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The Global Challenge of Antimicrobial Resistance: Insights from Economic Analysis

Author

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  • Karen Eggleston

    (Shorenstein Asia-Pacific Research Center, Stanford University, 616 Serra Road, Encina Hall, Stanford, CA 94305, USA)

  • Ruifang Zhang

    (Global Investment Research, Goldman Sachs International, Peterborough Court, 133 Fleet Street, London EC4A 2BB, UK)

  • Richard J. Zeckhauser

    (John F. Kennedy School of Government, Harvard University, 79 John F. Kennedy Street, Cambridge, MA 02138, USA)

Abstract

The prevalence of antimicrobial resistance (AR) limits the therapeutic options for treatment of infections, and increases the social benefit from disease prevention. Like an environmental resource, antimicrobials require stewardship. The effectiveness of an antimicrobial agent is a global public good. We argue for greater use of economic analysis as an input to policy discussion about AR, including for understanding the incentives underlying health behaviors that spawn AR, and to supplement other methods of tracing the evolution of AR internationally. We also discuss integrating antimicrobial stewardship into global health governance.The prevalence of antimicrobial resistance (AR) limits the therapeutic options for treatment of infections, and increases the social benefit from disease prevention. Like an environmental resource, antimicrobials require stewardship. The effectiveness of an antimicrobial agent is a global public good. We argue for greater use of economic analysis as an input to policy discussion about AR, including for understanding the incentives underlying health behaviors that spawn AR, and to supplement other methods of tracing the evolution of AR internationally. We also discuss integrating antimicrobial stewardship into global health governance.

Suggested Citation

  • Karen Eggleston & Ruifang Zhang & Richard J. Zeckhauser, 2010. "The Global Challenge of Antimicrobial Resistance: Insights from Economic Analysis," IJERPH, MDPI, vol. 7(8), pages 1-9, August.
  • Handle: RePEc:gam:jijerp:v:7:y:2010:i:8:p:3141-3149:d:9219
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    References listed on IDEAS

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    2. Angus Deaton, 2004. "Health in an Age of Globalization," NBER Working Papers 10669, National Bureau of Economic Research, Inc.
    3. Rudholm, Niklas, 2002. "Economic implications of antibiotic resistance in a global economy," Journal of Health Economics, Elsevier, vol. 21(6), pages 1071-1083, November.
    4. Paul R. Portney, 2000. "Environmental Problems and Policy: 2000-2050," Journal of Economic Perspectives, American Economic Association, vol. 14(1), pages 199-206, Winter.
    5. David Laibson, 1997. "Golden Eggs and Hyperbolic Discounting," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(2), pages 443-478.
    6. repec:pri:cheawb:deaton_healthglobalage.pdf is not listed on IDEAS
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