National Action Plan for Antimicrobial Resistance 2018-2022.

This National Action Plan for Antimicrobial Resistance is a nationwide multi-sectoral document aiming at controlling and combating antimicrobial resistance through a One Health approach including all sectors, especially human health, animal health, and environment, in order to contribute to welfare of Egyptian people and also contribute to global health security. The following 4 goals have been identified under the NAP (i) improve public awareness in the understanding of antibiotic use, and antimicrobial resistance; (ii) slow the emergence of new resistant patterns and control spread of resistant pathogens via optimizing the use of antimicrobial medicines in human and animal health; (iii) strengthen National One-Health Surveillance Efforts to combat resistance that can arise in humans, animals, and the environment; and (iv) implement evidence-based infection control practices that can prevent the spread of resistant pathogens.
To make agriculture more productive and sustainable, specific measures proposed for the AMR control are (i) optimize the antimicrobial use in agriculture; (ii) discourage use of antimicrobials for plants protection; (iii) promulgate national laws for proper sale, distribution and use of antibiotics in animal sector; (iv) establish a national surveillance system to monitor antimicrobial use in animals; (v) establish national database of all farming animals, poultry sector and fish producing facilities; (vi) develop national guidelines for AMR surveillance systems across the different animal sectors; (vii) train veterinarians running the AMR surveillance programs; (viii) integrate antibiotic residues surveillance in animal farms (domestic, meat production, poultry, aquatic farms); and (ix) promote of biosecurity measures in veterinary settings and animal husbandry.
To increase the resilience of livelihoods to disasters, the NAP envisages the establishment of environmentally safe treatment and final disposal system for hazardous waste, which includes both medical and veterinary wastes.
As for Governance, Egyptian Government designated its National Focal Point (NFP) in Ministry of Health to lead and coordinate national efforts on development of this National Action Plan through a National AMR Committee, consisting 4 main technical working groups (TWG). Each goal of the NAP will be moderated by a separate TWG that is composed of different expert members from the involved sectors.