National Action Plan on Antimicrobial Resistance (AMR) 2023-2027.

This National Action Plan on Antimicrobial Resistance (AMR) 2023-2027 is Japan's second five-year strategic plan to combat against antimicrobial resistance. To further promote antimicrobial resistance (AMR) control measures, it sets up concrete new goals related to the following six areas: (1) Public awareness and education, (2) Surveillance and monitoring, (3) Infection prevention and control, (4) Antimicrobial stewardship, (5) Research and development, and (6) International cooperation.
The goals of the Plan are: 1. Improve Public Awareness and Understanding, and Promote Education and Training of Professionals; 2. Continuously Monitor Antimicrobial Resistance and Use of Antimicrobials, and Appropriately Understand the Signs of Change and Spread of Antimicrobial Resistance; 3. Prevent the Spread of Antimicrobial-resistant Organisms by Implementing Appropriate Infection Prevention and Control; 4. Promote Appropriate Use of Antimicrobials in the Fields of Healthcare, Livestock and Aquaculture; 5. Promote Research on Antimicrobial Resistance and Foster Research and Development to Secure the Means to Prevent, Diagnose and Treat the Antimicrobial-resistant Infections; 6. Enhance Global Multidisciplinary Countermeasures against Antimicrobial Resistance.
Two strategies are identified under Goal 1: Promote Public Awareness-raising Activities to Improve Public Knowledge and Understanding of AMR; Promote Education and Training on AMR of Professionals Involved in Related Fields. Strategies under Goal 2 include: Strengthen the Surveillance of Antimicrobial Resistance in Healthcare and Nursing Care; Monitor the Trend of the Antimicrobial Use at Medical Institutions; Strengthen Antimicrobial Resistance Surveillance in the Fields of Veterinary Medicine, Livestock and Aquaculture, and others; Standardize Methods of Laboratory Testing and Strengthen Testing Functions of Antimicrobial Resistance at Clinical, Commercial and Public Health Laboratories; Implement Integrated One Health Surveillance Including Humans, Animals, Food, and the Environment. Strategies developed to achieve the Goal 3 are: Infection Prevention and Control in Healthcare and Nursing Care and Promotion of Regional Cooperation; Promote Infection Prevention and Control in Livestock and Aquaculture, Veterinary Medicine and Food Chain; Strengthen the Outbreak Response Capacity against Antimicrobial-resistant Infections. Under Goal 4, strategies include: Promote Antimicrobial Stewardship at Medical Institutions; Ensure Prudent Use of Antibiotics for Animals in the Field of Livestock and Aquaculture and Veterinary Medicine. Strategies under Goal 5 include: Promote Research to Elucidate the Mechanism of the Emergence and Transmission of Antimicrobial Resistance and its Socioeconomic Impact; Promote Research on Public Awareness/Education on Antimicrobial Resistance, Infection Prevention and Control, and Antimicrobial Stewardship; Promote Clinical Research on the Optimization of Existing Methods for Prevention, Diagnosis and Treatment of Infectious Diseases; etc. Strategies under Goal 6 include: Strengthen Japan’s Leadership for Global Policies on Antimicrobial Resistance; Promote International Cooperation to Achieve the Global Action Plan on Antimicrobial Resistance.