Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action
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 globa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Antibiotics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-6382/11/1/63 |
| _version_ | 1797496288880623616 |
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| author | Rachel A. Kaiser Lina Taing Himesh Bhatia |
| author_facet | Rachel A. Kaiser Lina Taing Himesh Bhatia |
| author_sort | Rachel A. Kaiser |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T03:01:33Z |
| format | Article |
| id | doaj.art-2f9a1ea3dbeb4bd9930f11902c46caec |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T03:01:33Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-2f9a1ea3dbeb4bd9930f11902c46caec2023-11-23T12:44:14ZengMDPI AGAntibiotics2079-63822022-01-011116310.3390/antibiotics11010063Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National ActionRachel A. Kaiser0Lina Taing1Himesh Bhatia2School of Environmental Studies, College of Interdisciplinary Studies, Tennessee Technological University, 1 William L Jones Drive, Cookeville, TN 38505, USAUnited Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, CanadaUnited Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, CanadaAntimicrobial 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.https://www.mdpi.com/2079-6382/11/1/63antimicrobial resistance (AMR)one healthenvironmental healthwater stewardshipintegrated water resource management (IWRM)water |
| spellingShingle | Rachel A. Kaiser Lina Taing Himesh Bhatia Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action Antibiotics antimicrobial resistance (AMR) one health environmental health water stewardship integrated water resource management (IWRM) water |
| title | Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action |
| title_full | Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action |
| title_fullStr | Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action |
| title_full_unstemmed | Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action |
| title_short | Antimicrobial Resistance and Environmental Health: A Water Stewardship Framework for Global and National Action |
| title_sort | antimicrobial resistance and environmental health a water stewardship framework for global and national action |
| topic | antimicrobial resistance (AMR) one health environmental health water stewardship integrated water resource management (IWRM) water |
| url | https://www.mdpi.com/2079-6382/11/1/63 |
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