Fwd: [amr-nap] Updated WHO Essential Medicines & Diagnostics Lists; c new papers and resources; and trainee award applications open

12 July, 2019

Dear HIFA colleagues,

The message below is forwarded from the [amr-nap] forum (Antimicrobial Resistance - National Action Plans), with thanks to Breeda Hickey at WHO Geneva.


[amr-nap] Updated WHO Essential Medicines & Diagnostics Lists; new papers and resources; and trainee award applications open

A. Human health ­ guidance updates/papers/news

i) WHO updates global guidance on medicines and diagnostic tests

WHO published new essential medicines and diagnostics lists 9 July 2019. The Essential Medicines Committee strengthened advice on antibiotic use by updating the AWARE categories, which indicate which antibiotics to use for the most common and serious infections to achieve better treatment outcomes and reduce the risk of antimicrobial resistance. The committee recommended that three new antibiotics for the treatment of multi-drug resistant infections be added as essential. World Health Organization model list of essential medicines: 21st list 2019 https://apps.who.int/iris/handle/10665/325771

World Health Organization model list of essential medicines for children: 7th list 2019 https://apps.who.int/iris/handle/10665/325772

The first List of Essential Diagnostics was published in 2018, concentrating on a limited number of priority diseases ­ HIV, malaria, tuberculosis, and hepatitis. This year's list has expanded to include more noncommunicable and communicable diseases. The list focuses on additional infectious diseases prevalent in low- and middle-income countries such as cholera, and neglected diseases like leishmaniasis, schistosomiasis, dengue, and zika. The List is divided into two sections depending on the user and setting: one for community settings, which includes self-testing; and a second one for clinical laboratories, which can be general and specialized facilities.


ii) Papers

The international dimensions of antimicrobial resistance: Contextual factors shape distinct ethical challenges in South Africa, Sri Lanka and the United Kingdom. Krockow EM, Tarrant C. July 2019.

The authors consider how AMR could be reduced through consideration of the ethical dimensions of the dilemma faced by doctors i.e. balancing the apparently opposed interests of current and future patients. They describe unique contextual factors in three example countries with different economic backgrounds and cultures - South Africa, Sri Lanka and tthe United Kiingdom. https://doi.org/10.1111/bioe.12604

Knowledge of antibiotic use and resistance among studdents of a medical school in Nigeria. Ijeoma Okedo Alex. Malawi Medical Journal, Vol 31, No 2 (2019) .

The author concluded that there was good knowledge of antibiotic use and resistance, however, practice levels were poor. There is need to enrich existing courses and training about antibiotic use in the curriculum of the medical schools with more emphasis on antimicrobial stewardship. Seventy-two (39.1%) of the students did not know that common cold and influenza were not due to bacterial causes. https://www.ajol.info/index.php/mmj/article/view/187715

iii) News items:

CIDRAP news topic: Study: Viruses causee most global pediatric pneumonia. http://www.cidrap.umn.edu/news-perspective/2019/06/study-viruses-cause-m...

The awful toll of superbuggs in India's hospitals. Babies are dying for lack of working antibiotics in India's hospitals as superbugs develop multi-drug resistannce, writes Ranjit Devraj in SciDevNet.


Drug resistant TB: Africa's forgotten health crisis. The bugs are a challenge in Africa, but DNA-based diagnostics can help, write Gilbert Nakweya and Bilal Tairou in SciDevNet.


B. Animal health news//resources

i) News item: The scourge of antibiotics in animal feed. Antibiotics are routinely added to animal feed in poor nations, fuelling superbugs. But new solutions are emerging, writes Aisling Irwin in SciDevNet.


ii) Resource:

FAO infographic: Top ten actions for farmers to keep animals and people healthy and antimicrobials working. http://www.fao.org/3/CA2348En/ca2348en.pdf

C. Award:

Applications are open for the Society of Infectious Diseases Pharmacists (SIDP) Trainee Award. This award recognizes pharmacy students, residents, or fellows who have demonstrated dedication to the field of infectious diseases pharmacotherapy and provides a travel honorarium to attend the SIDP Annual Meeting. Applications are due August 1 and awardees will be notified by August 31. https://sidp.org/2019AnnualMeeting


Best wishes, Neil

Joint Coordinator HIFA Project on Information for Prescribers and Users of Medicines


Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org