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.
它还包括在食品工业化生产中大量常规地使用抗菌剂来促进生长和防病。在世界不少地区,抗菌剂产量的总吨数中,有50%以上是用于产肉动物。此外,有些国家兽医的收入中,至少有40%来源于卖药,极不利于抗菌剂的限制使用。当用于食品生产的药物对人类健康有着重要意义时,问题就出现了,因为证据显示,动物中的耐药病原体可以传给人。
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.
值此世界卫生日之际,世卫组织发布了一套政策,让每个人,尤其是政府及药品监管体系,端正方向,迅速采取正确措施。政府可与医务人员、药剂人员、民间团体、患者和企业合作,携手前进。我们所有人都可计划和协调自己的应对行动。我们可以扩大监测工作。我们可以改善药品监管供应系统。我们可以倡导改善人类与动物卫生中的用药。我们可以积极防控卫生服务内外的感染。我们必须鼓励建立针对新的抗菌剂、诊断工具及疫苗的强有力的研发线。
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.
耐药造成了巨大的经济损失,众多人的生命受到影响,这种不祥的趋势显而易见。今天不采取行动,就意味着明天无药可用。在这个世界发生着多重灾难的时刻,我们不能让失去数百万人所必需的基本药物成为下一次的全球危机。