从"蒙特利尔议定书"中吸取教训,以改善抗菌素耐药性的全球治理
Tina Nanyangwe-Moyo1, Gabriel C Fezza1, Susan Rogers Van Katwyk1
1Global Strategy Lab, York University, Toronto, Ontario, Canada.
BMJ global health
|October 3, 2024
概括
蒙特利尔议定书为应对诸如抗菌素耐药性 (AMR) 等全球挑战提供了教训. 公平,灵活性和问责制的关键原则可以指导人类,动物和环境部门的协调行动,以有效打击抗药性.
科学领域:
- 环境科学环境科学
- 公共卫生 公共卫生
- 全球治理的全球治理
背景情况:
- 蒙特利尔议定书所涉及的臭氧消耗,为全球集体行动提供了一个模型.
- 抗菌素耐药性 (AMR) 是一个全球共同的挑战,需要跨部门的协调.
- 蒙特利尔议定书的教训可以为改善全球AMR治理的战略提供信息.
研究的目的:
- 从蒙特利尔议定书的成功中确定可转移的治理原则.
- 分析利益,思想和机构如何为议定书的有效性作出贡献.
- 建议应用这些原则来加强全球抗菌药物抵抗治理.
主要方法:
- 分析蒙特利尔议定书的成功因素,使用3i框架 (利益,思想,机构).
- 确定核心治理原则:公平,灵活性和问责制.
- 检查与这些原则相关的议定书中采用的特定策略.
主要成果:
- 通过包容性谈判,为发展中国家提供资金和逐步遵守,促进了公平.
- 通过国家具体计划,行业激励措施和适应性修正案实现了灵活性.
- 通过公众宣传,明确的目标,执法和独立评估来加强问责制.
结论:
- 蒙特利尔议定书的成功取决于公平,灵活性和问责制.
- 这些原则为改善全球AMR治理提供了一个框架.
- 已知的局限性包括与臭氧消耗相比,抗菌药物耐药性的复杂性和利益相关者的参与程度不同.
更多相关视频
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
12.9K
08:58Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
6.3K
相关概念视频
Antibiotic Selection
52.4K
Overview
52.4K
Antimicrobial Proteins
945
Antimicrobial proteins are important components of the immune system. They aid the body in combating pathogens by either killing them directly or hindering their replication processes. Four main types of antimicrobial substances are interferons, the complement system, iron-binding proteins, and antimicrobial proteins.
Interferons
Interferons (IFNs) are proteins produced by lymphocytes, macrophages, and fibroblasts infected with viruses. While IFNs cannot prevent viruses from entering and...
Interferons
Interferons (IFNs) are proteins produced by lymphocytes, macrophages, and fibroblasts infected with viruses. While IFNs cannot prevent viruses from entering and...
945
International Nursing Organizations II
973
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
973
Defense Against Bacterial Pathogens
1.4K
The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
1.4K
Drug Control Governance: Regulatory Bodies and Their Impact
145
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
145
Combined Effects of Drugs: Synergism
3.8K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
3.8K
