This document summarizes antibiotic resistance data from Libya between 1970-2011. It finds high and increasing resistance in common pathogens like Salmonella, E. coli, and Staphylococcus aureus to first-line antibiotics. Resistance is linked to easy over-the-counter antibiotic access, misuse in hospitals, and lack of regulation of agricultural antibiotic use. The emergence of resistance to newer drugs like fluoroquinolones is considered serious. Recommendations include restricting antibiotic sales to prescription only, improving hospital antibiotic stewardship, regulating agricultural antibiotic use, and establishing antibiotic resistance surveillance programs.