The urban political ecology of antimicrobial resistance

A critical lens on integrative governance

Bibliographic Data

ID4594166
AuthorsRaphael Aguiar (0000-0002-9171-6113, Centre for Global Health Research, corresponding author), Roger Keil (0000-0002-1904-4623, Centre for Global Health Research), Mary Wiktorowicz (0000-0001-7539-2043, Centre for Global Health Research)
Year2024
Volume348
Pages116689
Publication date2024-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.116689
PMID38564956
OpenAlexW4391912814
LanguageEN
Citations received3
References cited85

The objective of this paper is to integrate Urban Political Ecology (UPE) as a theory for identifying under-exposed urban dimensions of Antimicrobial Resistance (AMR). A UPE lens allows us to conceptualize urbanization as a ubiquitous socio-ecological process and an interpretive frame that could inform AMR governance strategies across related contexts by: a) situating AMR risks in relation to urbanization processes shaping social and political co-determinants of such systemic threats as climate change; b) aligning UPE scholarship with One Health (OH) approaches that address AMR to reveal the under-exposed link of AMR to environmental threats and broader structural dimensions that influence these threats; and c) identifying shared AMR and environmental governance pathways that inform the rationale for more equitable governance arrangements. We delineate a context in which the speed and scale of human activity in the larger context of urbanization, driven by global market integration strategies, impacts human-animal-environmental health threats such as AMR. We demonstrate how UPE scholarship can be leveraged to offer theoretical depth to approaches considering the interdependencies of AMR and climate change threats. We then propose a strategic approach focused on identifying shared governance pathways and intersectoral accountability frameworks to address upstream structural drivers of AM-Environmental threats. The co-benefits of a UPE-informed framework to human-animal-environmental health that leverages enabling policy environments to foster a more collaborative, equitable and sustainable approach to address systemic global health threats are clarified. Just as the concept of "health in all policies" emphasized taking health implications into account in all public policy development, the integration of UPE in AMR governance arrangements would emphasize the need to take other sectors into account through an intersectoral whole-of-government approach that fosters shared AMR - climate change governance pathways

Biology · Business · Context (archaeology · Corporate governance · Economics · Environmental governance · Environmental planning · Environmental resource management · Geography · Interdependence · Political ecology · Political science · Politics · Public health · Scholarship · Urbanization · Climate Change and Health Impacts · Medicine · Public Health Policies and Education · Zoonotic diseases and public health · Ecology

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