I hadn’t understood this interface at all:
There are also issues of fairness in the present day, she said. One death in five caused by AMR is in a child aged under five, usually in sub-Saharan Africa, where Davies said the problem is “particularly prevalent and disastrous”.
Many of the countries are also being hit hard by the climate crisis and Davies said the two problems were interlinked.
“If we don’t control and mitigate AMR, then it will kill more people before climate change does,” she said.
“Climate will play out in many ways, but think about flood water, think about sewage, think about displacement, think about storms and what they spread and the lack of clean water if you’ve got drought; infections do go up.”
https://www.theguardian.com/global-development/article/2024/may/13/superbugs-antibiotics-drugs-antimicrobial-resistance-infections-pandemics-sally-davies
Or how factor farming was contributing to the overuse of antibiotics:
More than two-thirds of antibiotics go into farm animals, Davies said, usually to promote growth or prevent infections in overcrowded, unsanitary conditions rather than treat specific infections.
Some Asian fish farms were “tipping antibiotics in with the fish food”, partly because it is cheaper, she said, but also because of a lack of research into which infections occur in local breeds of fish such as tilapia, and which vaccines might be needed.
“If you don’t have appropriate, careful use,” she said, “you’re risking it really getting out of control.”
Animals, including humans, excrete up to 80% of the antibiotics they take in, she points out, “contaminating the environment”. Factories producing antibiotics may not control their effluent, allowing “dramatic amounts” to enter water systems.
