Antibiotic resistance is the quintessential One Health issue


The emergence of a plasmid-mediated resistance gene (mcr-1) to colistin, a last resort antibiotic, identified in human and pig samples in China, followed by its rapid spread across Europe, from Canada to the USA, makes AMR a ‘One World’ issue as dealing with it is central to the long-term economic development of countries and to our global well-being.

Antimicrobial resistance has posed a serious threat to disease control throughout the world and is a primary concern for human and animal health. To address the health risks posed by antibiotic resistance, a coordinated action between the human, animal and environmental health sectors is crucial. Dealing with AMR would therefore require a One Health approach that takes into purview the three critical domains .

The need is to take an interdisciplinary research, based on a sound understanding of the relative roles of people, animals, and the environment in the emergence, spread and persistence of AMR genes. Furthermore, the understanding of the economics behind the emerging infectious diseases and bridging the gaps between the biomedical, environment and animal sciences, and the social sciences is critical . At the same time, adhering to the principles of social equity and global access to effective healthcare for people and animals underpins the sustainable approach to address AMR. Click here for more information

Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  1. P. Robinson, International Livestock Research Institute, Nairobi, Kenya;
  2. P. Bu, Institute of Animal Science, Chinese Academy of Agricultural Sciences, Beijing, China
  3. Carrique-Mas, Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam;
  4. M. Fèvre, Institute of Infection and Global Health, University of Liverpool, Liverpool, UK
  5. Gilbert, Université Libre de Bruxelles, Brussels, Belgium;
  6. Grace, Institute for Health Metrics and Evaluation, University of Washington, Seattle, USAS. I. Hay
  7. Jiwakanon, Research Group for Preventive Technology in Livestock, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, Thailand;
  8. Kakkar , Public Health Foundation of India, Delhi, India
  9. Kariuki, Kenya Medical Research Institute, Nairobi, Kenya
  10. Laxminarayan, Center for Disease Dynamics, Economics and Policy, Washington DC, USA
  11. Lubroth, Food and Agriculture Organization of the United Nations, Rome, Italy;
  12. Magnusson,Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden;
  13. Thi Ngoc, National Institute of Veterinary Research, Hanoi, Vietnam;
  14. P. Van Boeckel,Institute of Integrative Biology and Center for Adaptation to a Changing Environment, Swiss Federal Institute of Technology, Zurich, Switzerland;
  15. E. J. Woolhouse, Centre for Immunity, Infection & Evolution, University of Edinburgh, Edinburgh, UK
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