Prioritizing a One Health Approach in the Immediate Fight Against Antimicrobial Resistance.
V Ayano Ogawa1, Cecilia M Shah2, James M Hughes3
1Forum on Microbial Threats, Health and Medicine Division, The National Academies of Sciences, Engineering, and Medicine, 500 5th St. NW, Washington, DC, 20001, USA.
Ecohealth
|March 11, 2018
Summary
Antimicrobial resistance (AMR) poses a global health threat. This workshop identified key actions in surveillance, stewardship, R&D, and policy for immediate impact across human, animal, and environmental health.
Area of Science:
- Microbiology
- Public Health
- Global Health Security
Background:
- Antimicrobial resistance (AMR) is a significant global health security threat.
- Despite progress, challenges remain in developing effective, immediate solutions.
- The One Health approach recognizes the interconnectedness of human, animal, and environmental health in AMR emergence and spread.
Purpose of the Study:
- To examine critical areas contributing to AMR emergence and spread across One Health domains.
- To identify feasible, cost-effective, and immediate actions to combat AMR.
- To synthesize discussions from a public workshop hosted by the Forum on Microbial Threats.
Main Methods:
- Public workshop convened by the Forum on Microbial Threats.
- Synthesis of expert discussions on immediate actions for AMR mitigation.
- Focus on cross-domain (human, animal, environmental) strategies.
Main Results:
- Priorities for combating AMR were identified across four key areas.
- Key areas include enhanced surveillance systems.
- Stewardship, infection prevention, and behavior modification are crucial.
- Advancements in basic and applied research and development are needed.
- Improved global policy and coordination are essential.
Conclusions:
- Immediate, feasible, and cost-effective actions are critical for AMR containment.
- A multi-faceted approach integrating surveillance, stewardship, R&D, and global policy is necessary.
- The One Health framework provides a comprehensive strategy for addressing AMR.
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