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Alotaibi G. Prevalence, pandemic, preventions and policies to overcome antimicrobial resistance. Saudi J Biol Sci 2024; 31:104032. [PMID: 38854892 PMCID: PMC11157277 DOI: 10.1016/j.sjbs.2024.104032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2024] [Revised: 05/22/2024] [Accepted: 05/25/2024] [Indexed: 06/11/2024] Open
Abstract
Antimicrobial resistance (AMR) is a growing concern in Asia, and it is essential to understand the prevalence, pandemic, prevention, and policies to overcome it. According to the World Health Organization (WHO), AMR is one of the main causes of death; in 2019, it was linked to 4.95 million fatalities and caused about 1.27 million deaths. A core package of actions has been provided by WHO to help countries prioritize their needs when creating, carrying out, and overseeing national action plans on antimicrobial resistance. Using a people-cantered approach to AMR, the interventions address the needs and obstacles that individuals and patients encounter when trying to obtain healthcare. The people-cantered core package of AMR treatments seeks to improve public and policymakers; awareness and comprehension of AMR by changing the narrative of AMR to emphasize the needs of people and systemic impairments. Additionally, it backs a more comprehensive and programmatic national response to AMR, which emphasizes the value of fair and inexpensive access to high-quality healthcare services for the avoidance, identification, and management of drug-resistant diseases. The report signals increasing resistance to antibiotics in bacterial infections in humans and the need for better data. In conclusion, the prevalence of AMR in Asia is a significant public health concern, and it is crucial to implement policies and interventions to overcome it.
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Affiliation(s)
- Ghallab Alotaibi
- Department of Pharmacology, College of Pharmacy, Shaqra University, Riyadh 11961, Saudi Arabia
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Bajwa M, Afzal S, Sheikh SA, Saleem Z. Drug Inspector as an antibiotic Steward: challenges and recommendations to implement national action plan of Pakistan on antimicrobial resistance. Expert Rev Anti Infect Ther 2024. [PMID: 38872588 DOI: 10.1080/14787210.2024.2368825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 06/03/2024] [Indexed: 06/15/2024]
Abstract
BACKGROUND Despite significant measures, low- and middle-income countries (LMICs), including Pakistan, struggle to curtail non-prescription antibiotic sales, enforce regulations, and implement National Action Plan (NAP) against antimicrobial resistance (AMR). NAP Pakistan entails drug inspectors (DIs) to ensure prescription-based sales of antibiotics. This study seeks to understand the perspective of DIs regarding antimicrobial sales without prescription, underlying factors, and policy implementation status. METHODS A qualitative study employing a semi-structured interview guide using in-depth interviews with purposively selected 17 DIs was conducted. Interviews were transcribed verbatim, and data were analyzed following a thematic analysis framework utilizing MAXQDA 2022 software. RESULTS Five main themes emerged after data analysis: (1) drug inspector - the regulator of the antimicrobial armamentarium, (2) the policy context, (3) awareness regarding AMR, (4) barriers to combatting AMR, and (5) the way forward: strategies and recommendations. CONCLUSION A weak regulatory framework, low level of awareness, quackery, vested interests, and socio-economic factors augment inappropriate antibiotic utilization. Opting for better policies and strengthening the DI fraternity as outlined in NAP Pakistan is recommended. Recognizing drug inspectors as effective surveilling units and mobilizing field force against irrational antibiotic utilization is the need of the hour and requires policy reformation.
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Affiliation(s)
- Mishal Bajwa
- Department of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan
| | - Shairyar Afzal
- Department of Pharmacy Practice, Faculty of Pharmacy, Hamdard University, Pakistan
- Department of Pharmacy, DHQ Hospital Jhelum, Jhelum, Pakistan
| | - Sadaf Areej Sheikh
- Department of Pharmacology and Toxicology, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
| | - Zikria Saleem
- Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Punjab, Pakistan
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3
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Wu X, Nawaz S, Li Y, Zhang H. Environmental health hazards of untreated livestock wastewater: potential risks and future perspectives. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:24745-24767. [PMID: 38499926 DOI: 10.1007/s11356-024-32853-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 03/07/2024] [Indexed: 03/20/2024]
Abstract
Due to technological and economic limitations, waste products such as sewage and manure generated in livestock farming lack comprehensive scientific and centralized treatment. This leads to the exposure of various contaminants in livestock wastewater, posing potential risks to both the ecological environment and human health. This review evaluates the environmental and physical health risks posed by common pollutants in livestock wastewater and outlines future treatment methods to mitigate these risks. Residual wastes in livestock wastewater, including pathogenic bacteria and parasites surviving after epidemics or diseases on various farms, along with antibiotics, organic wastes, and heavy metals from farming activities, contribute to environmental damage and pose risks to human health. As the livestock industry's development increasingly impacts society's future negatively, addressing the issue of residual wastes in livestock wastewater discharge becomes imperative. Ongoing advancements in wastewater treatment systems are consistently updating and refining practices to effectively minimize waste exposure at the discharge source, mitigating risks to environmental ecology and human health. This review not only summarizes the "potential risks of livestock wastewater" but also explores "the prospects for the development of wastewater treatment technologies" based on current reports. It offers valuable insights to support the long-term and healthy development of the livestock industry and contribute to the sustainable development of the ecological environment.
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Affiliation(s)
- Xiaomei Wu
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, 510642, China
| | - Shah Nawaz
- Department of Anatomy, Faculty of Veterinary Science, University of Agriculture, Faisalabad, Pakistan
| | - Ying Li
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, 510642, China
| | - Hui Zhang
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, 510642, China.
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Chua AQ, Verma M, Azupardo K, Lota MM, Hsu LY, Legido-Quigley H. A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore. Antibiotics (Basel) 2023; 12:1322. [PMID: 37627742 PMCID: PMC10451339 DOI: 10.3390/antibiotics12081322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 08/13/2023] [Accepted: 08/14/2023] [Indexed: 08/27/2023] Open
Abstract
The global public health threat of antimicrobial resistance (AMR) has been accelerated by many interrelated factors spanning across One Health-human health, animal health, and the environment. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in November 2017 with the aim of tackling the growing threat of AMR in Singapore through coordinated approaches. However, little is known about the policy process and development of the NSAP in Singapore. In this study, we analysed these aspects using an AMR governance framework. In-depth interviews were conducted with 20 participants across the One Health spectrum. The interviews were transcribed verbatim and analysed thematically. Areas that were well executed included (1) good coordination across various agencies, (2) a dedicated office to coordinate the work on the NSAP, and (3) a high level of governmental support. Areas that were lacking included (1) a lack of participation from certain sectors, (2) insufficient awareness around the AMR issue, (3) constraints in information sharing, and (4) a lack of ideal indicators to track the progress in addressing AMR. Improvements in these areas will provide a more holistic One Health engagement in support of the effective planning and implementation of the NSAP.
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Affiliation(s)
- Alvin Qijia Chua
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
| | - Monica Verma
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
| | - Karen Azupardo
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, Manila 1000, Philippines; (K.A.); (M.M.L.)
| | - Maria Margarita Lota
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, Manila 1000, Philippines; (K.A.); (M.M.L.)
| | - Li Yang Hsu
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
| | - Helena Legido-Quigley
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
- The George Institute for Global Health UK, Imperial College London, 80 Wood Lane White City, London W12 0BZ, UK
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Chua AQ, Verma M, Villanueva SYA, Roxas E, Hsu LY, Legido-Quigley H. A Qualitative Study on the Implementation of the National Action Plan on Antimicrobial Resistance in Singapore. Antibiotics (Basel) 2023; 12:1258. [PMID: 37627680 PMCID: PMC10451196 DOI: 10.3390/antibiotics12081258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 07/26/2023] [Accepted: 07/27/2023] [Indexed: 08/27/2023] Open
Abstract
Antimicrobial resistance (AMR) is a global public health threat that affects humans, animals, and the environment across the One Health spectrum. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in 2017 with the aim of tackling the growing threat of AMR in Singapore through coordinated approaches. However, little is known about the implementation of the NSAP. In this study, we analysed the implementation of the NSAP with guidance from an AMR governance framework. We conducted in-depth interviews with 20 participants across the One Health spectrum. The interviews were transcribed verbatim and analysed thematically. Overall, the implementation of activities against AMR was more advanced with respect to human health compared to other sectors such as (1) AMR and antimicrobial use (AMU) surveillance systems in hospitals; (2) the hospital antimicrobial stewardship (AMS) service and legislation to optimise AMU; (3) the national children and adults vaccination programme for IPC; (4) multiple avenues for education and awareness for both professionals and public; and (5) extensive research and collaboration networks with many sources of funding. Areas that were lacking presented problems including (1) an incomplete surveillance system for AMR and AMU across all sectors; (2) the need for better AMS and legislation in some sectors; (3) insufficient innovation in education for sustained behavioural modification; and (4) the need for more open research collaborations and the translation of research into policy outcomes. Improvements in these areas will enhance the overall implementation of the NSAP through a more holistic One Health approach.
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Affiliation(s)
- Alvin Qijia Chua
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
| | - Monica Verma
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
| | | | - Evalyn Roxas
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Manila 1000, Philippines; (S.Y.A.V.); (E.R.)
| | - Li Yang Hsu
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
| | - Helena Legido-Quigley
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (M.V.); (L.Y.H.); (H.L.-Q.)
- The George Institute for Global Health UK, Imperial College London, 80 Wood Lane White City, London W12 0BZ, UK
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Lota MMM, Chua AQ, Azupardo K, Lumangaya C, Reyes KAV, Villanueva SYAM, Legido-Quigley H, Roxas EA. A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines. Antibiotics (Basel) 2022; 11:antibiotics11060820. [PMID: 35740226 PMCID: PMC9220349 DOI: 10.3390/antibiotics11060820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 06/13/2022] [Accepted: 06/14/2022] [Indexed: 11/26/2022] Open
Abstract
Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies.
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Affiliation(s)
- Maria Margarita M. Lota
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St., Ermita, Manila 1000, Philippines; (K.A.); (C.L.); (S.Y.A.M.V.); (E.A.R.)
- Correspondence:
| | - Alvin Qijia Chua
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (A.Q.C.); (H.L.-Q.)
| | - Karen Azupardo
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St., Ermita, Manila 1000, Philippines; (K.A.); (C.L.); (S.Y.A.M.V.); (E.A.R.)
| | - Carlo Lumangaya
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St., Ermita, Manila 1000, Philippines; (K.A.); (C.L.); (S.Y.A.M.V.); (E.A.R.)
| | - Katherine Ann V. Reyes
- Alliance for Improving Health Outcomes, Inc., 62 West Avenue, Quezon City 1104, Philippines;
| | - Sharon Yvette Angelina M. Villanueva
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St., Ermita, Manila 1000, Philippines; (K.A.); (C.L.); (S.Y.A.M.V.); (E.A.R.)
| | - Helena Legido-Quigley
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (A.Q.C.); (H.L.-Q.)
| | - Evalyn A. Roxas
- College of Public Health, University of the Philippines Manila, 625 Pedro Gil St., Ermita, Manila 1000, Philippines; (K.A.); (C.L.); (S.Y.A.M.V.); (E.A.R.)
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Song M, Deng Z, Chan O, Grépin KA. Understanding the Implementation of Antimicrobial Policies: Lessons from the Hong Kong Strategy and Action Plan. Antibiotics (Basel) 2022; 11:antibiotics11050636. [PMID: 35625280 PMCID: PMC9138146 DOI: 10.3390/antibiotics11050636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 04/30/2022] [Accepted: 05/06/2022] [Indexed: 01/27/2023] Open
Abstract
In 2017, the Hong Kong Strategy and Action Plan on Antimicrobial Resistance 2017–2022 (HKSAP) was announced with the aim of tackling the growing threat of antimicrobial resistance (AMR) in Hong Kong. However, little is known about how the planned activities have been implemented. In this study, we examine the status of implementation of the HKSAP using the Smith Policy Implementation Process Model. Semi-structured interviews with 17 informants found that important achievements have been made, including launching educational and training activities targeting the public, farmers, and healthcare professionals; upgrading the AMR surveillance system; and strengthening AMR stewardship and infection control. Nevertheless, participants also identified barriers to greater implementation, such as tensions across sectors, ongoing inappropriate drug use and prescription habits, insufficient human and technical resources, as well as a weak accountability framework. Environmental factors such as the COVID-19 pandemic also affected the implementation of HKSAP. Our study indicated that expanding engagement with the public and professionals, creating a collaborative environment for policy implementation, and building a well-functioning monitoring and evaluation system should be areas to focus on in future AMR policies.
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Understanding Antimicrobial Resistance from the Perspective of Public Policy: A Multinational Knowledge, Attitude, and Perception Survey to Determine Global Awareness. Antibiotics (Basel) 2021; 10:antibiotics10121486. [PMID: 34943698 PMCID: PMC8698787 DOI: 10.3390/antibiotics10121486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 11/30/2021] [Accepted: 12/02/2021] [Indexed: 01/08/2023] Open
Abstract
Minimizing the effect of antimicrobial resistance (AMR) requires an adequate policy response that relies on good governance and coordination. This study aims to have a better comprehension of how AMR is understood and perceived by policy-makers and stakeholders in a multinational context. A digital survey was designed to capture the knowledge, attitudes, and perceptions (KAP) towards AMR, and it was distributed to politicians, policy advisors, and stakeholders. A total of 351 individuals from 15 different countries participated, 80% from high-income countries (HICs) and 20% from low- and middle-income countries (LMICs). The Netherlands, Spain, and Myanmar were the top 3 represented countries. Participants had sufficient knowledge regarding AMR and reported the importance of political willingness to tackle AMR. Overall, LMIC participants demonstrated better knowledge of AMR but showed poor perception and attitude towards antimicrobial use compared to HIC participants. In addition, level of education and field of expertise were significantly associated with knowledge, perception, and practices regardless of demographic characteristics. Inter-regional differences in KAP regarding AMR exist among politicians, policy advisors, and relevant stakeholders. This study captures multinational policy-maker and stakeholder mapping that can be used to propose further policy implementation on various governance levels.
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Lim JM, Duong MC, Cook AR, Hsu LY, Tam CC. Public knowledge, attitudes and practices related to antibiotic use and resistance in Singapore: a cross-sectional population survey. BMJ Open 2021; 11:e048157. [PMID: 34518255 PMCID: PMC8438872 DOI: 10.1136/bmjopen-2020-048157] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES The WHO's Global Action Plan on Antimicrobial Resistance (AMR) includes increasing overall public awareness of appropriate antibiotic use and resistance as a key priority area. We aimed to measure public knowledge, attitudes and practices of antibiotics and antibiotic resistance in Singapore, as well as their healthcare-seeking behaviours relating to respiratory illnesses, providing baseline data against which to measure the progress of future interventions. DESIGN A cross-sectional study. SETTING The general population in Singapore. PARTICIPANTS Between May and June 2019, we conducted a survey via an online panel in Singapore with 706 respondents. RESULTS Our findings indicated common misconceptions surrounding antibiotic effectiveness and mechanisms of antibiotic resistance-most participants thought that resistance occurs when our bodies become resistant to antibiotics (62.5%) or when antibiotics become less powerful (48.5%). In multivariable analyses, better knowledge scores were associated with more favourable antibiotic attitudes (β=0.29; 95% CI 0.20 to 0.37). In addition, more favourable attitude scores were associated with lower odds of both expecting (OR: 0.84, 95% CI 0.72 to 0.99) and being prescribed antibiotics by a primary care doctor (OR: 0.76, 95% CI 0.63 to 0.90). CONCLUSIONS This study presents important information about population perceptions towards antibiotics and antibiotic resistance in Singapore. Results from this study emphasise the importance of effective public communication strategies to promote responsible antibiotic use locally and should be used to inform future implementation of programmes and activities as laid out in Singapore's National Strategic Action Plan on AMR.
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Affiliation(s)
- Jane M Lim
- National University Singapore Saw Swee Hock School of Public Health, Singapore
- National University Health System, Singapore
| | - Minh Cam Duong
- National University Singapore Saw Swee Hock School of Public Health, Singapore
- National University Health System, Singapore
| | - Alex R Cook
- National University Singapore Saw Swee Hock School of Public Health, Singapore
- National University Health System, Singapore
| | - Li Yang Hsu
- National University Singapore Saw Swee Hock School of Public Health, Singapore
- National University Health System, Singapore
| | - Clarence C Tam
- National University Singapore Saw Swee Hock School of Public Health, Singapore
- National University Health System, Singapore
- London School of Hygiene & Tropical Medicine, London, UK
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Frumence G, Mboera LEG, Katale BZ, Sindato C, Kimera S, Durrance-Bagale A, Mshana SE, Clark TG, Rweyemamu MM, Legido-Quigley H, Matee M. Policy actors and human and animal health practitioners' perceptions of antimicrobial use and resistance in Tanzania: A qualitative study. J Glob Antimicrob Resist 2021; 25:40-47. [PMID: 33662643 PMCID: PMC8213539 DOI: 10.1016/j.jgar.2021.02.027] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 02/10/2021] [Accepted: 02/22/2021] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE To explore and describe the perceptions of policy actors and practitioners on antimicrobial use and resistance in human and animal health in Tanzania. METHODS This was an exploratory qualitative study, which involved semi-structured interviews with nine policy makers and 102 practitioners. RESULTS Improved multisectoral collaboration and coordination among experts from the animal and human sectors, government will, improved infrastructures, existence of public awareness campaigns on appropriate use of antimicrobials and existence of antimicrobial stewardship were identified as strengths for the implementation of National Action Plan on Antimicrobial Resistance (NAP-AMR) in Tanzania. Despite these strengths, insufficient public awareness of AMR, limited community engagement and inadequate human resources were among the reported weaknesses. A number of opportunities for the implementation of NAP-AMR were also reported including the presence of integrated disease surveillance and response strategy in health sector and development of a coordinated surveillance system. Furthermore, the inadequate laboratory capacity and poor resource mobilization were identified as challenges facing the implementation of NAP-AMR. CONCLUSION The future policies of AMR need to capitalize on the identified strengths and opportunities as well as design interventions to improve public awareness of AMR and community engagement, deployment of adequate human resources and ensure adequate resource mobilization to meet AMR needs.
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Affiliation(s)
- Gasto Frumence
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania.
| | - Leonard E G Mboera
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Bugwesa Z Katale
- Tanzania Commission for Science and Technology, Dar es Salaam, Tanzania
| | - Calvin Sindato
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; National Institute for Medical Research, Tabora Research Centre, Tabora, Tanzania
| | - Sharadhuli Kimera
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; Sokoine University of Agriculture, Morogoro, Tanzania
| | | | - Stephen E Mshana
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; Catholic University of Health and Allied Sciences, Mwanza, Tanzania
| | - Taane G Clark
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Mark M Rweyemamu
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | | | - Mecky Matee
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania
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Anh HQ, Le TPQ, Da Le N, Lu XX, Duong TT, Garnier J, Rochelle-Newall E, Zhang S, Oh NH, Oeurng C, Ekkawatpanit C, Nguyen TD, Nguyen QT, Nguyen TD, Nguyen TN, Tran TL, Kunisue T, Tanoue R, Takahashi S, Minh TB, Le HT, Pham TNM, Nguyen TAH. Antibiotics in surface water of East and Southeast Asian countries: A focused review on contamination status, pollution sources, potential risks, and future perspectives. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 764:142865. [PMID: 33097262 DOI: 10.1016/j.scitotenv.2020.142865] [Citation(s) in RCA: 133] [Impact Index Per Article: 44.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 09/26/2020] [Accepted: 10/03/2020] [Indexed: 05/11/2023]
Abstract
This review provides focused insights into the contamination status, sources, and ecological risks associated with multiple classes of antibiotics in surface water from the East and Southeast Asia based on publications over the period 2007 to 2020. Antibiotics are ubiquitous in surface water of these countries with concentrations ranging from <1 ng/L to hundreds μg/L and median values from 10 to 100 ng/L. Wider ranges and higher maximum concentrations of certain antibiotics were found in surface water of the East Asian countries like China and South Korea than in the Southeast Asian nations. Environmental behavior and fate of antibiotics in surface water is discussed. The reviewed occurrence of antibiotics in their sources suggests that effluent from wastewater treatment plants, wastewater from aquaculture and livestock production activities, and untreated urban sewage are principal sources of antibiotics in surface water. Ecological risks associated with antibiotic residues were estimated for aquatic organisms and the prevalence of antibiotic resistance genes and antibiotic-resistant bacteria were reviewed. Such findings underline the need for synergistic efforts from scientists, engineers, policy makers, government managers, entrepreneurs, and communities to manage and reduce the burden of antibiotics and antibiotic resistance in water bodies of East and Southeast Asian countries.
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Affiliation(s)
- Hoang Quoc Anh
- University of Science, Vietnam National University, 334 Nguyen Trai, Thanh Xuan, Hanoi 10000, Viet Nam; Center of Advanced Technology for the Environment (CATE), Graduate School of Agriculture, Ehime University, 3-5-7 Tarumi, Matsuyama 790-8566, Japan.
| | - Thi Phuong Quynh Le
- Laboratory of Environmental Chemistry, Institute of Natural Products Chemistry, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam; Graduate University of Science and Technology, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam.
| | - Nhu Da Le
- Laboratory of Environmental Chemistry, Institute of Natural Products Chemistry, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam
| | - Xi Xi Lu
- Department of Geography, National University of Singapore, Arts Link 1, Singapore 117570, Singapore
| | - Thi Thuy Duong
- Institute of Environmental Technology, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam
| | - Josette Garnier
- Sorbonne University, UMR Metis 7619, 4th floor, Tour 56, 4 Place Jussieu, Paris 75005, France
| | - Emma Rochelle-Newall
- Institute of Ecology and Environmental Sciences of Paris (iEES-Paris), Sorbonne Université, Université Paris-Est Créteil, IRD, CNRS, INRA, Paris, France
| | - Shurong Zhang
- College of Water Sciences, Beijing Normal University, 19 Xinjiekouwai St., Beijing 100875, China
| | - Neung-Hwan Oh
- Graduate School of Environmental Studies, Seoul National University, Seoul 08826, Republic of Korea
| | - Chantha Oeurng
- Institute of Technology of Cambodia, Russian Conference Blvd., Phnom Penh, Cambodia
| | - Chaiwat Ekkawatpanit
- Civil Engineering Department, King Mongkut's University of Technology Thonburi (KMUTT), 126 Pracha Uthit Rd., Thon Buri, Bangkok 10140, Thailand
| | - Tien Dat Nguyen
- Center for Research and Technology Transfer, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam
| | - Quang Trung Nguyen
- Center for Research and Technology Transfer, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam
| | - Tran Dung Nguyen
- Institute of Environmental Technology, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Cau Giay, Hanoi 10000, Viet Nam
| | - Trong Nghia Nguyen
- Faculty of Chemical Technology and Environment, Hung Yen University of Technology and Education, Khoai Chau, Hung Yen 17000, Viet Nam
| | - Thi Lieu Tran
- Viet Nam National Institute of Occupational Safety and Health (VNNIOSH), 99 Tran Quoc Toan, Hoan Kiem, Hanoi 10000, Viet Nam
| | - Tatsuya Kunisue
- Center for Marine Environmental Studies (CMES), Ehime University, 2-5 Bunkyo-cho, Matsuyama 790-8577, Japan
| | - Rumi Tanoue
- Center for Marine Environmental Studies (CMES), Ehime University, 2-5 Bunkyo-cho, Matsuyama 790-8577, Japan
| | - Shin Takahashi
- Center of Advanced Technology for the Environment (CATE), Graduate School of Agriculture, Ehime University, 3-5-7 Tarumi, Matsuyama 790-8566, Japan; Center for Marine Environmental Studies (CMES), Ehime University, 2-5 Bunkyo-cho, Matsuyama 790-8577, Japan
| | - Tu Binh Minh
- University of Science, Vietnam National University, 334 Nguyen Trai, Thanh Xuan, Hanoi 10000, Viet Nam
| | - Huu Tuyen Le
- University of Science, Vietnam National University, 334 Nguyen Trai, Thanh Xuan, Hanoi 10000, Viet Nam
| | - Thi Ngoc Mai Pham
- University of Science, Vietnam National University, 334 Nguyen Trai, Thanh Xuan, Hanoi 10000, Viet Nam
| | - Thi Anh Huong Nguyen
- University of Science, Vietnam National University, 334 Nguyen Trai, Thanh Xuan, Hanoi 10000, Viet Nam
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Lonsdale DO, Lipman J. Antimicrobial Resistance: We Must Pursue a Collaborative, Global Approach and Use a "One Health" Approach. Antibiotics (Basel) 2019; 8:antibiotics8040237. [PMID: 31783648 PMCID: PMC6963947 DOI: 10.3390/antibiotics8040237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 11/25/2019] [Indexed: 02/01/2023] Open
Affiliation(s)
- Dagan O Lonsdale
- Department of Intensive Care Medicine, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UK;
- Department of Clinical Pharmacology and Therapeutics, St George’s, University of London, London SW17 0RE, UK
| | - Jeffrey Lipman
- Royal Brisbane and Womens’ Hospital, University of Queensland, Brisbane 4029, Australia
- Nimes University Hospital, University of Montpellier, 30029 Nimes, France
- Correspondence: ; Tel.: +61-7-3636-8897; Fax: +61-7-3636-3542
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