And this includes the massive routine use of antimicrobials, to promote growth and for prophylaxis, in the industrialized production of food. In several parts of the world, more than 50% in tonnage of all antimicrobial production is used in food-producing animals. In addition, veterinarians in some countries earn at least 40% of their income from the sale of drugs, creating a strong disincentive to limit their use. The problem arises when drugs used for food production are medically important for human health, as evidence shows that pathogens that have developed resistance to drugs in animals can be transmitted to humans.
它還包括在食品工業化生產中大量常規地使用抗菌劑來促進生長和防病。在世界不少地區,抗菌劑產量的總噸數中,有50%以上是用于產肉動物。此外,有些國家獸醫的收入中,至少有40%來源于賣藥,極不利于抗菌劑的限制使用。當用于食品生產的藥物對人類健康有著重要意義時,問題就出現了,因為證據顯示,動物中的耐藥病原體可以傳給人。
On this World Health Day, WHO is issuing a policy package to get everyone, especially governments and their drug regulatory systems, on the right track, with the right measures, quickly. Governments can make progress, working with health workers, pharmacists, civil society, patients, and industry. We all can plan and coordinate our response. We can expand surveillance efforts. We can improve drug regulatory and supply systems. We can foster improved use of medicines for human and animal health. We can actively prevent and control infections in health services and beyond. And, we must stimulate a robust pipeline for new antimicrobials, diagnostics and vaccines.
值此世界衛生日之際,世衛組織發布了一套政策,讓每個人,尤其是政府及藥品監管體系,端正方向,迅速采取正確措施。政府可與醫務人員、藥劑人員、民間團體、患者和企業合作,攜手前進。我們所有人都可計劃和協調自己的應對行動。我們可以擴大監測工作。我們可以改善藥品監管供應系統。我們可以倡導改善人類與動物衛生中的用藥。我們可以積極防控衛生服務內外的感染。我們必須鼓勵建立針對新的抗菌劑、診斷工具及疫苗的強有力的研發線。
Drug resistance costs vast amounts of money, and affects vast numbers of lives. The trends are clear and ominous. No action today means no cure tomorrow. At a time of multiple calamities in the world, we cannot allow the loss of essential medicines – essential cures for many millions of people – to become the next global crisis.
耐藥造成了巨大的經濟損失,眾多人的生命受到影響,這種不祥的趨勢顯而易見。今天不采取行動,就意味著明天無藥可用。在這個世界發生著多重災難的時刻,我們不能讓失去數百萬人所必需的基本藥物成為下一次的全球危機。