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1.UN Assembly meeting discussed the global AMR challenge

On 21st September, United Nations Assembly meeting in New York, by heads of countries discussed the global challenge of Antimicrobial Resistance. A political declaration to tackle AMR was signed by all countries. This is the fourth time in   UN Assembly history; a health related issue was discussed. (Other earlier topics being HIV, Ebola and Chronic diseases)

http://www.un.org/pga/71/2016/09/21/press-release-hl-meeting-on-antimicrobial-resistance/

2. WHO bulletin article on UN Assembly meeting acknowledges the contribution of Chennai declaration

WHO bulletin published an article in relation to the UN meeting. The article has acknowledged contribution of Chennai declaration to the tackling antibiotics resistance issue.

Various initiatives including “Chennai declaration of Indian medical societies” have played significant role in mobilising international scientific and political community and to take the issue up to UN meeting. 

http://www.who.int/bulletin/volumes/94/9/16-020916.pdf?ua=1

3.Indian Ministry of Health steps up tackling AMR efforts

Indian National antibiotics policy core committee is now reorganized into three interlinked committees, for better performance and coordination.

  1. Core Working group on AMR (CWG-AMR) Chaired by NCDC Director.

This committee is comprised of subject experts responsible for coordinating preparation of various documents, surveillance etc.

  1. Technical advisory group on AMR (TAG-AMR) Chaired by Director General of Health services.

The committee includes senior representatives from various Ministries including DCGI and subject experts. The committee is responsible for reviewing the

Activities of the Core working group committee (by NCDC) and provide advice to the Committee of senior Govt. officials (ICC-AMR)

  1. Inter-sectorial coordination committee on AMR (ICC-AMR) Chaired by Health secretary.

The committee comprises of senior most officials in Health ministry and other relevant ministries (secretaries and joint secretaries from various Ministries)

Antibiotic Resistance

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Chennai Declaration - The Way Forward

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rulogo chennai declaration

 

 

“A Roadmap to Tackle the Challenge of Antimicrobial Resistance – Joint meeting of Medical Societies in India” 2012, was the first ever meeting of medical societies in the country on the AMR issue.

 

All stakeholders including representatives of medical societies, various Governmental bodies, media, academics and international representatives came under one roof to discuss the issue.

 

The aim was to formulate implementable recommendations to tackle antimicrobial resistance in India. The Road map meeting led to creation of the document -“The Chennai declaration”.

 

The declaration is based on the theme of “a practical but not a perfect policy” and step-by-step implementation of various components in a developing country.

 

Progress of the Chennai declaration initiative

 

  1. Chennai declaration document was reviewed in detail in more than a dozen reputed international journals, many international academic and health policy related conferences.
  2. Highest officials in Indian Ministry of Health studied the document.
  3. Chennai Declaration could convince Indian authorities on seriousness of the resistance scenario in the country and importance of taking measures to control it.
  4. The initiative could mobilise medical societies and all the other stakeholders.
  5. The initiative has also created international awareness regarding the ground reality in developing countries and how a policy has to be tailored as per local requirement.
  6. Efforts by Chennai declaration through interaction with the ministry, creation of public and professional awareness via media, journals, and meetings, and inspiring of political leadership to discuss the issue in the Indian parliament did speed up the publication of the new over-the-counter rule.
  7. The new rule issued by the ministry of health includes 24 antibiotics and 11 antituberculosis drugs in the schedule H1 category. This rule is meant to regulate over-the counter dispensing of drugs. Pharmacists not only have to insist on a prescription from a registered medical practitioner, but they also need to enter details in a register. Drug inspectors will monitor compliance. First-line antibiotics will not come under the strict monitoring as those are excluded from the list, at least initially. The new H1 list is based on a step-by-step strategy of Chennai declaration.
  8. Ministry of Health published National antibiotics guidelines.
  9. Ministry of Health launched public education initiatives via print media and radio channels.

 

“Chennai Declaration-Five Year Plan”

 

In tune with the basic spirit of the Declaration – a ‘Practical not Prefect’ approach – Chennai declaration team   proposed a 5‑year strategy to control antibiotic resistance.

 

Five-year action plan prepared by the Chennai declaration team can be implemented in hospitals in all developing countries, including India.

This  website is about the Chennai Declaration document, tracking its progress and impact amongst the medical community and policy makers. The individual authors of Chennai Declaration are not responsible for the content displayed in the website.