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How Collaborative Action Can Tackle Antibiotic Resistance in Africa

How Collaborative Action Can Tackle Antibiotic Misuse in Africa
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Antimicrobial resistance (AMR) has surpassed malaria, HIV, and tuberculosis to emerge as Africa's most dreaded health emergency. Despite regional efforts like the AMR Global Action Plan, misuse of antimicrobials, poor sanitation, and limited healthcare access continue to fuel the crisis, threatening millions of lives across the continent.
AMR has been advancing unnoticed, with increasing deaths and illnesses in Africa as the rates of HIV, TB, and malaria decline. Africa’s infectious disease burden, coupled with the use of antibiotics in settings with limited diagnostics, is influencing the development of antimicrobial resistance, Dr. Erta Kalanxhi, Director of Partnerships, Global Health Advocacy, and Antimicrobial Resistance at One Health Trust, told Sputnik Africa.

"A lot of effort has been put into addressing huge global health issues like HIV and TB. But unfortunately for AMR, given its complexity and the many factors that drive it [...] it's been sort of running or it's been developing and progressing under the radar [...]. So you have two problems. The problem of overuse and the problem of lack of access [to basic antibiotics]," Dr. Kalanxhi notes.

Dr. Ibrahim Yusuf, a microbiologist with expertise in AMR surveillance, bioremediation, and molecular biology at Bayero University Kano, Nigeria, explains the mechanisms driving antimicrobial resistance and what occurs biologically when bacteria become resistant to medication.

"Primarily, the mechanisms of antimicrobial resistance are very numerous. If the antibiotic, which is meant to kill the bacteria or microorganism, does not have access into the bacteria or microorganism, then that is one mechanism where which the bacteria become resistant. Number two, every antibiotic antimicrobial has specific targets in the cell of bacteria where it has to fix to and cause the death or the inhibition of the growth in the microbes. But if the bacteria or microorganism was able to alter these drug targets, it's another mechanism whereby this antibiotic will no longer function again against the bacteria. The third one is the inactivation of the antibiotics. In this case the bacteria now produce something that's inactivate the antibiotic when it comes [...]. So, there are a lot of drivers that drive this emergence of this resistance," Dr. Yusuf says.

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