管理抗生素风险在澳大利亚农业:通过竞争合规机制维持冲突的共同利益

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2022-11-25 DOI:10.1093/phe/phac029
Chris Degeling, Julie Hall
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引用次数: 0

摘要

针对抗菌素耐药性的“同一个健康”方针要求利益攸关方为跨部门努力作出贡献,以改善抗菌素管理。由于抗生素在生产系统中的基础设施作用,“一卫”抗菌素耐药性政策的实施在畜牧业中具有挑战性。减轻抗微生物药物耐药性可能需要制定更严格的管理义务和未来对既定权利的限制。利用Amatai Etzioni的合规理论、监管分析和利益相关者群体的定性研究,我们研究了澳大利亚牛肉和乳制品生产中抗生素使用和AMS合规的结构和社会文化层面。我们发现农民如何概念化抗生素使用与AMS政策解释农业AMR风险的方式之间存在脱节。在食品安全标准和国家级处方限制的保护下,农民和兽医以不同的操作逻辑和合规机制围绕抗生素的使用进行互动。这些平行的制度服务于不同的、有时是相互竞争的粮食安全和抗生素保存的共同利益。为减少抗生素耐药性而进行的进一步改革需要考虑到不同群体的价值取向和现有制度所施加的约束的嵌入性。提倡在农业中加强抗菌素耐药性预防,应承认并补偿竞争性共同产品的侵蚀以及拟议干预措施的成本。
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Governing Antibiotic Risks in Australian Agriculture: Sustaining Conflicting Common Goods Through Competing Compliance Mechanisms
The One Health approach to antimicrobial resistance (AMR) requires stakeholders to contribute to cross-sectoral efforts to improve antimicrobial stewardship (AMS). One Health AMR policy implementation is challenging in livestock farming because of the infrastructural role of antibiotics in production systems. Mitigating AMR may require the development of more stringent stewardship obligations and the future limitation of established entitlements. Drawing on Amatai Etzioni’s compliance theory, regulatory analyses and qualitative studies with stakeholder groups we examine the structural and socio-cultural dimension of antibiotic use and AMS compliance in Australian beef and dairy production. We found a disconnect between how antibiotic use is conceptualised by farmers and the way in which AMS policies construe agricultural AMR risks. Under the umbrella of food safety standards and national-level prescribing restrictions, farmers and veterinarians interact around antibiotic use with different operating logics and compliance mechanisms. These parallel regimes service distinct and sometimes competing common goods of food security and antibiotic preservation. Further reforms to mitigate AMR need to account for the value orientations of different groups and the embeddedness of the constraints imposed by existing systems. Advocacy for greater AMR precaution in agriculture should acknowledge and compensate for erosions in competing common goods and the cost of proposed interventions.
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来源期刊
Public Health Ethics
Public Health Ethics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICAL ETHICS
CiteScore
3.10
自引率
9.50%
发文量
28
审稿时长
>12 weeks
期刊介绍: Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made. The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.
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