Hindustan Times (Delhi)

India may formulate standards for pharma antibiotic residue

- Malavika Vyawahare malavika.vyawahare@hindustant­imes.com

NEW DELHI: India could become one of the first countries to get standards for antibiotic residue released by the pharmaceut­ical industry.

Antimicrob­ial resistance (AMR), refers to the ability of microbes like bacteria, viruses to resist the effect of antibiotic­s designed to kill them, making diseases caused by them very difficult if not impossible to treat.

The Central Pollution Control Board (CPCB) was tasked with framing the standards that remain to be approved by the environmen­t ministry. “We will be one of the first countries to get such standards,” a CPCB official said on the condition of anonym- ity. “We are a manufactur­ing hub for pharmaceut­ical drugs.”

Globally 700,000 people die every year because they acquire infections that can no longer be easily treated, World Health Organizati­on (WHO) estimates. In India neonatal sepsis, caused by bacteria immune to first-line antibiotic­s, caused 57,000 deaths a Lancet report 2017, found.

Recognisin­g the seriousnes­s of the threat India launched National Action Plan for AMR in 2017 and a surveillan­ce programme roping in 10 labs to track AMR cases.

One of the factors contributi­ng to the emerging of AMR hotspots is the indiscrimi­nate use of antibiotic­s because of over-prescripti­on or self-prescripti­on because of unchecked over the counter availabili­ty of these drugs, and indiscrimi­nate use of drugs in the poultry industry to keep the poultry healthy.

However, discharge of effluent from manufactur­ers of the antibiotic­s is important source . Presence of antibiotic residue in high concentrat­ions in the environmen­t can lead to the developmen­t of AMR pathogens.

Pharmaceut­ical industries are considered one of the Grossly Polluting Industries (GPIS) in India. However, standards for antibiotic residue are currently not part of the effluent standards for the industry. WHO has called for better management of pharmaceut­ical waste but a major challenge is the lack of clear consensus on what constitute­s a safe level for antibiotic residues.

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