Antimicrobial resistance: a global response


Smith, R; Coast, J; (2002) Antimicrobial resistance: a global response. Bulletin of the World Health Organization, 80 (2). pp. 126-33. ISSN 0042-9686

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Abstract

Resistance to antimicrobial therapies reduces the effectiveness of these drugs, leading to increased morbidity, mortality, and health care expenditure. Because globalization increases the vulnerability of any country to diseases occurring in other countries, resistance presents a major threat to global public health, and no country acting on its own can adequately protect the health of its population against it. International collective action is therefore essential. Nevertheless, responsibility for health remains predominantly national. Consequently, there is a potentially significant disparity between the problems and solutions related to antimicrobial resistance and the institutions and mechanisms that are available to deal with them. This paper considers the capacity of national and international institutions and mechanisms to generate a collective response to antimicrobial resistance. Strategies for containing resistance are outlined, with particular reference to globally coordinated activities of countries. The adequacy of national and international responses to resistance is assessed, and the actions that international bodies could take to solve difficulties associated with present responses are highlighted. Approaches are suggested for securing international collective action for the containment of antimicrobial resistance.

Item Type: Article
Keywords: Anti-Infective Agents, *Drug Resistance, Microbial, Health Priorities: *organization & administration, Human, *International Cooperation, Public Health Practice, Support, Non-U.S. Gov't, *World Health, Anti-Infective Agents, Drug Resistance, Microbial, Health Priorities, organization & administration, Humans, International Cooperation, Public Health Practice, World Health
Faculty and Department: Faculty of Public Health and Policy
Research Centre: Antimicrobial Resistance Centre (AMR)
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 11953791
Web of Science ID: 174169300008
URI: http://researchonline.lshtm.ac.uk/id/eprint/10070

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