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Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Van Katwyk, S. R.; Grimshaw, J. M.; et al (2019) C2

BACKGROUND: Growing political attention to antimicrobial resistance (AMR) offers a rare opportunity for achieving meaningful action. Many governments have developed national AMR action plans, but most have not yet implemented policy interventions to reduce antimicrobial overuse. A systematic evidenc...e map can support governments in making evidence-informed decisions about implementing programs to reduce AMR, by identifying, describing, and assessing the full range of evaluated government policy options to reduce antimicrobial use in humans. METHODS AND FINDINGS: Seven databases were searched from inception to January 28, 2019, (MEDLINE, CINAHL, EMBASE, PAIS Index, Cochrane Central Register of Controlled Trials, Web of Science, and PubMed). We identified studies that (1) clearly described a government policy intervention aimed at reducing human antimicrobial use, and (2) applied a quantitative design to measure the impact. We found 69 unique evaluations of government policy interventions carried out across 4 of the 6 WHO regions. These evaluations included randomized controlled trials (n = 4), non-randomized controlled trials (n = 3), controlled before-and-after designs (n = 7), interrupted time series designs (n = 25), uncontrolled before-and-after designs (n = 18), descriptive designs (n = 10), and cohort designs (n = 2). From these we identified 17 unique policy options for governments to reduce the human use of antimicrobials. Many studies evaluated public awareness campaigns (n = 17) and antimicrobial guidelines (n = 13); however, others offered different policy options such as professional regulation, restricted reimbursement, pay for performance, and prescription requirements. Identifying these policies can inform the development of future policies and evaluations in different contexts and health systems. Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review. CONCLUSIONS: To our knowledge this is the first study to provide policy makers with synthesized evidence on specific government policy interventions addressing AMR. In the future, governments should ensure that AMR policy interventions are evaluated using rigorous study designs and that study results are published. more

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Emerging and re-emerging human infectious diseases: A systematic review of the role of wild animals with a focus on public health impact

Cupertino, M. C.; Resende, M. B.; et al (2020) C2

Infectious diseases continue to impose unpredictable burdens on global health and economies, a subject that requires constant research and updates. In this sense, the objective of the present article was to review studies on the role of wild animals as reservoirs and/or dispersers of etiological age... more

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Hendra virus: Epidemiology dynamics in relation to climate change, diagnostic tests and control measures

Yuen K. Y.; Frase N. S.; et al (2021) C2

Hendra virus (HeV) continues to pose a serious public health concern as spillover events occur sporadically. Terminally ill horses can exhibit a range of clinical signs including frothy nasal discharge, ataxia or forebrain signs. Early signs, if detected, can include depression, inappetence, colic o... more

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Prioritization of Zoonotic Diseases in Kenya, 2015

Munyua P., A.Bitek, E.Osoro; et al (2016) CC

PlosOne https://doi.org/10.1371/journal.pone.0161576; Zoonotic diseases have varying public health burden and socio-economic impact across time and geographical settings making their prioritization for prevention and control important at the national level. We conducted systematic prioritization of ... more

Zoonoses: Blurred Lines of Emergent Disease and Ecosystem Health - UNEP Frontiers 2016 Report: Emerging Issues of Environmental Concern

United Nations Environment Programme (2016) C2

The 20th century was a period of unprecedented ecological change, with dramatic reductions in natural ecosystems and biodiversity and equally dramatic increases in people and domestic animals. Never before have so many animals been kept by so many people—and never before have so many opportunities... more

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Healthy environments for healthy children

World Health Organization (WHO) (2010) C_WHO

This booklet presents key messages for action, summarized from a set of chapters on different environmental health issues, available at www.who.int/ ceh/publications/healthyenvironmentsforhealthychildren. The work is a result of an on-going partnership between WHO, UNEP and UNICEF in the area of chi... more

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Psychosocial counselling and treatment adherence support for people affected by tuberculosis

The Union (2021) C1

The guide is suitable and can be used for the following audiences: 1. nurses and other trained healthcare workers who can use this manual as a self-study tool and then incorporate its guidance into their practice; 2. governmental and non-governmental employers of lay and professional TB treatment ... more

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Climate Change and Health: Local Solutions to Local Challenges

Paul J. Schramm, Munerah Ahmed, Hannah Siegel, Jamie Donatuto et al. (2020) CC

Current Environmental Health Reports volume 7, pages 363–370 (2020) Climate change has direct impacts on human health, but those impacts vary widely by location. Local health impacts depend on a large number of factors including specific regional climate impacts, demographics and human vulnerabil... more

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Ukraine crisis. Public health situation analysis: refugee-hosting countries

World Health Organization WHO, Regional Office of Europe (2022) CC

17 March 2022

The impact of climate change on mental health and emotional wellbeing: current evidence and implications for policy and practice

Lawrence, E.; R. Thompson, G. Fontana, et al. (2021) CC

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Tracking infectious diseases in a warming world

Murray, C.A.; L.E. Escobar, R. Lowe et al. British Medical Journal (2020) CC

BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m3086 Using infectious diseases sensitive to climate as indicators of climate change helps stimulate and inform public health responses

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WHO guidelines for indoor air quality: household fuel combustion

World Health Organisation (WHO) (2014) C_WHO

Energy use in the home is a vital and ubiquitous feature of human society. Energy is used for a wide variety of purposes, including cooking, space heating, light- ing, small-scale income generation, various household tasks, and entertainment.

Urban Transport and Health

World Health Organisation (WHO) (2021) C_WHO

Findings, interpretations and conclusions expressed in this document are based on infor- mation gathered by GIZ and its consultants, partners and contributors from reliable sources.

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Cost Benefit Analysis of NMT Infrastructure Projects

UNEP (2021) C1

Non-Motorized Transport (NMT) has immense benefits for individual users, as well as society at large, through improvements to physical health, air quality, the environment, climate change, personal finance, accessibility, mobility and the empowerment of vulnerable groups.

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Global Status Report on Road Safety

World Health Organisation (WHO) (2018) C_WHO

Road safety is an issue that does not receive anywhere near the attention it deserves – and it really is one of our great opportunities to save lives around the world

Compendium of tools, resources and networks on Place: WHO European Healthy Cities Network Phase VII Support Package for Implementation (2020)

World Health Organization WHO (2020) C_WHO

In 2018, the WHO European Healthy Cities Network adopted the political vision of the Network until 2030 that is fully aligned with the United Nations 2030 Agenda for Sustainable Development: the Copenhagen Consensus of Mayors: Healthier and Happier Cities for All. The vision is built around six them... more

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Biodiversity and Health in the Face of Climate Change

Marselle M., Stadler J., Korn H., et al. (2019) CC

The biosphere underlies the whole sustainable development concept, as the layer on which society and the economy rely. Nature and biodiversity fuel the natural cycles and life-support systems of the planet, on which humanity ultimately depends.

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Protecting health through urban redevelopment of contaminated sites: planning brief

World Health Organization WHO, Regional Office of Europe (2021) C_WHO

This brief summarizes the lessons learned across Europe on the redevelopment of contaminated sites as a part of urban planning and renewal. Specifically, it aims to provide information on the health and environmental impacts to be considered during site redevelopment projects, and to identify good p... more

Surveillance of antimicrobial resistance in Europe 2020 data: executive summary

World Health Organization WHO, Regional Office of Europe (2021) C_WHO

Surveillance of antimicrobial resistance in Europe 2020 data: executive summary

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Greenhouse Gases from Agriculture

Zaman, M.; K. Kleineidam, L.Bakken, et al. (2021) CC

M. Zaman et al. (eds.), Measuring Emission of Agricultural Greenhouse Gases and Developing Mitigation Options using Nuclear and Related Techniques, https://doi.org/10.1007/978-3-030-55396-8_