One Health WASH: an AMR-smart integrative approach to preventing and controlling infection in farming communities

Jimenez, Chris E Pinto; Keestra, Sarai; Tandon, Pranav; Pickering, Amy J.; Moodley, Arshnee; Cumming, Oliver; Chandler, Clare I R

doi:10.1136/bmjgh-2022-011263

Cited by 7 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…AMS programmes also raise awareness of AMR through World Antimicrobial Awareness Week (WAAW), previously called World Antibiotic Awareness Week (WAAW), until 2020 [23] [120] [121] [122]. Since 2015, the WAAW has raised awareness of AMR and its consequences globally [120] [122] [123]. The awareness campaigns promote best practices to reduce AMR and its spread across populations, and these campaigns are targeted at the general public, policy-makers, farmers, animal health professionals, and healthcare workers [121] [123].…”

Section: Antimicrobial Stewardship (Ams) Programmesmentioning

confidence: 99%

“…Failure of IPC can lead to prolonged illness, increased hospitalisations and increased costs in both healthcare-related needs as well as animal-related foods [265] [266]. One of the main objectives of the GAP on AMR is to reduce or prevent infection through effective wash, sanitation, and hygiene (WASH) [123].…”

Section: Biosecurity and Infection Prevention And Control Practicesmentioning

confidence: 99%

See 1 more Smart Citation

Global Strategies to Combat Antimicrobial Resistance: A One Health Perspective

Mudenda,

Chabalenge,

Daka

et al. 2023

View full text Add to dashboard Cite

Background: Antimicrobial resistance (AMR) is a global health challenge that has escalated due to the inappropriate use of antimicrobials in humans, animals, and the environment. Developing and implementing strategies to reduce and combat AMR is critical. Purpose: This study aimed to highlight some global strategies that can be implemented to address AMR using a One Health approach. Methods: This study employed a narrative review design that included studies published from January 2002 to July 2023. The study searched for literature on AMR and antimicrobial stewardship (AMS) in PubMed and Google Scholar using the 2020 PRISMA guidelines. Results: This study reveals that AMR remains a significant global public health problem. Its severity has been markedly exacerbated by inappropriate use of antimicrobials in humans, animals, and the broader ecological environment. Several strategies have been developed to address AMR, including the Global Action Plan (GAP), National Action Plans (NAPs), AMS programs, and implementation of the AWaRe classification of antimicrobials. These strategies also involve strengthening surveillance of antimicrobial consumption and resistance, encouraging the development of new antimicrobials, and enhancing regulations around antimicrobial prescribing, dispensing, and usage. Additional measures include promoting global partnerships, combating substandard and falsified antimicrobials, advocating for vaccinations, sanitation, hy-How to cite this paper:

show abstract

Section: Antimicrobial Stewardship (Ams) Programmesmentioning

confidence: 99%

Section: Biosecurity and Infection Prevention And Control Practicesmentioning

confidence: 99%

Global Strategies to Combat Antimicrobial Resistance: A One Health Perspective

Mudenda,

Chabalenge,

Daka

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Biosecurity approaches, as described by Constable et al [98], encompass: (1) checking or isolating newly introduced livestock species; (2) controlling visitor contact; (3) managing contact between livestock, pets, and wild animals entering the farm; (4) separating sick livestock; (5) cleaning and disinfection practices; (6) disease monitoring and record-keeping; and (7) conducting communication, training, and employee assessment. According to Pinto Jimenez et al [20], biosecurity programs include bioexclusion, biocontainment, and biomanagement programs. Bioexclusion prevents the emergence of new pathogens, biocontainment restricts their entry, and biomanagement includes the control of existing pathogens in the agricultural environment.…”

Section: Water Sanitation and Hygiene And Biosecurity Measures In Liv...mentioning

confidence: 99%

“…In the livestock sector, biosecurity programs are the first line of disease control measures and are usually implemented within specific areas of concern [19]. However, there have been limitations, such as inadequate implementation on large farms and lack of stakeholder engagement opportunities [20].…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, the implementation of biosecurity measures to combat AMR remains limited, especially in developed countries [29,30], due to their complexity. Recently, integrating WaSH with biosecurity has emerged as a means [20,31] of enhancing control within the One Health program. This review, based on the principles of WaSH and biosecurity, aimed to (1) provide an overview of the global prevalence of ARB, specifically ESBL E. coli, (2) describe recent advancements in WaSH and biosecurity interventions in livestock environments within the context of One Health, (3) assess the effects of these interventions on human and animal health, and (4) explore potential future scenarios on quantitative microbial risk assessment (QMRA).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Integration of water, sanitation, and hygiene program with biosecurity: A One Health approach to reduce the prevalence and exposure of antibiotic-resistant bacteria in the livestock community

Paramitadevi,

Priadi,

Rahmatika

et al. 2023

Int J One Health

View full text Add to dashboard Cite

The global spread of antibiotic resistance poses a significant threat to public health and is one of the main causes of this problem. Livestock farming plays a significant role in the horizontal and vertical transmission of treatment-resistant genes and bacteria. These processes involve contact with agricultural products and the environment, raising concerns for public health, and farming communities. The farming community is composed of a staggering 608 million farms worldwide, and their livelihood depends heavily on livestock farming. To address this issue, a multidisciplinary One Health approach focusing on integrated monitoring and intervention for humans, animals, and the environment is essential. Water, sanitation, and hygiene (WaSH) programs have the potential to significantly reduce the risk of exposure to antibiotic-resistant bacteria, particularly extended spectrum beta-lactamase (ESBL) Escherichia coli, by obstructing the transmission route between humans and animals. Additional risk reduction measures for ESBL E. coli infection in animals include vaccination and biosecurity program implementation. Water, sanitation, and hygiene and biosecurity measures must be combined to maximize the effectiveness of the One Health program. Therefore, this study aimed to describe recent advances in biosecurity and WaSH interventions in the livestock environment, analyze the effects of these interventions on human and animal health, and investigate potential future scenarios within the quantitative microbial risk assessment framework. This study used an integrative literature review through searches of four databases, a review of World Health Organization documents through websites, and an examination of relevant texts from previously obtained reference lists. Although hygiene and sanitation are often combined, there is still a lack of quantitative evaluation of the efficacy of integrating WaSH with biosecurity in livestock. In addition, the integration of the WaSH program with biosecurity has potential as a One Health intervention in the coming years. Keywords: antibiotic-resistant bacteria, biosecurity, extended-spectrum beta-lactamase Escherichia coli, One Health, scenario, water, sanitation, and hygiene.

show abstract