2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Libya_2022_country_profile_10页_279kb

Antimicrobial resistance (AMR) is a major global health threat, contributing to millions of deaths annually, and Libya participated in the sixth iteration of the Tracking AMR Country Self-Assessment Survey (TrACSS) in 2022, with an 86% participation rate. TrACSS monitors the implementation of national action plans (NAPs) on AMR, helping countries assess progress and identify gaps. Libya has formalized multisector coordination on AMR and developed a NAP, which is currently being implemented.

In the human health sector, Libya's capacity is rated as limited to developed (primarily C-D levels), with challenges in monitoring antimicrobial consumption, surveillance systems, and infection prevention. Key messages emphasize the need for stronger monitoring, guidelines, and training. Globally, progress is uneven, and Libya needs to improve data on antimicrobial use and resistance.

For animal health, capacities are limited or not in place (ratings A to N). Efforts focus on education and surveillance, but weaknesses include inadequate veterinary training, limited surveillance systems, and biosecurity practices. Recommendations include enhancing national surveillance and handling antimicrobials responsibly.

The food and agriculture sector shows low to no capacity (primarily N or ?). Libya requires increased training, surveillance, and biosecurity to reduce AMR risks in production and food safety. Key actions involve raising awareness, promoting prudent use, and collaboration with FAO initiatives.

Environment-related capacities are mostly absent (ratings N or ?), with no national assessment or legislation to prevent antimicrobial pollution. Actions advised include risk assessments, monitoring water for resistant bacteria, and handling waste properly.

Over time (2018-2022), Libya shows modest progress in some areas, but overall implementation faces challenges like limited funding, political commitment, and inconsistent data use. Conclusion: Libya needs stronger legislation, monitoring, awareness campaigns, multisector coordination, and better integration with One Health approaches to effectively combat AMR.