Antimicrobial Resistance in the Asia Pacific region: a meeting report

Esabelle Lo Yan Yam¹, Li Yang Hsu², Eric Peng-Huat Yap¹, Tsin Wen Yeo¹, Vernon Lee^{2

3}, Joergen Schlundt⁴, May O Lwin⁵, Direk Limmathurotsakul^{6

7}, Mark Jit^{8

9

10}, Peter Dedon^{11

12}, Paul Turner^{13

14}, Annelies Wilder-Smith^{1

15

16}

Affiliations

¹ 1Centre for Global Health, Lee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Road, Singapore, 308232 Singapore.
² 2Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
³ 3Public Health Group, Ministry of Health, Singapore, Singapore.
⁴ 4Nanyang Technological University Food Technology Centre and School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore, Singapore.
⁵ 5Wee Kim Wee School of Communication and Information and Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
⁶ 6Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
⁷ 7Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
⁸ 8Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
⁹ 9Modelling and Economics Unit, Public Health England, London, UK.
¹⁰ 10School of Public Health, University of Hong Kong, Hong Kong, SAR China.
¹¹ 11Antimicrobial Resistance Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore, Singapore.
¹² 12Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA USA.
¹³ 13Cambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.
¹⁴ 14Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
¹⁵ 15Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK.
¹⁶ 16Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany.

PMID: 31890158
PMCID: PMC6921568
DOI: 10.1186/s13756-019-0654-8

Antimicrobial Resistance in the Asia Pacific region: a meeting report

Esabelle Lo Yan Yam et al. Antimicrob Resist Infect Control. 2019.

. 2019 Dec 18:8:202.

doi: 10.1186/s13756-019-0654-8. eCollection 2019.

Authors

Affiliations

¹ 1Centre for Global Health, Lee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Road, Singapore, 308232 Singapore.
² 2Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
³ 3Public Health Group, Ministry of Health, Singapore, Singapore.
⁴ 4Nanyang Technological University Food Technology Centre and School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore, Singapore.
⁵ 5Wee Kim Wee School of Communication and Information and Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
⁶ 6Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
⁷ 7Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
⁸ 8Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
⁹ 9Modelling and Economics Unit, Public Health England, London, UK.
¹⁰ 10School of Public Health, University of Hong Kong, Hong Kong, SAR China.
¹¹ 11Antimicrobial Resistance Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore, Singapore.
¹² 12Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA USA.
¹³ 13Cambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.
¹⁴ 14Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
¹⁵ 15Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK.
¹⁶ 16Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany.

PMID: 31890158
PMCID: PMC6921568
DOI: 10.1186/s13756-019-0654-8

Abstract

The Asia Pacific region, home to two-thirds of the world's population and ten of the least developed countries, is considered a regional hot-spot for the emergence and spread of antimicrobial resistance (AMR). Despite this, there is a dearth of high-quality regional data on the extent of AMR. Recognising the urgency to close this gap, Singapore organised a meeting to discuss the problems in the region and frame a call for action. Representatives from across the region and beyond attended the meeting on the "Antimicrobial Resistance in the Asia Pacific & its impact on Singapore" held in November 2018. This meeting report is a summary of the discussions on the challenges and progress in surveillance, drivers and levers of AMR emergence, and the promising innovations and technologies that could be used to combat the increasing threat of AMR in the region. Enhanced surveillance and research to provide improved evidence-based strategies and policies are needed. The major themes that emerged for an action plan are working towards a tailored solution for the region by harnessing the One Health approach, enhancing inter-country collaborations, and collaboratively leverage upon new emerging technologies. A regionally coordinated effort that is target-driven, sustainable and builds on a framework facilitating communication and governance will strengthen the fight against AMR in the Asia Pacific region.

Keywords: Antimicrobial Resistance; Asia Pacific; Drug Resistance; Global Health; Global Mobility; One Health; Singapore; Travel.

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Conflict of interest statement

Competing interestsNo conflict of interest to declare.

References

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Antimicrobial Resistance in the Asia Pacific region: a meeting report

Affiliations

Antimicrobial Resistance in the Asia Pacific region: a meeting report

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Substances

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous