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[Legislation relating to antibiotic prescription in Spain will be reconstructed here as a history of regulation and consumption control. Such control was largely political in the early days of penicillin’s circulation (Chaps. 1 and 2), embedded in the bureaucracy of Franco’s regime. During the transition to democracy following the dictator’s death in 1975, it evolved toward a focus on drug resistance as a public health policy concern. The political scenario during the dictatorship endured, with no negotiation regarding decisions on the regulation, consumption and industrial production of commodities other than contraceptives and addictive drugs—moral and religious arguments to the fore—while the public renown of antibiotics overshadowed the issue of resistance. Alongside developments in Spanish health policy in the early democracy, awareness of antibiotic resistance increased through scientific reports and campaigns on consumption during the 1970s and 1980s.]
Published: Dec 20, 2017
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