Stronger action needed to combat antimicrobial resistance

The health sector called for efforts to be stepped up to combat antimicrobial resistance (AMR) at a workshop on September 21 to review the first-phase implementation of the National Action Plan on Antimicrobial Resistance in Vietnam.

Speaking at the event, Minister of Health Nguyen Thi Kim Tien said AMR has been an alarming problem in Vietnam, especially the issue of antibiotic resistance in the food chain and ecological environment due to the increase of antibiotic use and weakness in antibiotic management in healthcare and animal husbandry.

She said survey results on selling antibiotics at retail drug stores in the north showed weakness in the community’s awareness of antibiotics and AMR.

“Antibiotics have been sold without prescriptions at 88% of urban drugstores and 91% of rural drugstores. Antibiotics have contributed to 13.4% of drugstores’ total sales in urban areas and 18.7% of drugstores’ total sales in rural areas,” said Tien.

Tien stressed that reducing antibiotics use and combating AMR requires the involvement of all ministries and sectors from the central to the local levels and all of society.

Speaking at the event, Dr Kidong Park, the World Health Organisation (WHO) representative in Vietnam, praised the contributions of Vietnam in the global fight against AMR.

“The current burden of AMR is just the tip of the iceberg for the future burden of AMR. If we don’t want to see the full-blown burden of AMR, we must take action now,” said Park.

At the event, participants focused their discussion on the results and existing shortcomings of efforts to advance the fight against AMR in Vietnam.

Representatives of the Ministry of Agriculture and Rural Development and the Veterinary Department suggested the State management authorities should strengthen supervision and early warnings of diseases affecting animals and poultry.

Management authorities should expand communication campaigns to strengthen the community’s awareness of antibiotics and AMR prevention, tighten inspections and strictly handle violations related to illegal trading and use of prohibited antibiotics and veterinary medicine in breeding and aquaculture.  

According to WHO, the estimated death toll due to AMR reaches some 700,000 per year globally. Failure to control AMR will lead to an increase in cases of up to 10 million per year by 2050, which is more than the estimate for cancer and ten times more than that for diabetes. 

Further, the economic cost of AMR in 2050 will go up to US$100 trillion.

In 2013, Vietnam passed the National Action Plan on AMR as the first country in WHO’s Western Pacific Region to do so. 

Last month, the Ministry of Agriculture and Rural Development, with support from the United Nations Food and Agriculture Organisation, adopted a National Action Plan to tackle the overconsumption of antimicrobials in livestock and fisheries.

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