2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Chile_2022_country_profile_10页_282kb

报告摘要

Chile submitted a country report to the TrACSS in 2022 as part of global efforts to track antimicrobial resistance (AMR).
AMR is a global threat endangering health and development goals. Progress has been slow, requiring political commitment, investment, and multisector collaboration.

Sector-Specific Findings:

Sector	Key Strengths	Major Challenges
Human Health	Training education, IPC, basic surveillance exists	Minimal progress in antimicrobial consumption monitoring; limited AWaRE classification into Essential Medicines List.
Animal Health	Veterinary training, OIE guidance	Incomplete surveillance; need to develop strategies for terrestrial/aquatic AMR; biosecurity gaps.
Food & Agriculture	Some training, basic biosecurity	Missing AMR surveillance integration, pesticide monitoring, data on food processing, and environmental impacts.
Environment	None found, limited testing	Countries lack AMR legislation regarding environmental pollution; no standardized monitoring of AMR in water.

Critical Issues

Chile continues to face challenges regarding inconsistent political commitment and limited financial/human resources for AMR initiatives.
TrACSS indicators show Chile scores are predominantly Level D (limited capacity) or C (national implementation partial).
Legislation exists but data reporting and capacity to use/surveillance data remains inconsistent (only ~54% utilize AMR data for policy-making).

Key Policy Recommendations

Strengthen technical capacity, especially in consumption monitoring, surveillance systems, and data analysis.
Build functional, multisectoral AMR coordination mechanisms with adequate political leadership and dedicated funding.
Enhance awareness campaigns for the public and targeted stakeholders (youth inclusion lag).
Conduct environmental risk assessments, implement robust legislation, and create monitoring mechanisms for AMR in water ecosystems.
Improve the collection and utilization of AMR surveillance data to inform operational decisions and policy adjustments.

Global Alignment

Chile aligns with the Quadripartite AMR Action Plan but lags in creating an integrated monitoring system across human, animal, environmental, and food safety sectors.

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