Antibiotics should not be purchased without a prescription, says the government of Nigeria
Antibiotics purchased over the counter, according to the Federal Government, hasten the development of antimicrobial resistance and result in preventable deaths.
At a press conference on Friday to mark World Antimicrobial Awareness Week with the theme "Preventing Antimicrobial Resistance Together," the FG announced this.
According to the government, AMR's effects can have an impact on both human and animal health.
In addition to being one of the top 10 worldwide public health concerns to humanity, it was highlighted that AMR has made it more difficult to effectively treat an expanding number of diseases brought on by bacteria, parasites, viruses, and fungi.
AMR happens when bacteria, viruses, fungi, and parasites adapt over time and stop responding to medications, making illnesses harder to cure and raising the risk of disease transmission, life-threatening sickness, and death. As a result, the medications stop working and diseases continue to exist in the body, raising the possibility that they will spread to other people.
Dr. Tochi Okwor, the chair of the Nigeria Antimicrobial Resistance Coordination Committee, stated during the briefing that purchasing antibiotics without a prescription encourages the development of antimicrobial resistance.
She said, “The dangers of buying antibiotics over the counter are many. You are not sure if the antibiotics you are buying is the right one for what is wrong with you. For you to be sure of the antibiotics to take, your sample has to be taken in the lab and it is in the lab that the organism causing the infection is known.
“How do you know the dose to take? Who monitors the dosage you take? You have to be advised on the dose to take and you have to be monitored by an expert.
“The best way to take antibiotics is to go to the hospital, have a health worker check you and take your sample, have your result come out in a timely manner and use what we call antibiotics formulary, we have guidelines of antibiotics to prescribe according to the specific guidelines.”
She continued by stating that in order to facilitate the tracking of the country's advancements in lowering AMR, the government created a national antimicrobial resistance action plan in 2017.
“We have built human capacity in the area of ability to make diagnosis. We have built human capacity, so we now have a national surveillance site for tracking antimicrobial resistance in the country and we have well-established labs that are quality assured and manned by competent well trained human resource,” Okwor added.
She noted that available projections suggest that by 2050, AMR could cost $300 billion to over $1 trillion annually globally.
She said in Nigeria, seven out of 10 persons in the community access antibiotics outside licensed health facilities or pharmacies while many patients in the hospitals are over-prescribed antibiotics that have a higher risk of bacterial resistance selection (above the 60 per cent target set by WHO).
“In the animal health sector, antimicrobials are available in the open markets without restriction, hence the misuse of these products especially in food-producing animals. Residues of these antimicrobials in eggs, milk, and meat, when consumed by humans can potentially cause cancers, allergies, and mutations,” she added.
Additionally, Dr. James Balami, the Chief Veterinary Officer of Nigeria's Federal Ministry of Agriculture and Rural Development, stated that it is predicted that by 2050, antibiotic resistance will have killed 10 million people worldwide, making it deadlier than cancer.
Balami said, “It is estimated that about 70 per cent of antimicrobial agents sold in the world are used in the animal health sector. In 2020, about 1.8 million tons of active ingredients were imported for use in animals from eight classes of antimicrobials.
“Most classes of antimicrobial agents used in animals are also used in humans such as tetracyclines, aminoglycosides, penicillin, macrolides, sulfonamides, fluoroquinolones among others.
“The misuse and overuse of antibiotics in food animals predisposes to residues in animal products such as meat, milk and eggs. Residues of antimicrobials in foods are potentially allergenic, mutagenic, teratogenic or carcinogenic. Furthermore, inadequate clean water and poor biosecurity measures in livestock production increases the risk of disease introduction and spread which in turn increases the need for antimicrobials. Poor adherence to vaccination against preventable diseases also exposes terrestrial and aquatic animal species to diseases hence the need for treatment with antimicrobials. ”
The event was put together by the Nigeria Centre for Disease Control in collaboration with other MDAs and other concerned development partners.
References
Punchng, 'FG warns against buying antibiotics without prescription' (online, 2022) <https://punchng.com/fg-warns-against-buying-antibiotics-without-prescription/>.
