Abstract
AbstractAntimicrobial resistance (AMR) is a global health and one health problem. Efforts to mitigate the problem of AMR are challenging to implement due to unresolved ethical tensions. We present an in-depth ethical analysis of tensions that might hinder efforts to address AMR. First, there is a tension between access and excess in the current population: addressing lack of access requires facilitating use of antimicrobials for some populations, while addressing excessive use for other populations. Second, there is a tension between personal interests and a wider, shared interest in curbing AMR. These personal interests can be viewed from the perspective of individuals seeking care and healthcare providers whose livelihoods depend on using or selling antimicrobials and who profit from the sales and use of antimicrobials. Third, there is a tension between the interests of current populations and the interests of future generations. Last, there is a tension between addressing immediate health threats such as pandemics, and AMR as a ‘silent’, chronic threat. For each of these tensions, we apply ‘descriptive ethics’ methods that draw from existing evidence and our experiences living and working in low-income and middle-income countries to highlight how these ethical tensions apply in such settings.
Funder
British Academy 'A Just Transitions Framework for The Equitable and Sustainable Mitigation of Antimicrobial Resistance’ project
Wellcome Trust
Reference53 articles.
1. Is antimicrobial resistance a slowly emerging disaster?;Viens;Public Health Ethics,2015
2. The Global Innovation Model for Antibiotics Needs Reinvention
3. Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis;Murray;The Lancet,2022
4. Institute for Health Metrics and Evaluation . Global burden of disease study. Seattle, 2019. Available: https://ghdx.healthdata.org/gbd-2019
5. World Health Organization . World malaria report. 2021. Available: https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2022
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献