Towards integrated cross-sectoral surveillance of pathogens and antimicrobial resistance: Needs, approaches, and considerations for linking surveillance to action.

Autor:	Lappan R; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Securing Antarctica's Environmental Future, Monash University, Melbourne, Australia. Electronic address: rachael.lappan@monash.edu., Chown SL; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Securing Antarctica's Environmental Future, Monash University, Melbourne, Australia., French M; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Faculty of Art, Design and Architecture (MADA), Monash University, Melbourne, Australia., Perlaza-Jiménez L; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia., Macesic N; Centre to Impact AMR, Monash University, Melbourne, Australia; Department of Infectious Diseases, Alfred Health, Melbourne, Australia; Department of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Australia., Davis M; Centre to Impact AMR, Monash University, Melbourne, Australia; School of Social Sciences, Monash University, Melbourne, Australia., Brown R; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Monash Sustainable Development Institute, Melbourne, Australia., Cheng A; Centre to Impact AMR, Monash University, Melbourne, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Infection Prevention and Healthcare Epidemiology Unit, Alfred Health, Melbourne, Australia., Clasen T; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Conlan L; Centre to Impact AMR, Monash University, Melbourne, Australia., Goddard F; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA., Henry R; Centre to Impact AMR, Monash University, Melbourne, Australia; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Department of Civil Engineering, Monash University, Melbourne, Australia., Knight DR; Department of Microbiology, PathWest Laboratory Medicine WA, Nedlands, WA, Australia; School of Biomedical Sciences, The University of Western Australia, WA, Australia., Li F; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection and Cancer Programs, Biomedicine Discovery Institute and Department of Biochemistry and Molecular Biology, Monash University, Melbourne, Australia., Luby S; Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA., Lyras D; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia., Ni G; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia., Rice SA; Microbiomes for One Systems Health, CSIRO Agriculture and Food, Canberra, Australia., Short F; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia., Song J; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection and Cancer Programs, Biomedicine Discovery Institute and Department of Biochemistry and Molecular Biology, Monash University, Melbourne, Australia., Whittaker A; Centre to Impact AMR, Monash University, Melbourne, Australia; School of Social Sciences, Monash University, Melbourne, Australia., Leder K; Centre to Impact AMR, Monash University, Melbourne, Australia; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia., Lithgow T; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia., Greening C; Centre to Impact AMR, Monash University, Melbourne, Australia; Infection Program, Biomedicine Discovery Institute and Department of Microbiology, Monash University, Melbourne, Australia; RISE: Revitalising Informal Settlements and their Environments, Melbourne, Australia; Securing Antarctica's Environmental Future, Monash University, Melbourne, Australia. Electronic address: chris.greening@monash.edu.
Jazyk:	angličtina
Zdroj:	Environment international [Environ Int] 2024 Oct 02; Vol. 192, pp. 109046. Date of Electronic Publication: 2024 Oct 02.
DOI:	10.1016/j.envint.2024.109046
Abstrakt:	Pathogenic and antimicrobial-resistant (AMR) microorganisms are continually transmitted between human, animal, and environmental reservoirs, contributing to the high burden of infectious disease and driving the growing global AMR crisis. The sheer diversity of pathogens, AMR mechanisms, and transmission pathways connecting these reservoirs create the need for comprehensive cross-sectoral surveillance to effectively monitor risks. Current approaches are often siloed by discipline and sector, focusing independently on parts of the whole. Here we advocate that integrated surveillance approaches, developed through transdisciplinary cross-sector collaboration, are key to addressing the dual crises of infectious diseases and AMR. We first review the areas of need, challenges, and benefits of cross-sectoral surveillance, then summarise and evaluate the major detection methods already available to achieve this (culture, quantitative PCR, and metagenomic sequencing). Finally, we outline how cross-sectoral surveillance initiatives can be fostered at multiple scales of action, and present key considerations for implementation and the development of effective systems to manage and integrate this information for the benefit of multiple sectors. While methods and technologies are increasingly available and affordable for comprehensive pathogen and AMR surveillance across different reservoirs, it is imperative that systems are strengthened to effectively manage and integrate this information. Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Rachael Lappan reports financial support was provided by Australian Research Council. Francesca Short reports financial support was provided by Australian Research Council. Dena Lyras reports financial support was provided by Australian Research Council. Trevor Lithgow reports financial support was provided by National Health and Medical Research Council. Chris Greening reports financial support was provided by National Health and Medical Research Council. Multiple authors (RISE Program) reports financial support was provided by Wellcome Trust. Multiple authors (RISE Program) reports financial support was provided by New Zealand Ministry of Foreign Affairs and Trade. Multiple authors (RISE Program) reports financial support was provided by Australian Government Department of Foreign Affairs and Trade. Multiple authors (RISE Program) reports financial support was provided by Government of Fiji. Multiple authors (RISE Program) reports financial support was provided by Asian Development Bank. Steven Chown reports financial support was provided by Australian Research Council. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024. Published by Elsevier Ltd.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Full Text from ScienceDirect