Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action

Kaiser, Rachel A., Taing, Lina and Bhatia, Himesh, (2022). Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action. Antibiotics, 11(1, The Policy Design, Implementation and Governance of Antimicrobial Resistance), 1-26

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  • Sub-type Journal article
    Author Kaiser, Rachel A.
    Taing, Lina
    Bhatia, Himesh
    Title Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action
    Appearing in Antibiotics
    Volume 11
    Issue No. 1, The Policy Design, Implementation and Governance of Antimicrobial Resistance
    Publication Date 2022-01-05
    Place of Publication Basel
    Publisher MDPI
    Start page 1
    End page 26
    Language eng
    Abstract Antimicrobial resistance (AMR) is a global health crisis that affects all life on Earth. In 2015, the World Health Organization developed guidance to combat AMR in accordance with a One Health framework considering human, animal, and environment sectors of planetary health. This study reviewed global guidance and 25 National Action Plans to evaluate thematic priorities in One Health AMR approaches using a novel framework that additionally facilitated the identification of water-related stewardship gaps, as water resources are recognized as the primary environmental AMR reservoir and dissemination pathway. This review found that global and national stewardship primarily focuses on mitigating antibiotic use in the human and animal sectors, overlooking environmental drivers, particularly diverse environmental waters. The findings of this study highlight the need to broaden the scope of water-related AMR concerns beyond water, sanitation, and hygiene (WASH) infrastructure for water supply and wastewater treatment, and account for environmental waters in AMR development and dissemination, particularly in low-income countries where half a billion people rely on environmental waters to meet daily needs. Equitably accounting for water environments, supplies, and waste in AMR prevention, mitigation, surveillance, and innovation can significantly enhance the integration of environmental objectives in One Health AMR stewardship.
    Keyword antimicrobial resistance (AMR)
    one health
    environmental health
    water stewardship
    integrated water resource management (IWRM)
    water; sanitation and hygiene (WASH)
    Copyright Holder The Authors
    Copyright Year 2022
    Copyright type Creative commons
    DOI 10.3390/antibiotics11010063
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    Created: Thu, 03 Feb 2022, 05:50:31 JST by Zeineb Bouhlel on behalf of UNU INWEH