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The UK Department of Health and Social Affairs on Thursday released two guidance documents detailing the measures the government plans to take to combat antimicrobial resistance over the next five years, as well a global vision of the reduction of antimicrobial resistance by 2040.
Speaking at the World Economic Forum in Davos, Switzerland, on Thursday, UK Health Secretary Matt Hanbad called AMR a "danger as big as climate change or war for humanity" and called for an "urgent global response".
While the UK's five-year action plan focuses on steps that the country can take over the next five years to combat antimicrobial resistance at the national level, the 20-year vision looks more broadly at how the UK and other global partners can "effectively contain and control" the spread of resistant infections.
As part of the 97-page five-year action plan, the UK is proposing a three-pronged approach to tackling antimicrobial resistance by reducing the use of antimicrobials; optimize the use of existing products; and encourage the development of new therapies.
To reduce the use of antimicrobials, the United Kingdom calls for effective infection prevention and control (IPC) measures to reduce the incidence of infection through diabetes. Monitoring, sanitation and hygiene initiatives and vaccination campaigns.
In order to optimize the use of existing antimicrobials, the action plan aims to ensure the appropriate use of antimicrobials in humans through diagnostic tests, to reduce the incidence of antimicrobials in humans. Use of antimicrobials in animals and in agriculture, to strengthen laboratory capabilities and treatment guidelines.
The five-year plan also proposes new ways to invest in the development and payment of new antimicrobials.
One of the approaches would be to set up a subscription-based payment model for antimicrobials to separate costs from volume.
"Within six months, the [National Health Service] NHS will start working to pay for the service, and security, to access essential antibiotics when we need them, rather than hoping that there is a product we can buy in the future. We will be more of a Spotify subscriber than a consumer of vinyl records, "Hanbad said.
The action plan also suggests a "payment or gambling" system to fund and encourage research and development of new antimicrobials. Under this system, drug manufacturers would have to pay fees if they did not invest in R & D research and development.
In the 19-page, 20-year plan, the United Kingdom is more interested in the need for international collaboration to contain the spread of AMR globally, with concrete actions to the United Kingdom and a series of five-year plans.
The plan also describes the roles and expectations of various sectors, including the research community, the private sector, public agencies, professionals and society in general.
Antimicrobial Resistance Control 2019-2024: Five Year National Action Plan for the United Kingdom, Contained and Controlled: The 20-Year View of British Antimicrobial Resistance, Hanbad Statement
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