A Rapid Review of Environmental Health Gaps in Antimicrobial Resistance and Water-Related Research from 1990–2020

Lina Taing, Himesh Bhatia, Rachel A. Kaiser, Manzoor Qadir and Hamid Mehmood
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Lina Taing: United Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada
Himesh Bhatia: United Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada
Rachel A. Kaiser: United Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada
Manzoor Qadir: United Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada
Hamid Mehmood: United Nations University Institute for Water, Environment and Health (UNU-INWEH), 204-175 Longwood Rd. S, Hamilton, ON L8P 0A1, Canada

IJERPH, 2022, vol. 19, issue 11, 1-18

Abstract: Antimicrobial resistance (AMR) is a pervasive global health threat linked to human antimicrobial misuse and abuse, food production, and broader environmental contamination. While global agencies promote a multi-sectoral One Health system approach to equitably combat human, animal, and environmental health AMR risks, it is widely acknowledged that the human and animal sectors dominate discussions. Given this disproportionate focus, identification of critical research gaps is needed to develop stewardship plans that equitably address One Health AMR threats. This review used natural language processing and term frequency algorithms to classify 12,638 records from 1990–2020 thematically in order to highlight sectoral prioritization and gaps. It also specifically assessed water-related gaps as water is recognized as both a primary environmental dissemination pathway and key means of intervention. Drawing from systemic health and integrated water management lenses, this review found that themes related to plant, wildlife, and environmental-related AMR threats—in particular, the role that environmental (ambient) waters play in AMR development, transmission, and spread—are under-prioritized as compared to human and food animal health concerns regardless of geographic region or income level. Further prioritization of these themes is needed to strengthen the environmental dimension of One Health AMR responses and systemically protect global health.

Keywords: antimicrobial resistance (AMR); One Health; food security; water security; water, sanitation, and hygiene (WASH) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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