Antimicrobial Resistance in Conflict - Mixed Methods Analysis of the MENA Region

我提出的博士论文询问抗菌素耐药性（AMR）和冲突之间的接口。AMR是全球卫生系统面临的挑战。首席医疗官宣布抗菌素耐药性是21世纪世纪最大的医学挑战。由于生物和社会压力，包括医务人员的飞行，对医疗保健的攻击，重金属污染和人口迁移，抗药性模式的驱动力。由于在冲突地区没有强有力的研究，在了解AMR的分布和与冲突动态（如地理、武器、暴力强度和冲突中获得的伤口性质）的关系方面存在重大差距。现有的AMR狭窄政策框架反映了一种在非医疗政策领域转化不力的现象。关于资产证券化和生物监测的论述主导了围绕AMR的许多公共和政治话语。通过采用将医疗问题作为理解逃离冲突的流离失所者所构成的“威胁”的核心的话语，进一步巩固了描绘移民长期污名化的政治学说。确定人群的污名化如何从安全叙事中出现，将这一问题与更广泛的传染病工作联系起来，并提供了一个镜头来询问AMR的社会生产对全球系统的“威胁”。利用复杂自适应系统的透镜，可以建立一种新颖的、具有启发性的AMR不冲突模型

My proposed doctoral thesis interrogates the interfacebetween antimicrobial resistance (AMR) and conflict. AMR is agrowing challenge across health systems globally. The ChiefMedical Officer has declared that antimicrobial resistance isthe greatest medical challenge of the 21st century. Conflictis suggested as a driver of resistance patterns due tobiological and social pressures including flight of medicalstaff, attacks on healthcare, heavy metal pollution andpopulation migration. With no robust studies in conflictregions, there are important gaps in the understanding ofdistribution and association with dynamics of conflict such asgeography, weaponry, intensity of violence and the nature ofwounds acquired in conflict.Existing narrow policy framings of AMR reflect a phenomenonpoorly translated across non-medical policy domains. Thenarratives of securitisation and biosurveillance dominatemuch of the public and political discourse surrounding AMR.Political doctrines charting the longstanding stigmatisation ofmigrants have been further cemented through the adoptionof discourses that employ medical concerns as central toappreciating the "threat" posed by displaced peoples fleeingconflict. Identifying how the stigmatisation of populations hasemerged from security narratives connects this issue towider work on communicable diseases, and provides a lenswith which to interrogate the social production of AMR as a'threat' to the global system. Using the lens of complexadaptive systems, a novel and illuminative model for AMR inconflict can be established