Prioritizing a One Health Approach in the Immediate Fight Against Antimicrobial Resistance

Ogawa, V. Ayano; Shah, Cecilia Mundaca; Hughes, James M.; King, Lonnie

doi:10.1007/s10393-018-1325-6

Cited by 15 publications

(7 citation statements)

References 4 publications

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“…Based on our study results, recommendations from our respondents, and findings from international literature, we came up with a package of policy recommendations in Table 3 [ 30 , 32 , 33 , 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

et al. 2022

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Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

et al. 2022

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“…Arrival of just one patient with a resistant microorganism to a hospital may frustrate many years of protection and infection control strategies against AMR [12]. AMR is formed and developed in a complex cycle in different ecosystems, therefore, the global community should focus on its containment as a part of a broader agenda for universal health coverage and global health security [29]. Regular inter-sectoral and intra-sectoral meetings as an important mechanism for sharing information and experiences have been recommended by experts to improve the expertise of countries to bring the private sector and the scientific community together in order to overcome the AMR challenges by implementing the one-health approach [29].…”

Section: Discussionmentioning

confidence: 99%

Control of antimicrobial resistance in Iran: the role of international factors

et al. 2020

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Background Antimicrobial resistance (AMR) is currently causing various challenges for all countries around the world. Accordingly, the WHO is placing a great emphasis on the global partnership and allinaces to drive countries towards developing policy guidances and a strategic framework for AMR contatiment. This study thus seeks to elaborate on the international factors underlying AMR management in Iran. Methods Semi-structured interviews were conducted with managers from the Ministry of health (n = 14), Iran veterinary organization (n = 4), the national professional associations (n = 3) and researchers (n = 3), between November 2018 and July 2019. Participants were selected using purposeful and snowball sampling. Interviews were recorded and transcribed verbatim and were subsequently coded and analyzed thematically using MAXQDA software (V.18) and reported. Results International enabling and predisposing factors were identified in relation to the AMR control in the country. Enabling factors included knowledge transfer, facilitation in policy agenda setting, formulation and implementaion process, and AMR monitoring. Predisposing factors, alternatively, encompassed the migration of infectious patients, trafficking of medicine and livestock from neighboring countries, and the imposed sanctions. Conclusion Nowadays, AMR is taken cognizance of as a global challenge, thus to be addressed effectively, needs an international consensus more than ever. This harmony would not certainly underrate national efforts, but instead, is needed to reinforce such efforts through e.g. technical and financial assistance. It is suggested for policymakers to use all available political and legal means such as health diplomacy to establish humanitarian channels in order to enhance global convention and remove possible barriers as the sanctions and reduce their adverse consequences for AMR control.

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“…The presence of intl1 could be explained by the natural richness in metals of the Alpine moraine soils [17]. Heavy metals can lead to stress conditions for bacterial communities promoting a rapid HGT, to develop possibly favorable genes in their genomes in response to an adaptive ability [18,19].…”

Section: Intl1 Detection In Forest Soil Leaf-litter Samples and Postmentioning

confidence: 99%

Environmental Distribution of AR Class 1 Integrons in Upper Adige River Catchment (Northern Italy)

Piergiacomo

Borruso

Ciccazzo

et al. 2020

IJERPH

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The source of antibiotic residuals can be directly related to the presence of municipal or industrial wastewater and agricultural activities. Antibiotics can trigger the dissemination of antibiotic resistance genes within bacterial communities. The mobile genetic elements Class 1 integrons (intl1 region) has been already found to be correlated with a wide range of pollutants (i.e., antibiotics, heavy metals), and hence, it has been proposed as a proxy for environmental health. This study aimed to assess the presence of intl1 in different environmental matrices, including agricultural and forest soils, freshwater and unpolluted sediments in the upper Adige River catchment (N Italy), in order to identify the spread of pollutants. Intl1 was detected by direct PCR amplification at different frequencies. The urban and agricultural areas revealed the presence of intl1, except for apple orchards, where it was below the detection limit. Interestingly, intl1 was found in a presumed unpolluted environment (glacier moraine), maybe because of the high concentration of metal ions in the mineral soil. Finally, intl1 was absent in forest fresh-leaf litter samples and occurred with low rates in soil. Our results provide new data in supporting the use of intl1 to detect the environmental health of different land-use systems.

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Prioritizing a One Health Approach in the Immediate Fight Against Antimicrobial Resistance

Cited by 15 publications

References 4 publications

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

Control of antimicrobial resistance in Iran: the role of international factors

Environmental Distribution of AR Class 1 Integrons in Upper Adige River Catchment (Northern Italy)

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