[PASSED] Preserving Antimicrobials

[Separatist Peoples]

OOC: Had to refound a nation, just to comment on this? Really?

OOC: Whats it to you? I don't see why it matters either way. Silly and on-topic fun is being had that interrupts no ongoing debate or includes any snark.

[Jean Pierre Trudeau]

OOC: Had to refound a nation, just to comment on this? Really?

OOC: Whats it to you? I don't see why it matters either way. Silly and on-topic fun is being had that interrupts no ongoing debate or includes any snark.

Fair enough. I had to guess it was you.

[Separatist Peoples]

OOC: Whats it to you? I don't see why it matters either way. Silly and on-topic fun is being had that interrupts no ongoing debate or includes any snark.

Fair enough. I had to guess it was you.

OOC: well, it is in the sig of my puppet. I don't really hide it.

[Imperium Anglorum]

Probably one of the last calls before the timer expires. I need 2 approvals at the time of this writing to get this to vote. Please assist if at all possible.

Approve here.

[Defwa]

While I did approve the proposal, I must say this suffers from a similar sickness as the second Indigenous People's proposal. That is to say, it doesn't really do anything at the end of the day.

[Jean Pierre Trudeau]

While I did approve the proposal, I must say this suffers from a similar sickness as the second Indigenous People's proposal. That is to say, it doesn't really do anything at the end of the day.

But it makes everyone feel all warm and fuzzy, and give the impression the WA is actually accomplishing something. Isn't that really the point?

[Defwa]

While I did approve the proposal, I must say this suffers from a similar sickness as the second Indigenous People's proposal. That is to say, it doesn't really do anything at the end of the day.

But it makes everyone feel all warm and fuzzy, and give the impression the WA is actually accomplishing something. Isn't that really the point?

Why do you think I approved it?
If we can't curb the development of transdimensional gonorrhea, we might as well get in on the free drinks for delegates after the vote and get those STD's while they're still curable.

[Imperium Anglorum]

While I did approve the proposal, I must say this suffers from a similar sickness as the second Indigenous People's proposal. That is to say, it doesn't really do anything at the end of the day.

'Mandates immediate action to be taken to lower infection rates in all places of treatment as well as public and private areas to improve public health and lower the need of chemical therapies'

Is the main sticking point of the proposal. The issue is that anything more complicated would require ridiculous amounts of micromanagement.

EDIT: I see your pun now... 'sickness'.

[Dibeg]

It should be coming at the midnight update, I look forward to voting FOR. This is a good proposal monsieur.

[Imperium Anglorum]

It should be coming at the midnight update, I look forward to voting FOR. This is a good proposal monsieur.

Thank you, Sir.

[Jean Pierre Trudeau]

UNITED FEDERATION OF CANADA



IMPERIAL OFFICE OF THE CHANCELLOR

At the behest of Prime Minister Chester B. Pearson, we are pleased to cast our vote of NAY. This resolution is a feel good do nothing waste of time, and we will have no part of it. We are glad to see that yet another resolution of absolutely no international relevance will soundly destroyed, and dearly hope the trend continues.

Regards,

[Codalia]

While I did approve the proposal, I must say this suffers from a similar sickness as the second Indigenous People's proposal. That is to say, it doesn't really do anything at the end of the day.

'Mandates immediate action to be taken to lower infection rates in all places of treatment as well as public and private areas to improve public health and lower the need of chemical therapies'

Is the main sticking point of the proposal. The issue is that anything more complicated would require ridiculous amounts of micromanagement.

EDIT: I see your pun now... 'sickness'.

Codalia supports this resolution in full. It may well be in the best interest of many WA member nations to focus the healthcare and/or health research budgets primarily on other concerns, or to avoid excessive increases in funding to the specific ends laid out in this resolution. While what this resolution demands is a useful step in the right direction regarding antimicrobials, it is indeed in WA member nations' best interests that it MANDATES nothing more.

[Jorren]

I already do everything to ensure my Human Resources are living long lives so they may be productive longer. I have poured endless Credits into my healthcare system both in research and development as well as affordable healthcare. If you are that worried about a doctor's usage of medicine, perhaps you should take a look at your own healthcare system.

[Caracasus]

We feel that this is an international issue; diseases know no national borders and we would like to see our collective ability to continue to treat illnesses preserved. We are also pleased to see the over use of antibiotics in livestock addressed in this issue.

[Misterswaggalicious]

Hey there, handsome.

[Discoveria]

"This proposal doesn't exactly fill us with confidence that the WA's efforts will help prevent widespread microbial resistance," said Matthew.

Description: Recalling the gradual evolution of organisms through natural selection over many generations and the growing resistance of microbes to chemical therapies due to that evolution,

Remembering that resistant microbes are spread through international borders without consideration of the state of public health in those countries,

Believing that the success of modern health initiatives is due in part to our effective use of antibiotics and antimicrobials,

Concerned about the consequences of inaction on this front and resulting effects on later generations,

Worried about how previously helpful interventions may no longer be effective and the resulting increase in the lethality of infections for all people leading to the end of an era free from constant epidemics,

Convinced that immediate action is necessary to stay ahead of this evolved resistance to chemical interventions, All fine, although you could strengthen it even more by talking about the possible end to cancer therapies and basic surgery as a result of infection risk.

The World Assembly hereby:

1. Instructs the World Health Authority to create a mechanism of monitoring the spread of antimicrobial resistance in all member nations and international zones or borders as well as publish a report on a periodic basis to inform about the status and prevalence of such resistance;

2. Establishes an ‘Antimicrobial Resistance Workgroup’ inside the World Health Authority to coordinate between nations on this topic and inform member nations about relevant consequences of possible public health policies;

3. Mandates immediate action to be taken to lower infection rates in all places of treatment as well as public and private areas to improve public health and lower the need of chemical therapies, actions which may include:

a. education of medical practitioners on the correct usage of antimicrobials, "correct" needs better definition. It may be 'correct' to use an antimicrobial to treat a non-resistant bacterial infection. But is it necessary? Appropriate? Does it conform to relevant regional treatment guidelines? I think this clause should be rewritten to mandate national health agencies to create regional guidelines that determine prescribing practices with a view to reducing the spread of resistance, and to require that agencies enforce this through education and guidance for doctors, supported by clinical audit by pharmacists, etc.

b. educational literature on the necessity of completing a full course of antimicrobials, Should be expanded to emphasise that it's patients who need to complete the full course of antibacterial treatments they are prescribed, subject to the clinical decisions made by their doctors.

c. severely limiting the amount of antimicrobial substances exposed to livestock, and The grammar seems wrong here. Should be "restricting the numbers of livestock exposed to antimicrobial substances".

d. large investments in infection control; Vague. Needs more fluff.

4. Recommends that nations keep detailed statistics to monitor the prevalence and spread of resistant microbes; Should be combined with article 1.

5. Encourages development of new antibiotics through government-sponsored contests and grants to stay ahead of evolving resistance to already widespread chemical therapies for infection.This is a complex problem in the real world which your one-line solution doesn't do justice to. For starters, IMHO, companies will not develop new antibiotics if they won't earn sufficient revenue from their sale to cover the cost (unless you give them ridiculous amounts of money to cover all the development costs upfront, which is a waste of taxpayers' money since most drugs fail in development). Doctors won't prescribe new antibiotics if they can use cheap older ones that work. I think we need new models of funding in which companies can earn a specific top-up payment when a new antibiotic is used in patients. We may also need to extend patent protection for new antibiotics compared to other drugs.

[Conservative Republic of Murica]

My friends I implore you to vote against this measure in the WA. While the title might seem innocuous, the body of the text clearly portrays the serious intrusive nature of this bill. The assumptions of microbial spread have no basis in fact and the forced use of antimicrobials to "lower our infection rates" is not only deplorable but insulting. Do they think us so unclean to force us to decontaminate? Nay I say. Finally, in response to Article 3d, we all understand, I hope, that constant use of antimicrobials only serves to develop resistance in the little buggers which in turn will create superbugs that will surely wipe us out.

Perhaps if "Mandate" were changed to "Recommend" the measure would be less onerous.

Vote against this measure and secure our future.

Kindest....Murica

[Harperated States]

Recognizing the importance of the proper use of antimicrobials, and very concerned with the future of antibiotic-resistant microbes and microorganisms, The Federation of Harperated States must vote nay on this proposal due to imprecise drafting and ambiguous language.

The Federation of Harperated States will continue to promote the appropriate use of antimicrobials at all of our fine hospitals and other medical institutions. We commend Imperium Anglorum for promoting this issue and wish no ill-will between our two esteemed nations.

[Bears Armed]

'Mandates immediate action to be taken to lower infection rates in all places of treatment

"Hr'rmm... Would that 'all' be including those places of treatment that are located within non-member nations?"

[Imperium Anglorum]

'Mandates immediate action to be taken to lower infection rates in all places of treatment

"Hr'rmm... Would that 'all' be including those places of treatment that are located within non-member nations?"

Damn. It certainly isn't meant to.

[Conservative Republic of Murica]

Why must we mandate action, war even, against ALL microbes. Surely there are a host of good microbes that serve a great purpose. Cheese and beer for example are created by microbes that ferment. This bill fails to address the uniqueness of our tiny friends and thus should fail.

Vote nay friends.

[Imperium Anglorum]

Why must we mandate action, war even, against ALL microbes. Surely there are a host of good microbes that serve a great purpose. Cheese and beer for example are created by microbes that ferment. This bill fails to address the uniqueness of our tiny friends and thus should fail.

Vote nay friends.

If you read the proposal, the proposal does not mandate action against ALL microbes. Antimicrobials have a very specific use, which this proposal attempts to encourage education on. There is nothing in the proposal which calls for the establishment of an abiotic world.

[Conservative Republic of Murica]

One wonders the purpose of 3d. What sorts of investments would thus bill "mandate" the fair people of Murica to take. Already our health care rivals any first world nation. Disease is non-existent Could the author provide a list of examples? The text of this bill does not state the actions to be invested in and instead leaves it to the imaginaton of this body to derive. Should we invest in shoe washers to remove microbe bearing dirt? What about whole body UV showers to kill microbes on our bodies? Where does it end?

Vote nay today!

[Imperium Anglorum]

Where does it end?

That is for your government to interpret.

[Chasmity]

My opinion piece, it may not be perfect, but I have been blunt.
http://www.nationstates.net/page=dispatch/id=445467