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SUPERBUGSTHE ROLE OF DIAGNOSTICS EXPLAINED
&
Superbugs are microorganisms resistant
to drugs that were previously effective.
Before resistanc
e
After re
sistanc
e
WHAT’S MAKING THE PROBLEM WORSE?
Antibiotics
Healthcare
Public
Water supply
Farming
http://www.bbc.co.uk/guides/z8kccdm
MOST COMMON DEADLY RESISTANT DISEASES
34 million people are living with
HIV infection, out of which
8 million are receiving
antiretroviral therapy (2011)
Tuberculosis kills more
people globally than any other
infection.
219 million cases of malaria
occurred worldwide and
660,000 people died from the
disease (2010)
Data suggests association
between high levels of
antiretroviral therapy and
increased levels of HIV
resistance.
In 2012 extensively drug-
resistant TB has been
identified in 92 countries.
Determining drug resistance
for malaria is tough, yet
antimalarial resistant variants
have been threatening malaria
control since the ‘70s.
HIV TB MALARIA
Source: WHO report on Antimicrobial resistance 2014
DETERMINING HEALTH WITH IN VITRO DIAGNOSTICS
Diagnosis Treatment Monitoring
Treatment
Selection
IVD results help
identify a specific
condition, its
development and
treatment selection.
Treatment
decisions such as
medications,
therapy or lifestyle
changes are
prescribed.
Treatment is carried
out using medical
devices or
pharmaceuticals.
IVD results help
check status of a
disease.
Did the treatment work?
YesNo
CURE
Superbugs have no respect
for national borders.
Proper treatment starts with
accurate diagnosis.
“Without urgent, coordinated action by many stakeholders,
the world is headed for a post-antibiotic era, in which common
infections and minor injuries which have been treatable for
decades can once again kill,”
“This is a somewhat grim picture, but I also want to point out
that it’s not a hopeless picture.. if countries and other stakeholders
see this report and respond to this report as a call of action.”
-- Dr Keiji Fukuda,
WHO’s Assistant Director-General
for Health Security.
GREATEST THREATS: MDR-TB*
Total TB cases detected
globally (in millions)
Total of MDR-TB cases confirmed
globally (in thousands)
1990
0
2
4
6
8
10
1995 2000 2005 2010 2011 2012
0
20
40
60
80
100
2005 2010 2011 2012
Source: WHO Global Tuberculosis Report 2013
*Multi-drug resistant tuberculosis
DIAGNOSING MDR-TB
2 WEEKS
2 HOURS
Accelerating time of diagnosis
GREATEST THREATS: HIV
Sources: WHO HIV Drug Resistance Report 2012
European AIDS Conference 2013
CDC Analysis 2013
US: 16% of newly
diagnosed HIV
patients carry
resistant virus
(2010)
Europe: drug-
resistant HIV
increased by 35%
in a decade
(2003-2013)
Eastern Africa:
drug-resistant HIV
increase at 29%
per year (2012)
Southern Africa:
drug- resistant HIV
increase at 14%
per year (2012)
DIAGNOSING D-R HIV*
Phenotypic testingGenotypic testing
Do you have HIV? Do you have drug-resistant HIV?
*Drug-resistant HIV
WHAT ARE PUBLIC BODIES DOING?
2001
16.10.2007
10.09.2013
30.04.2014
20.05.2014
WHO publishes
Global Strategy
for Containment
of Antimicrobial
Resistance
Debate in the
European Parliament
on antibiotic resistance
urges raise of awareness
WHO publishes the first
Global Report on AMR
UK Ministry of Health
publishes 6 year AMR
Strategy
Side-event at WHA on “The Fight
Against Antimicrobial
Resistance: Are Diagnosics
Winning?”
WHAT IS THE INDUSTRY DOING?
Develop tests that are necessary
We work together with governments
and supernational organisations:
Make tests more accessible
and available
Empower healthcare professionals
with data necessary to prescribe
treatment
1.
2.
3.
medtechviews.eu
MedTechViews.eu
is an industry
platform for
dialogue about
medical technologies
between various actors
in healthcare.
Here’s how
Superbugs:
How diagnostics
can help doctors reduce
over-prescription
of antibiotics
Superbugs:
Incentivising medtech
to deliver solutions
Submit your view to info@medtechviews.eu.
Have your views shared with 4000+ readers/month.
Read more about
superbugs on
medtechviews.eu
P R O G R E S S
edma-ivd.eu advameddx.orgglobalmedicaltechnologyalliance.org

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Superbugs and the Role of Diagnostics Explained

  • 1. SUPERBUGSTHE ROLE OF DIAGNOSTICS EXPLAINED &
  • 2. Superbugs are microorganisms resistant to drugs that were previously effective. Before resistanc e After re sistanc e
  • 3. WHAT’S MAKING THE PROBLEM WORSE? Antibiotics Healthcare Public Water supply Farming http://www.bbc.co.uk/guides/z8kccdm
  • 4. MOST COMMON DEADLY RESISTANT DISEASES 34 million people are living with HIV infection, out of which 8 million are receiving antiretroviral therapy (2011) Tuberculosis kills more people globally than any other infection. 219 million cases of malaria occurred worldwide and 660,000 people died from the disease (2010) Data suggests association between high levels of antiretroviral therapy and increased levels of HIV resistance. In 2012 extensively drug- resistant TB has been identified in 92 countries. Determining drug resistance for malaria is tough, yet antimalarial resistant variants have been threatening malaria control since the ‘70s. HIV TB MALARIA Source: WHO report on Antimicrobial resistance 2014
  • 5. DETERMINING HEALTH WITH IN VITRO DIAGNOSTICS Diagnosis Treatment Monitoring Treatment Selection IVD results help identify a specific condition, its development and treatment selection. Treatment decisions such as medications, therapy or lifestyle changes are prescribed. Treatment is carried out using medical devices or pharmaceuticals. IVD results help check status of a disease. Did the treatment work? YesNo CURE
  • 6. Superbugs have no respect for national borders.
  • 7. Proper treatment starts with accurate diagnosis.
  • 8. “Without urgent, coordinated action by many stakeholders, the world is headed for a post-antibiotic era, in which common infections and minor injuries which have been treatable for decades can once again kill,” “This is a somewhat grim picture, but I also want to point out that it’s not a hopeless picture.. if countries and other stakeholders see this report and respond to this report as a call of action.” -- Dr Keiji Fukuda, WHO’s Assistant Director-General for Health Security.
  • 9.
  • 10. GREATEST THREATS: MDR-TB* Total TB cases detected globally (in millions) Total of MDR-TB cases confirmed globally (in thousands) 1990 0 2 4 6 8 10 1995 2000 2005 2010 2011 2012 0 20 40 60 80 100 2005 2010 2011 2012 Source: WHO Global Tuberculosis Report 2013 *Multi-drug resistant tuberculosis
  • 11. DIAGNOSING MDR-TB 2 WEEKS 2 HOURS Accelerating time of diagnosis
  • 12. GREATEST THREATS: HIV Sources: WHO HIV Drug Resistance Report 2012 European AIDS Conference 2013 CDC Analysis 2013 US: 16% of newly diagnosed HIV patients carry resistant virus (2010) Europe: drug- resistant HIV increased by 35% in a decade (2003-2013) Eastern Africa: drug-resistant HIV increase at 29% per year (2012) Southern Africa: drug- resistant HIV increase at 14% per year (2012)
  • 13. DIAGNOSING D-R HIV* Phenotypic testingGenotypic testing Do you have HIV? Do you have drug-resistant HIV? *Drug-resistant HIV
  • 14. WHAT ARE PUBLIC BODIES DOING? 2001 16.10.2007 10.09.2013 30.04.2014 20.05.2014 WHO publishes Global Strategy for Containment of Antimicrobial Resistance Debate in the European Parliament on antibiotic resistance urges raise of awareness WHO publishes the first Global Report on AMR UK Ministry of Health publishes 6 year AMR Strategy Side-event at WHA on “The Fight Against Antimicrobial Resistance: Are Diagnosics Winning?”
  • 15. WHAT IS THE INDUSTRY DOING? Develop tests that are necessary We work together with governments and supernational organisations: Make tests more accessible and available Empower healthcare professionals with data necessary to prescribe treatment 1. 2. 3.
  • 16. medtechviews.eu MedTechViews.eu is an industry platform for dialogue about medical technologies between various actors in healthcare. Here’s how Superbugs: How diagnostics can help doctors reduce over-prescription of antibiotics Superbugs: Incentivising medtech to deliver solutions Submit your view to info@medtechviews.eu. Have your views shared with 4000+ readers/month. Read more about superbugs on medtechviews.eu P R O G R E S S