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The effects of climate change on antibiotic resistance

Klimawandel und Antibiotika-Resistenzen

The destructive force of the anthropocene

Right now, we are right within the Anthro­po­ce­ne — and make sure “our” pla­net feels it. Man-made cli­ma­te chan­ge, pla­s­tic pol­lu­ti­on, anthro­po­ge­ni­cal­ly cau­sed anti­bio­tic resis­tance and the seal­ing of soils are just some of the examp­les that could make you think humans are test­ing the limits of the earth. 

The con­se­quen­ces of our actions are get­ting more and more atten­ti­on recent­ly, espe­ci­al­ly sin­ce we expe­ri­ence the results of warm­ing tem­pe­ra­tures and the like first­hand. Howe­ver, within the sci­en­ti­fic com­mu­ni­ty it has been clear for quite some while that green­house gas emis­si­on, urba­niza­ti­on, micro­pla­s­tic pol­lu­ti­on and mul­ti-resistant bac­te­ria will chan­ge the world fore­ver if we don’t act accor­din­gly now.

And as mis­for­tu­nes never come sin­gle: The phe­no­me­nons men­tio­ned abo­ve are inter­fe­ring with each other and build vicious cycle that is almost impos­si­ble to break.

While we are start­ing to feel the heat of cli­ma­te chan­ge (like lite­ral­ly…), others enjoy the war­mer tem­pe­ra­tures. This includes some of the nastie­st, sicke­ning microorganisms.

Climate change and antibiotic resistance

Cli­ma­te chan­ge its­elf seems to be chal­len­ging enough, as peo­p­le and govern­ments around the world only slow­ly seem to adapt their beha­vi­or. Howe­ver, best case huma­ni­ty capi­tu­la­ted at least an increase in tem­pe­ra­tu­re of 1,5 °C. The con­se­quen­ces of this “slight” world­wi­de tem­pe­ra­tu­re increase have been dis­cus­sed by sci­en­tists and public media ali­ke (here). Nevert­hel­ess, the­re is always some­thing new to dis­co­ver, as a recent publi­ca­ti­on ear­lier this year demons­tra­tes. Here the aut­hors sta­te, that anti­bio­tic resis­tance will emer­ge even fas­ter becau­se of cli­ma­te chan­ge… hurray.

On one hand, this is sup­po­sed to hap­pen becau­se hori­zon­tal gene trans­fer — a major fac­tor in the spread of anti­bio­tic resis­tance — is hap­pe­ning more often and at a hig­her pace at war­mer tem­pe­ra­tures. On the other hand, it is long known, that micro­or­ga­nisms and espe­ci­al­ly patho­gens repli­ca­te much fas­ter at war­mer tem­pe­ra­tures. Sicke­ning micro­or­ga­nisms are gro­wing best at the tem­pe­ra­tu­re of the human body and the­r­e­fo­re, bac­te­ria will enjoy glo­bal warm­ing. The icing on the top are reports of a direct cor­re­la­ti­on bet­ween increased tem­pe­ra­tures and infec­tion rates of human patho­gens… hur­ray again!

For further information on risks and side effects: ask climate change

Cli­ma­tic chan­ges that our pla­net goes through and will go through in the future does not only lead to war­mer tem­pe­ra­tures glo­bal­ly but also to more extre­me wea­ther events. Apart from the direct impact of drought, floo­ding, and the likes, the­se wea­ther extre­mes can also add to the spread of anti­bio­tic resis­tance. Nitro­gen fer­ti­li­zers for exam­p­le are known to enhan­ce the spread and emer­gence of new anti­bio­tic-resistant bac­te­ria. Becau­se of more floo­ding events, nitro­gen fer­ti­li­zer can be trans­mit­ted into remo­te are­as and flowing waters, which could trans­lo­ca­te resistant bac­te­ria into new locations.

Fur­ther­mo­re, sani­tiza­ti­on infra­struc­tu­re — espe­ci­al­ly in emer­ging count­ries — could beco­me vic­tims of extre­me wea­ther events and as a con­se­quence the­reof, was­te­wa­ter (a known source for anti­bio­tic resis­tance) can be released into the environment.

Infectious disease on the rise?

Incre­asing tem­pe­ra­tures will ine­vi­ta­b­ly lead to a spread of infec­tious dise­a­se also into are­as with mode­ra­te cli­ma­te. Alre­a­dy today, an increase of ticks and mos­qui­tos in cen­tral Euro­pe can be obser­ved and the num­ber of the­se patho­gen trans­mit­ting insects will only grow in the future. On the other hand, some are­as of the world will have to fight with increased drought, which could lead to out­breaks of other infec­tious dise­a­ses. Myco­bac­te­ri­um tuber­cu­lo­sis, the bac­te­ri­um that cau­ses tuber­cu­lo­sis, is known to be less sus­cep­ti­ble to anti­bio­tics in a dry environment.

The com­bi­na­ti­on of pla­s­tic pol­lu­ti­on, anti­bio­tic resis­tance, and cli­ma­te chan­ge seem to be espe­ci­al­ly threa­tening. Micro­pla­s­tics are known to enhan­ce the gene­tic exch­an­ge bet­ween bac­te­ria and are alre­a­dy spread around the glo­be. If patho­gens like Vibrio cho­le­rae join the­se micro­bi­al com­mu­ni­ties, and increased tem­pe­ra­tures enhan­ce the hori­zon­tal gene trans­fer, we could soon be faced with dan­ge­rous sicke­ning bac­te­ria against which our wea­pons are blunt. When you add the spread of infec­tious bac­te­ria around the glo­be due to warm­ing tem­pe­ra­tures to the equa­ti­on, it beco­mes obvious that we are sit­ting on a pow­der keg. The com­bi­na­ti­on of our actions will very likely drop back on us. In the exam­p­le men­tio­ned here, the drop back would come in the form of an almost unt­reata­ble cholera-pandemic.

What to take from it

Glo­bal pro­ces­ses are always inter­fe­ring with each other. This also includes anthro­po­ge­ni­cal­ly cau­sed phe­no­me­nons. The­r­e­fo­re, we can­not look at things like cli­ma­te chan­ge and anti­bio­tic resis­tance iso­la­ted. As a con­se­quence, to address the­se chal­lenges we need to look at how they poten­ti­al­ly enhan­ce each other. Govern­ments, sci­en­tists, and the public will be nee­ded altog­e­ther to suc­cessful­ly over­co­me upco­ming pro­blems. As many of the dis­cus­sed pro­blems mesh, the world needs to work on seve­ral ends tog­e­ther to avo­id being left behind and only tre­at sym­ptoms ins­tead of the actu­al cause.

Find the full stu­dy here.

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