2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Belize_2022_country_profile_10页_346kb

Belize AMR Country Self-Assessment Survey (TrACSS) 2022 Report Summary

Key Findings Across Sectors

Human Health

• Has formalized multisectoral coordination but has not yet fully developed or implemented its National Action Plan (NAP) on AMR.
• Monitoring systems for antimicrobial use/consumption and resistance are limited; shows little progress globally on this indicator.
• Laboratory capacity for AST is present in reference labs, but some areas like EQA programs are underdeveloped.

Animal Health

• Has training/education on AMR in the veterinary sector.
• Surveillance systems for AMR in terrestrial animals are basic, while aquatic animal surveillance is ongoing.
• Biosecurity practices to reduce AMR exist, but integration of laboratories in surveillance is inconsistent.

Food and Agriculture

• Training on AMR in the food sector is basic.
• AMR surveillance in food is absent or minimal.
• Biosecurity practices for reducing antimicrobial use are inconsistent.

Environment

• No system for regular monitoring of antimicrobial residues/resistance genes (ARGs) in water.
• No regulatory legislation preventing contamination of the environment by antimicrobials.
• Limited legal requirements for environmental protection against antimicrobial pollution.

Global Position

• Belize lags behind the global average in most TrACSS indicators, particularly in AMR monitoring, surveillance, and national-level integration.
• Cross-country comparison shows Belize has distances ranging from slightly beyond the standard deviation (e.g., Human Health, Animal Health) to below it (e.g., Environment, NAP Implementation).
• Sectors such as Infection Prevention and Control (IPC) show progress compared to global levels.

Recommendations

For improved AMR response, Belize should:

• Strengthen multisectoral and One Health coordination mechanisms.
• Develop and implement sustainable monitoring systems for AMR across health, animal, food, agricultural, and environmental sectors.
• Prioritize legislation on antimicrobial use/sale, enhance access to knowledge resources, and improve data systems.
• Increase targeted awareness and training on AMR, especially among youth and primary production levels.

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**This summary includes key points from the 2022 Belize TrACSS Country Report, focusing on capacities, gaps, and priorities for AMR. For detailed data and recommendations, refer to the original report.**