Stopping the Grand Pandemic
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Washington, DC: World Bank
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Antimicrobial resistance (AMR) is a
global health security and development challenge that poses
a threat to public health and economic prosperity. It is a
challenge that is often overlooked. As antimicrobials have
become part of the infrastructure of modern society, it has
become all too easy to take them for granted; but their
longevity is under threat. Antimicrobials and antibiotics
are widely used for health, industrial, and agricultural
purposes. In health care, they are inextricably linked to
the advances in modern public health that societies have
witnessed in recent decades. They have become a go-to
medication for a variety of infections, from strep throat to
sepsis. They have also become essential to agricultural and
food systems and are used in crop and livestock management.
Nevertheless, inappropriate use of antimicrobials threatens
their sustainability, and the devastating impact of this
development, in which the drugs we know and rely on cease to
work, is already emerging. In the face of this challenge,
the World Bank stands ready to support governments in
designing and implementing approaches to preserve
antimicrobials with financing and technical assistance. This
Framework for Action (Framework) aims to support World Bank
task teams and clients in designing interventions that
address AMR, with a focus on low- and middle-income
countries (LMICs), which stand to be disproportionately
impacted. This Framework outlines 20 intervention areas
across the health, agriculture, and water sectors that can
serve as starting points for discussions to develop
sustainable systems addressing AMR at the national and
regional levels. Tackling AMR is crucial to achieving
universal health coverage, promoting good health, and
attaining the Sustainable Development Goals (SDGs). To the
challenge of addressing AMR, the World Bank brings
operational expertise, finance, and the ability to mobilize
additional resources for multisectoral programs through its
operations and technical support.
Palabras clave
ANTIMICROBIAL RESISTANCE, AMR, PUBLIC HEALTH, INFECTION REDUCTION
