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Table 4 Key steps in the regulation of AMR in India

From: A review of animal health and drug use practices in India, and their possible link to antimicrobial resistance

Year when action was taken Implementation details
2011 Adoption of the “Jaipur Declaration on Antimicrobial Resistance” by India’s health minister along with the health ministers of all member states of the WHO South-East Asia Region. They agreed to, among other things, institute measures to combat AMR, develop national antibiotic policy, regulate use of antimicrobial agents, promote behavioural change in prescribers and communities, build capacity for efficient surveillance of AMR, and strengthen diagnostic facilities.
2012 The “National Programme on Containment of Antimicrobial Resistance” was launched under the 12th five-year plan (2012–2017). AMR surveillance work started in 10 laboratories. A few guidelines were developed (national treatment guideline for antimicrobial use, guideline on infection control). A national Infection control policy is being finalized. An International Conference on AMR was organized in February 2016.
2016 A workshop “Combating Antimicrobial Resistance: A Public Health Challenge and Priority” was jointly organized by the Government of India and the WHO. The “Medicines with the Red Line” media campaign was launched.
2017 National network of veterinary laboratories for antimicrobial resistance (AMR) was established (the Indian Network for Fishery and Animals Antimicrobial Resistance (INFAAR))
2017 National action plan on AMR was adopted.
2017 Antibiotic Residue limits in meat was released by the Food Safety and Standards Authority of India (FSSAI)
2018 Kerala adopted the sub national State Action Plan
2019 Manufacture, sale and distribution of colistin and its formulations for food-producing animals, dairy, poultry, aqua farming and animal feed supplements prohibited