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Year : 2019  |  Volume : 10  |  Issue : 2  |  Page : 78-79

Urgent need of one health approach to contain antimicrobial resistance


1 Vice-Principal Curriculum, Member of the Medical Education Unit and Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpattu, Kancheepuram, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpattu, Kancheepuram, Tamil Nadu, India

Date of Web Publication24-Jan-2020

Correspondence Address:
Dr. Saurabh RamBihariLal Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (SBV) – Deemed to be University, Tiruporur - Guduvancherry Main Road, Ammapettai, Nellikuppam, Chengalpattu, Kancheepuram, Tamil Nadu - 603 108
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjmsr.mjmsr_30_19

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  Abstract 


The emergence of antimicrobial resistance has been regarded as a global public health concern and is expected to play an important role in the accomplishment of Sustainable Development Goals. It is quite alarming that resistance has been reported across the globe and we are reaching that stage in which common infections will become intractable. Acknowledging all these aspects, it is quite certain that we all don't have much time and there is an immense need to formulate a plan, implement holistic strategies and supplement the same with adequate financial support to minimize the impact on the future generations. It is quite obvious that these measures cannot be sustainable unless there is a strong political leadership and cooperation from all the sectors. In conclusion, antimicrobial resistance is a global concern and is a complex challenge to deal with. Thus, it is the need of the hour to formulate a One Health response to benefit the current and future generations of people.

Keywords: Antimicrobial resistance, one health, world health organization


How to cite this article:
Shrivastava SR, Shrivastava PS. Urgent need of one health approach to contain antimicrobial resistance. Muller J Med Sci Res 2019;10:78-9

How to cite this URL:
Shrivastava SR, Shrivastava PS. Urgent need of one health approach to contain antimicrobial resistance. Muller J Med Sci Res [serial online] 2019 [cited 2020 Feb 19];10:78-9. Available from: http://www.mjmsr.net/text.asp?2019/10/2/78/276686




  Introduction Top


The emergence of antimicrobial resistance has been regarded as a global public health concern and is expected to play an important role in the accomplishment of at least 8 Sustainable Development Goals about health, food security, clean water and sanitation, poverty, inequality, etc.[1],[2] It is quite alarming that resistance has been reported globally and we are reaching that stage, in which common infections will become intractable.[1] Further, the practice of inappropriate use of antimicrobials among humans and animals is playing an important role in the emergence and transmission of the resistance.[2]

Magnitude of the problem and the need

In terms of the visible impact, it has been reported that each year close to 7 lakh deaths have been reported and the magnitude of the same is bound to increase in the coming decades, especially if urgent measures are not taken.[2],[3] Simultaneously, a significant financial overload and a burden on the health-care delivery system has also been observed, which is bound to affect the growth and development of the nation.[1] Acknowledging all these aspects, it is quite certain that we all do not have much time and there is an immense need to formulate a plan, implement holistic strategies, and supplement the same with adequate financial support to minimize the impact on the future generations.[2],[3]

Scope of one health approach

It is vital to understand that multiple determinants/facets (viz., humans, plants, animals, environment, food chain) together determine the magnitude of the problem, and if the situation has to be controlled, we will definitely a sustained one health approach, involving different stakeholders, all working toward a common goal.[1],[3] Further, measures should be taken to strengthen infection prevention and control activities, capacity building, and improve water, sanitation, and hygiene in health-care establishments.[2],[3] Simultaneously, actions have to be taken to expand the surveillance activities, promote equitable and affordable access to quality-assured antibiotics, professional education, and improve awareness among all the stakeholders to enable judicious use of antimicrobials.[3],[4] Most of these recommendations can be incorporated into one health-national antimicrobial resistance action plan.[2]

Moreover, there is a definite scope to financially support the innovations in the field of development of new antimicrobials, better diagnostic methods, development of vaccines, research, and improvizations in waste management practices.[2],[3] The time has come when the health sector has to be more responsible, and it has a major role to play in the battle against antimicrobial resistance.[3] It is quite obvious that these measures cannot be sustainable unless there is strong political leadership and cooperation from all the sectors.[1],[2],[3],[4]


  Conclusion Top


In conclusion, antimicrobial resistance is a global concern and is a complex challenge to deal with. Thus, it is the need of the hour to formulate a one health response to benefit the current and future generations of people.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Shrivastava SR, Shrivastava PS. Antimicrobial resistance: Global scenario and its relation with nation's development. Libyan J Med Sci 2019;3:34.  Back to cited text no. 1
  [Full text]  
2.
Interagency Coordination Group (IACG) on Antimicrobial Resistance. No Time to Wait: Securing the future from drug-resistant infections. Interagency Coordination Group (IACG) on Antimicrobial Resistance; 2019. Available from: https://www.who.int/antimicrobial-resistance/interagency-coordination-group/final-report/en/. [Last accessed on 2019 Jun 27].  Back to cited text no. 2
    
3.
Friedrich MJ. UN: All-out effort needed to combat antimicrobial resistance. JAMA 2019;321:2273.  Back to cited text no. 3
    
4.
Oteo-Iglesias J. Active surveillance of antimicrobial resistance. Enferm Infecc Microbiol Clin 2019;37 Suppl 1:26-31.  Back to cited text no. 4
    




 

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