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Major UK project to tackle AMR closed by aid cuts
Major UK project to tackle AMR closed by aid cuts

Telegraph

timea day ago

  • Health
  • Telegraph

Major UK project to tackle AMR closed by aid cuts

The Fleming Fund, a major British programme that helps tackle antimicrobial resistance in the developing world, has been forced to close because of the government's aid cuts, The Telegraph can reveal. The £265 million programme – named after Alexander Fleming the British scientist who discovered penicillin – was established in 2015 in response to a landmark UK study which found resistant infections would kill 10 million people every globally year by 2050. The fund was designed to tackle drug resistance at its source and support experts in hundreds of laboratories in developing countries that face the greatest threat from AMR. Termed the 'silent pandemic', AMR is directly responsible for 1.27 million deaths every year as bacteria, viruses, and other pathogens evolve to evade modern medicine. But it's not just a problem for the developing world – in England alone, 66,730 suffered from 'serious antibiotic resistant infections' in 2023. There are an estimated 30,000 deaths in the UK every year and, for many others, it changes their lives. Experts have repeatedly stressed that AMR does not respect borders – and often emerge in countries with less regulation surrounding antibiotic use both to treat illness and in agriculture. 'We are having to make choices that we don't want to have to make,' Baroness Chapman, the Minister of International Development, told the International Development Committee at an evidence session in parliament today. Baroness Chapman, who became Minister after her predecessor Anneliese Dodds resigned, has become the chief hatchet woman for the aid budget. Last month, she announced a 40 per cent cut in real terms of the UK's contribution to Gavi, the vaccine alliance which funds immunisations for half the world's children. 'We've had to make some really tough choices. But we've decided as a government that we want to invest in defence, because that's the world we are in,' she told The Telegraph at the time. Ashley Dalton, Parliamentary Under-Secretary of State for Public Health and Prevention in the Department of Health and Social Care, said that although the funding for the Fleming Fund has ceased, the government will continue with its 'partnerships' forged under the programme. It is currently unclear what this means. The Telegraph has contacted the Department of Health and Social Care, who funds the Fleming Fund, for clarification.

The UN's war on trans fat must not come at the cost of nutrition in Africa
The UN's war on trans fat must not come at the cost of nutrition in Africa

Telegraph

timea day ago

  • Health
  • Telegraph

The UN's war on trans fat must not come at the cost of nutrition in Africa

For many of the world's poorest, a simple glass of milk can make a big difference where dietary diversity is limited. As a rich source of micronutrients like B12, calcium, zinc, and essential fatty acids, which are critical to children's healthy development, milk is one of the most affordable and accessible nutrient-dense foods in rural and low-income areas. We must be careful, therefore, that a new United Nations declaration that seeks to eliminate trans-fatty acids to reduce diet-related illness does not unintentionally affect access to this important food, along with other nutritious forms of dairy and meat. To avoid a potentially harmful misstep and protect the rights of the poorest to basic, healthy nutrition, UN negotiators must draw a clear line between animal-source foods, which contain low levels of trans-fatty acids, and industrially-produced sources with much higher concentrations presenting greater risk to health. The UN's push to address the growing global burden of non-communicable diseases (NCDs), including conditions like heart disease and diabetes, is essential and welcome. In Ethiopia where I am based, for example, NCDs such as heart disease, chronic respiratory diseases, and diabetes are a growing public health concern, recently ranking among the leading causes of death. This is increasingly the case across many developing countries, where healthcare systems are less equipped to diagnose or manage related health consequences. To be effective, interventions like the proposed declaration need to include adequate attention to the realities faced by developing nations. This includes acknowledging complex nutritional paradoxes, such as alarming rates of infant undernutrition, including stunting, which not only increases the risk of obesity and diet-related illness in later life, but also stunts brain development and impacts educational and economic outcomes in adulthood. Counter-intuitively, children who suffer from undernutrition in their early life are more likely to suffer obesity and NCDs as adults. This cruel irony of early deprivation, often referred to as the 'developmental origins of health and disease,' underscores the critical need for a careful, holistic approach to nutrition from early life onwards. The impacts of childhood undernutrition are felt far and wide – undernutrition can cost developing nations up to 16 per cent of GDP, and the cost will be much higher if the burden of NCDs are included. The declaration to reduce trans-fatty acid consumption should focus on industrial sources and help shape Africa's food systems by pushing for policies that prevent trans-fatty acids from entering diets through processed foods. It should guide the development of a healthier food processing industry – one that limits or eliminates industrial trans-fats altogether. Industrially-produced trans-fatty acids pose a significantly higher health risk than those that occur naturally in small amounts in dairy and meat due to their concentrations. For comparison, industrial trans-fatty acids can reach concentrations of up to 60 per cent of fat content in processed foods, whereas natural trans-fatty acids in animal-source foods typically make up just 2–5 per cent. On the other hand, it is important to recognise that even small amounts of animal-source foods – just a glass of milk or a single egg per day – come packaged with critical nutrients, which protect against nutrient deficiencies. Research by the International Food Policy Research Institute, for example, has shown that regular milk consumption corresponds with significant reductions in child stunting across low- and middle-income countries. This means that in communities facing chronic food insecurity, animal-source foods such as milk are not just beneficial, but essential. More than 700 million people around the world face hunger each year, many of them in Africa. We therefore must be careful not to design policies that unfairly limit access to these foods, or else we risk undermining efforts to improve diets and nutrition in low-income settings. It is crucial, then, as UN negotiators prepare the final wording of the resolution on trans-fatty acids, that a distinction is made between those found in animal-source foods and those in industrially-produced foods. The declaration must endeavour to foster a food systems transformation trajectory that eliminates trans-fats from processed foods as the food processing industry evolves in these settings. If we fail to do so, we risk inadvertently creating policies that further jeopardise the diets, nutrition and health of the most vulnerable by discouraging access to sources of important nutrients. If we do not effectively address undernutrition, the human cost could ironically increase the prevalence of NCDs by driving up childhood undernutrition. In many African settings, where the food processing industry is still in its nascent stages, we have an opportunity to take a different diet-centred path to developed nations and avoid the challenges that come with mass production of industrial trans-fatty acids. NCDs are a global health emergency demanding urgent action. This burden is growing, and falling heaviest on developing countries, as in Africa where diagnosis and treatment are limited and where NCDs are linked to undernutrition in childhood. Better diets and nutrition call for nuanced access and food systems transformation for all people and the planet.

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