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[Focus] Antibiotic resistance: the other health time bomb threatening Senegal

Auteur: Yandé Diop

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[Focus] Résistance aux antibiotiques : l’autre bombe sanitaire qui menace le Sénégal

In Senegal, as in the rest of the world, antimicrobial resistance (AMR) is emerging as a major health crisis. It jeopardizes decades of medical progress. Between antibiotic overuse, inadequate diagnostics, and vulnerable healthcare systems, experts are sounding the alarm. Dr. Maguette Ndoye, a medical officer and microbiologist at Dakar's Main Hospital, points out that antibiotic resistance is not new. Microorganisms, in constant competition for survival, naturally develop resistance mechanisms that they can share with each other. But, she says, "this phenomenon has worsened considerably with the massive and sometimes inappropriate use of antibiotics." "Antibiotics have reduced mortality from bacterial infections. But their very success has fostered the emergence of resistance," she explains. She emphasizes that "taking an antibiotic for a viral infection like the flu can be dangerous because it eliminates protective bacteria and sets the stage for more severe infections. This means that bacteria that were once easy to treat become real threats."

A global danger: up to 10 million deaths per year by 2050

According to Professor Khadidiatou Ba Fall, an infectious disease specialist, antimicrobial resistance (AMR) was already responsible for 1.2 million deaths in 2019, a figure higher than those of HIV/AIDS and malaria. Without urgent action, it could cause 10 million deaths per year by 2050, or one death every three seconds. The causes are numerous. They include unnecessary prescriptions in human medicine, the massive use of antibiotics in livestock farming, environmental contamination, the lack of rapid diagnostic tests, and the circulation of counterfeit drugs. "Modern medicine is in danger: transplants, chemotherapy, neonatal care, and treatments for tuberculosis or pneumonia will become extremely risky without effective antimicrobials," warns Professor Ba.

A critical turning point for Africa

Professor Ndèye Marie Dia Badiane emphasizes that Africa faces a dual threat: infectious diseases persist while non-communicable diseases are on the rise. In this context, antimicrobial resistance (AMR) further complicates patient care and increases preventable deaths. She notes that the congress offers a crucial opportunity to mobilize researchers, clinicians, and policymakers around research, training, and improved healthcare. It is worth noting that in Senegal, 40% of medical prescriptions contain an antibiotic. "In Senegal, the situation is particularly worrying," according to infectious disease specialist Dr. Sadikh Badiane, where four out of ten prescriptions include an antibiotic, often unjustifiably. Self-medication, over-the-counter sales, the proliferation of counterfeit drugs, and uncontrolled veterinary use further exacerbate resistance.

"Many patients arrive at the hospital already with established resistance," he laments. The consequences are serious; difficult-to-treat infections, avoidable deaths, longer hospital stays, increased costs, and increased pressure on a fragile health system.

Senegal's response: strengthen laboratories and promote proper use

Aware of the scale of the threat, the Senegalese government is intensifying its efforts. Dr. Samba Cor Sarr, Chief of Staff to the Minister of Health, points out that the fight against AMR is now integrated into the national health policy within a One Health approach, linking human health, animal health, and the environment.

He cites several ongoing initiatives, including strengthening diagnostics, accrediting laboratories, improving hospital hygiene, promoting applied research, and implementing the Special Laboratory Development Plan 2024-2028, aligned with the Senegal 2050 Vision. The Dakar Main Hospital, a pioneer in this area, created the first Francophone mobile antibiotic therapy team in Africa, dedicated to promoting the proper use of antibiotics and supporting prescribers in the departments.

A collective imperative: to change practices

Antimicrobial resistance is an immediate danger. Restoring the effectiveness of antibiotics requires a collective effort from everyone: healthcare professionals, pharmacists, veterinarians, local authorities, the agricultural sector, and the general public. As the Secretary General of the Ministry, Serigne Mbaye, emphasized, "The fight against antimicrobial resistance is not just the Ministry's responsibility. Every stakeholder must play their part." Furthermore, stakeholders are working to prevent a return to the pre-antibiotic era. Indeed, if nothing is done, infections that are currently benign will once again become deadly. Senegal, like other countries, must continue its efforts to control antimicrobial use, strengthen its laboratories, monitor resistant bacteria, and prevent infections. "Preserving the effectiveness of antibiotics is not a luxury. It is a vital necessity to guarantee the future of modern medicine," concluded Dr. Ndoye.

 

Auteur: Yandé Diop
Publié le: Jeudi 20 Novembre 2025

Commentaires (7)

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    Kine baba il y a 15 heures

    Cest tres grave !! mais comme d'habitude au senegal on parle, on parle , on parle du matin au soir mais rien n'est fait..
    Cest juste pathetique.. en tout cas on doit vraiment s'y mettre dautant plus que 80% des senegalais nont pas de prise en charge, beaucoup trainent avec des maladies, et l'abus des medicaments est tres souvent eleve.. le senegalais aime les medicaments et qq fois il n'analyse pas pour voir les bienfaits et mefaits.. FAITES qq chose, je tire la sonnette d'Alarme au Ministere de la SANTE..

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    moi il y a 15 heures

    Voici des informations à partager au grand max mais surtout une campagne de sensibilisation devrait etre entrepise par le Ministere de la Santé pour une large diffusion au lieu de parler politique H24

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    Selibaby il y a 15 heures

    Pourtant le monde entier célèbre la semaine mondiale de sensibilisation sur la RAM (Résistance Anti Microbienne) 18-24 Novembre 2025

    Agissons maintenant : protégeons notre présent, sécurisons notre avenir

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    Toi il y a 14 heures

    Une chose est sûre l’a plupart des jeunes sexuellement actives entre 18 et 35 ans ont des infections sexuellement transmissible sans le savoir .
    Dépister vous .

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    Ebola man guéri il y a 14 heures

    Comme si le Sénégal était le seul Pays d'Afrique ou du Monde plein de toutes sortes de milliers maladies . Pourquoi certains lobbys et leur Presse cherchent à " tuer" ce Pays et leurs habitants ou leur faire peur. Est ce que la politique oppositionnelle vaut une telle haine ???

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    Mbé mbé il y a 14 heures

    Toi te voir en face te paralyse......notre zoo est donc le meilleur, le plus agréable de la planète : change rien !! masseuse wayayoye égale kinésithérapeute !!

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    Dani il y a 13 heures

    Mais est ce que vous ça va ? Nous vous donnons un pays pour que nos souffrances soient abregées, vous nous tympanisez tous les jours avec des sujets qui n'ont aucun impact immédiat sur notre quotidien. Ayez pitié du peuple. Si vous n'êtes pas dans le besoin, sachez qu'il y a des sénégalais qui n'ont pas quoi manger. La vie était trop dure déjà sous Macky mais vous n'avez encore rien fait pour l'améliorer. S'il vous plaît, taisez ces querelles inutiles et mobilisez le génie du peuple pour régler les problèmes. Je vous jure que le peuple souffre.

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