A Public Health Emergency of International Concern Response to a Proposal to Apply the International Health Regulations to Antimicrobial Resistance 英文参考文献.docVIP

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A Public Health Emergency of International Concern Response to a Proposal to Apply the International Health Regulations to Antimicrobial Resistance 英文参考文献.doc

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A Public Health Emergency of International Concern Response to a Proposal to Apply the International Health Regulations to Antimicrobial Resistance 英文参考文献

Perspective APublicHealthEmergencyofInternationalConcern? ResponsetoaProposaltoApplytheInternationalHealth RegulationstoAntimicrobialResistance AdamKamradt-Scott* DepartmentofGlobalHealthDevelopment,LondonSchoolofHygieneTropicalMedicine,London,UnitedKingdom Thereislittlequestionthattheinterna- tional spread of antimicrobial resistance (AMR) is an alarming development that the global public health community must confront as a matter of some priority. Reducing the incidence of new cases will taketheconcertedeffortandparticipation ofallcommunitysectors,andwillrequire strong political leadership. The World of‘‘disease’’[4],buttheiressentialfunction remained unchanged—they are a frame- work to guide inter-state behaviour when confronted with an acute public health emergency that threatens to disrupt inter- nationaltradeandtravel. LinkedPolicyForum This Perspective discusses the fol- lowingnewPolicyForumpublished inPLoSMedicine: To emphasise this dual focus, the revised IHR introduced the concept of a PHEIC.AsdefinedinArticle1,aPHEIC is an ‘‘extraordinary event’’ that consti- tutesapublichealthrisk,whichmayalso require a coordinated international re- sponse. While outbreaks of carbapenem- resistant Enterobacteriaceae (CRE) are a worrying development that may warrant reportingundertheIHR(andprovisionis alreadymadeforthiswithinAnnex2),itis hard to appreciate that the global spread of AMR counts as ‘‘extraordinary’’ given that resistance has been a regular phe- nomenonsincetheinventionofantibiotics inthe1940sandmultidrugAMRhasbeen anticipated for at least the past three WernliD,HausteinT,ConlyJ,Carmeli Y,KickbuschI,etal.(2011)ACallfor Action: The Application of the Inter- national Health Regulations to the Global Threat ofAntimicrobialResis- tance. PLoS Med 8(4): e1001022. doi:10.1371/journal.pmed.1001022 /article/ info:doi/10.1371/journal.pmed.1001022 Health Organization (WHO) is best placed to lead the international commu- nity’s efforts to tackle this phenomenon,