Date: Sunday, 21 November 2021
Time: 16:30 GMT | 17:30 WAT |18:30 CAT | 19:30 EAT
Moderator: @hcsmAFRICA (Vanessa Carter)
In celebration of the World Antimicrobial Awareness Week, join us for a 60-minute Twitter chat to share your views about how we can “Spread Awareness to Stop Antimicrobial Resistance in Africa”.
All one health stakeholders including healthcare professionals, civil society stakeholders including non-profit and non-governmental organisations, patients, environmental and consumer advocates, policymakers, journalists, nurses, pharmacists, medical researchers, community health workers, farmers, IT experts, veterinarians, students locally and globally are welcome. To participate, use the hashtag #AfricaWAAW
T1: How do you think antimicrobial resistance awareness can be improved in Africa?
T2: Why do you think antimicrobial resistance awareness is so important?
T3: How can the private sector play a role towards promoting antimicrobial resistance awareness?
T4. How can policy making play a role in promoting antimicrobial resistance awareness?
T5: How can we tie together antimicrobial resistance awareness campaigns in human, animal, and environmental health so we tackle it from a more sustainable and one health approach?
CT: Do you have anything you want to add about antimicrobial resistance awareness in Africa?
During this 1-hour Twitter chat, the Africa Union, Africa Regional Tripartite (FAO, OIE and WHO) and UNEP want to hear your thoughts about how we can increase awareness for antimicrobial resistance in Africa from a one health approach.
How can we increase awareness for antimicrobial resistance in Africa?
World Antimicrobial Awareness Week (WAAW) which takes place between 18 – 24 November 2021 aims to increase awareness of global antimicrobial resistance (AMR) and to encourage best practices among the general public, health workers and policy makers to avoid the further emergence and spread of drug-resistant infections.
What are antimicrobials?
Antimicrobial medicines are different types of drugs that can be grouped according to the microorganisms they treat. For example, antifungals kill fungi, antibiotics are used for bacteria, antivirals treat viruses and antiparasitic drugs kill parasites. We rely on these medicines for a wide range of conditions and diseases including for cancer treatment, to prevent infections after routine surgery or more extensive procedures like organ transplants, prevent and treat malaria and other types of zoonotic diseases such as Lyme disease which is caused by tick bites, listeria found in food products like unpasteurized milk or sandwich-meat, in dentistry, for urinary tract infections, some respiratory infections like pneumonia or TB as well as for sexually-transmitted infections, HIV/AIDS, and maternal and newborn health. Since the first antibiotic drug class called Penicillin was discovered in 1928 by Sir Alexander Flemming, antimicrobial drugs have saved billions of lives and are the cornerstone of modern medicine.
What is causing antimicrobial resistance?
Antimicrobial Resistance occurs naturally over time and most often through genetic changes. Most microorganisms have used their survival mechanisms (genetic changes) to resist the effect of antimicrobials. Since the discovery of these miracle antimicrobial drugs, overuse and misuse in the human, animal and environmental health sectors as well as agriculture have led to an increase (upsurge) in the selection pressure leading to resistance. An example of misuse is when a specific class of antimicrobials know as an antibiotic is prescribed for the common cold or flu while the flu or the common cold are not caused by bacteria but rather viruses. Antibiotics are only effective at treating bacterial infections therefore in this case we end up taking them unnecessarily. In the animal sector, antimicrobial drugs are being misused for various purposes including growth-promotion, a practice used to increase weight gain of animals and not to treat diseases. The natural phenomenon of microbial adaptation to survive antimicrobials, enhanced by the overuse or misuse of antimicrobial drugs is known as antimicrobial resistance and the microorganisms that become resistant are called “Superbugs”.
What types of superbugs should we be worried about?
An example of a superbug commonly found in hospital settings, as well as in the community and in livestock is Methicillin-resistant Staphylococcus aureus (MRSA). Staphylococcus aureus is a common type of bacteria that lives on our skin and on mucosal surfaces such as our noses, even in healthy people, but when Staphylococcus aureus develops resistance against a type of antibiotic called Methicillin, that drug will no longer be effective in treating it. There are countless more types of superbugs including drug-resistant tuberculosis, drug-resistant typhoid fever, Clostridium difficile (C.diff) and Carbapenem-resistant Acinetobacter baumannii (CRAB), a type of bacteria commonly found in the environment, especially in soil and water.
How can we slow down antimicrobial resistance?
Microbes are part of nature and live all around us, some of them even live harmoniously inside our body, but every now and again a bad one can cause an infection or disease. One of the most important things we can do besides reducing the overuse and misuse of antimicrobial medicines is to practice good hand hygiene. The COVID-19 pandemic highlights some important lessons around infection prevention and control (IPC), one of which was handwashing to reduce the spread of the virus. That same principle should be used as we tackle the spread of deadly superbugs. Self-medicating or sharing antimicrobials like antibiotics with others without the guidance of a qualified medical professional can also put the user at a higher risk of developing resistance and at some point, when their life depends on those drugs, they might not work. Understanding that different antimicrobial drugs treat different types of microorganisms help us understand why a particular type of drug like an antibiotic was not prescribed. This is why it is critical to seek the advice of a qualified health professional before using antimicrobials. The same goes for caretakers of livestock and companion animals seeking advice of an animal health professional before using antimicrobials as well as never borrowing antibiotics from other animal owners.
Education is empowering but is it enough to change behaviour?
There are numerous actions we can all take to tackle antimicrobial resistance if we are informed to make the right decisions, not only for ourselves and families but also for the community these dangerous superbugs can spread to. One of the barriers to achieving education in Africa is effective health communication because antimicrobial resistance can be a difficult concept to describe where some African languages don’t have the technical terms to explain it, or otherwise where health literacy barriers mean that plain language is necessary. Beyond education, there are also certain choices that we can make as an individual because we want to be part of the solution. Let us do whatever we can to keep these precious antimicrobial medicines working, because without them we risk going back to an era where a simple infected cut can become fatal.
After this chat take the Antibiotic Guardian pledge at https://antibioticguardian.com/africa and keep the conversation going on the hashtag #StopSuperbugsAfrica.
- Africa CDC Framework for Antimicrobial Resistance in Africa 2018- 2023
- WHO Global Action Plan on Antimicrobial Resistance
- FAO Global Action Plan on Antimicrobial Resistance
- UNEP report – Antimicrobial Resistance: Investigating the Environmental Dimension
- The OIE Strategy on Antimicrobial Resistance and Prudent Use of Antimicrobials
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