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Genomic analysis of sewage from 101 countries reveals global landscape of antimicrobial resistance

  • Global Sewage Surveillance Consortium
  • Technical University of Denmark
  • University of Edinburgh
  • University of Gothenburg
  • Institute of Public Health Albania
  • Universidad de Buenos Aires
  • State Government of Victoria
  • Charles Darwin University
  • University of Copenhagen
  • Canberra Hospital
  • ALS
  • Austrian Agency for Health and Food Safety GmbH
  • University of Dhaka
  • Bridgetown
  • Université libre de Bruxelles
  • Aquafin, Belgium
  • Polytechnic School of Abomey-Calavi
  • Universidad Catσlica Boliviana San Pablo
  • University of Banja Luka
  • Public Health Institute of the Republic of Srpska
  • Botswana International University of Science and Technology
  • Universidade Federal de Minas Gerais
  • Fundação Oswaldo Cruz
  • Instituto Tecnológico Vale
  • National Center of Infectious and Parasitic Diseases Bulgaria
  • Université de Ouagadougou
  • Institut Pasteur du Cambodge
  • Centre Pasteur du Cameroun
  • University of Regina
  • Institut national de la recherche scientifique
  • Université de N'Djamena
  • Facultad de Ciencias de la Vida
  • Abu Dhabi Public Health Center (ADPHC)
  • Institute of Public Health
  • Universidad Católica del Maule
  • Guangdong Center for Disease Control and Prevention
  • Hong Kong Polytechnic University
  • Shantou University
  • Nanjing University of Information Science & Technology
  • Chinese Center for Disease Control and Prevention
  • CI Tibaitatα
  • Institut Pasteur de Côte d'Ivoire
  • University of Zagreb
  • Czech Academy of Agricultural Sciences
  • Centre de Recherche en Sciences Naturelles de Lwiro (CRSN-LWIRO)
  • BIOFOS
  • Suez Canal University
  • University of Sadat City
  • Ministry of Health
  • Addis Ababa University
  • University of Helsinki
  • Institut français de recherche pour l'exploitation de la mer
  • Galαpagos
  • Ministry of Health and Social Welfare
  • National Center for Disease Control and Public Health
  • Robert Koch-Institut
  • Technische Universität Dresden
  • University for Development Studies Ghana
  • University of Ghana
  • Kwame Nkrumah University of Science and Technology
  • The Council for Scientific and Industrial Research
  • National Agricultural Research Foundation
  • Athens Water Supply and Sewerage Company (EYDAP S.A.)
  • University of San Carlos of Guatemala
  • Semmelweis University
  • University of Veterinary Medicine Budapest
  • University of Iceland
  • Cochin University of Science and Technology
  • Manipal Academy of Higher Education
  • Apollo Diagnostics
  • Shiraz University of Medical Sciences
  • Shahid Beheshti University of Medical Sciences
  • University of Galway
  • Ben-Gurion University of the Negev
  • Experimental Zooprophylactic Institute of Lazio and Toscana
  • National Research Council of Italy
  • National Institute of Infectious Diseases
  • National Center of Expertise
  • Mount Kenya University
  • Kenya Medical Research Institute
  • University of Prishtina “Hasan Prishtina”
  • Kuwait Institute for Scientific Research
  • Institute of Food Safety Animal Health and Environment
  • American University of Beirut
  • Central Michigan University
  • National Food and Veterinary Risk Assessment Institute
  • Luxembourg Institute of Science and Technology
  • Institut Pasteur de Madagascar
  • Université d'Antananarivo
  • University of Malawi
  • Malaysian Genomics Resource Centre Berhad
  • Asian Institute of Medicine, Science & Technology
  • Water Services Corporation
  • Environmental Health Directorate
  • University of Mauritius
  • Institute for Public Health Montenegro
  • Institut Pasteur du Maroc
  • Centro de investigação de Saúde de Manhiça
  • Agriculture and Forestry University
  • National Institute of Public Health and the Environment
  • University of Otago
  • University of Central America
  • Universidad Nacional Autσnoma de Nicaragua-Leσn
  • University of Ilorin
  • University of Ibadan
  • Norwegian Institute of Public Health
  • VEAS
  • University of Agriculture Faisalabad
  • Aga Khan University
  • Laboratorio Central de Salud Pública
  • National Institute of Health
  • Universidad de Piura
  • WHO Western Pacific Regional Office
  • Maynilad Water Services, Inc.
  • National Veterinary Research Institute
  • Catholic University of Portugal
  • Aguas do Tejo Atlantico
  • Gwangju Institute of Science and Technology
  • Korea Advanced Institute of Science and Technology
  • Institute of Public Health of the Republic of North Macedonia
  • State University of Medicine and Pharmacy "Nicolae Testemiţanu"
  • National Agency for Public Health
  • King Abdullah University of Science and Technology
  • Institut Pasteur de Dakar
  • University of Belgrade
  • Nanyang Technological University
  • Public Health Authority of the Slovak Republic
  • National Laboratory of Health
  • Independent Consultant
  • Daspoort Waste Water Treatment Works
  • School of Veterinary Sciences
  • Labaqua S.A.U
  • Animal Breeding and Genetics Programme
  • University of Kelaniya
  • Medical Research Institute Colombo
  • Caribbean Public Health Agency
  • Swedish University of Agricultural Sciences
  • Federal Food Safety and Veterinary Office
  • Ara Region Bern AG
  • Taiwan Centers for Disease Control
  • Kilimanjaro Clinical Research Institute
  • Sokoine University of Agriculture
  • Suratthani Rajabhat University
  • Mahidol University
  • National Institute of Hygiene
  • Agence de Mιdecine Prιventive
  • Division of Integrated Surveillance of Health Emergencies and Response
  • Public Health Institution of Turkey
  • Mustafa Kemal University
  • Makerere University
  • Health and Safety Department
  • Northumbrian Water
  • University of Exeter
  • Newcastle University
  • Brightwater Treatment Plant
  • Department of Environmental Sciences and Engineering
  • University of North Carolina at Chapel Hill
  • University of Washington
  • Baylor University
  • Columbia Boulevard WWTP
  • Eastern Illinois University
  • Ohio State University
  • Laboratorio Tecnolσgico del Uruguay
  • Heart Institute of Ho Chi Minh City
  • University of Zambia
  • Erasmus University Rotterdam

Research output: Contribution to journal › Article › peer-review

236 Scopus citations

Abstract

Antimicrobial resistance (AMR) is a major threat to global health. Understanding the emergence, evolution, and transmission of individual antibiotic resistance genes (ARGs) is essential to develop sustainable strategies combatting this threat. Here, we use metagenomic sequencing to analyse ARGs in 757 sewage samples from 243 cities in 101 countries, collected from 2016 to 2019. We find regional patterns in resistomes, and these differ between subsets corresponding to drug classes and are partly driven by taxonomic variation. The genetic environments of 49 common ARGs are highly diverse, with most common ARGs carried by multiple distinct genomic contexts globally and sometimes on plasmids. Analysis of flanking sequence revealed ARG-specific patterns of dispersal limitation and global transmission. Our data furthermore suggest certain geographies are more prone to transmission events and should receive additional attention.

Original languageEnglish
Article number7251
JournalNature Communications
Volume13
Issue number1
DOIs
StatePublished - Dec 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 11 - Sustainable Cities and Communities
    SDG 11 Sustainable Cities and Communities

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