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

100 Dario Montenegro Argentina Medicos del Mundo Argentina Ene 09, 2022
99 Hans Labra Bassa Chile Ene 03, 2022
98 Asociación de Facultades Ecuatorianas de Ciencias Médicas y de la Salud Ecuador Ene 03, 2022
97 Ruth Osorio Paraguay Trabajadora Social. Amiga del universo. Dic 30, 2021
96 Radio Chakaruna Colombia Dic 29, 2021
95 Ramiro Vinueza Ecuador Artista Dic 29, 2021
94 Periódico Opción Ecuador Dic 29, 2021
93 Federación Argentina de Medicina General Argentina Dic 29, 2021
92 Asociación de Servicios Comunitarios de Salud ASECSA Guatemala Dic 29, 2021
91 Frente Nacional por la Salud de los Pueblos del Ecuador Ecuador Dic 29, 2021
90 Fundación IFARMA Colombia Dic 29, 2021
89 Instituto de Salud Socioambiental Facultad de Ciencias Médicas de la Universidad Nacional de Rosario Argentina Dic 29, 2021
88 Escuela Superior de Medicina Universidad Nacional de Mar del Plata Argentina Dic 29, 2021
87 DIRECCIÓN GENERAL DE PROMOCIÓN DE LA SALUD Ministerio de Salud Pública y Bienestar Social (MSPBS) Paraguay Dic 15, 2021
86 DIRECCIÓN DE SALUD BUCODENTAL Ministerio de Salud Pública y Bienestar Social (MSPBS) Paraguay Dic 15, 2021
85 DIRECCIÓN DE VIGILANCIA DE ENFERMEDADES TRANSMISIBLES (DIVET) Ministerio de Salud Pública y Bienestar Social (MSPBS) Paraguay Dic 15, 2021
83 Adela Paiva Paraguay Viceministerio de Ganadería Dic 14, 2021
82 Anonymous Paraguay Dic 14, 2021
81 Edgar Oswaldo Mera Chóez Ecuador Frente por la Salud de los pueblos Ecuador Dic 10, 2021
80 Juan Carlos Tapia Torrez Bolivia Clínica Foianini Dic 08, 2021
79 Anonymous Ecuador MSP Nov 26, 2021
78 Yasunidos Guapondelig Ecuador Nov 24, 2021
77 Javier Serrano Cayamcela Ecuador Nov 22, 2021
76 José Mauricio Baculima Tenesaca Ecuador Carrera de Laboratorio Clínico Nov 21, 2021
75 Anonymous Ecuador Nov 20, 2021
74 Johnathan Chuñir Ecuador Turismo comunitario ecológico Nov 19, 2021
73 Luis Herrera Montero Ecuador Nov 19, 2021
72 Jesús Juárez Flores Mexico Ejercicio libre de la profesión. Nov 19, 2021
70 Anonymous Ecuador Nov 19, 2021
69 Veronica Peralta Ecuador Adacapia Nov 19, 2021
68 Dalila Edith Patiño Sánchez Ecuador FEPAPDEM Nov 19, 2021
67 Inés Schmidt Argentina Nov 19, 2021
66 Susana Zubrzycki Argentina Nov 19, 2021
65 Juan Andrés Chuchuca Pillajo Ecuador React Latinoamérica Nov 18, 2021
64 Carlos Castro Riera Ecuador Cabildo del Agua de Cuenca Nov 18, 2021
63 Inés Mondo Argentina Nov 18, 2021
62 Red Salud indígena Chile Nov 18, 2021
61 Tannia Edith Rodríguez Ecuador Ninguna Nov 18, 2021
60 Colectivo Pro Derechos Humanos PRODH Ecuador Nov 18, 2021
59 Liliana Noemi Diez Argentina Nov 18, 2021
58 Walter Mena Ordóñez Ecuador Sociedad Ecuatoriana de Medicina Ecológica Nov 18, 2021
57 Ana Laura Chattás Argentina Nov 18, 2021
56 Wilson Oscar Suárez Alderete Ecuador Red de Ecologistas Populares del Ecuador Nov 18, 2021
55 Hugo Noboa Cruz Ecuador FUNSAD, Fundación Salud Ambiente y Desarrollo Nov 18, 2021
54 Christian Trigoso Agudo Bolivia Universidad Mayor de San Andrés Nov 18, 2021
53 Fundación GAMMA Ecuador Nov 18, 2021
52 Sandra López Ecuador Fundación GAMMA Nov 18, 2021
51 Blanca Calle Heras Ecuador Nov 18, 2021


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