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Alex Azar speaks at an August 29 press conference. Photo: Tasos Katopodis/Getty Images

While praising "real progress" in the fight against growing antimicrobial resistance, HHS Secretary Alex Azar challenged individuals and private and public organizations around the world to renew efforts to end the "scourge of AMR" while speaking Monday at the UN General Assembly.

Why it matters: At least 23,000 Americans and 700,000 people globally die every year from AMR infections — but this number is believed to be on the low end. A recent UN report warned that AMR could kill up to 10 million people worldwide per year by 2050 if action isn't taken.

What's new: In the year since the U.S. government and its partners launched the AMR Challenge, there's been progress made, Azar said.

  • The CDC collected nearly 350 commitments from 33 countries to escalate efforts via government and private sector to lessen antibiotic resistance.
  • These commitments are from drug and health insurance companies, food animal producers and purchasers like McDonald's and Yum!, doctors and hospitals, government health officials, and other leaders from around the world.

Case in point: Azar noted the example of Premier, a large U.S. health care organization of 4,000 hospitals and 175,000 medical providers that "was able to lower the rate of a particular health-care associated infection [Clostridioides difficile] by 46% in 500 hospitals since 2015 — through coaching calls, site visits, webinars and a new website focused on AMR."

But, but, but: Azar and health officials from other countries emphasized that despite some progress, the problem continues to worsen as dozens of pathogens become resistant to treatments.

Meanwhile, a study out last week in Science developed a geospatial model using data from 901 point-prevalence surveys around the world between 2000 and 2018 examining rates of antibiotic resistance in animals and food products in E. coli, Campylobacter spp., non-typhoidal Salmonella, and Staphylococcus aureus.

  • Study co-author Ramanan Laxminarayan says they found there was a triple increase in antibiotic resistance risk in food animals from 2000–2018, particularly in low or middle-income countries like India, China and Brazil.
  • Many of these countries have just recently started monitoring and raising awareness of the problem, but farmers tend to overprescribe antibiotics to promote animal growth, causing AMR.
  • "Do we really want to enable [the] factory farming of animals at the cost of animal and human health?" Laxminarayan asks.

The bottom line: Other experts in the field tell Axios they agree there's an urgent need to focus on the AMR Challenge's "one health" approach to target humans, animals and the environment.

  • Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, tells Axios there are two main arms to combating AMR: preventing AMR from developing via good stewardship of current antibiotics and other methods, and "developing a robust pipeline of new antibiotics."
  • Greg Frank, director of the advocacy coalition Working to Fight AMR, agrees, adding that it's important for President Trump and Congress to "lead this fight — by incentivizing the development of new, lifesaving antibiotics" before more drug companies go out of business.
  • Laxminarayan, who also sits on the U.S. Presidential Advisory Council on Combating Antibiotic Resistant Bacteria, says "if you're going to solve this, it has to be [through the] one health issue — for humans and animals together."

Go deeper:

Go deeper

Updated 3 hours ago - Health

California surpasses 50,000 COVID-19 deaths

A man prepares a funeral arrangement in in Los Angeles, California, Feb. 12. Photo: Mario Tama/Getty Images

California's death toll from COVID-19 surpassed 50,000 on Wednesday, per Johns Hopkins data.

The big picture: It's the first state to record more than 50,000 deaths from the coronavirus.

4 hours ago - Technology

Facebook bans Myanmar military

A protester holds a placard with a three-finger salute in front of a military tank parked aside the street in front of the Central Bank building during a demonstration in Yangon, Myanmar. Photo by Aung Kyaw Htet/SOPA Images/LightRocket via Getty Images

Facebook said on Wednesday it would ban the rest of the Myanmar military from its platform.

The big picture: It comes some three weeks after the military overthrew the civilian government in a coup and detained leader Aung San Suu Kyi, causing massive protests to erupt throughout the country. Military leaders have been using internet blackouts to try to maintain power in light of the coup.

It's harder to fill the Cabinet

Data: Chamberlain, 2020, "United States of America Cabinet Appointments Dataset" Chart: Will Chase/Axios

It's harder now for presidents to win Senate confirmation for their Cabinet picks, an Axios data analysis of votes for and against nominees found.

Why it matters: It's not just Neera Tanden. The trend is a product of growing polarization, rougher political discourse and slimming Senate majorities, experts say. It means some of the nation's most vital federal agencies go without a leader and the legislative authority that comes with one.