by Pablo Araya, Julia Hug, Genevieve Joy et al.
London School of Economics and Political Science, March 2016
Infectious disease control through improved water, sanitation and hygiene (WASH) infrastructure needs to be placed at the centre of the antimicrobial resistance (AMR) agenda. The spread of infectious diseases caused by inadequate WASH standards is a major driver of antibiotic demand in developing countries. Growing usage of antibiotics together with persistent infectious disease levels have led to a dangerous cycle in which reliance on antimicrobials increases while the efficacy of drugs diminishes. This report combines recent findings on the costs of reaching the Sustainable Development Goals (SDGs) for water and sanitation with an analysis on the potential reduction in the related disease burden to assess how antibiotic consumption may fall by improving WASH. The focus countries of this report are Brazil, India, Indonesia and Nigeria – all large countries with big populations that have access to antimicrobials and scope for improvements in WASH.