Global Initiatives to Combat AMR
摘要
Antimicrobial resistance (AMR) has become one of the most critical global health and development issues, endangering humans, animals, and the environment. Over the last 30 years, numerous initiatives at international, regional, and national levels have aimed to control its spread. Awareness was initially raised during World Health Day 1997, followed by the WHO’s first Global Strategy for Containment of AMR in 2001. Later efforts enhanced collaboration through initiatives like the Transatlantic Taskforce on AMR, the FAO–WOAH–WHO–UNEP Quadripartite Agreement, and the Jaipur Declaration in South-East Asia. Campaigns such as World Health Day (2011) and the establishment of annual World Antimicrobial Awareness Week boosted advocacy. Political action was exemplified by the U.S. Presidential Executive Order (2014), the UK’s AMR Review, and the Antibiotic Resistance Coalition. Frameworks like the 2015 Global Action Plan, the 2016 UN General Assembly declaration, the SDGs, and the IACG offer structured responses. More recent efforts include the Global Leaders Group, G20 commitments, UNGA High-Level Meeting with defined targets (2024), pooled funding mechanisms, and the WHO’s people-centred approach. These initiatives highlight AMR as a One Health issue requiring coordinated governance, sustainable funding, strong surveillance, and community involvement. Despite notable progress, gaps remain in implementation, demanding increased accountability and political will worldwide.