Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.
Int J Environ Res Public Health. 2023 Jan 17;20(3):1681. doi: 10.3390/ijerph20031681.
Globally, antimicrobial resistance (AMR) and climate change (CC) are two of the top health emergencies, and can be considered as two interlinked public health priorities. The complex commonalities between AMR and CC should be deeply investigated in a One Health perspective. Here, we provided an overview of the current knowledge about the relationship between AMR and CC. Overall, the studies included pointed out the need for applying a systemic approach to planetary health. Firstly, CC increasingly brings humans and animals into contact, leading to outbreaks of zoonotic and vector-borne diseases with pandemic potential. Although it is well-established that antimicrobial use in human, animal and environmental sectors is one of the main drivers of AMR, the COVID-19 pandemic is exacerbating the current scenario, by influencing the use of antibiotics, personal protective equipment, and biocides. This also results in higher concentrations of contaminants (e.g., microplastics) in natural water bodies, which cannot be completely removed from wastewater treatment plants, and which could sustain the AMR spread. Our overview underlined the lack of studies on the direct relationship between AMR and CC, and encouraged further research to investigate the multiple aspects involved, and its effect on human health.
在全球范围内,抗微生物药物耐药性(AMR)和气候变化(CC)是两大头号卫生紧急情况,可被视为两个相互关联的公共卫生重点。应从“同一健康”角度深入调查 AMR 和 CC 之间的复杂共性。在此,我们概述了目前关于 AMR 和 CC 之间关系的知识。总体而言,所纳入的研究指出需要对行星健康采用系统方法。首先,气候变化使人类和动物之间的接触不断增加,导致具有大流行潜力的人畜共患病和虫媒传染病的爆发。虽然人们已经充分认识到人类、动物和环境领域的抗微生物药物使用是 AMR 的主要驱动因素之一,但 COVID-19 大流行通过影响抗生素、个人防护设备和杀生物剂的使用,使当前的情况更加恶化。这也导致了天然水体中污染物(例如微塑料)浓度的升高,而这些污染物无法从废水处理厂中完全去除,从而可能助长 AMR 的传播。我们的综述强调了缺乏关于 AMR 和 CC 之间直接关系的研究,并鼓励进一步研究调查所涉及的多个方面及其对人类健康的影响。