding mechanism specifically dedicated to AMR research and development.
  • Advocating for patent reforms is crucial to encourage innovation while ensuring affordability of new antibiotics.
  • Educating the public about the risks associated with overuse of antibiotics to promote responsible behavior among citizens is essential.
  • Collaboration with academia and civil society organizations (CSOs) is pivotal in these endeavors.
  • The urgency, investment, and prioritization seen during the Covid-19 pandemic should also be applied to addressing AMR.
  • Strengthening health systems to be more resilient, equitable, sustainable, and inclusive, adopting the One Health approach, is crucial.
  • It's imperative to bolster pandemic preparedness and reinforce existing surveillance systems for infectious diseases.
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