Majowicz Shannon E, Parmley E Jane, Carson Carolee, Pintar Katarina
School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, 160 Research Lane, Guelph, ON, Canada.
BMC Res Notes. 2018 Mar 12;11(1):170. doi: 10.1186/s13104-018-3279-8.
Antimicrobial resistance (AMR) is a critical public health issue that involves interrelationships between people, animals, and the environment. Traditionally, interdisciplinary efforts to mitigate AMR in the food chain have involved public health, human and veterinary medicine, and agriculture stakeholders. Our objective was to identify a more diverse range of stakeholders, beyond those traditionally engaged in AMR mitigation efforts, via diagramming both proximal and distal factors impacting, or impacted by, use and resistance along the Canadian food chain.
We identified multiple stakeholders that are not traditionally engaged by public health when working to mitigate AMR in the food chain, including those working broadly in the area of food (e.g., nutrition, food security, international market economists) and health (e.g., health communication, program evaluation), as well as in domains as diverse as law, politics, demography, education, and social innovation. These findings can help researchers and policymakers who work on issues related to AMR in the food chain to move beyond engaging the 'traditional' agri-food stakeholders (e.g., veterinarians, farmers), to also engage those from the wider domains identified here, as potential stakeholders in their AMR mitigation efforts.
抗菌药物耐药性(AMR)是一个关键的公共卫生问题,涉及人与动物及环境之间的相互关系。传统上,减轻食物链中抗菌药物耐药性的跨学科努力涉及公共卫生、人类医学和兽医学以及农业利益相关者。我们的目标是通过绘制影响或受加拿大食物链中抗菌药物使用和耐药性影响的近端和远端因素图,确定除传统上参与减轻抗菌药物耐药性努力的利益相关者之外更多样化的利益相关者。
我们确定了在努力减轻食物链中抗菌药物耐药性时传统上未被公共卫生部门纳入的多个利益相关者,包括广泛从事食品领域(如营养、粮食安全、国际市场经济学家)和卫生领域(如健康传播、项目评估)工作的人员,以及法律、政治、人口统计学、教育和社会创新等不同领域的人员。这些发现有助于从事食物链中与抗菌药物耐药性相关问题研究的人员和政策制定者,超越与“传统”农业食品利益相关者(如兽医、农民)合作,转而与这里确定的更广泛领域的人员合作,将他们作为减轻抗菌药物耐药性努力中的潜在利益相关者。