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Launch of a new approach to antimicrobial stewardship in Zambia

At the yearly ReAct Africa Conference in Zambia in July, the Director General of the Zambia National Public Health Institute (ZNPHI) Professor Roma Chilengi, launched the Zambia Strategic Program for Antimicrobial Stewardship (ZASPARS). The program is an adaptation of the Swedish strategic programme against antibiotic resistance (STRAMA) which has led to a significant reduction of the inappropriate use of antibiotics in Sweden since its introduction in 1995.


Key takeaways from the ReAct Africa and South Centre Conference

The ReAct Africa and South Centre Annual conference was held as a hybrid event from 25-27 July in Lusaka Zambia under the theme: Africa’s response to Antimicrobial Resistance: Accelerating One Health National Action Plans implementation for the next 5 years. Participants from 30 countries joined the sessions and discussions. Find a few key takeaways from the 3-day conference.

Position paper

New ReAct Europe and EPHA position paper on EU incentives for new antibiotics development

In a joint publication, ReAct Europe and the European Public Health Alliance (EPHA) express concerns as only a limited number of options for introducing incentives have been considered during the European Commission targeted consultations. The position paper includes 10 reasons why a TEE is not efficient for advancing antibiotic development.


Time to register for the annual ReAct Africa and South Centre conference!

This year ReAct Africa and South Centre will be hosting the annual conference as a hybrid event under the theme: “Africa’s response to Antimicrobial Resistance: Accelerating One Health National Action Plans implementation for the next 5 years.” The event will take place Monday 25th July to Wednesday 27th July.


"Need to address the paradox of hospitals spreading disease" says new WHO report

The concept of infection prevention and control – that involves implementing a variety of protocols to prevent avoidable infections in hospital settings – has become an essential part of all modern healthcare. In the context of antimicrobial resistance also, infection prevention and control plays a central role by helping lower burden of health care-associated infections, thereby reducing the need to use antibiotics.


Student Tehseen Contractor: learning about antibiotic resistance at university encouraged me to join this training program

Beginning this year, Tehseen Contractor and four Global Health students focused a project on antibiotic resistance and artificial intelligence. ReAct got curious and wanted to hear a young Medical student’s thoughts on antibiotic resistance in general, and artificial intelligence and antibiotic resistance in particular. Tehseen is from India and is studying Medicine and Surgery in the UK.

Takeaways and recording

5 takeaways from ReAct AMR Stockholm+50 associated event

On June 1st 2022, ReAct in collaboration with The Nordic Council of Ministers and Stockholm Environmental Institute hosted the hybrid event “The silent antimicrobial resistance pandemic urges a concerted global response – but what needs to be done?”. Here you find 5 takeaways from the day and a few next steps.

Webinar recorded

New opportunities for global action on AMR?

21 June ReAct and South Centre hosted the webinar: The silent pandemic of antimicrobial resistance: New opportunities for global action?

Will the new international instrument offer opportunities for a stronger response to antimicrobial resistance?
What are we learning from national experiences from developing countries?

Click to listen to webinar.

Real life

Dr. Hari Paraton: Drug resistance bacteria threatens lives of mothers and newborn

In general, administering stitches to close tears on mothers who have newly delivered a child are a safe and common procedure. However, the handling of post-delivery sutures by health workers without sufficient understanding about the use of antibiotics and the risk of infection can be a different story. What are supposed to be happy moments for parents with their new born baby, after going through the delivery process, might sadly end in grief.

This was experienced by Dr Hari Paraton, an obstetrician and gynecologist from Surabaya, Indonesia, who handled a patient, (we will call her “Paramita”) with abnormal post-delivery stitches. Instead of drying out, the wound on the stitches just got worse and wider.


ReAct Latin America: call to governments on the use of antimicrobials in intensive animal husbandry

With the aim of reducing the use of antimicrobials in intensive animal husbandry and its impacts on human and ecosystem health, the participants of the Latin American Webinar “Intensive Animal Husbandry, Animal Welfare and Antibiotic Use” signed a Call.

The Call is urging governments and members of the teams and commissions responsible for the National Action Plans on AMR, the design and implementation of policies, to limit the use of antibiotics in agri-food systems.


Join ReAct Stockholm+50 associated event! Global AMR response – What needs to be done?

Welcome to join the Stockholm+50 associated event hosted by ReAct, The Nordic Council of Ministers and Stockholm Environmental Institute: “The silent antimicrobial resistance pandemic urges a concerted global response – but what needs to be done?”

1 June 14:00 – 15:30 CEST

Read more and register! (now includes link to recorded event)


Allocation of adequate resources and community engagement key to NAP implementation

In 2015 recognizing the growing problem of antimicrobial resistance the World Health Organization endorsed a Global Action Plan on AMR.

The five objectives that the Global Action Plan aimed for were:

  • improving awareness and understanding of antimicrobial resistance,
  • strengthening surveillance and research,
  • reducing the incidence of infection,
  • optimizing the use of antimicrobial medicines in human and animal health and
  • ensuring sustainable investment in new medicines, diagnostic tools, vaccines, and other interventions.

How far along are we?


Public hearings: elements to be included in a new international instrument on pandemic preparedness & response

On 12-13 April, the World Health Organization (WHO) conducted a first round of public hearings regarding a new international instrument on pandemic preparedness and response.

This aimed at informing the deliberations of the Intergovernmental Negotiating Body (INB) to draft and negotiate a WHO convention, agreement, or other international instruments on pandemic prevention, preparedness and response.

The guiding question of  “What substantive elements do you think should be included in a new international instrument on pandemic preparedness and response?” was explored through spoken and written input from the public.

Guest writer

The silence is killing us – time to listen to the facts

Escherichia coli. Klebsiella pneumoniae. Staphylococcus aureus. Streptococcus pneumoniae.

Or we could put it this way: bacteria that cause everything from urinary tract infections to life-threatening wound infections. Staphylococci that can lead to life-threatening sepsis. And pneumococcus, which is the most common cause of pneumonia.

We learn from Médecins Sans Frontières experiences across the globe and we listen to experts Jacob Goldberg, Médecins Sans Frontières and ReAct’s founder Otto Cars.

The situation is acute – but not hopeless.

Text: Åsa Nyquist Brandt, Médecins Sans Frontières


Policy brief on WHO GAP AMR: 8 pillars of action to address global solutions to AMR

A recently published Antibiotic Resistance Coalition Policy briefing finds WHO Global Action Plan on AMR at crossroads and calls for attention to Comprehensive Review. This briefing is released at a pivotal moment for the World Health Organization to take stock of its progress on the Global Action Plan on AMR. The briefing identifies eight pillars of action that should be taken to comprehensively address the global solutions to antimicrobial resistance.


India: State Action Plans on AMR in focus at stakeholder colloquium

ReAct Asia Pacific in association with World Animal Protection, India, and World Health OrganizationIndia, organized the first edition of an annual “Colloquium on State Action Plans on Antimicrobial Resistance 2022” in New Delhi14 March.

COVID-19 has been a setback in the formulation and implementation of sub-national action plans on antimicrobial resistance. The meeting aimed to facilitate inter-state discussions on strategies to revitalize State Action Plans on AMR and had participation from 16 regions in India.

ReAct Interview

Access to clean water - a fairly inexpensive way to avoid infections

Andreas Berglöf has worked with advocacy for more than 20 years, from HIV, to Sexual and Reproductive Health and Rights (SRHR) – and since a year back for WaterAid Sweden. Right now he is at the World Water Forum in Dakar, Senegal. During the conference, WaterAid participates to urge leaders around the world to prioritize water, sanitation and hygiene issues, to strengthen health systems, climate adaptation and economic recovery after COVID-19.⁠ Work that will have positive effects on addressing antibiotic resistance.

WaterAid Sweden are one of the actors engaging in antibiotic resistance. In this article Andreas speaks about water, sanitation and hygiene, actions needed at global and country level, the coming pandemic treaty and lessons learned from HIV work.


Systemwide response to antibiotic resistance requires effective and sustainable global governance

Causing 1.27 million deaths per year, antibiotic resistance is one of the greatest and most urgent cross-border public health threats of our time. However, the global community was late to the table to pick up on the systems failure of antibiotic resistance. Initiatives and collaborations have been initiated since 2015, but stronger globally coordinated governance is needed to drive systemwide response. There is still a long way to go. In this article, you get an overview of the global governance considerations for antibiotic resistance.


Anna Sjöblom new Director ReAct Europe

Anna Sjöblom is the new Director for ReAct Europe. She comes with long experience of working in low resource settings for Médicins Sans Frontières (MSF) and within the Swedish health care system. In addition to this she has been a Medical Humanitarian Advisor for MSF for almost 10 years and she was a member of the MSF Sweden management-team.


Artificial intelligence – the future of antibiotic resistance prevention?

Artificial intelligence, a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments. Could this be an asset in addressing antibiotic resistance? In recent years, artificial intelligence has proven to be a potential tool for managing antibiotic resistance. More specifically, it has been employed as aid for clinicians in antibiotic therapy optimization, for example by monitoring trends in resistance and improving use of antibiotics. Could artificial intelligence be the future of antibiotic resistance prevention?


Antibiotic resistance claims more than 1,2 million lives a year, says new large study

Today the most comprehensive data to date on the global burden of antibiotic resistance has been published in the Lancet. An estimated 1.27 million deaths were a direct result of antibiotic resistant bacterial infections in 2019. This points to the fact that world leaders must urgently speed up actions on multiple levels to mitigate the increasing consequences of this crisis.