The invisible pandemic of antimicrobial resistance and its possible endings.

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-22 DOI:10.1080/17441692.2024.2355318
Carolina Rau Steuernagel, Ida Lillehagen, Jens Seeberg
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引用次数: 0

Abstract

Antimicrobial resistance (AMR) is often framed as a 'silent pandemic,' an invisible crisis unfolding beyond the public gaze. This unseen emergency narrative fuels policy responses aimed at re-establishing human control over antimicrobial use and benefits. In this commentary, we critique the reduction of AMR to a homogenising framework - a product of long-standing paradigms for disease control and elimination. We argue that AMR stems not merely from microbial exposure to drugs, but also involves broader anthropocentric practices. We assert that merely extending AMR concerns to encompass environmental factors is insufficient. Instead, we advocate for a paradigm shift towards a holistic understanding that respects the evolutionary adaptability and survival strategies of microbial life itself. Consequently, a fundamental re-evaluation of large-scale antibiotic use and production is necessary. Rather than seeking to control AMR as a pandemic, we propose exploring the inherent complexity and interdependence of AMR issues. Our proposition advocates for alternative futures that foster collaborations between human and non-human actors, ultimately envisioning a shift in human-microbial relationships towards more integrative health strategies.

抗菌药耐药性的隐形流行及其可能的结局。
抗菌药耐药性(AMR)经常被描述为一种 "无声的流行病",一种在公众视线之外发生的无形危机。这种看不见的紧急状况加剧了旨在重建人类对抗菌药物使用和利益控制的政策反应。在这篇评论中,我们批判了将 AMR 简化为同质化框架的做法--这是长期以来疾病控制和消除范式的产物。我们认为,AMR 不仅源于微生物对药物的接触,还涉及更广泛的人类中心主义做法。我们认为,仅仅将对 AMR 的关注扩大到包括环境因素是不够的。相反,我们主张进行范式转变,以尊重微生物生命本身的进化适应性和生存策略的整体理解为基础。因此,有必要从根本上重新评估抗生素的大规模使用和生产。我们建议探索 AMR 问题固有的复杂性和相互依存性,而不是寻求将 AMR 作为一种大流行病加以控制。我们的主张倡导促进人类和非人类行动者之间合作的另一种未来,最终设想人类与微生物之间的关系将转向更具综合性的健康战略。
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来源期刊
Global Public Health
Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
3.00%
发文量
120
期刊介绍: Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.
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