"A Roadmap to Tackle the Challenge of Antimicrobial Resistance - A Joint meeting of Medical Societies in India" was organized as a pre-conference symposium of the 2 nd annual conference of the Clinical Infectious Disease Society (CIDSCON 2012) at Chennai on 24 th August. This was the first ever meeting of medical societies in India on issue of tackling resistance, with a plan to formulate a road map to tackle the global challenge of antimicrobial resistance from the Indian perspective. We had representatives from most medical societies in India, eminent policy makers from both central and state governments, representatives of World Health Organization, National Accreditation Board of Hospitals, Medical Council of India, Drug Controller General of India, and Indian Council of Medical Research along with well-known dignitaries in the Indian medical field. The meeting was attended by a large gathering of health care professionals. The meeting consisted of plenary and interactive discussion sessions designed to seek experience and views from a large range of health care professionals and included six international experts who shared action plans in their respective regions. The intention was to gain a broad consensus and range of opinions to guide formation of the road map. The ethos of the meeting was very much not to look back but rather to look forward and make joint efforts to tackle the menace of antibiotic resistance. The Chennai Declaration will be submitted to all stake holders.
Delivering health care through remote monitoring wearables' and personal devices such as mobile phones are collectively termed as "mHealth". mHealth has emerged as ubiquitous, omnipresent global phenomena. Adoption of ethical priority and challenges on implementation of them are often noted but not given adequate care. Meta-analysis of research data published from 2009 to 2018 were analyzed and the ethical concerns raised were grouped into 5 grids. 1. Privacy, security and the data ownership, 2. Process of obtaining informed consent, 3. Efficiency, prevention and maleficence 4. Empowerment, beneficence 5. Access to mHealth technology and its social justice were the major 5 concerns reported in the published literatures. Based on these reported concerns and on evaluation of these problems, for effective designing and implementation of ethical principles ten recommendations, concerns and concepts are designed. The proposed recommended steps for adopting implementations and to be used in developing mHealth apps are prioritized and tabulated along with Council for International Organizations of Medical Sciences ethical guidelines. Our study resolves that, the regulatory mechanism in India is in an evolution stage and speedy constitution of regulating frame works with ethical concerns is the need of the hour before the system goes beyond repair. Bioethicists play a vital role and are exceptionally placed to bring these more conceptual and empirical issues into the public debate and extend the current discourse beyond questions of effectiveness and safety of mHealth. The ethical issues are evolving and dynamic and hence constant evaluation and appropriate recommendations should be implemented periodically.
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