The threat of AMR is well documented and recognized by experts across the board. In spite of this, not much is understood about AMR in regards to how it occurs; how microbes evolve to develop resistance; how human use of antibiotics and water, sanitation and hygiene (WASH) practices contribute to AMR transmission; how AMR effects the cost of healthcare; and how AMR policy is developed and implemented. At the core of the spread of the AMR-bacteria is the relationship between humans, animals and the environment. Due to the multidisciplinary nature of the issue, a ‘One Health’ approach is best suited to understanding how human behavior, environmental degradation and antibacterial usage in animals lead to the transmission of AMR.
In the interview Dr Joseph Nkhoma, Malawi Veterinary Association chairperson at the Department of Livestock and Animal Health in the Ministry of Agriculture, Irrigation and Water Development.