牲畜的抗菌药耐药性负担:在全球动物疾病负担计划内估算其影响的框架

IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES One Health Pub Date : 2024-10-15 DOI:10.1016/j.onehlt.2024.100917
Sara Babo Martins , João Sucena Afonso , Christina Fastl , Benjamin Huntington , Jonathan Rushton
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引用次数: 0

摘要

除了影响动物健康和生产外,牲畜的抗菌药耐药性(AMR)还会产生深远的社会和经济后果,包括对人类健康和环境的影响。鉴于数据需求的多样性和标准化方法的缺乏,抗菌药使用(AMU)的规模和 AMR 对牲畜造成的社会和经济负担难以估量。然而,量化这种影响对于农场层面的决策,以及更广泛意义上的政策制定、公众意识、干预措施的资源分配和研发优先级的确定,都是至关重要的投入,尤其是在 "同一健康 "背景下。该框架的开发确定并映射了家畜急性疫病和急性呼吸道感染的关键社会经济概念及其关系。动物健康损失包络(AHLE)是一个货币指标,它为健康危害造成的总体损失设定了一个界限,并使人们能够了解牲畜健康问题的相对重要性。拟议的框架确定了损失的途径,以及在这一更广泛的损失范围内估算急性畜牧兽疫和急性呼吸道感染负担所需的数据输入。这项工作强调了改进畜牧业生产中的健康和生产数据收集的必要性,这是准确估算AMU和AMR负担的重要基石。
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The burden of antimicrobial resistance in livestock: A framework to estimate its impact within the Global Burden of Animal Diseases programme
In addition to affecting animal health and production, antimicrobial resistance (AMR) in livestock can have far-reaching social and economic consequences, including on human health and the environment.
Given the diversity of data needs and the absence of standardised methodologies, the scale of antimicrobial use (AMU) and AMR's social and economic burden on livestock is complex to gauge. Yet, quantifying this impact can be an essential input for farm-level decision-making and, more widely, for policy development, public awareness, resource allocation to interventions and research and development prioritisation, particularly in a One Health context.
This work proposes a conceptual framework to guide the assessment of the burden of AMU and AMR in livestock using the Global Burden of Animal Diseases (GBADs) approach. Its development identified and mapped critical socio-economic concepts in AMU and AMR in livestock and their relationships. The Animal Health Loss Envelope (AHLE), a monetary metric that sets a boundary for overall losses from health hazards and allows an understanding of the relative importance of health problems in livestock, was used as the metric in which the concepts and data needs for the AMU and AMR assessment were anchored. The proposed framework identifies pathways for losses and data inputs needed to estimate the burden of AMU and AMR within this wider envelope of losses. These include information on health expenditure and mortality and morbidity effects related to AMR in livestock.
This work highlights the need for improved health and production data collection in livestock production as an essential stepping stone to accurately producing AMU and AMR burden estimates.
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来源期刊
One Health
One Health Medicine-Infectious Diseases
CiteScore
8.10
自引率
4.00%
发文量
95
审稿时长
18 weeks
期刊介绍: One Health - a Gold Open Access journal. The mission of One Health is to provide a platform for rapid communication of high quality scientific knowledge on inter- and intra-species pathogen transmission, bringing together leading experts in virology, bacteriology, parasitology, mycology, vectors and vector-borne diseases, tropical health, veterinary sciences, pathology, immunology, food safety, mathematical modelling, epidemiology, public health research and emergency preparedness. As a Gold Open Access journal, a fee is payable on acceptance of the paper. Please see the Guide for Authors for more information. Submissions to the following categories are welcome: Virology, Bacteriology, Parasitology, Mycology, Vectors and vector-borne diseases, Co-infections and co-morbidities, Disease spatial surveillance, Modelling, Tropical Health, Discovery, Ecosystem Health, Public Health.
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