Editorial
Drug Resistance: Action Today, Cure Tomorrow
Yesterday, the global community marked World Health Day (WHD), a day set aside to commemorate the founding of the Geneva, Switzerland-based World Health Organisation (WHO), an organ of the United Nations responsible for surveillance, control, monitoring, regulation and coordination of health-related issues across the world.
As it is customary, the UN health watchdog had identified drug resistance and its global spread as key health issue of significance that should be combated before it becomes a hydra headed challenge to humanity, and consequently gave this year’s WHD celebration, the theme: “Antimicrobial Resistance: No Action Today, No Cure Tomorrow”. With this action, the WHO, has reeled out a six-point policy initiative to fight the spread of antimicrobial resistance, and kick started a year-long local, regional and international events linked to drug resistance, and efforts to curb the menace.
Before the discovery of antimicrobial drugs, such as antibiotics, man fell easy prey to infections. But with the addition of antimicrobials, as arsenals to his health kitty, he has survived longer and continues to lead healthier life. Today, due to the use and misuse of drugs, WHO says that humans are now on the ‘brink of civilisational collapse’ as more microorganisms are becoming resistant to antimicrobials. Drug resistance occurs when microorganisms such as bacteria, viruses, fungi or parasites mutate or change in such a way that the medications used to treat them are rendered ineffective.
Put in perspective, antimicrobial resistance is facilitated by the inappropriate use of antibiotic medicines such as taking substandard doses or not finishing a prescribed course of treatment, in addition to low-quality medicines, wrong prescriptions and poor infection prevention and control. Lack of government commitment to address these issues, poor surveillance and a diminishing arsenal of tools to diagnose, treat and prevent infections also hinder the control of drug resistance.
It is a major concern as it has the potential to result in prolonged illness, can easily kill, or spread to others, and imposes huge costs to individuals, governments and society. Indeed, if infections caused by resistant microorganisms fail to respond to standard treatment, prolonged illness or death looms large. It, therefore, hampers the control of infectious diseases, threatens a return to the pre-antibiotics era, increases the costs of healthcare, jeopardizes healthcare gains, and threatens health security and damages trade, tourism and economies.
In her message to mark the day, WHO Director General, Margaret Chan, called for a new and urgent action plan to raise accountability, and halt the spread of drug-resistant microorganisms through surveillance, control and prevention, as well as treatment mechanisms. Specifically, Chan called on governments, industry and all stakeholders, to, as matter of deliberate policy, synergise in strategic planning, surveillance, stricter drug regulation, rational use of medicines, infection prevention and control, innovation and research.
She listed 30 medicines that “are essential for treating common diseases of mothers and children” including those for the treatment of severe bleeding after childbirth and pneumonia, already being abused. Other medicines are those for the treatment of sexually transmitted infections, high blood pressure, tuberculosis (TB), hepatitis, malaria, diarrhea, and AIDS-related illnesses.
Chan regretted that 50 per cent antibiotics are being prescribed inappropriately across the world, as physicians do not adhere to standard treatment guidelines, and lamented that increasingly, antibiotics are available, usually over the counter, without prescription, compounded by laxity in monitoring. She, therefore, announced a six-point policy package to curtail drug resistance, and tasked policy-makers and planners, the public and patients, healthcare service practitioners and prescribers, pharmacists and dispensers, and the pharmaceutical industry to think, act and take responsibility for combating drug resistance.
Also speaking, UN Secretary General, Ban Ki-moon, warned against the increase in microbial resistance to antibiotics and other antimicrobial medications across the globe, stressing the need for the ‘urgent’ addressing of the issue through concerted international efforts.
Although the UN chief praised the health improvements caused by the discovery of antibiotics and the availability of antibacterial medications for poorer communities over the past two decades, he expressed concern about growing threats due to the emergence of drug-resistant organisms, and their negative impact on humanity.
It is important to note that drug resistance is not a new problem. However, its consequences are becoming increasingly ominous now than ever before. It is against this backdrop that The Tide urges governments across the world, particularly the federal and state governments in Nigeria, to initiate proactive strategies to curb the menace of drug-resistant microbes in the society. We insist that governments should make it an offence punishable by imprisonment for any hospital, clinic, pharmacist or drug-dispensing store to sell antibiotics without a certified physician’s prescription.
The Tide challenges the government to strengthen the National Agency for Foods, Drugs Administration and Control (NAFDAC), Pharmaceutical Society of Nigeria (PSN), Standards Organisation of Nigeria (SON), and other regulatory agencies to effectively implement and enforce policies to check drug abuse, adulteration, quackery, improper preservation, and corruption in drug prescription and administration. The government and all stakeholders should work spiritedly to reduce poverty rate, and increase literacy level through education and public awareness campaigns on the consequences of drug abuse.
Although, the Rivers State Government’s policies of massive investment in primary and secondary healthcare infrastructure development and equipment, training and recruitment of healthcare service providers, house-to-house sanitary inspection, fumigation of residential premises, and unscheduled raids on unauthorized pharmacies and patient medicines stores, as well as NAFDAC’s collaboration to check adulteration of drugs have yielded some positive dividends, The Tide believes that more concerted efforts are required to give needed impetus to the fight against antimicrobial resistance, as a veritable means of promoting healthier and longer living of our people for decades to come.
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