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Reducing the Use of Antimicrobials as a Solution to the Challenge of Antimicrobial Resistance (AMR): Approaching an Ethical Dilemma through the Lens of Planetary Health

Author

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  • Samuel O. Abimbola

    (Cyprus International Institute of Environmental and Public Health, Cyprus University of Technology, Limassol 3036, Cyprus)

  • Melvine Anyango Otieno

    (Department of Environmental Biology and Health, University of Eldoret, Eldoret 30100, Kenya)

  • Jennifer Cole

    (Department of Geography, Royal Holloway, University of London, Egham TW20 0EX, UK)

Abstract

Antimicrobial resistance (AMR) is one of the greatest challenges facing humanity in the 21st century. Controlled dispensation of antimicrobial drugs is the most echoed solution among many that have been postulated to counter this problem. However, the life-impacting significance of antimicrobials makes this approach a very complex one, which must be considered under the lens of health and planetary ethics. As the problem of AMR is not peculiar to only a few people, the right to know the risk, as well as decisions as to when and how antimicrobials are used should, not be granted to only a few decision makers, but be used as drivers to advance planetary health knowledge in a way that benefits individuals, society, and future generations. Within an ethical framework, implementing policies that extend the efficacy period of antimicrobials should be considered in a way that balances range, choice, and quality of drugs against stewardship activities. The challenge of AMR cannot be eliminated completely by reduced use of antimicrobials only; understanding how, where and when reduction is necessary, and social structures and patterns (as well as existing health and government systems) are required if any global/national intervention would be successful and equitable. We may well have gone past the stage of adopting precautionary principles as the danger we face presents no iota of uncertainty. The measures to control AMR’s emergence and its spread are well presented. Nevertheless, we must not ere from the path of justice and equity even in the face of certain danger.

Suggested Citation

  • Samuel O. Abimbola & Melvine Anyango Otieno & Jennifer Cole, 2021. "Reducing the Use of Antimicrobials as a Solution to the Challenge of Antimicrobial Resistance (AMR): Approaching an Ethical Dilemma through the Lens of Planetary Health," Challenges, MDPI, vol. 12(2), pages 1-12, September.
    • Handle: RePEc:gam:jchals:v:12:y:2021:i:2:p:23-:d:634223
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    References listed on IDEAS

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    1. Helen Lambert & Meixuan Chen & Christie Cabral, 2019. "Antimicrobial resistance, inflammatory responses: a comparative analysis of pathogenicities, knowledge hybrids and the semantics of antibiotic use," Palgrave Communications, Palgrave Macmillan, vol. 5(1), pages 1-13, December.
    2. Editorial, 2020. "Covid-19 and Climate Change," Journal, Review of Agrarian Studies, vol. 10(1), pages 5-6, January-J.
    3. Alexander Foster & Jennifer Cole & Andrew Farlow & Ivica Petrikova, 2019. "Planetary Health Ethics: Beyond First Principles," Challenges, MDPI, vol. 10(1), pages 1-8, February.
    4. Susan L. Prescott & Alan C. Logan & Glenn Albrecht & Dianne E. Campbell & Julian Crane & Ashlee Cunsolo & John W. Holloway & Anita L. Kozyrskyj & Christopher A. Lowry & John Penders & Nicole Redvers &, 2018. "The Canmore Declaration: Statement of Principles for Planetary Health," Challenges, MDPI, vol. 9(2), pages 1-18, July.
    5. Clare I. R. Chandler, 2019. "Current accounts of antimicrobial resistance: stabilisation, individualisation and antibiotics as infrastructure," Palgrave Communications, Palgrave Macmillan, vol. 5(1), pages 1-13, December.
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    Cited by:

    1. Syed Wajid Ali Shah & Mujaddad ur Rehman & Muhammad Tauseef & Ejazul Islam & Azam Hayat & Samina Iqbal & Muhammad Arslan & Muhammad Afzal, 2022. "Ciprofloxacin Removal from Aqueous Media Using Floating Treatment Wetlands Supported by Immobilized Bacteria," Sustainability, MDPI, vol. 14(21), pages 1-14, October.
    2. Jennifer Cole & Adam Eskdale & Jonathan D. Paul, 2022. "Tackling AMR: A Call for a(n Even) More Integrated and Transdisciplinary Approach between Planetary Health and Earth Scientists," Challenges, MDPI, vol. 13(2), pages 1-11, December.

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