Implementation of Andhra Pradesh Action Plan for Containment of Antimicrobial Resistance

November 25,26, 2022, Vijayawada- Professionals around the world gathered at Vijayawada, Andhra Pradesh, to discuss and plan the implementation of Andhra Pradesh Action Plan for Containment of Antimicrobial Resistance (AP-APCAR). Andhra Pradesh is the 4th state in India after Kerala, Madhya Pradesh and Delhi for developing State Action Plan for Containment of Antimicrobial Resistance. The government of Andhra Pradesh issued G.O. No.148 dated 27th June 2022 by the Principal Secretary, Health, Medical & Family Welfare Dept., approving the Andhra Pradesh Action Plan for Containment Antimicrobial Resistance (APAPCAR) in the state.

The two-day “Global Workshop on Implementation of State Action Plans for Containment of Antimicrobial Resistance, focus state- Andhra Pradesh'' was organised on 25th and 26th November to translate APAPCAR into concrete on-ground actions through knowledge and expertise from state, national and global level experts. The consultative workshop was co-organised by the Federation of Asian Biotech Associations (FABA), Infection Control Academy of India (IFCAI), and World Animal Protection, with support from ReAct Asia Pacific. The workshop invited experts from across the globe and country representatives from various organisations, institutes, state governments and ministry representatives from animal, human health, environment and Agriculture departments.

Prof Reddanna, President FABA, Dr. Vinod Kumar, IAS Director Medical Education- AP, Dr Ranga Reddy Burri, President IFCAI with Gajender K Sharma, Country Director, World Animal Protection India.

Antimicrobial resistance (AMR) is listed by the World Health Organization (WHO) as one of the top 10 threats to global health, and one of the urgent health challenges for the next decade. As per the first comprehensive analysis of the global impact of antimicrobial resistance (AMR) estimates published by the leading medical journal The Lancet, resistance caused 1.27 million deaths in 2019, and antimicrobial-resistant infections played a role in 4.95 million deaths.

Estimates for 204 countries and territories confirm AMR as a global health threat, with the worst impacts in low- and middle-income countries (LMICs) like India. However, higher-income countries also face alarmingly high levels of AMR.

Overuse and misuse of anti-microbial medicines are major factors that have contributed to the development of drug-resistant microbes. In many places, antibiotics are overused and misused in people and animals, and often given without professional oversight.

The workshop led engaging group discussions leading to on ground plans and Key Performance Indicators (KPI). We are hopeful this will help Andhra Pradesh turn into a role model for all other 24 states, not only drafting the policy but in impeccable implementation with laudable outcomes.

“Andhra Pradesh has shifted focus on strengthening laboratories, medical education and creating awareness among the public to counter Anti-microbial resistance (AMR). The state government has piloted the Indo-Dutch project in Krishna district as a pilot project under the auspices of National Centre of Disease Control (NSDC).” said M.T. Krishan Babu, Principal Secretary, Health Medical and Family Welfare who participated virtually for this event. “There is an urgent need to bring focus on animals which are part of our food system especially the poultry sector which contributes to the challenges faced to combat superbugs and needs to be monitored”, added M.T. Krishan Babu, Principal Secretary, Health Medical and Family Welfare who participated virtually for this event.

“Since resistance anywhere is everywhere, one health approach is the only solution for containment of AMR for human health, animal health & welfare and environment health”, said P. Anand Kumar, Member, AMR Cell, AP State.

“Since AMR is not restricted to one sector but a critical global problem affecting humans, environment, and animals. The key to combat AMR is understanding its multi-stakeholder and multidimensional nature and work on the different aspects of same. Each sector should play its role in prevention, making people aware about the issue and the impact of AMR. About 75% of total antibiotics globally, are used in animal farming systems. India is the 4th largest sales in the use of antibiotics in animals. The poultry and cattle industry are one of the largest farming industries in India and hence the need to tackle AMR arising from Animal Farming and improved animal welfare is a solution” said Gajender K Sharma, Country Director, World Animal Protection, India.

“FABA will play a key role in knowledge dissemination and awareness programs across academic institutions. which will help in bringing industry closer to the implementation goals. FABA with its partners globally, will help in all awareness and knowledge programs on one health”, said Prof Redanna, Executive President, FABA.

“Antimicrobial Resistance (AMR) being a multidimensional problem requires a multisectoral approaches to tackle the issue from lens of technical, political, social, economic, and enthusiastic public support.” Said Dr. Ranga Reddy Burri, President, IFCAI.

“Altogether, we cannot avoid Antimicrobial Resistance (AMR) and our own ageing, however, we can use antibiotics judiciously and use every possible antibiotic alternative approach to minimize or slow down the emergence of resistance to last resort antibiotics. We should act towards healthy aging without many infections that are difficult to treat and create a better future” said Prof. Jayaseelan Murugaiyan, Head of the department of Biological Sciences, SRM University AP, Andhra Pradesh.

The key findings as the outcome of this workshop will be incorporated to help shape the on-ground action plan for the state.