Combating Antimicrobial Resistance (AMR)

Syllabus: GS2/Health

Why in news

  • Recently, the Global Steering Group on Antimicrobial Resistance published a report highlighting the urgent need for action to combat antimicrobial resistance (AMR).

Understanding AMR

  • AMR (Antimicrobial Resistance) is a growing global health threat.
  • It occurs when germs like bacteria, viruses, and fungi develop resistance to the drugs designed to kill them (antimicrobials like antibiotics, antifungals).
  • This makes infections harder to treat, increasing the risk of complications, death, and healthcare costs.

Causes of AMR

  • Misuse and overuse: Overusing antibiotics in humans (e.g., for viral infections) and animals (e.g., for growth promotion) promotes resistance.
  • Poor infection control: Practices like inadequate hand hygiene in hospitals can spread resistant germs.
  • Agricultural practices: Routine use of antibiotics in livestock farming contributes significantly to AMR.

The Scale of the Problem

  • AMR is already a leading cause of death globally, with millions of deaths annually, especially in low- and middle-income countries.
  • It threatens the effectiveness of modern medicine, making routine procedures like surgery risky.
  • AMR is projected to cause significant economic burden due to increased healthcare costs and lost productivity.

Combating AMR

  • Prevention: Implementing proper hygiene, sanitation, and infection control measures are crucial.
  • Antibiotic Stewardship: Promoting responsible use of antimicrobials in human and animal healthcare is essential.
  • Surveillance: Establishing robust systems to track resistance patterns helps guide prevention strategies.
  • Research and Development: Investing in new diagnostics, antibiotics, and vaccines is critical.
  • Global Collaboration: A coordinated international effort is needed to address AMR effectively.

India Specific Initiatives

  • National Action Plan on AMR (NAP-AMR): This plan adopts a “One Health” approach, involving various sectors like human health, animal health, and agriculture.
  • AMR Surveillance and Research Network: Established by ICMR, it tracks resistance patterns in India.
  • Antibiotic Stewardship Program (AMSP): A pilot program to promote responsible antibiotic use in hospitals.

Conclusion

  • AMR is a complex problem requiring a multi-pronged approach. We need continued research and development alongside ensuring equitable access to existing and new solutions. Effective measures can save lives and money, making the fight against AMR a global priority.
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