Silent Tsunami: Tackling Antimicrobial Resistance at the Community Level

Abstract

Antimicrobial resistance (AMR) is an escalating global public health crisis with far-reaching consequences. In India, AMR poses a formidable challenge, driven by irrational antibiotic use in humans and animals, unregulated over-the-counter (OTC) sales, and inadequate surveillance at the primary care level. This editorial examines the multifactorial roots of AMR in Indian communities, evaluates national responses such as the National Action Plan on AMR (2017-2021), and highlights the critical need for community-centered interventions. Strengthening stewardship at primary healthcare, enforcing pharmacy regulations, addressing veterinary misuse, and integrating AMR awareness into public health programs are essential strategies. Without decisive and coordinated community-level action, the silent tsunami of AMR threatens to reverse public health achievements and compromise India's journey towards universal health coverage.