Communicating antimicrobial resistance: the need to go beyond human health.
Communicating antimicrobial resistance: the need to go beyond human health.
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DOI：
10.1093/jacamr/dlab096
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发表时间：
2021-09
影响因子：
3.4
通讯作者：
Pitchforth E
中科院分区：
文献类型：
--
作者：
Thornber K;Pitchforth E
更具包容性的AMR框架还将验证使用动物和环境来吸引公众参与这一问题;这是两个情感主题，可以帮助获得公众支持，并可以用于扩大视觉图像的影响，这是特别情绪化的，但由于AMR的微观规模，传统上对AMR意识运动具有挑战性。8，23在农场动物中使用抗菌剂和药物污染物的环境影响是公共领域内的当前问题，对某些公众来说可能比耐药感染更直接; 24，25因此，将这些纳入AMR通信可能有助于克服我们对时间折扣和近似的共同倾向，从而降低未来和更遥远的风险的严重性。20，26对问题的原因和解决方案进行更具包容性的定义也将扩大参与范围，超越“抗生素滥用”，并更多地关注日益成为推动全球AMR的主要力量的各种社会因素。27-29通过将抗菌素耐药性界定为一个超越人类健康的问题，所确定的解决方案以及对这些解决方案的采用所承担的责任将超越个体抗菌素消费者，因为他们的行动能力往往有限。20，30这将把罪责扩大到似乎与现代医学相距甚远但却为AMR的出现和传播提供了一个环境的社会部门，如食品和制造业。31国际抗菌药物耐药性社区呼吁开展更多研究，针对当地情况优化抗菌药物耐药性沟通，以提高对本地抗菌药物耐药性风险的了解，以便评估/优先考虑干预措施并定制解决方案。4，8，10，16，32，33为此，将抗生素耐药性界定为一个超越人类健康的问题将使更广泛的信息能够针对更多样化的受众，重要的是有助于吸引那些其行为破坏现代医学的风险不是优先事项的人，例如，低收入和中等收入国家食品生产行业的利益相关者。30未来的AMR意识规划可以从COVID-19和气候变化研究中汲取经验教训，纳入战略叙事，以解决政策-社会行动差距，这突出了让社会所有利益相关者参与的重要性，通过建设性对话反复共同创建叙事。6，34由于AMR全球领导者小组继续领导AMR传播战略，因此，对这些战略叙述的目标群体应参与其实际实施的研究。这需要超越人类健康，包括来自整个社会的众多行为者，他们的行为对AMR的原因，解决方案和命运负责。
action to address it. More inclusive framing of AMR would also validate the use of animals and the environment to engage the public on the issue; these are two emotive subjects that could help to gain public support, and could be used to expand the impacts of visual imagery, which is particularly emotive yet traditionally challenging for AMR awareness campaigns due to the microscopic scale at which AMR operates. 8, 23 The use of antimicrobials in farm animals and the environmental impacts of pharmaceutical pollutants are current issues within the public domain and may be more immediate to some publics than resistant infections; 24, 25 incorporating these into AMR communications may therefore help to overcome our common tendencies towards temporal discounting and proximization, whereby future and more distant risks are perceived with reduced severity. 20, 26 More inclusive definitions of the causes and solutions to the issue would also widen engagement by going beyond ‘antimicrobial misuse’and bringing greater attention to the myriad of societal-wide factors that are increasingly established as the major forces driving global AMR. 27–29 By framing AMR as an issue that goes beyond human health, the solutions defined, and responsibility for their uptake, would reach further than the individual antimicrobial consumer, who often has limited capacity to act. 20, 30 This would extend culpability to sectors of society that may seem remote from modern medicine but nevertheless contribute towards providing an environment in which AMR can emerge and disseminate, such as the food and manufacturing industries. 31The international AMR community has called for more research into optimizing AMR communications for local contexts, to improve understanding of localized AMR risk in order to evaluate/prioritize interventions and tailor solutions. 4, 8, 10, 16, 32, 33 To this end, framing AMR as an issue that goes beyond human health would enable a broader range of messages to be targeted to more diverse audiences, and importantly help to engage those for whom the risk of their actions undermining modern medicine is not a priority, for example, stakeholders in food production industries in low-and middle-income countries. 30 Future AMR awareness planning could take lessons from COVID-19 and climate change research into strategic narratives to address policy–society action gaps, which have highlighted the importance of engaging all stakeholders across society to iteratively co-create a narrative through constructive dialogue. 6, 34 As the AMR Global Leaders Group continues to provide leadership for AMR communication strategies, research into their practical implementation should engage with those for whom these strategic narratives are targeted. This needs to go beyond human health, to include the plethora of actors from across the breadth of society whose actions are responsible for the causes, solutions, and fate, of AMR.