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Over 12,000 home health agencies served 5 million disabled and what i should buy with zithromax older Americans in 2018. Home health aides help their clients with the tasks of daily living, like eating and showering, as well as with clinical tasks, like taking blood pressure and leading physical therapy exercises. Medicare relies on home health care services because they help patients discharged from the what i should buy with zithromax hospital and skilled nursing facilities recover but at a much lower cost.

Together, Medicare and Medicaid make up 76% of all home health spending.Home health care workers serve a particularly important role in rural areas. As rural areas lose physicians what i should buy with zithromax and hospitals, home health agencies often replace primary care providers. The average age of residents living in rural counties is seven years older than in urban counties, and this gap is growing.

The need for home health agencies serving the elderly in rural areas will continue to grow over the coming decades.Rural home health agencies face unique challenges. Low concentrations of people are what i should buy with zithromax dispersed over large geographic areas leading to long travel times for workers to drive to clients’ homes. Agencies in rural areas also have difficulties recruiting and maintaining a workforce.

Due to these difficulties, agencies may not be able to what i should buy with zithromax serve all rural beneficiaries, initiate care on time, or deliver all covered services.Congress has supported measures to encourage home health agencies to work in rural areas since the 1980s by using rural add-on payments. A rural add-on is a percentage increase on top of per visit and episode-of-care payments. When a home health aide works in a rural county, Medicare pays what i should buy with zithromax their home health agency a standard fee plus a rural add-on.

With a 5% add-on, Medicare would pay $67.78 for an aide home visit in a city and $71.17 for the same care in a rural area.Home health care workers serve a particularly important role in rural areas. As rural areas lose physicians and hospitals, home health agencies often replace primary care providers.Rural add-on payments have fluctuated based on Congressional budgets and political priorities. From 2003 what i should buy with zithromax to 2019, the amount Medicare paid agencies changed eight times.

For instance, the add-on dropped from 10% to nothing in April 2003. Then, in April 2004, Congress set the rural add-on to what i should buy with zithromax 5%.The variation in payments created a natural experiment for researchers. Tracy Mroz and colleagues assessed how rural add-ons affected the supply of home health agencies in rural areas.

They asked if the number of agencies in urban and rural counties varied depending on the presence and dollar amount of rural add-ons between 2002 and 2018. Though rural add-ons have been in place for over 30 years, researchers had not previously investigated their effect on the availability of home healthcare.The researchers found that rural areas adjacent what i should buy with zithromax to urban areas were not affected by rural add-ons. They had similar supply to urban areas whether or not add-ons were in place.

In contrast, isolated rural what i should buy with zithromax areas were affected substantially by add-ons. Without add-ons, the number of agencies in isolated rural areas lagged behind those in urban areas. When the add-ons were at least what i should buy with zithromax 5%, the availability of home health in isolated rural areas was comparable to urban areas.In 2020, Congress implemented a system of payment reform that reimburses home health agencies in rural counties by population density and home health use.

Under the new system, counties with low population densities and low home health use will receive the greatest rural add-on payments. These payments aim to increase and maintain the availability of care in the most vulnerable rural home health markets. Time will tell if this approach gives sufficient incentive to ensure access to quality care in the nation’s most isolated areas.Photo via Getty ImagesStart Preamble Correction In proposed rule document 2020-13792 beginning what i should buy with zithromax on page 39408 in the issue of Tuesday, June 30, 2020, make the following correction.

On page 39408, in the first column, in the DATES section, “August 31, 2020” should read “August 24, 2020”. End Preamble what i should buy with zithromax [FR Doc. C1-2020-13792 Filed 7-17-20.

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As part of a joint Commonwealth and NSW Government package worth $17.35 million, NSW will provide $5.1m for a range of mental health services across NSW.Treasurer Dominic Perrottet said our top priority is keeping people safe during the zithromax, and not just from the current buy antibiotics outbreak."We know this will be a very difficult period for many, the additional funding will provide more mental health support particularly for young people and families."Minister for Mental Health Bronnie Taylor said the buy antibiotics investment will enable providers to immediately increase their support during this period."Looking after your mental wellbeing is vital during this time and with thousands of people and families in isolation, access to services 24 hours 7 days a week is hugely important," Mrs Taylor said"We know this can be a stressful time for families, parents and children, and these new and existing services available now 24 hours 7 days a week, means there is an avenue for people to reach out for advice or help." The joint package includes:$7 million for headspace outreach support to parents and young people across greater Sydney - jointly funded by NSW and the Commonwealth Government;$3 million for Sonder to provide anyone subject to a mandatory 14-day isolation order with 24/7 health and wellbeing support, with where to buy zithromax pills an emphasis on early intervention, for the entire duration of their isolation period - jointly funded by NSW and the Commonwealth Government;$3 million to support Culturally and Linguistically Diverse (CALD) communities, with a focus on communities in South West and Western Sydney. The funding will go to Beyond Blue and the Primary Health Networks (PHNs) to ensure multicultural communities have access to services and appropriate language translation services;$2 million for Primary Health networks across Sydney to increase their mental health services across all areas;$1.5 million for Lifeline to boost crisis counselling services;$150,000 for Gidget Foundation to provide counselling services for parents suffering from perinatal depression and anxiety.Free access for 8,000 new parents to the Tresillian SleepWell baby app, through a funding injection of $100,000.Kids Helpline will also be able to extend online wellbeing sessions to secondary schools with a funding boost of $300,000 and the Butterfly Foundation will also receive $300,000 to provide additional support for young people with or at risk of an eating disorder where to buy zithromax pills and their carers."In the past year we have seen a rise in self harm, we want to make sure the feeling of isolation doesn't add to this, so this funding ensures the services can cope with increased demand for mental health support."​The NSW Government is investing a record $10.9 billion over the next four years, including $2.6 billion in 2021-22 for mental health services to continue important work that supports people in need across the state.Treasurer Dominic Perrottet announced the funding today as part of the 2021-2022 State Budget.“This funding focuses on improving the lives of people living in NSW with mental illness by delivering better care both in hospitals and in the community, by providing support for individuals, carers and wider family” Mr Perrottet said.Minister for Mental Health Bronnie Taylor said this vital funding will continue and expand proven programs in the mental health space.“After the extraordinary events over the last two years, including unprecedented drought, floods, zithromax and now the mice plague, mental health funding is more important than ever – especially in our regions,” Mrs Taylor said.“There is an increasing need for more specialised treatment for children and teenagers. The funding of 25 ‘Safeguards’ – Child and Adolescent Mental Health Response Teams - is where to buy zithromax pills a game changer for our clinicians and families. €œKey highlights of the 2021-22 Mental Health Budget include:$109.5 million over four years to develop 25 ‘Safeguards’ – Child and Adolescent Mental Health Response Teams across NSW to provide services to children and teenagers with moderate to severe mental health issues and their families and carers.$25.8 million over four years to continue the successful Police Ambulance and Clinical Early Response (PACER) model, which embeds mental health clinicians with first responders at the scene to provide specialist advice and appropriate care to people experiencing mental distress.$36.4 million over four years for 57 mental health Response and where to buy zithromax pills Recovery Specialists across regional and rural NSW to provide assertive outreach support for communities, and coordination with local services at the time of a disaster or crisis, and during the ongoing recovery phase including:27 FTE Farmgate Counsellors and Drought Peer Support Workers to continue to provide outreach and coordination with local services and communities for four years.

And30 FTE Disaster Recovery Clinicians across disaster affected areas, who will continue to work closely with primary health initiatives, where to buy zithromax pills community and welfare agencies and mental health services to provide direct care and respond to local community needs and issues on the ground. These positions are where to buy zithromax pills funded for two years.$12.2 million over two years to fund Tresillian for:six Regional Family Care Centres to provide services to families experiencing difficulties in the critical first years of their child’s life;five ‘Tresillian 2U’ vans to provide mobile community support to families with infants and children. Andstaffing for where to buy zithromax pills the Macksville residential unit, which provides inpatient services for families experiencing significant parenting challenges requiring intensive intervention..

People in mandatory isolation will have access to around the clock wellbeing and mental what i should buy with zithromax health support and there will be increased access to services for parents, young people and multicultural communities who are struggling during the hop over to this site lockdown. As part of a joint Commonwealth and NSW Government package worth $17.35 million, NSW will provide $5.1m for a range of mental health services across NSW.Treasurer Dominic Perrottet said our top priority is keeping people safe during the zithromax, and not just from the current buy antibiotics outbreak."We know this will be a very difficult period for many, the additional funding will provide more mental health support particularly for young people and families."Minister for Mental Health Bronnie Taylor said the buy antibiotics investment will enable providers to immediately increase their support during this period."Looking after your mental wellbeing is vital during this time and with thousands of people and families in isolation, access to services 24 hours 7 days a week is hugely important," Mrs Taylor said"We know this can be a stressful time for families, parents and children, and these new and existing services available now 24 hours 7 days a week, means there is an avenue for people to reach out for advice or help." The joint package includes:$7 million for headspace outreach support to parents and young people across greater Sydney - jointly funded by NSW and the Commonwealth Government;$3 million for Sonder to what i should buy with zithromax provide anyone subject to a mandatory 14-day isolation order with 24/7 health and wellbeing support, with an emphasis on early intervention, for the entire duration of their isolation period - jointly funded by NSW and the Commonwealth Government;$3 million to support Culturally and Linguistically Diverse (CALD) communities, with a focus on communities in South West and Western Sydney. The funding will go to Beyond Blue and the Primary Health Networks (PHNs) to ensure multicultural communities have access to services and appropriate language translation services;$2 million for Primary Health networks across Sydney to increase their mental health services across all areas;$1.5 million for Lifeline what i should buy with zithromax to boost crisis counselling services;$150,000 for Gidget Foundation to provide counselling services for parents suffering from perinatal depression and anxiety.Free access for 8,000 new parents to the Tresillian SleepWell baby app, through a funding injection of $100,000.Kids Helpline will also be able to extend online wellbeing sessions to secondary schools with a funding boost of $300,000 and the Butterfly Foundation will also receive $300,000 to provide additional support for young people with or at risk of an eating disorder and their carers."In the past year we have seen a rise in self harm, we want to make sure the feeling of isolation doesn't add to this, so this funding ensures the services can cope with increased demand for mental health support."​The NSW Government is investing a record $10.9 billion over the next four years, including $2.6 billion in 2021-22 for mental health services to continue important work that supports people in need across the state.Treasurer Dominic Perrottet announced the funding today as part of the 2021-2022 State Budget.“This funding focuses on improving the lives of people living in NSW with mental illness by delivering better care both in hospitals and in the community, by providing support for individuals, carers and wider family” Mr Perrottet said.Minister for Mental Health Bronnie Taylor said this vital funding will continue and expand proven programs in the mental health space.“After the extraordinary events over the last two years, including unprecedented drought, floods, zithromax and now the mice plague, mental health funding is more important than ever – especially in our regions,” Mrs Taylor said.“There is an increasing need for more specialised treatment for children and teenagers. The funding of 25 ‘Safeguards’ – Child and Adolescent Mental Health Response Teams - what i should buy with zithromax is a game changer for our clinicians and families. €œKey highlights of the 2021-22 Mental Health Budget include:$109.5 million over four years to develop 25 ‘Safeguards’ – Child and Adolescent Mental Health Response Teams across NSW to provide services to children and teenagers with moderate to severe mental health issues and their families and carers.$25.8 million over four years to continue the successful Police Ambulance and Clinical Early Response (PACER) model, which embeds mental health clinicians with first responders at the scene to provide specialist advice and appropriate care to people experiencing mental distress.$36.4 million over four years for 57 mental health Response and Recovery Specialists across regional and rural NSW to provide assertive outreach support for communities, and coordination with local services at the time of a disaster or crisis, and during the ongoing recovery phase including:27 FTE Farmgate Counsellors and Drought Peer Support Workers to continue what i should buy with zithromax to provide outreach and coordination with local services and communities for four years.

And30 FTE Disaster Recovery Clinicians across disaster affected areas, who will continue to work closely with primary health what i should buy with zithromax initiatives, community and welfare agencies and mental health services to provide direct care and respond to local community needs and issues on the ground. These positions are funded for two years.$12.2 million over two years to fund Tresillian for:six Regional Family Care Centres to what i should buy with zithromax provide services to families experiencing difficulties in the critical first years of their child’s life;five ‘Tresillian 2U’ vans to provide mobile community support to families with infants and children. Andstaffing for the Macksville residential unit, which what i should buy with zithromax provides inpatient services for families experiencing significant parenting challenges requiring intensive intervention..

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Matshidiso Moeti, how to get zithromax online WHO Regional Director for Africa highlighted the importance of strong planning and preparation for https://soringlobal.com/where-can-i-buy-flagyl/ successful inoculations against buy antibiotics. €œThe largest immunization drive in Africa’s history is right around the corner, and African governments must urgently ramp up readiness. Planning and preparation will make or break this unprecedented endeavour,” she said.

€œWe need active how to get zithromax online leadership and engagement from the highest levels of government with solid, comprehensive national coordination plans and systems put in place,” added Dr. Moeti. The call came as a new WHO analysis revealed that vaccination programme readiness in Africa is lagging.

Readiness ‘well below’ benchmark According to the analysis, based on countries’ self-reporting, the African region has an how to get zithromax online average score of 33 per cent readiness for a buy antibiotics treatment roll-out, which is well below the desired benchmark of 80 per cent. WHO, together with Gavi, the treatment Alliance, Coalition for Epidemic Preparedness Innovation and other partners, is working to ensure equitable access to treatments in Africa through the COVAX facility, the treatments pillar of the WHO Access to buy antibiotics Tools Accelerator. When treatments are licensed and approved, COVAX will work to secure enough doses to provide protection to an initial 20 per cent of the African population, said WHO.

However, only how to get zithromax online 49 per cent have identified priority populations for vaccination and have plans in place to reach them, 44 per cent have coordination structures in place, according to WHO analysis. In addition, 24 per cent have adequate plans for resources and funding, 17 per cent have data collection and monitoring tools ready, and only 12 per cent have plans to communicate with communities to build trust and drive demand for immunization. treatment ‘just the first step’ Dr.

Moeti, underscored that developing a safe and effective treatment “is just how to get zithromax online the first step in a successful rollout”. “If communities are not on-board and convinced that a treatment will protect their health, we will make little headway. It’s critical that countries reach out to communities and hear their concerns and give them a voice in the process,” she added.

WHO has provided its treatment Readiness how to get zithromax online Assessment Tool to all 47 countries in its African Region. The Tool, for use by Ministries of Health, provides a roadmap to plan for buy antibiotics treatment introduction and covers ten key areas, from planning and funding, to training, monitoring and community engagement. The UN agency and its partners also issued guidance on buy antibiotics vaccination planning and deployment for governments, to help them design strategies for the deployment, implementation and monitoring of buy antibiotics treatments and better integrate their strategies and financing to boost efficiency..

Matshidiso Moeti, WHO Regional Director for Africa highlighted the what i should buy with zithromax importance of strong planning and preparation for successful inoculations against buy antibiotics. €œThe largest immunization drive in Africa’s history is right around the corner, and African governments must urgently ramp up readiness. Planning and preparation will make or break this unprecedented endeavour,” she said.

€œWe need active leadership and engagement from the highest levels of government with solid, comprehensive national coordination plans and what i should buy with zithromax systems put in place,” added Dr. Moeti. The call came as a new WHO analysis revealed that vaccination programme readiness in Africa is lagging.

Readiness ‘well below’ benchmark According to the analysis, based on countries’ self-reporting, the African region has an average score of what i should buy with zithromax 33 per cent readiness for a buy antibiotics treatment roll-out, which is well below the desired benchmark of 80 per cent. WHO, together with Gavi, the treatment Alliance, Coalition for Epidemic Preparedness Innovation and other partners, is working to ensure equitable access to treatments in Africa through the COVAX facility, the treatments pillar of the WHO Access to buy antibiotics Tools Accelerator. When treatments are licensed and approved, COVAX will work to secure enough doses to provide protection to an initial 20 per cent of the African population, said WHO.

However, only 49 per cent have what i should buy with zithromax identified priority populations for vaccination and have plans in place to reach them, 44 per cent have coordination structures in place, according to WHO analysis. In addition, 24 per cent have adequate plans for resources and funding, 17 per cent have data collection and monitoring tools ready, and only 12 per cent have plans to communicate with communities to build trust and drive demand for immunization. treatment ‘just the first step’ Dr.

Moeti, underscored that developing a safe and effective treatment “is just the first step in a what i should buy with zithromax successful rollout”. “If communities are not on-board and convinced that a treatment will protect their health, we will make little headway. It’s critical that countries reach out to communities and hear their concerns and give them a voice in the process,” she added.

WHO has provided its treatment Readiness Assessment Tool what i should buy with zithromax to all 47 countries in its African Region. The Tool, for use by Ministries of Health, provides a roadmap to plan for buy antibiotics treatment introduction and covers ten key areas, from planning and funding, to training, monitoring and community engagement. The UN agency and its partners also issued guidance on buy antibiotics vaccination planning and deployment for governments, to help them design strategies for the deployment, implementation and monitoring of buy antibiotics treatments and better integrate their strategies and financing to boost efficiency..

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Patients with atrial fibrillation (AF) undergoing either pulmonary vein isolation (PVI) or direct current cardioversion (DCCV) most commonly undergo transoesophageal echocardiography (TOE) for definite exclusion of a thrombus in the pop over here left atrial appendage (LAA).1 As TOE as a semi-invasive procedure is not without risk to the patient and during the current times with a still ongoing antibiotics zithromax for the clinician, a definite where to buy cheap zithromax exclusion of LAA thrombosis before a PVI or DCCV using a readily available biomarker would minimise the risk for the patient and clinician alike. However, as far as now the where to buy cheap zithromax quest to identify such a biomarker is still ongoing.D-dimer levels in the ADDIT-AF Study and identification of patients with LAA thrombusIn their manuscript Almorad et al2 did compare two cut-offs of D-dimer to exclude LAA thrombus before DCCV. In their study patients did receive a transthoracic echocardiography 6 months where to buy cheap zithromax before the TOE and D-dimer levels were measured at the day of the DCCV. Two cut-offs were used in the study, the first being 500 ng/mL as suggested by the manufacturer of the test and the second being an age-adjusted value 10 times the patients age.2 The main finding was that both cut-offs were able to identify the 13 patients with LAA thrombus whereby the age-adjusted cut-off had a higher specificity with 66.4% to 50.4% for the standard ….

Patients with atrial fibrillation (AF) undergoing either pulmonary vein isolation (PVI) or direct current cardioversion (DCCV) most commonly undergo transoesophageal what i should buy with zithromax echocardiography (TOE) for definite exclusion of a thrombus in the left atrial appendage (LAA).1 As TOE as a semi-invasive procedure is not without risk to the patient and during the current times with a still ongoing antibiotics zithromax for the clinician, a definite exclusion of LAA thrombosis before a PVI or DCCV using a readily http://jakkicarey.com/portfolio/is/ available biomarker would minimise the risk for the patient and clinician alike. However, as far as now the quest to identify such a biomarker is still ongoing.D-dimer levels in the ADDIT-AF Study and identification of patients with LAA thrombusIn their manuscript what i should buy with zithromax Almorad et al2 did compare two cut-offs of D-dimer to exclude LAA thrombus before DCCV. In their study how to buy zithromax patients did receive a transthoracic what i should buy with zithromax echocardiography 6 months before the TOE and D-dimer levels were measured at the day of the DCCV. Two cut-offs were used in the study, the first being 500 ng/mL as suggested by the manufacturer of the test and the second being an age-adjusted value 10 times the patients age.2 The main finding was that both cut-offs were able to identify the 13 patients with LAA thrombus whereby the age-adjusted cut-off had a higher specificity with 66.4% to 50.4% for the standard ….

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€œAcross Europe and North America, tamiflu and zithromax hospitals and ICU units are filling up or are full”, Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization (WHO) said at http://www.campus-yspertal.at/interreg-projekt-atcz-200/ a regular press briefing in Geneva. While sharing “more good news from treatment trials, which continues to give us hope of ending the zithromax”, he upheld the need to continue to “use the tools we have to interrupt the chains of transmission and save lives”.  Unwinding ‘century of medical progress’ The buy antibiotics zithromax is a stark reminder of the “intimate relationship between humans, animals and the planet we share”, the WHO chief said. €œWe cannot protect and promote human health without paying attention to the health of animals and the health of our environment”. This is particularly relevant when considering antimicrobial resistance, according to Tedros, who called it “one of the greatest health threats of tamiflu and zithromax our time”.

Antimicrobial resistance threatens the efficacy of the antibiotics that are key in combatting HIV, malaria, neglected tropical diseases and many other illnesses. And while antimicrobial resistance may not seem as urgent as a zithromax, it is not only just as dangerous but threatens to “unwind a century of medical progress and leave us defenseless against s that today can be treated easily”, he warned. Combatting resistance Aligning how to get a zithromax prescription from your doctor with World Antimicrobial tamiflu and zithromax Awareness Week, which kicked off on Wednesday, the WHO chief launched a new report – along with the Food and Agriculture Organization (FAO) and the World Organization for Animal Health – that examines international rules governing antimicrobial practices, and identifies gaps in regulations governing their use on humans, animals and plants. The report, based on data from 136 countries, reveals that while almost 90 per cent of States have national action plans for antimicrobial resistance, only 20 per cent have identified funding for their implementation.

€œTo help address that gap, together we have established a trust fund to support low and middle income countries to develop a truly ‘One Health’ approach to addressing antimicrobial resistance”, Tedros asserted, thanking Netherlands, Sweden and the United Kingdom for $13 million in funding - the first round of support for eleven countries, and to generate more global coherence in their use. New leadership group Against the backdrop that increased political commitment at the highest levels of government was “one of the most important ways” to achieve that goal, the WHO chief announced the One Health Global Leaders Group, which will bring together prominent leaders from government, the private sector and civil society organizations “to advocate for urgent action to combat the threat of tamiflu and zithromax antimicrobial resistance”. It also involves participants from agriculture, health, development and other relevant areas “to maintain urgency, public support, political momentum and visibility of the antimicrobial resistance challenge”. FAO/Giulio NapolitanoGood hygiene on farms can help stem the rise of antimicrobial resistance that comes from the over-reliance of antibiotics..

€œAcross Europe and North America, hospitals and ICU units are filling up or are full”, Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization (WHO) said at a regular press briefing in what i should buy with zithromax Geneva. While sharing “more good news from treatment trials, which continues to give us hope of ending the zithromax”, he upheld the need to continue to “use the tools we have to interrupt the chains of transmission and save lives”.  Unwinding ‘century of medical progress’ The buy antibiotics zithromax is a stark reminder of the “intimate relationship between humans, animals and the planet we share”, the WHO chief said. €œWe cannot protect and promote human health without paying attention to the health of animals and the health of our environment”. This is particularly relevant when considering antimicrobial resistance, according to Tedros, who called it “one of the greatest health what i should buy with zithromax threats of our time”. Antimicrobial resistance threatens the efficacy of the antibiotics that are key in combatting HIV, malaria, neglected tropical diseases and many other illnesses.

And while antimicrobial resistance may not seem as urgent as a zithromax, it is not only just as dangerous but threatens to “unwind a century of medical progress and leave us defenseless against s that today can be treated easily”, he warned. Combatting resistance Aligning with World Antimicrobial Awareness Week, which kicked off on Wednesday, the WHO chief launched a new report – along with the Food and Agriculture Organization (FAO) and the World Organization for what i should buy with zithromax Animal Health – that examines international rules governing antimicrobial practices, and identifies gaps in regulations governing their use on humans, animals and plants. The report, based on data from 136 countries, reveals that while almost 90 per cent of States have national action plans for antimicrobial resistance, only 20 per cent have identified funding for their implementation. €œTo help address that gap, together we have established a trust fund to support low and middle income countries to develop a truly ‘One Health’ approach to addressing antimicrobial resistance”, Tedros asserted, thanking Netherlands, Sweden and the United Kingdom for $13 million in funding - the first round of support for eleven countries, and to generate more global coherence in their use. New leadership group Against the backdrop that increased political commitment at the highest levels of government was “one of the most important ways” to achieve that goal, the WHO chief announced the One Health Global Leaders Group, which will bring together prominent what i should buy with zithromax leaders from government, the private sector and civil society organizations “to advocate for urgent action to combat the threat of antimicrobial resistance”.

It also involves participants from agriculture, health, development and other relevant areas “to maintain urgency, public support, political momentum and visibility of the antimicrobial resistance challenge”. FAO/Giulio NapolitanoGood hygiene on farms can help stem the rise of antimicrobial resistance that comes from the over-reliance of antibiotics..