UPSC Daily Editorial Analysis | 22 February 2022

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What the article is about?

  • Talks about the urgency to roll out action plan against antimicrobial resistance (AMR).

Syllabus: GS-II, GS-III Health 

Antimicrobial Resistance:

  • AMR is the resistance acquired by any microorganism (bacteria, viruses, fungi, parasite, etc.) against antimicrobial drugs (such as antibiotics, antifungals, antivirals, antimalarials, and anthelmintics) that are used to treat infections.
  • As a result, standard treatments become ineffective, infections persist and may spread to others.
  • Microorganisms that develop antimicrobial resistance are sometimes referred to as “superbugs”.
  • The recent publication of The Lancet’s global burden of bacterial antimicrobial resistance estimated that 4.95 million deaths were associated with bacterial AMR in 2019 alone.
    • It also identified the pathogens and pathogen-drug combinations that cause such resistance. 

Reasons for AMR:

  • This happens due to:
    • indiscriminate use of antibiotics,
    • availability of antibiotics over the counter,
    • poor hygiene and sanitation,
    • antimicrobial use in the farming and poultry industry,
    • lack of vaccines and newer antibiotics, and
    • poor infection control practices in hospitals.

Response:

  • India released its own AMR action plan in 2017 and announced a task force for implementation.
  • By 2019, Kerala and Madhya Pradesh had rolled out State action plans.
  • The Chennai Declaration, a consortium of doctors and health-care institutions against AMR, was also formed in 2012 to draw up a road map.
  • The ban on Colistin in the poultry, aqua farming and animal feeds supplements sectors, which India enforced from July 2019, was considered a strong strike in countering the AMR challenge.
  • The World Health Organization (WHO) has identified AMR as one of the top ten threats to global health.

Way Ahead:

  • Scientific publications have established the correlation between AMR and poor hygiene, lax administrative governance and poor ratio of public-private expenditure.
  • Governments must raise the standard of living for citizens, providing them accessible and affordable quality health care, besides regulating the sale and use of antibiotics. 

 



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