Lake Shajoe J, Van Katwyk Susan Rogers, Hoffman Steven J
YORK UNIVERSITY, TORONTO, ONTARIO, CANADA.
J Law Med Ethics. 2022;50(S2):9-16. doi: 10.1017/jme.2022.74.
Governments can practically and efficiently address zoonoses and AMR -- within the text of the new pandemic instrument. We map the overlaps between the efforts needed to address both pandemic threats, including (a) equitable access to medical countermeasures, (b) globally integrated One Health surveillance and monitoring systems, (c) increased technical and laboratory capacity in low- and middle-income countries, and (d) a regulatory framework governing the stewardship of antimicrobials. By outlining potential dual-purpose provisions that could be included in a pandemic instrument, we argue that addressing AMR in the pandemic instrument is practicable, the most effective use of limited time and resources, and provides the best opportunity for future global pandemic readiness.
各国政府实际上可以在新的大流行应对工具框架内切实有效地应对人畜共患病和抗菌药物耐药性问题。我们梳理了应对这两种大流行威胁所需努力之间的重叠之处,包括(a)医疗对策的公平获取,(b)全球一体化的“同一健康”监测系统,(c)提高低收入和中等收入国家的技术及实验室能力,以及(d)管理抗菌药物使用的监管框架。通过概述可能纳入大流行应对工具的潜在两用条款,我们认为在大流行应对工具中解决抗菌药物耐药性问题是可行的,是对有限时间和资源的最有效利用,并且为未来全球大流行防范提供了最佳机会。