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

我提出的博士论文探讨了抗菌素耐药性(AMR)和冲突之间的关系。AMR是全球卫生系统面临的严峻挑战。首席医疗官宣布，抗菌素耐药性是21世纪最大的医学挑战。由于生物和社会压力，包括医务人员逃离、对医疗保健的攻击、重金属污染和人口迁移，Conflictis被认为是耐药性模式的驱动因素。由于在冲突地区没有强有力的研究，在地理、武器、暴力强度和冲突中获得的创伤的性质等冲突动态方面，对分布和关联的理解存在重要差距。现有的AMR狭隘政策框架反映了一个在非医疗政策领域翻译得很差的现象。证券化和生物监控在围绕AMR的许多公共和政治话语中占据主导地位，通过将医疗问题作为认识逃离冲突的流离失所者构成的“威胁”的核心的话语，进一步巩固了长期以来对移民污名化的政治学说。确定人口的污名化是如何从安全叙述中出现的，将这一问题与更多关于传染病的工作联系在一起，并提供了一个镜头，可以用来审问AMR的社会生产是对全球体系的“威胁”。利用复杂适应系统的透镜，可以建立一种新颖的、具有启发性的AMR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