Abstract

Since their advent during the 1930s, antibiotics have not only had a dramatic impact on human medicine, but also on food production. On farms, whaling and fishing fleets as well as in processing plants and aquaculture operations, antibiotics were used to treat and prevent disease, increase feed conversion, and preserve food. Their rapid diffusion into nearly all areas of food production and processing was initially viewed as a story of progress on both sides of the Iron Curtain. However, from the mid-1950s onwards, agricultural antibiotic use also triggered increasing conflicts about drug residues and antimicrobial resistance (AMR). Significantly, antibiotic concerns did not develop evenly but instead gave rise to an international patchwork of different regulatory approaches. During a time of growing concerns about AMR and a post-antibiotic age, this article reconstructs the origins, global proliferation, and international regulation of agricultural antibiotics. It argues that policymakers need to remember the long history of regulatory failures that has resulted in current antibiotic infrastructures. For effective international stewardship to develop, it is necessary to address the economic dependencies, deep-rooted notions of development, and fragmented cultural understandings of risk, which all contribute to drive global antibiotic consumption and AMR.

Highlights

  • In 2013, Britain’s Chief Medical Officer Dame Sally Davies triggered what has amounted to half a decade of increasingly dire warnings about antibiotic overuse and antimicrobial resistance (AMR)

  • In addition to subsidising antibiotic research and tackling human overuse, most actors have committed to reducing antibiotic consumption in food production

  • Agriculture’s overall contribution to AMR remains contested, new metagenomics research and cases like the recent global spread of colistin resistance from Chinese pigs are clarifying the true threat posed by agricultural AMR selection (Liu et al, 2015; Tran-Dien et al, 2017)

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Summary

Introduction

In 2013, Britain’s Chief Medical Officer Dame Sally Davies triggered what has amounted to half a decade of increasingly dire warnings about antibiotic overuse and antimicrobial resistance (AMR). Recent projections predict that growing meat consumption in middle- and low-income countries will lead to a 69% increase of global agricultural antibiotic use between 2010 and 2030 (Van Boeckel et al, 2015).

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Conclusion

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