magical transparent evolution,
a word well spoken,
but never imposed.

Veronica Garay


Empowered communities in Latin America facing the silent pandemic of antimicrobial resistance in the context of COVID-19

We, the undersigned communities, social organizations, agroecologists, scientists, academic institutions, health professionals, teachers, artists, activists and representatives of indigenous peoples, came together during the Latin American Encounter of Communities Empowered against antimicrobial resistance within the context of COVID-19.

Considering that:

  1. For decades, antimicrobial resistance (AMR), particularly resistance to antibiotics (ABR), has been a silently-growing pandemic, affecting human health, animal health, economies, and ecosystems, globally.
  1. Due to poor nutrition, lack of drinking water, lack of access to health services and insufficient health education, among other social inequities, ABR mainly affects the poor.
  1. By 2050, antimicrobial resistance could cause around 10 million deaths per year, exacerbating poverty and inequities, especially in low-income countries.
  1. Due to the scale of contamination with antibiotics, multi-resistant bacteria and resistant genes, ABR is a disease of Mother Earth.
  1. The cause of the problem is the massive and indiscriminate use of antibiotics in human health but most importantly in the intensive rearing of animals destined for consumption, in aquaculture and in agriculture.
  1. The World Health Assembly approved the Global Action Plan on AMR in 2015 and – following on this – the countries of Latin America and the Caribbean committed to implementing their respective national plans.
  1. Ecological agri-food systems, free from the non-therapeutic use of antibiotics, are critical to contain bacterial resistance and emerging infectious diseases.

We declare that:

  1. AMR requires an urgent, comprehensive, coordinated, and sustained response from all sectors; a response that corrects social inequities, takes into account the microbial ecology, the planetary health in which we are immersed, and effective social participation.
  1. During the Encounter we have learned intensely from the knowledge and initiatives of the communities and social organizations in our region, to prevent and control COVID-19, as well as to promote health. Their knowledge is a rich source of learning to address antibiotic resistance holistically.
  1. It is urgent to promote dialogue and cooperation between community networks, academic sectors, artistic groups, state bodies and international organizations, because no one can know or do everything. We need each other to tackle a problem as big and complex as AMR.
  1. Multiplying the educational, communication, and artistic proposals shared during the Encounter would be an effective strategy to spread awareness about the magnitude and nature of bacterial resistance, as well as about the proper use of antibiotics.
  1. Ecological agri-food systems, free from the non-therapeutic use of antibiotics, are critical to contain bacterial resistance and emerging infectious diseases.
  1. The One Health approach, which recognizes the interdependence between human, animal and environmental health, is essential to successfully address AMR.

We ask Governments to:

  1. Through civil society participation, strengthen the One Health approach and intersectoral activities within national AMR action plans.

  2. Guarantee public, universal, accessible health systems, focused on health promotion, the most effective strategy to improve antibiotic use in human health.

  3. Prohibit – within a defined period – non-therapeutic antibiotic use in animal husbandry and aquaculture, as well as the use of antibiotics critical to human health in animal farming.

  4. Identify and collect good examples of community practices, from the health system and from research centers, and promote them at the local and national levels, through AMR action plans..

  5. Strengthen effective community participation in national AMR action plans, which will be reflected through clear strategies informed by empowered community proposals.

We close this declaration, grateful, full of enthusiasm and raising a hymn to health and to life, because without social participation there is no holistic approach to AMR, and without a holistic approach there is no solution. United in diversity.

November 12, 2021

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103 Samantha J. Ecuador Unidad Educativa Particular Salesianas María Auxiliadora
102 Amy S. Ecuador Salesianas María Auxiliadora
101 Anonymous .. Ecuador
100 Nicole O. Ecuador UEPSMA
99 Pia A. Ecuador Unidad Educativa Particular Salesiana María Auxiliadora
98 Paula J. Ecuador UEPSMA
97 Sofia H. Ecuador Unidad Educativa Salesianas María Auxiliadora
96 Paula Sofía D. Ecuador UEPSMA
95 Darla Bernarda C. Ecuador Unidad Educativa Particular Salesianas Maria Auxiliadora
94 Josè B. Ecuador
93 Sebastián S. Ecuador Universidad de Cuenca
92 Sadi Barbara D. Ecuador Universidad de Cuenca
91 Ana Lucia N. Ecuador Mujeres en Acción Loja
90 Lucrecia Belén C. Ecuador Educadora popular
89 María A. Ecuador Universidad de Cuenca. Facultad de Ciencias Médicas
88 Patricia V. Ecuador U Cuenca
87 Gicela P. Ecuador
86 Enmanuel G. Ecuador Universidad de Cuenca, SOLCA, SERMEDIC
85 David A. Ecuador
84 Diego Á. Ecuador Universidad de Cuenca
83 Paola Belén D. Ecuador JE LATINOAMERICA
82 Anonymous Ecuador UEP Hermano Miguel de la Salle
81 Juan Z. Ecuador Hermano Miguel de la salle Cuenca
80 Cami P. Ecuador La salle Cuenca
79 Vanessa C. Ecuador Hermano Miguel de la Salle
78 Anonymous Ecuador
77 Ofelia P. Mexico Movimiento de Parteras de Chiapas Nich Ixim y CAMATI MUJERES CONTRUYENDO DESDE ABAJO AC.
76 Selene B. Peru
75 Angie Abigaíl G. Peru SOCIEMUNP
74 Dizzy S. Peru SOCIEMUNP
73 Jesús T. Peru SOCIEMUNP
72 Bruno Javier N. Peru SOCIEMUNP
71 Yerson David A. Peru SOCIEMUNP
70 Hilda R. Peru SOCIEMUNP
69 Einstein G. Peru SOCIEMUNP
68 Luciana E. Peru Ninguna
67 Arianna C. Peru Universidad Nacional de Piura
66 Fabiana Nicol C. Peru
65 Yeimmy Nayely F. Peru Ninguna
64 Jairo Alexander C. Peru UNP
63 Luis Enrique C. Peru SOCIEMUNP
62 Erika L. Ecuador ASOCEM - UCUENCA
61 Andres R. Bolivia ASOCEM-UCuenca
60 Mateo J. Ecuador CEC
59 Nicole F. Ecuador JE LATINOAMERICA
58 Joe S. Ecuador ASOCEM-UCuenca
57 Geovanna Yareni L. Ecuador ASOCEM- UCUENCA
56 María Camila P. Colombia ASOCEM-UCUENCA
55 Wendy C. Ecuador ASOCEM-UCuenca
54 Emilia C. Ecuador
53 Camila O. Ecuador
52 Victoria I. Ecuador Unidad Educativa Particular Salesiana Maria Auxiliadora
51 Gabriela Z. Ecuador Salesianas
50 Paulina U. Ecuador Unidad educativa salesianas
49 Paula N. Ecuador UEPSMA
48 Victoria B. Ecuador UEPSMA
47 Anonymous Ecuador Unidad Educativa Particular Salesiana María Auxiliadora
46 Nicole A. Ecuador Salesianos
45 Adriana A. Ecuador UEPSMA
44 Matías S. Ecuador Borja
43 Mateo O. Ecuador Unidad Educativa Borja
42 Mateo R. Ecuador
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39 Daniel R. Ecuador Colegio Borja
38 Anonymous Ecuador Unidad Educativa Particular Borja
37 Sebas Z. Ecuador Unidad Educativa Particular Borja
36 Joaquín V. Ecuador Unidad Educativa Borja
35 Juan José S. Ecuador Borja
34 Jonathan S. Ecuador Unidad Educativa Particular Borja
33 Julián S. Ecuador Borja
32 Nicolás N. Ecuador Unidad Educativa Particular Borja
31 Danny V. Ecuador Borja
30 Ariel Isaac A. Ecuador Unidad Educativa Particular Borja
29 Pablo E. Ecuador Unidad Educativa Borja
28 Anonymous Ecuador Borja
27 Matías B. Ecuador Borja
26 Mateo A. Ecuador Borja
25 Hugo A. Ecuador Borja
24 Anonymous Ecuador Unidad Educativa Borja
23 Mauricio O. Ecuador Borja
22 Melissa V. Ecuador JE
21 Raúl M. Ecuador JE-Latinoamérica
20 Lizbeth H. Ecuador JE-Latinoamérica
19 Yamil[e M. Ecuador JE-Latinoamérica
18 Adriana M. Ecuador JE latinoamerica
17 David L. Ecuador JE-Latinoamérica
16 Jennifer M. Colombia ReAct latinoamerica
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8 Kevin J. Ecuador JE-Latinoamérica
7 Jovenes y Ecosistemas L. Ecuador
6 Nicole S. Ecuador JE-Latinoamérica
5 Tifany C. Ecuador JE - Latinoamérica
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