Antimicrobial Resistance and Its Impact on Food Safety Determinants Along the Beef Value Chain in Sub-Saharan Africa-A Scoping Review.

IF 2.8 4区 医学 Q2 INFECTIOUS DISEASES
Godfrey Musuka, Jairus Machakwa, Oscar Mano, Patrick Gad Iradukunda, Pierre Gashema, Enos Moyo, Amon Nsengimana, Shepherd Manhokwe, Tapiwa Dhliwayo, Tafadzwa Dzinamarira
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Abstract

Antimicrobial resistance (AMR) poses a significant threat to human, animal, and public health, particularly in Sub-Saharan Africa (SSA), where the beef sector is vital to food security and livelihoods. We conducted a scoping review to explore the determinants and impacts of AMR within the beef value chain in SSA, highlighting the challenges and progress in mitigating AMR risks in livestock production. This review identifies key factors contributing to AMR, including the overuse and misuse of antimicrobials, inadequate veterinary oversight, and weak regulatory frameworks. These practices are prevalent across various stages of the beef value chain, from farm to slaughterhouse, and are exacerbated by informal markets and insufficient infrastructure. Our findings also highlight the role of environmental factors, such as contamination of feed, water, and manure, in the spread of resistant pathogens. Additionally, gaps in AMR surveillance, education, and enforcement limit effective control measures in the region. While efforts to combat AMR have gained momentum in some countries, including the development of national action plans and surveillance systems, substantial challenges remain. These include poor adherence to antimicrobial guidelines, insufficient veterinary training, and the lack of integration between sectors. There is a need for targeted research to better understand antimicrobial misuse, socio-economic drivers, and the environmental pathways of AMR, as well as the need for stronger regulatory frameworks and cross-border cooperation. Addressing these challenges will be essential to safeguarding food safety, public health, and the sustainability of the beef industry in SSA.

撒哈拉以南非洲牛肉价值链上的抗菌素耐药性及其对食品安全决定因素的影响——范围审查。
抗微生物药物耐药性(AMR)对人类、动物和公共卫生构成重大威胁,特别是在撒哈拉以南非洲(SSA),牛肉部门对该地区的粮食安全和生计至关重要。我们进行了一项范围审查,探讨了SSA牛肉价值链中抗菌素耐药性的决定因素和影响,强调了畜牧生产中减轻抗菌素耐药性风险的挑战和进展。本综述确定了导致抗菌素耐药性的关键因素,包括抗菌素的过度使用和误用、兽医监督不足和监管框架薄弱。这些做法普遍存在于牛肉价值链的各个阶段,从农场到屠宰场,并且由于非正规市场和基础设施不足而加剧。我们的发现还强调了环境因素,如饲料、水和粪便的污染,在耐药病原体传播中的作用。此外,抗菌素耐药性监测、教育和执法方面的差距限制了该地区有效的控制措施。虽然在一些国家抗击耐药性的努力取得了势头,包括制定了国家行动计划和监测系统,但仍然存在重大挑战。这些问题包括不遵守抗微生物药物指南、兽医培训不足以及部门之间缺乏整合。有必要开展有针对性的研究,以更好地了解抗菌素滥用、社会经济驱动因素和抗菌素耐药性的环境途径,并需要加强监管框架和跨境合作。应对这些挑战对于保障南撒哈拉地区的食品安全、公众健康和牛肉产业的可持续性至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tropical Medicine and Infectious Disease
Tropical Medicine and Infectious Disease Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
自引率
10.30%
发文量
353
审稿时长
11 weeks
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