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    Towards a research agenda for water, sanitation and antimicrobial resistance.

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    Authors
    Wuijts, Susanne
    van den Berg, Harold H J L
    Miller, Jennifer
    Abebe, Lydia
    Sobsey, Mark
    Andremont, Antoine
    Medlicott, Kate O
    van Passel, Mark W J
    de Roda Husman, Ana Maria
    Type
    Article
    Language
    en
    
    Metadata
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    Title
    Towards a research agenda for water, sanitation and antimicrobial resistance.
    Published in
    J Water Health 2017; 15(2)175-84
    Publiekssamenvatting
    Clinically relevant antimicrobial resistant bacteria, genetic resistance elements, and antibiotic residues (so-called AMR) from human and animal waste are abundantly present in environmental samples. This presence could lead to human exposure to AMR. In 2015, the World Health Organization (WHO) developed a Global Action Plan for Antimicrobial Resistance with one of its strategic objectives being to strengthen knowledge through surveillance and research. With respect to a strategic research agenda on water, sanitation and hygiene and AMR, WHO organized a workshop to solicit input by scientists and other stakeholders. The workshop resulted in three main conclusions. The first conclusion was that guidance is needed on how to reduce the spread of AMR to humans via the environment and to introduce effective intervention measures. Second, human exposure to AMR via water and its health impact should be investigated and quantified, in order to compare with other human exposure routes, such as direct transmission or via food consumption. Finally, a uniform and global surveillance strategy that complements existing strategies and includes analytical methods that can be used in low-income countries too, is needed to monitor the magnitude and dissemination of AMR.
    DOI
    10.2166/wh.2017.124
    PMID
    28362299
    URI
    http://hdl.handle.net/10029/621330
    ae974a485f413a2113503eed53cd6c53
    10.2166/wh.2017.124
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