scholarly journals Antibiotic Resistance: One Health One World Outlook

Author(s):  
Bilal Aslam ◽  
Mohsin Khurshid ◽  
Muhammad Imran Arshad ◽  
Saima Muzammil ◽  
Maria Rasool ◽  
...  

Antibiotic resistance (ABR) is a growing public health concern worldwide, and it is now regarded as a critical One Health issue. One Health’s interconnected domains contribute to the emergence, evolution, and spread of antibiotic-resistant microorganisms on a local and global scale, which is a significant risk factor for global health. The persistence and spread of resistant microbial species, and the association of determinants at the human-animal-environment interface can alter microbial genomes, resulting in resistant superbugs in various niches. ABR is motivated by a well-established link between three domains: human, animal, and environmental health. As a result, addressing ABR through the One Health approach makes sense. Several countries have implemented national action plans based on the One Health approach to combat antibiotic-resistant microbes, following the Tripartite’s Commitment Food and Agriculture Organization (FAO)-World Organization for Animal Health (OIE)-World Health Organization (WHO) guidelines. The ABR has been identified as a global health concern, and efforts are being made to mitigate this global health threat. To summarize, global interdisciplinary and unified approaches based on One Health principles are required to limit the ABR dissemination cycle, raise awareness and education about antibiotic use, and promote policy, advocacy, and antimicrobial stewardship.

Author(s):  
Gabrielle Laing ◽  
Marco Antonio Natal Vigilato ◽  
Sarah Cleaveland ◽  
S M Thumbi ◽  
Lucille Blumberg ◽  
...  

Abstract The forthcoming World Health Organization road map for neglected tropical diseases (NTDs) 2021–2030 recognises the complexity surrounding control and elimination of these 20 diseases of poverty. It emphasises the need for a paradigm shift from disease-specific interventions to holistic cross-cutting approaches coordinating with adjacent disciplines. The One Health approach exemplifies this shift, extending beyond a conventional model of zoonotic disease control to consider the interactions of human and animal health systems within their shared environment and the wider social and economic context. This approach can also promote sustainability and resilience within these systems. To achieve the global ambition on NTD elimination and control, political will, along with contextualised innovative scientific strategies, is required.


2021 ◽  
Vol 99 (Supplement_3) ◽  
pp. 40-40
Author(s):  
Ed Topp

Abstract The One Health concept specifies that the microbiomes of humans and animals are connected, both through direct contact, and indirectly through the environment. Managing the flow of microorganisms of human or animal health concern across the One Health continuum requires a transdisciplinary approach to address problems at the intersection of people, animals, and their environments. This presentation will use the management of antimicrobial resistance as an example of how a One Health approach can identify and develop solutions to improve the health and wellness of people, animals, and the environment.


2020 ◽  
Vol 1 (1) ◽  
pp. 16-34
Author(s):  
Nur Asheila Abdul Taib ◽  
Razitasham Safii

  According to the World Health Organization (WHO), rabies is one of the 18 neglected tropical diseases, together with dengue, leprosy, and trachoma, among others. Despite being a vaccine-preventable disease, the latest estimate of annual human rabies mortality from a 2015 study is as high as 59,000 throughout 150 countries. In human rabies, more than 95% of the cases are due to dog bites, making the elimination of canine rabies a global priority by fighting the disease at its animal source. World Health Organization (WHO), World Organization for Animal Health (OIE), Food and Agriculture Organization (FAO) of the United Nations, and the Global Alliance for Rabies Control (GARC) have warranted the One Health framework with the objective of complete eradication of dog-related human rabies by the year 2030. In an effort to rationalise the One Health approach, this scoping review found 17 studies on assessing the effectiveness of control interventions of human and canine rabies. Different strategies were implemented based on the endemicity of rabies in a particular country. Overall, the combined strategies using the One Health approach, which allows effective participation and communication between different agencies, have shown promising results in reducing rabies cases. These strategies will hopefully realise the goal in the Global Strategic Plan to achieve zero canine-mediated human rabies death by the year 2030.


2019 ◽  
Author(s):  
Ingeborg Björkman ◽  
Marta Röing ◽  
Jaran Eriksen ◽  
Cecilia Stålsby Lundborg

AbstractObjectiveTo describe how stakeholders at different levels in food animal production in Sweden work to contain antibiotic resistance, with a special focus on poultry production. The stakeholders’ perceptions of antibiotic resistance and awareness of the One Health concept were also studied.MethodsThis is an interview study with thirteen informants. They represent policymakers, trade organisations, and veterinarians and farmers in the poultry industry. Interview transcripts were analysed using content analysis. The analysis continued until a latent theme emerged, and then the content was rearranged in four domains.FindingsA latent theme “Working in unison” emerged, based on the consistency expressed by the informants when they discussed antibiotic resistance, use of antibiotics and food animal production methods. The theme was built on four domains, representing the content of the interviews: Knowledge and engagement; Cooperation; Animal health concept; and Development in balance with economic prerequisites. The work for healthy animals started in Sweden already in the 1920-ies and continued step by step in cooperation and with support from the government. In 1986 Sweden became the first country to ban antibiotics for growth promotion. Veterinarians were considered important drivers of processes by spreading knowledge and working close to the farmers. Farmers felt involved in the development of production methods. The One Health concept was well known among stakeholders working at national level but not among veterinarians in production or farmers.ConclusionsSweden has come far in work to contain antibiotic resistance in the animal sector by practicing restrictive use of antibiotics in food animal production. This practise is based on a long tradition of cooperation among stakeholders, from policymakers to farmers, and with a primary focus on animal health and welfare.


2021 ◽  
pp. 133-136
Author(s):  
Sonali Dash ◽  
Adya Prakash Rath

One health concept and perspectives have gained momentum in past few years in global health sector. Keeping in view the increased popularity of “one health” American Veterinary & Medical Association has defined it as the emerging interdisciplinary field that inherently collaborates human, animal and environmental aspects to combat emerging global health problems especially related to zoonotic public health emergencies. According to key findings of “One Health Networks (OHNs)” environmental factor is the most neglected part of one health triad that consists of human-animal-environment interface. Currently, human and animal health has been constantly threatened by rise of novel challenges like antimicrobial resistance, environmental pollution, epizootics, pandemics, development of multifactorial chronic ailments etc which needs an interdisciplinary and intersectoral expertise. Ecosystem heath and its adverse effects on human and animal health have gained greatest attention over recent years as it serves as melting pot for all infectious diseases. Despite of achieving global success in the field of “One health” it is still in embryonic stage in our country. So, the success of one health requires breaking down the shackles that still separate human and veterinary medicine from environmental, evolutionary and ecological sciences that will ultimately lead to desired equilibrium and dynamics in maintaining healthy ecosystems.


2021 ◽  
Vol 80 (3) ◽  
Author(s):  
Maria Belen Sathicq ◽  
Tomasa Sbaffi ◽  
Giulia Borgomaneiro ◽  
Andrea Di Cesare ◽  
Raffaella Sabatino

The World Health Organization considers antibiotic resistance as one of the main threats to human and other animals' health. Despite the measures used to limit the spread of antibiotic resistance, the efforts made are not enough to tackle this problem. Thus, it has become important to understand how bacteria acquire and transmit antibiotic resistant genes (ARGs), in particular in the environment, given the close connection between the latter and human and animal health, as defined by the One-Health concept. Aquatic ecosystems are often strongly impacted by anthropogenic activities, making them a source for ARGs and antibiotic resistant bacteria (ARB). Although freshwater meiofauna have been the object of active research, few studies have focused on the relationship between the spread of antibiotic resistance and these organisms. In this review, we investigated freshwater meiofauna as carriers of resistances since they play a central role in the aquatic environments and can harbor human and animal potential pathogens. We assessed if these animals could contribute to the spread of ARGs and of potentially pathogenic bacteria. Only four taxa (Rotifera, Chironomidae, Cladocera, Copepoda) were found to be the subject of studies focused on antibiotic resistance. The studies we analyzed, although with some limitations, demonstrated that ARGs and ARB can be found in these animals, and several of them showed the presence of potentially pathogenic bacteria for humans and animals within their microbiome. Thus, meiofauna can be considered a source and a reservoir, even if neglected, of ARGs and ARB for the freshwater environments. However, further studies are needed to evaluate the impact of the meiofauna on the spread and persistence of antibiotic resistance in these ecosystems.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Richard D. Suu-Ire ◽  
Evangeline Obodai ◽  
J. H. Kofi Bonney ◽  
Samuel O. Bel-Nono ◽  
William Ampofo ◽  
...  

Zoonotic diseases have devastating impacts on human and animal health, livelihoods, and economies. Addressing the complex web of interrelated factors leading to zoonotic disease emergence and spread requires a transdisciplinary, cross-sectoral approach, One Health. The One Health approach, which considers the linkages between the health of people, animals, and their shared environment, presents opportunities to reduce these impacts through a more holistic coordinated strategy to understanding and mitigating disease risks. Understanding the linkages between animal, human, and environmental health risks and outcomes is critical for developing early detection systems and risk reduction strategies to address known and novel zoonotic disease threats. Nearly 70 countries across the world, including Ghana, have signed on to the Global Health Security Agenda (GHSA), which is facilitating multisectoral approaches to strengthen country capacities in the prevention and early detection of and respond to infectious disease threats. Currently, Ghana has not yet formalized a national One Health policy. The lack of a clearly defined multisectoral platform and limited collaboration among key Ghanaian Ministries, Departments, and Agencies has impacted the country’s ability to effectively mitigate and respond to emerging and reemerging zoonoses. Many of these emerging zoonoses are caused by viruses, which, because of their diversity and evolutionary properties, are perceived to pose the greatest threat to global health security. Here, we review viral zoonoses of national importance and priority in Ghana, highlight recent advancements in One Health capacities, and discuss opportunities for implementing One Health approaches to mitigate zoonotic disease threats.


Author(s):  
Serap Süzük Yıldız ◽  
Bunu Kaskatepe ◽  
Özlem Ünaldı ◽  
Hüsniye Şimşek ◽  
Zeynep Ceren Karahan ◽  
...  

Objective: Antibiotic resistance is one of the most significant problems of human-animal and environmental ecosystems. It is crucial to establish integrated surveillance systems and monitor resistance for the management of antibiotic resistance. Standardization of antibiotic resistance data obtained from various disciplines is the critical point in enhancing the data quality. To realize this objective, a common antibiotic susceptibility testing training program was prepared and performed for professionals from various disciplines to standardize the resistance data to be obtained from the human, animal, and environmental sectors in our country. Method: A total of 48 individuals participated in a five-day training program in three terms. In each period, four small groups, each consisting of four people from a group of different professions, were generated. Participants were trained on quality control, phenotypic tests, genotypic tests, and the use of resistance data in antibiotic susceptibility testing. Pre-test and post-tests were applied to the participants. Results: Individuals with a postgraduate degree who studied antibiotic susceptibility testing in the fields of medicine, veterinary medicine, pharmacy, food, and environment participated in the training. The average number of correct answers in the pre-test and post-test increased from 4.8 to 10.5 in April, from 4 to 9 in June and from 3.4 to 8.5 in September. They studied phenotypic and genotypic tests in the supplied isolates under the supervision of the educators. Conclusion: We presume that dissemination of the training at graduate and postgraduate levels will also enable the One-Health approach to become widespread. In addition, worldwide application of similar trainings will help standardization of resistance data, as well as one health approach.


2021 ◽  
Author(s):  
S M Nazmuz Sakib

A considerable rise in the spread of infectious agents has been documented during the last decade. With the expansion and appearance of zoonoses, epizootics, and epidemics, the threat of pandemics has grown increasingly serious (Destoumieux-Garzón et al., 2018). Antimicrobial resistance, pollution, and the emergence of multifactorial and chronic illnesses have all posed a danger to human and animal health. This brought attention to the growing globalization of health hazards, as well as the role of the human–animal–ecosystem interaction in pathogen development and emergence (Destoumieux-Garzón et al., 2018).In response to trends observed in the recent past a thorough interpretation of disease dynamics and to drive public policy, a deeper understanding of the causes and effects of particular human activities, lifestyles, and behaviors in ecosystems is critical. Health security, as a global benefit, must be understood on a global scale and from a global and crosscutting viewpoint, including human, animal, plant, ecosystem, and biodiversity health (McEwen and Collignon, 2018).This study is aimed at establishing antibiotic treatment abuse in one health context. The study also considers how important it is to consider evolutionary, ecological, and environmental sciences in understanding the emergence and re-emergence of infectious diseases, as well as the challenges of antimicrobial resistance. Finally, the study identifies hurdles that must be overcome as well as goals that must be nurtured in order to effectively implement the "One Health" idea. The paper establishes that for the One Health idea to succeed, curb antibiotic resistance among other challenges, multidisciplinary boundaries that currently exist between veterinary and human medicine and evolutionary, ecological, and environmental sciences must be broken down and medical policies in place re-evaluated.


Pathogens ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. 497
Author(s):  
Carla Novais ◽  
Ana R. Freitas

Antimicrobial Resistance is one of the major Global Health challenges of the twenty-first century, and one of the World Health Organization’s (WHO) top ten global health threats. The evolution of antibiotic resistance among bacterial pathogens requires urgent concerted global efforts under a One Health approach integrating human, animal, and environmental surveillance data. This is crucial to develop efficient control strategies and counteract the spread of multidrug-resistant pathogens. The studies in this Special Issue have evidenced the hidden role of less common species, unusual clones or unexplored niches in the dissemination of antimicrobial resistance between different hosts. They reinforce the need for large-scale surveillance studies tracing and tracking both antibiotic resistance and metal tolerance in different bacterial species.


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