Making waves: How does the emergence of antimicrobial resistance affect policymaking?

•Antimicrobial resistance (AMR) represents a growing threat to global health.•Precautionary indicators for effective surveillance of AMR should be defined.•Scientific leadership is essential to advise policymakers in the water sector. This article considers current trends in antimicrobial resistance...

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Published in:Water research (Oxford) 2021-11, Vol.206, p.117772-117772, Article 117772
Main Authors: Maganha de Almeida Kumlien, Ana Carolina, González-Villalobos, Edgar, Balcázar, José L.
Format: Article
Language:English
Subjects:
Amr surveillance
Microbial indicators
Precautionary approach
Regulation
Water sector
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description •Antimicrobial resistance (AMR) represents a growing threat to global health.•Precautionary indicators for effective surveillance of AMR should be defined.•Scientific leadership is essential to advise policymakers in the water sector. This article considers current trends in antimicrobial resistance (AMR) research and knowledge gaps relevant to policymaking in the water sector. Specifically, biological indicators of AMR (antibiotic-resistant bacteria and their resistance genes) and detection methods that have been used so far are identified and discussed, as well as the problems with and solutions to the collection of AMR data, sewage surveillance lessons from the COVID-19 pandemic, and the financial burden caused by AMR, which could be synergically used to improve advocacy on AMR issues in the water sector. Finally, this article proposes solutions to overcoming existing hurdles and shortening the time it will take to have an impact on policymaking and regulation in the sector. [Display omitted]
doi_str_mv 10.1016/j.watres.2021.117772
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subjects Amr surveillance
Microbial indicators
Precautionary approach
Regulation
Water sector
title Making waves: How does the emergence of antimicrobial resistance affect policymaking?
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