G20 Members Addressing Challenges to Overcome AMR Threat

JAKARTA (ANTARA) – A side event of the 3rd Health Working Group Meeting held in Nusa Dua, Bali on August 24 revealed several outbreaks due to the failure of antibiotics to treat various diseases. A report on the rate has come to light.

The biological phenomenon is known as antimicrobial resistance (AMR). Antibiotics, in the form of antibiotics, antivirals, antifungals, antiparasitics, antituberculous drugs, etc., are no longer effective in overcoming infections caused by bacteria, bacteria, viruses, fungi, etc. / Or parasites in the patient’s body.

The January 2022 Lancet International Scientific Journal stated that 643,381 people died from malaria, 700,660 died from breast cancer, 863,837 died from HIV/AIDS, and 1.27 million died from AMR.

The Indonesian Ministry of Health called the numbers a startling report. If the COVID-19 pandemic hit like a tsunami, AMR is like a devastating ocean tide, and its prevalence is quietly increasing.

Antibiotics began to be used on a large scale to treat patients about 70 years ago. Antibiotics could save many lives, especially during World War II.

However, a G20 delegation at a forum in Bali came to the point that antibiotics in the current era are often obtained without a doctor’s prescription and abused by humans, animals, plants and the environment. I believed that

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Availability and free access to antibiotics has led to overuse, with most people using antibiotics to treat illnesses caused by bacteria without further supervision.

As some bacteria develop resistance to antibiotics, incorrect treatment protocols can exacerbate patient infections and lead to high mortality.

The World Health Organization (WHO) has classified AMR as a serious disease that is no longer predicted as a future pandemic because it occurs in some parts of the world and can affect anyone of any age or country. categorized as a threat. .


Minister of Maritime Affairs and Fisheries Sakti Wayu Trengono virtually attended a side event of the G20 Health Working Group in Nusa Dua, Bali. Environment and Forestry Minister Siti Nurbaya Bakar. WHO Hannan Balkhy Assistant Director of Antimicrobial Pharmacy. Experts in the fields of animal health, food and agricultural organizations.

Experts estimate that AMR could reduce global annual gross domestic product (GDP) by 3.8% in 2050, pushing 28 million people into poverty.

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Forum speaker, YARSI University Professor Tjandra Yoga Aditama, Director of Graduate Studies, said that currently one child dies every three minutes in low- and middle-income countries from blood-borne infections caused by bacterial resistance.

Conference delegates also calculated the risk of an additional health burden of up to IDR 1 trillion in each country due to AMR. In 2016, the Global Review estimated that her more than 10 million deaths globally would continue to rise through her 2050 if AMR were ignored.

Also known as the hidden pandemic, AMR causes the highest number of deaths, especially in tropical regions such as Indonesia. However, not all countries have nationwide data on her AMR impact.

WHO then drew attention to the gaps between countries in collecting AMR data. For example, quality of diagnosis and prevention of early infection.

WHO also encourages all countries to increase their knowledge of AMR through regular surveys, measure case rates and prepare health protocols to anticipate worst-case scenarios.

All countries and sectors are therefore urged to take responsibility for addressing the challenge of AMR through a proactive approach of reporting cases and sharing successes and failures in efforts to overcome the disease. I’m here.

A stronger healthcare system is critical to combating AMR and keeping antibiotics effective for future generations.

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G20 response

In 2018, Southeast Asia WHO developed a work plan for all countries in the form of AMR National Action Plans, through the implementation of data collection in Southeast Asian Member States, to develop a global antimicrobial resistance and use surveillance system worldwide. included in the data (glass).

This effort is also incorporated into the Tripartite AMR Country Self-Assessment Survey (TrACSS) program to monitor the continuity of AMR programs, including Indonesia.

The annual Global Antimicrobial Awareness Week is expected to increase awareness and advocacy at global, regional and national levels.

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This year’s G20 Presidency, Indonesia, has outlined a strategic plan and roadmap for controlling the impact of antimicrobial resistance on livestock and humans.

Indonesia has regulations on the use of antibiotics in the field of livestock and animal health, as stipulated in Law No. 18 of 2009 on Livestock and Animal Health, which prohibits the use of antibiotics as food additives. was enacted.

Indonesia also bans the use of colistin in livestock for human consumption through Agriculture Minister Decree No. 9736 of 2000.

Colistin, as an antibiotic to treat infections caused by bacteria, is the last option for animal health or human health in Indonesia.

Population and activity growth will impact environmental degradation, with significant implications for the complexity of health threats and the evolving epidemiology of new infectious diseases worldwide.

The Indonesian Ministry of Agriculture has a role in the ‘One Health’ approach with all stakeholders globally and nationally to achieve sustainable public health and welfare.

Controlling AMR is also mandated by Executive Order No. 4 of 2019 on Building Capacity in Prevention and Detection to Respond to Global Pandemic Disease Outbreaks and Emergencies in the Nuclear, Biological, and Chemical Sectors.

AMR is a serious threat to the sustainability of national health security. Hopefully the G20’s response at his AMR side event forum this year will arrive at the correct formula for overcoming the problem.

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