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Occurrence and Health Risks of Antibiotic Resistance in African Aquatic Systems

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Antimicrobial Research and One Health in Africa

Abstract

Antibiotic resistance is an emerging global health concern that has attracted significant attention. Recently, antibiotic resistance has been reported in African aquatic systems, including surface water, groundwater, rainwater harvesting systems, and wastewater. However, comprehensive reviews summarizing Africa’s existing body of knowledge are still lacking. First, the chapter discusses the sources and occurrence of antibiotic resistance in the following aquatic compartments: (1) wastewater, (2) surface water, (3) groundwater systems, and (4) rainwater harvesting and drinking water systems. Second, the behavior, fate, and dissemination of antibiotic resistance via horizontal gene transfer and hydrologically mediated processes in aquatic systems are presented. Also, the potential human exposure and health risks to African communities relying on untreated drinking water are highlighted. Third, methods for removing antibiotic resistance in aquatic systems, including their advantages and limitations, are summarized. Finally, the chapter highlights the knowledge gaps and challenges constraining antibiotic resistance research in Africa, including lack of funding, research infrastructure, and expertise.

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References

  • Abe K, Nomura N, Suzuki S (2020) Biofilms: hot spots of horizontal gene transfer (HGT) in aquatic environments, with a focus on a new HGT mechanism. FEMS Microbiol Ecol 96. https://doi.org/10.1093/femsec/fiaa031

  • Abera B, Kibret M, Mulu W (2016) Extended-Spectrum beta (β)-lactamases and Antibiogram in Enterobacteriaceae from clinical and drinking water Sources from Bahir Dar City, Ethiopia. PLoS One 11(11):e0166519

    Article  PubMed  PubMed Central  Google Scholar 

  • Abia ALK, Ubomba-Jaswa E, Momba MNB (2015) High prevalence of multiple-antibiotic-resistant (MAR) Escherichia coli in riverbed sediments of the Apies River, South Africa. Environ Monit Assess 187(10):1–13

    Article  CAS  Google Scholar 

  • Abo-State MA, Mahdy HM, Ezzat SM, El Shakour EH, Mostafa A (2012) Antimicrobial resistance profiles of enterobacteriaceae isolated from rosetta branch of River Nile. Egypt WASJ 19(9):1234–1243

    CAS  Google Scholar 

  • Adefisoye MA, Okoh AI (2016) Identification and antimicrobial resistance prevalence of pathogenic Escherichia coli strains from treated wastewater effluents in Eastern Cape, South Africa. Microbiology 5(1):143–151

    Article  CAS  Google Scholar 

  • Adesoji AT, Ogunjobi AA (2016) Detection of extended spectrum beta-lactamases resistance genes among bacteria isolated from selected drinking water distribution channels in southwestern Nigeria. BioMed Res Int 2016:7149295, 9 pages. https://doi.org/10.1155/2016/7149295

  • Adegoke AA, Fatunla OK, Okoh AI (2020) Critical threat associated with carbapenem-resistant gram-negative bacteria: prioritizing water matrices in addressing total antibiotic resistance. Ann Microbiol 70:43. https://doi.org/10.1186/s13213-020-01579-4

    Article  CAS  Google Scholar 

  • Adelowo OO, Caucci S, Banjo OA, Nnanna OC, Awotipe EO, Peters FB, Fagade OE, Berendonk TU (2018) Extended Spectrum Beta-Lactamase (ESBL)-producing bacteria isolated from hospital wastewaters, rivers and aquaculture sources in Nigeria. Environ Sci Pollut Res 25(3):2744–2755

    Article  CAS  Google Scholar 

  • Adomako LA, Yirenya-Tawiah D, Nukpezah D, Abrahamya A, Labi AK, Grigoryan R, Ahmed H, Owusu-Danquah J, Annang TY, Banu RA, Osei-Atweneboana MY (2021) Reduced bacterial counts from a sewage treatment plant but increased counts and antibiotic resistance in the recipient stream in Accra, Ghana—a cross-sectional study. Trop Med Infect Dis 6(2):79

    Article  PubMed  PubMed Central  Google Scholar 

  • Adzitey F, Nafisah S, Haruna A (2015) Antibiotic susceptibility of escherichia coli isolated from some drinking water sources in tamale metropolis of Ghana. Curr Res Bacteriol 8:34–40

    Article  CAS  Google Scholar 

  • Adzitey F, Ashiagbor CNK, Abu H (2016) Prevalence and antibiotic susceptibility of Salmonella spp. from water sources in Tamale, Ghana. Int J One Health 2(2):24–28

    Article  Google Scholar 

  • Africa Center for Disease Control (2018) Africa CDC framework for antimicrobial resistance, 2018–2023

    Google Scholar 

  • African Development Fund (2005) Accra sewerage improvement project [appraisal report]. Tunis, Tunisia, African Development Fund

    Google Scholar 

  • Agyare C, Boamah VE, Zumbi CN, Osei FB (2018) Antibiotic use in poultry production and its effects on bacterial resistance. In: Antimicrobial resistance-A global threat, pp 1–20

    Google Scholar 

  • Akande A, Onyedibe KI (2019) First report of enteropathogenic and enteroinvasive Escherichia coli with multiple antibiotic resistance indices from African catfish (Clarias glariepinus) in Nigeria. Afr J Clin Exp Microbiol 20(2):95–103

    Article  Google Scholar 

  • Akinsuyi O, Orababa O, Juwon O, Oladunjoye I, Akande E, Ekpueke M, Emmanuel H (2021) One health approach, a solution to reducing the menace of multidrug-resistant bacteria and zoonoses from domesticated animals in Nigeria–a review. Global Biosecurity 3(1)

    Google Scholar 

  • Akoachere JFTK, Masalla TN, Njom HA (2013) Multi-drug resistant toxigenic Vibrio cholerae O1 is persistent in water sources in New Bell-Douala, Cameroon. BMC Infect Dis 13(1):1–12

    Article  Google Scholar 

  • Akpan SN, Odeniyi OA, Adebowale O, Alarape SA, Adeyemo OK (2020) Antibiotic resistance profile of Gram-negative bacteria isolated from Lafenwa abattoir effluent and its receiving water (Ogun River) in Abeokuta, Ogun state, Nigeria. Onderstepoort J Vet Res 87(1):1–6

    Article  Google Scholar 

  • Al Salah DMM, Laffite A, Poté J (2019) Occurrence of bacterial markers and antibiotic resistance genes in sub-Saharan rivers receiving animal farm wastewaters. Sci Rep 9(1):1–10

    Article  CAS  Google Scholar 

  • Almakki A, Jumas-Bilak E, Marchandin H, Licznar-Fajardo P (2019) Antibiotic resistance in urban runoff. Sci Total Environ 667:64–76. https://doi.org/10.1016/j.scitotenv.2019.02.183

    Article  CAS  PubMed  Google Scholar 

  • Altayb HN, Salih EK, Moglad EH (2020) Molecular detection of beta-lactamase blaCTX-M group 1 in Escherichia coli isolated from drinking water in Khartoum State. J Water Health 18(6):1091–1097

    Article  PubMed  Google Scholar 

  • Amable VI, Amarilla MJV, Salas PL, Mendoza JA, Falcón SL, Boehringer SI et al (2022) Fluoroquinolones and tetracyclines as growth factors in aquaculture: Increase of biometrical parameters versus emergence of resistant bacteria and residues in meat. Aquaculture 561:738640. https://doi.org/10.1016/j.aquaculture.2022.738640

  • Amarasiri M, Sano D, Suzuki S (2020) Understanding human health risks caused by antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARG) in water environments: current knowledge and questions to be answered. Crit Rev Environ Sci Technol 50(19):2016–2059

    Article  CAS  Google Scholar 

  • Amine AEK (2013) Extended spectrum beta-lactamase producing bacteria in waste water alexandria, Egypt. Int J Biosci Biochem Bioinforma 3(6):605

    CAS  Google Scholar 

  • Anderson MA, Whitlock JE, Harwood VJ (2006) Diversity and distribution of Escherichia coli genotypes and antibiotic resistance phenotypes in feces of humans, cattle, and horses. Appl Environ Microbiol 72(11):6914–6922

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Andoh BF (2014) Effects of anthropogenic activities on water quality of Streams: a case study of the Onyasia Stream in the Greater Accra Region. Master’s Thesis

    Google Scholar 

  • Andrade L, Kelly M, Hynds P, Weatherill J, Majury A, O’Dwyer J (2020) Groundwater resources as a global reservoir for antimicrobial-resistant bacteria. Water Res 170:115360. https://doi.org/10.1016/j.watres.2019.115360

    Article  CAS  PubMed  Google Scholar 

  • Antai SP (1987) Incidence of Staphylococcus aureus, coliforms and antibiotic-resistant strains of Escherichia coli in rural water supplies in Port Harcourt. J Appl Bacteriol 62(4):371–375

    Article  CAS  PubMed  Google Scholar 

  • Anyadike EA, Obeta RNC (2012) Differential susceptibility of roof catchments to rainwater contaminants in oil and non-oil producing areas of Akwa Ibom State, Nigeria. Department of Geography, University of Nigeria. Can J Sci Ind Res 3(4):184–192

    Google Scholar 

  • Archer E, Petrie B, Kasprzyk-Hordern B, Wolfaardt GM (2017) The fate of pharmaceuticals and personal care products (PPCPs), endocrine disrupting contaminants (EDCs), metabolites and illicit drugs in a WWTW and environmental waters. Chemosphere 174:437–446

    Article  CAS  PubMed  Google Scholar 

  • Aslam B, Wang W, Arshad MI, Khurshid M, Muzammil S, Rasool MH, Nisar MA, Alvi RF, Aslam MA, Qamar MU, Salamat MKF (2018) Antibiotic resistance: a rundown of a global crisis. Infect Drug Resist 11:1645

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ateba CN, Tabi NM, Fri J, Bissong MEA, Bezuidenhout CC (2020) Occurrence of antibiotic-resistant bacteria and genes in two drinking water treatment and distribution systems in the North-West Province of South Africa. Antibiotics 9(11):745

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ateba CN, Maribeng MD (2011) Detection of enterococcus species in groundwater from some rural communities in the Mmabatho area, South Africa: a risk analysis. Afr J Microbiol Res 5(23):3930–3935

    Article  CAS  Google Scholar 

  • Ateba CN, Mbewe M (2011) Detection of Escherichia coli O157: H7 virulence genes in isolates from beef, pork, water, human and animal species in the northwest province, South Africa: public health implications. Res Microbiol 162(3):240–248

    Article  CAS  PubMed  Google Scholar 

  • Ayandiran TA, Ayandele AA, Dahunsi SO, Ajala OO (2014) Microbial assessment and prevalence of antibiotic resistance in polluted Oluwa River, Nigeria. Egypt J Aquat Res 40(3):291–299

    Article  Google Scholar 

  • Ayukekbong JA, Ntemgwa M, Atabe AN (2017) The threat of antimicrobial resistance in developing countries: causes and control strategies. Antimicrob Resist Infect Control 6(1):1–8

    Article  Google Scholar 

  • Azuonwu TC, Ogbonna DN (2019) Resistant genes of microbes associated with abattoir Wastes. Emergence 14:15

    Google Scholar 

  • Balcazar JL (2014) Bacteriophages as vehicles for antibiotic resistance genes in the environment. PLoS Pathog 10(7):e1004219

    Article  PubMed  PubMed Central  Google Scholar 

  • Balcázar JL, Subirats J, Borrego CM (2015) The role of biofilms as environmental reservoirs of antibiotic resistance. Front Microbiol 6:1216

    Article  PubMed  PubMed Central  Google Scholar 

  • Barbosa V, Morais M, Silva A, Delerue-Matos C, Figueiredo SA, Domingues VF (2021) Comparison of antibiotic resistance in the influent and effluent of two wastewater treatment plants. AIMS Environ Sci 8(2):101–116

    Article  CAS  Google Scholar 

  • Baquero F, Alvarez-Ortega C, Martinez JL (2009) Ecology and evolution of antibiotic resistance. Environ Microbiol Rep 1(6):469–476

    Article  CAS  PubMed  Google Scholar 

  • Ben W, Wang J, Cao R, Yang M, Zhang Y, Qiang Z (2017) Distribution of antibiotic resistance in the effluents of ten municipal wastewater treatment plants in China and the effect of treatment processes. Chemosphere 172:392–398

    Article  CAS  PubMed  Google Scholar 

  • Ben Y, Fu C, Hu M, Liu L, Wong MH, Zheng C (2019) Human health risk assessment of antibiotic resistance associated with antibiotic residues in the environment: a review. Environ Res 169:483–493

    Article  CAS  PubMed  Google Scholar 

  • Bernabe KJ, Langendorf C, Ford N, Ronat JB, Murphy RA (2017) Antimicrobial resistance in West Africa: a systematic review and meta-analysis. Int J Antimicrob Agents 50(5):629–639

    Article  CAS  PubMed  Google Scholar 

  • Beukes LS, King TL, Schmidt S (2017) Assessment of pit latrines in a peri-urban community in KwaZulu-Natal (South Africa) as a source of antibiotic resistant E. coli strains. Int J Hyg Environ Health 220(8):1279–1284

    Article  PubMed  Google Scholar 

  • Bezuidenhout CC, Lin J, Mthembu N, Biyela PT, Basson AK (2001) The Mhlathuze river catchment: bacterial contamination and antibiotic resistance patterns of the isolates. WIT Trans Ecol Environ 49

    Google Scholar 

  • Bezuidenhout CC, Molale-Tom LG, Mienie C, Ateba C, Tsholo K, Kritzinger R et al (2019) Antibiotic-resistant bacteria and genes in drinking water. Water Research Commission, Pretoria. WRC Report, (2585/1), p. 19

    Google Scholar 

  • Biazin B, Sterk G, Temesgen M, Abdulkedir A, Stroosnijder L (2012) Rainwater harvesting and management in rainfed agricultural systems in sub-Saharan Africa – a review. Phys Chem Earth, Parts A/B/C 47–48:139–151. https://doi.org/10.1016/j.pce.2011.08.015

    Article  Google Scholar 

  • Boga HI, Okemo PO, Mwatha WE, Muthanga J, Tsanuo MK, Ikingura JR (2007) Heavy metal tolerance and antibiotic resistance profiles of gram negative bacteria isolated from Lake Victoria, Kenya. J Trop Microbiol Biotechnol 3(2):20–26

    CAS  Google Scholar 

  • Booton RD, Meeyai A, Alhusein N, Buller H, Feil E, Lambert H, Mongkolsuk S, Pitchforth E, Reyher KK, Sakcamduang W, Satayavivad J (2021) One Health drivers of antibacterial resistance: quantifying the relative impacts of human, animal and environmental use and transmission. One Health 12:100220. https://doi.org/10.1016/j.onehlt.2021.100220

    Article  PubMed  PubMed Central  Google Scholar 

  • Bougnom BP, McNally A, Etoa FX, Piddock LJ (2019) Antibiotic resistance genes are abundant and diverse in raw sewage used for urban agriculture in Africa and associated with urban population density. Environ Pollut 251:146–154

    Article  CAS  PubMed  Google Scholar 

  • Bunduki GK, Katembo JLM, Kamwira IS (2020) Antimicrobial resistance in a war-torn country: lessons learned in the Eastern Democratic Republic of the Congo. One Health 9:100120

    Article  PubMed  Google Scholar 

  • Butler CC, Dorward J, Yu LM, Gbinigie O, Hayward G, Saville BR, Van Hecke O, Berry N, Detry M, Saunders C, Fitzgerald M (2021) Azithromycin for community treatment of suspected COVID-19 in people at increased risk of an adverse clinical course in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial. Lancet 397(10279):1063–1074

    Article  Google Scholar 

  • Butte G, Niwagaba C, Nordin A (2021) Assessing the microbial risk of faecal sludge use in Ugandan agriculture by comparing field and theoretical model output. Water Res 197:117068

    Article  CAS  PubMed  Google Scholar 

  • Cambaco O, Menendez YA, Kinsman J, Sigaúque B, Wertheim H, Do N et al (2020) Community knowledge and practices regarding antibiotic use in rural Mozambique: where is the starting point for prevention of antibiotic resistance? BMC Public Health 20(1):1–15

    Article  Google Scholar 

  • Carstens A, Bartie C, Dennis R, Bezuidenhout C (2014) Antibiotic-resistant heterotrophic plate count bacteria and amoeba-resistant bacteria in aquifers of the Mooi River, North West province, South Africa. J Water Health 12(4):835–845

    Article  PubMed  Google Scholar 

  • Caucci S, Karkman A, Cacace D, Rybicki M, Timpel P, Voolaid V, Gurke R, Virta M, Berendonk TU (2016) Seasonality of antibiotic prescriptions for outpatients andresistance genes in sewers and wastewater treatment plant outflow. (K. Smalla, Ed.). FEMS Microbiol Ecol 92(5):fiw060

    Article  PubMed  Google Scholar 

  • Cerqueira F, Matamoros V, Bayona JM, Berendonk TU, Elsinga G, Hornstra LM, Piña B (2019) Antibiotic resistance gene distribution in agricultural fields and crops. A soil-to-food analysis. Environ Res 177:108608. https://doi.org/10.1016/j.envres.2019.108608

    Article  CAS  PubMed  Google Scholar 

  • Chee-Sanford JC, Mackie RI, Koike S, Krapac IG, Lin YF, Yannarell AC, Maxwell S, Aminov RI (2009) Fate and transport of antibiotic residues and antibiotic resistance genes following land application of manure waste. J Environ Qual 38(3):1086–1108. https://doi.org/10.2134/jeq2008.0128

    Article  CAS  PubMed  Google Scholar 

  • Chiang YN, Penadés JR, Chen J (2019) Genetic transduction by phages and chromosomal islands: the new and noncanonical. PLoS Pathog 15(8):e1007878

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chidamba L, Korsten L (2015) Antibiotic resistance in Escherichia coli isolates from roof-harvested rainwater tanks and urban pigeon faeces as the likely source of contamination. Environ Monit Assess 187(7):1–15

    Article  CAS  Google Scholar 

  • Coertze RD, Bezuidenhout CC (2018) The prevalence and diversity of AmpC β-lactamase genes in plasmids from aquatic systems. Water Sci Technol 2017(2):603–611

    Article  PubMed  Google Scholar 

  • Dalameh S, Bjornberg E, Elenstrom A, Niwagaba CB, Komakech AJ (2019) Pharmaceutical pollution of water resources in Nakivubo wetlands and Lake Victoria, Kampala, Uganda

    Google Scholar 

  • Destiani R, Templeton MR (2019) Chlorination and ultraviolet disinfection of antibiotic-resistant bacteria and antibiotic resistance genes in drinking water. AIMS Environ Sci 6(3):222–241

    Article  CAS  Google Scholar 

  • de Kraker ME, Stewardson AJ, Harbarth S (2016) Will 10 million people die a year due to antimicrobial resistance by 2050? PLoS Med 13(11):e1002184

    Article  PubMed  PubMed Central  Google Scholar 

  • De Oliveira DM, Forde BM, Kidd TJ, Harris PN, Schembri MA, Beatson SA, Paterson DL, Walker MJ (2020) Antimicrobial resistance in ESKAPE pathogens. Clin Microbiol Rev 33(3):e00181–e00119

    Article  PubMed  PubMed Central  Google Scholar 

  • Dekker D, Wolters M, Mertens E, Boahen KG, Krumkamp R, Eibach D, Schwarz NG, Adu-Sarkodie Y, Rohde H, Christner M, Marks F (2016) Antibiotic resistance and clonal diversity of invasive Staphylococcus aureus in the rural Ashanti Region, Ghana. BMC Infect Dis 16(1):1–6

    Article  Google Scholar 

  • Diab MS, Tarabees R, Elnaker YF, Hadad GA, Saad MA, Galbat SA et al (2021) Molecular detection, serotyping, and antibiotic resistance of Shiga toxigenic Escherichia coli isolated from she-camels and in-contact humans in Egypt. Antibiotics 10(8):1021

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dobrowsky PH, van Deventer A, De Kwaadsteniet M, Ndlovu T, Khan S, Cloete TE, Khan W (2014a) Prevalence of virulence genes associated with pathogenic Escherichia coli strains isolated from domestically harvested rainwater during low- and high-rainfall periods. Appl Environ Microbiol 80(5):1633–1638. https://doi.org/10.1128/aem.03061-13

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dobrowksy H, Mannel D, Kwaadsteniet M, Prozesky H, Khan W, Cloete T (2014b) Quality assessment and primary uses of harvested rainwater in Kleinmond, South Africa. Water SA 40(3):401–406. https://doi.org/10.4314/wsa.v40i3.2

    Article  CAS  Google Scholar 

  • Dubnau D, Blokesch M (2019) Mechanisms of DNA uptake by naturally competent bacteria. Annual Review of Genetics. 53:217–237. https://doi.org/10.1146/annurev-genet-112618-043641

  • Ebomah KE, Okoh AI (2020a) An African perspective on the prevalence, fate and effects of carbapenem resistance genes in hospital effluents and wastewater treatment plant (WWTP) final effluents: a critical review. Heliyon 6(5):e03899

    Article  PubMed  PubMed Central  Google Scholar 

  • Ebomah KE, Okoh AI (2020b) Detection of carbapenem-resistance genes in Klebsiella species recovered from selected environmental niches in the Eastern Cape Province, South Africa. Antibiotics 9(7):425

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Elton L, Thomason MJ, Tembo J, Velavan TP, Pallerla SR, Arruda LB et al (2020) Antimicrobial resistance preparedness in sub-Saharan African countries. Antimicrob Resist Infect Control 9(1):1–11

    Article  Google Scholar 

  • El-Zanfaly HT, Kassim ESAA, Badr-Eldin SM (1987) Incidence of antibiotic resistant bacteria in drinking water in Cairo. Water Air Soil Pollut 32(1):123–128

    CAS  Google Scholar 

  • Ekhosuehi A, Akharame MO, Obayuwana P (2018) Bacteriological quality and antibiogram of isolates from potable water sources in Ekosodin community, Benin City, Nigeria. J Appl Sci Environ Manag 22(1):129–133

    CAS  Google Scholar 

  • Essack SY, Desta AT, Abotsi RE, Agoba EE (2017) Antimicrobial resistance in the WHO African region: current status and roadmap for action. J Public Health 39(1):8–13

    CAS  Google Scholar 

  • Fadare FT, Adefisoye MA, Okoh AI (2020) Occurrence, identification, and antibiogram signatures of selected Enterobacteriaceae from Tsomo and Tyhume rivers in the Eastern Cape Province, Republic of South Africa. PLoS One 15(12):e0238084

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fars S, Oufdou K, Nejmeddine A, Hassani L, Melloul AA, Bousselhaj K, Amahmid O, Bouhoum K, Lakmichi H, Mezrioui N (2005) Antibiotic resistance and survival of faecal coliforms in activated sludge system in a semi-arid region (Beni Mellal, Morocco). World J Microbiol Biotechnol 21(4):493–500

    Article  CAS  Google Scholar 

  • Faleye AC, Adegoke AA, Ramluckan K, Fick J, Bux F, Stenström TA (2019) Concentration and reduction of antibiotic residues in selected wastewater treatment plants and receiving waterbodies in Durban, South Africa. Sci Total Environ 678:10–20

    Article  CAS  PubMed  Google Scholar 

  • Faleye AC, Adegoke AA, Ramluckan K, Bux F, Stenström TA (2018) Antibiotic residue in the aquatic environment: status in Africa. Open Chem 16(1):890–903

    Article  CAS  Google Scholar 

  • Fayiga AO, Ipinmoroti MO, Chirenje T (2018) Environmental pollution in Africa. Environ Dev Sustain 20(1):41–73

    Article  Google Scholar 

  • Fekadu S, Alemayehu E, Dewil R, Van der Bruggen B (2019) Pharmaceuticals in freshwater aquatic environments: a comparison of the African and European challenge. Sci Total Environ 654:324–337

    Article  CAS  PubMed  Google Scholar 

  • Felis E, Kalka J, Sochacki A, Kowalska K, Bajkacz S, Harnisz M, Korzeniewska E (2020) Antimicrobial pharmaceuticals in the aquatic environment-occurrence and environmental implications. Eur J Pharmacol 866:172813

    Article  CAS  PubMed  Google Scholar 

  • Flemming HC, Wuertz S (2019) Bacteria and archaea on Earth and their abundance in biofilms. Nat Rev Microbiol 17(4):247–260

    Article  CAS  PubMed  Google Scholar 

  • Fisher MB (2011) The effects of wavelength, metals, and reactive oxygen species on the sunlight inactivation of microorganisms: observations and applications to the solar disinfection of drinking water. University of California, Berkeley

    Google Scholar 

  • Fisher MB, Iriarte M, Nelson KL (2012) Solar water disinfection (SODIS) of Escherichia coli, Enterococcus spp., and MS2 coliphage: effects of additives and alternative container materials. Water Res 46(6):1745–1754

    Article  CAS  PubMed  Google Scholar 

  • Founou LL, Amoako DG, Founou RC, Essack SY (2018) Antibiotic resistance in food animals in Africa: a systematic review and meta-analysis. Microb Drug Resist 24(5):648–665

    Article  CAS  PubMed  Google Scholar 

  • Fraser JL, Alimi YH, Varma JK, Muraya T, Kujinga T, Carter VK, Schultsz C, Del VJ, Fraser JL, Alimi YH, Varma JK, Muraya T, Kujinga T, Carter VK, Schultsz C, Del VJ, Vilas R (2021) Antimicrobial resistance control efforts in Africa: a survey of the role of Civil Society Organisations Antimicrobial resistance control efforts in Africa: a survey of the role of Civil ABSTRACT. Glob Health Action 14(1). https://doi.org/10.1080/16549716.2020.1868055

  • Frumence G, Mboera LE, Sindato C, Katale BZ, Kimera S, Metta E et al (2021) The governance and implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: a qualitative study. Antibiotics 10(3):273

    Article  PubMed  PubMed Central  Google Scholar 

  • Furukawa T, Jikumaru A, Ueno T, Sei K (2017) Inactivation effect of antibiotic-resistant gene using chlorine disinfection. Water 9(7):547

    Article  Google Scholar 

  • Gadgil AJ, Derby EA (2003) Providing safe drinking water to 1.2 billion unserved people (No. LBNL-52374). Lawrence Berkeley National Lab. (LBNL), Berkeley, CA

    Google Scholar 

  • García-Vello P, González-Zorn B, Saba CKS (2020) Antibiotic resistance patterns in human, animal, food and environmental isolates in Ghana: a review. Pan Afr Med J 35

    Google Scholar 

  • Gemeda BA, Assefa A, Jaleta MB, Amenu K, Wieland B (2021) Antimicrobial resistance in Ethiopia: a systematic review and meta-analysis of prevalence in foods, food handlers, animals, and the environment. One Health 13:100286

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Genthe B, Ndlela L, Madlala T (2020) Antimicrobial resistance screening and profiles: a glimpse from the South African perspective. J Water Health 18(6):925–936

    Article  CAS  PubMed  Google Scholar 

  • Gentle A, Day MR, Hopkins KL, Godbole G, Jenkins C (2020) Antimicrobial resistance in Shiga toxin-producing Escherichia coli other than serotype O157: H7 in England, 2014–2016. J Med Microbiol 69(3):379–386

    Article  CAS  PubMed  Google Scholar 

  • Goulas A, Livoreil B, Grall N, Benoit P, Couderc-Obert C, Dagot C, Andremont A (2018) What are the effective solutions to control the dissemination of antibiotic resistance in the environment? A systematic review protocol. Environ Evid 7(1):1–9

    Article  Google Scholar 

  • Gufe C, Canaan Hodobo T, Mbonjani B, Majonga O, Marumure J, Musari S et al (2019) Antimicrobial profiling of bacteria isolated from fish sold at informal market in Mufakose, Zimbabwe. Int J Microbiol 2019

    Google Scholar 

  • Govender R, Amoah ID, Adegoke AA, Singh G, Kumari S, Swalaha FM, Bux F, Stenström TA (2021) Identification, antibiotic resistance, and virulence profiling of Aeromonas and Pseudomonas species from wastewater and surface water. Environ Monit Assess 193(5):1–16

    Article  Google Scholar 

  • Gwenzi W (2020) Occurrence, behaviour, and human exposure pathways and health risks of toxic geogenic contaminants in serpentinitic ultramafic geological environments (SUGEs): a medical geology perspective. Sci Total Environ 700:134622

    Article  CAS  PubMed  Google Scholar 

  • Gwenzi W (2020) The ‘thanato-resistome’-the funeral industry as a potential reservoir of antibiotic resistance: early insights and perspectives. Sci Total Environ 749:141120

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gwenzi W (2021) Leaving no stone unturned in light of the COVID-19 faecal-oral hypothesis? A water, sanitation and hygiene (WASH) perspective targeting low-income countries. Sci Total Environ 753:141751

    Article  CAS  PubMed  Google Scholar 

  • Gwenzi W, Chaukura N (2018) Organic contaminants in African aquatic systems: current knowledge, health risks, and future research directions. Sci Total Environ 619:1493–1514

    Article  PubMed  Google Scholar 

  • Gwenzi W, Siyawamwaya M (2022) The environmental resistome: human exposure, health risks, and research needs. In: Emerging contaminants in the terrestrial-aquatic-atmosphere continuum, pp 307–322. https://doi.org/10.1016/B978-0-323-90051-5.00001-8

    Chapter  Google Scholar 

  • Gwenzi W, Siyawamwaya M (2022) The environmental resistome: human exposure, health risks, and research needs. In: Gwenzi W (ed) Emerging contaminants in the terrestrial-aquatic-atmosphere continuum: occurrence, health risks, and mitigation. Elsevier, Amsterdam. https://doi.org/10.1016/B978-0-323-90051-5.00001-8

    Chapter  Google Scholar 

  • Gwenzi W, Dunjana N, Pisa C, Tauro T, Nyamadzawo G (2015) Water quality and public health risks associated with roof rainwater harvesting systems for potable supply: review and perspectives. Sustainability Water Qual Ecol 6:107–118

    Article  Google Scholar 

  • Gwenzi W, Musiyiwa K, Mangori L (2018) Sources, behaviour and health risks of antimicrobial resistance genes in wastewaters: a hotspot reservoir. J Environ Chem Eng 8(1):102220. https://doi.org/10.1016/j.jece.2018.02.028

    Article  CAS  Google Scholar 

  • Gwenzi W, Musiyiwa K, Mangori L (2020) Sources, behaviour and health risks of antimicrobial resistance genes in wastewaters: a hotspot reservoir. J Environ Chem Eng, 8(1):102220. https://doi.org/10.1016/j.jece.2018.02.028

  • Gwenzi W, Shamsizadeh Z, Gholipour S, Nikaeen M (2022) The air-borne antibiotic resistome: occurrence, health risks, and future directions. Sci Total Environ 804:150154

    Article  CAS  PubMed  Google Scholar 

  • Gwenzi W, Musiyiwa K, Mangori L, Chaukura N, Abia ALK (2022) Antibiotic-resistant bacteria and antibiotic resistance genes in aquatic systems: occurrence, behaviour, and fate. In: Emerging contaminants in the terrestrial-aquatic-atmosphere continuum. Elsevier, pp 121–136

    Chapter  Google Scholar 

  • Hahn J, DeSantis M, Dubnau D (2021) Mechanisms of transforming DNA uptake to the periplasm of Bacillus subtilis. MBio 12(3):e01061–e01021

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hafiane FZ, Tahri L, Ameur N, Rochdi R, Arifi K, Fekhaui M (2019) Antibiotic resistance of pseudomonas aeruginosa in well waters in irrigated zone (Middle Atlas-Morocco). Nat Environ Pollut Technol 18(4):1193–1200

    CAS  Google Scholar 

  • Hamiwe T, Kock MM, Magwira CA, Antiabong JF, Ehlers MM (2019) Occurrence of enterococci harbouring clinically important antibiotic resistance genes in the aquatic environment in Gauteng, South Africa. Environ Pollut 245:1041–1049

    Article  CAS  PubMed  Google Scholar 

  • Hatibu N, Mutabazi K, Senkondo EM, Msangi ASK (2006) Economics of rainwater harvesting for crop enterprises in semi-arid areas of East Africa. Agric Water Manag 80(1–3):74–86

    Article  Google Scholar 

  • Hausner M, Wuertz S (1999) High rates of conjugation in bacterial biofilms as determined by quantitative in situ analysis. Appl Environ Microbiol 65(8):3710–3713

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Huang Z, Zhao W, Xu T, Zheng B, Yin D (2019) Occurrence and distribution of antibiotic resistance genes in the water and sediments of Qingcaosha Reservoir, Shanghai, China. Environ Sci Eur 31(1):1–9

    Article  Google Scholar 

  • He Y, Yuan Q, Mathieu J, Stadler L, Senehi N, Sun R, Alvarez PJ (2020) Antibiotic resistance genes from livestock waste: occurrence, dissemination, and treatment. NPJ Clean Water 3(1):1–11

    Article  Google Scholar 

  • Ibanez de Aldecoa AL, Zafra O, González-Pastor JE (2017) Mechanisms and regulation of extracellular DNA release and its biological roles in microbial communities. Front Microbiol 8:1390

    Article  PubMed  PubMed Central  Google Scholar 

  • Igbinosa EO, Obi LC, Tom M, Okoh AI (2011) Detection of potential risk of wastewater effluents for transmission of antibiotic resistance from Vibrio species as a reservoir in a peri-urban community in South Africa. Int J Environ Health Res 21(6):402–414

    Article  CAS  PubMed  Google Scholar 

  • Igbinosa IH, Nwodo UU, Sosa A, Tom M, Okoh AI (2012) Commensal Pseudomonas species isolated from wastewater and freshwater milieus in the Eastern Cape Province, South Africa, as reservoir of antibiotic resistant determinants. Int J Environ Res Public Health 9(7):2537–2549

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Igbinosa IH, Chigor VN, Igbinosa EO, Obi LC, Okoh AI (2013) Antibiogram, adhesive characteristics, and incidence of class 1 integron in Aeromonas species isolated from two South African rivers. Biomed Res Int 2013:1

    Article  Google Scholar 

  • Igbinosa IH, Beshiru A, Igbinosa EO (2017) Antibiotic resistance profile of Pseudomonas aeruginosa isolated from aquaculture and abattoir environments in urban communities. Asian Pac J Trop Dis 7(1):47–52

    Article  Google Scholar 

  • Ilyina TS, Romanova YM, Gintsburg AL (2004) Biofilms as a mode of existence of bacteria in external environment and host body: the phenomenon, genetic control, and regulation systems of development. Russ J Genet 40(11):1189–1198

    Article  CAS  Google Scholar 

  • Iweriebor BC, Gaqavu S, Obi LC, Nwodo UU, Okoh AI (2015) Antibiotic susceptibilities of enterococcus species isolated from hospital and domestic wastewater effluents in alice, eastern cape province of South Africa. Int J Environ Res Public Health 12(4):4231–4246

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Iwu CD, Korsten L, Okoh AI (2020) The incidence of antibiotic resistance within and beyond the agricultural ecosystem: a concern for public health. Microbiology 9(9):e1035

    CAS  Google Scholar 

  • Iwu-Jaja CJ, Jaca A, Jaja IF, Jordan P, Bhengu P, Iwu CD et al (2021) Preventing and managing antimicrobial resistance in the African region: a scoping review protocol. PLoS One 16(7):e0254737

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jefferson KK (2004) What drives bacteria to produce a biofilm? FEMS Microbiol Lett 236(2):163–173

    Article  CAS  PubMed  Google Scholar 

  • Juan PA, Attaiech L, Charpentier X (2015) Natural transformation occurs independently of the essential actin-like MreB cytoskeleton in Legionella pneumophila. Sci Rep 5(1):1–13

    Article  Google Scholar 

  • Kahinda JM, Taigbenu AE (2011) Rainwater harvesting in South Africa: challenges and opportunities. Phys Chem Earth, Parts A/B/C 36(14–15):968–976

    Article  Google Scholar 

  • Kahinda JM, Taigbenu AE, Boroto JR (2007) Domestic rainwater harvesting to improve water supply in rural South Africa. Phys Chem Earth, Parts A/B/C 32(15–18):1050–1057. https://doi.org/10.1016/j.pce.2007.07.007

    Article  Google Scholar 

  • Kairigo P, Ngumba E, Sundberg LR, Gachanja A, Tuhkanen T (2020a) Contamination of surface water and river sediments by antibiotic and antiretroviral drug cocktails in low and middle-income countries: occurrence, risk and mitigation strategies. Water 12(5):1376

    Article  CAS  Google Scholar 

  • Kairigo P, Ngumba E, Sundberg LR, Gachanja A, Tuhkanen T (2020b) Occurrence of antibiotics and risk of antibiotic resistance evolution in selected Kenyan wastewaters, surface waters and sediments. Sci Total Environ 720:137580

    Article  CAS  PubMed  Google Scholar 

  • Karimi KJ, Aijaz A, Duse AG, Mwanthi AM, Ayah R (2020) Antibiotic use, disposal and awareness of human health risk associated with consuming antibiotics in groundwater among people living in informal settlements of Kisumu, Kenya

    Google Scholar 

  • Karkman A, Johnson TA, Lyra C, Stedtfeld RD, Tamminen M, Tiedje JM, Virta M (2016) Highthroughput quantification of antibiotic resistance genes from an urban wastewater treatment plant. (E. Topp, Ed.). FEMS Microbiol Ecol 92(3):fiw014

    Article  PubMed  Google Scholar 

  • Karkman A, Do TT, Walsh F, Virta MP (2018) Antibiotic-resistance genes in waste water. Trends Microbiol 26(3):220–228

    Article  CAS  PubMed  Google Scholar 

  • Kimera ZI, Mshana SE, Rweyemamu MM, Mboera LE, Matee MI (2020) Antimicrobial use and resistance in food-producing animals and the environment: an African perspective. Antimicrob Resist Infect Control 9(1):1–12

    Article  Google Scholar 

  • King TL, Schmidt S, Essack SY (2020) Antibiotic resistant Klebsiella spp. from a hospital, hospital effluents and wastewater treatment plants in the uMgungundlovu District, KwaZulu-Natal, South Africa. Sci Total Environ 712:135550

    Article  CAS  PubMed  Google Scholar 

  • Kinge CNW, Ateba CN, Kawadza DT (2010) Antibiotic resistance profiles of Escherichia coli isolated from different water sources in the Mmabatho locality, North-West Province, South Africa. S Afr J Sci 106(1):44–49

    CAS  Google Scholar 

  • Kouamé PK, Nguyen-Viet H, Dongo K, Zurbrügg C, Biémi J, Bonfoh B (2017) Microbiological risk infection assessment using QMRA in agriculture systems in Côte d’Ivoire, West Africa. Environ Monit Assess 189(11):1–11.117068

    Article  Google Scholar 

  • Kulkarni P, Olson ND, Raspanti GA, Rosenberg Goldstein RE, Gibbs SG, Sapkota A, Sapkota AR (2017) Antibiotic concentrations decrease during wastewater treatment but persist at low levels in reclaimed water. Int J Environ Res Public Health 14(6):668. https://doi.org/10.3390/ijerph14060668

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kuroda K, Li C, Dhangar K, Kumar M (2021) Predicted occurrence, ecotoxicological risk and environmentally acquired resistance of antiviral drugs associated with COVID-19 in environmental waters. Sci Total Environ 776:145740

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kumwenda GP, Sugawara Y, Akeda Y, Matsumoto Y, Motooka D, Tomono K, Hamada S (2021) Genomic features of plasmids coding for KPC-2, NDM-5 or OXA-48 carbapenemases in Enterobacteriaceae from Malawi. J Antimicrob Chemother 76(1):267–270

    Article  CAS  PubMed  Google Scholar 

  • Langford FM, Weary DM, Fisher L (2003) Antibiotic resistance in gut bacteria from dairy calves: a dose response to the level of antibiotics fed in milk. J Dairy Sci 86(12):3963–3966

    Article  CAS  PubMed  Google Scholar 

  • Lerminiaux NA, Cameron AD (2019) Horizontal transfer of antibiotic resistance genes in clinical environments. Can J Microbiol 65(1):34–44

    Article  CAS  PubMed  Google Scholar 

  • Leungtongkam U, Thummeepak R, Tasanapak K, Sitthisak S (2018) Acquisition and transfer of antibiotic resistance genes in association with conjugative plasmid or class 1 integrons of Acinetobacter baumannii. PLoS One 13(12):e0208468

    Article  PubMed  PubMed Central  Google Scholar 

  • Leonard AFC, Yin XL, Zhang T, Hui M, Gaze WH (2018) A coliform-targeted metagenomic method facilitating human exposure estimates to Escherichia coli-borne antibiotic resistance genes. FEMS Microbiol Ecol 94(3)

    Google Scholar 

  • Lester R, Maheswaran H, Jewell CP, Lalloo DG, Feasey NA (2020) Estimating the burden of antimicrobial resistance in Malawi: protocol for a prospective observational study of the morbidity, mortality and economic cost of third-generation cephalosporin resistant bloodstream infection. Wellcome Open Res 5:1–27. https://doi.org/10.12688/wellcomeopenres.15719.2

    Article  Google Scholar 

  • Liphadzi S, Bhagwan J (2016) Antimicrobial Resistance and the governance of water resources in South Africa. Presentation from 2016 World Water Week in Stockholm. www.worldwaterweek.org

  • Li XZ, Plésiat P, Nikaido H (2015) The challenge of efflux-mediated antibiotic resistance in gram-negative bacteria. Clin Microbiol Rev 28(2):337–418

    Article  PubMed  PubMed Central  Google Scholar 

  • Lin J, Biyela PT (2005) Convergent acquisition of antibiotic resistance determinants amongst the Enterobacteriaceae isolates of the Mhlathuze River, KwaZulu-Natal (RSA). Water SA 31(2):257–260

    Article  Google Scholar 

  • Lin J, Biyela PT, Puckree T (2004) Antibiotic resistance profiles of environmental isolates from Mhlathuze River, KwaZulu-Natal (RSA). Water SA 30(1):23–28

    Article  CAS  Google Scholar 

  • Liu C, Chen J, Shan X, Yang Y, Song L, Teng Y, Chen H (2022) Meta-analysis addressing the characterization and risk identification of antibiotics and antibiotic resistance genes in global groundwater. Sci Total Environ 160513:160513. https://doi.org/10.1016/j.scitotenv.2022.160513

    Article  CAS  Google Scholar 

  • Lorenz MG, Wackernagel W (1994) Bacterial gene transfer by natural genetic transformation in the environment. Microbiol Rev 58(3):563–602

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lyimo B, Buza J, Subbiah M, Smith W, Call DR (2016) Comparison of antibiotic resistant Escherichia coli obtained from drinking water sources in northern Tanzania: a cross-sectional study. BMC Microbiol 16(1):1–10

    Article  Google Scholar 

  • Ma C, Lo PK, Xu J, Li M, Jiang Z, Li G, Zhu Q, Li X, Leong SY, Li Q (2020) Molecular mechanisms underlying lignocellulose degradation and antibiotic resistance genes removal revealed via metagenomics analysis during different agricultural wastes composting. Bioresour Technol 314:123731

    Article  CAS  PubMed  Google Scholar 

  • Machado A, Bordalo AA (2014) Prevalence of antibiotic resistance in bacteria isolated from drinking well water available in Guinea-Bissau (West Africa). Ecotoxicol Environ Saf 106:188–194

    Article  CAS  PubMed  Google Scholar 

  • Machdar E, Van Der Steen NP, Raschid-Sally L, Lens PNL (2013) Application of quantitative microbial risk assessment to analyze the public health risk from poor drinking water quality in a low-income area in Accra, Ghana. Sci Total Environ 449:134–142

    Article  CAS  PubMed  Google Scholar 

  • Madikizela LM, Ncube S, Chimuka L (2020) Analysis, occurrence and removal of pharmaceuticals in African water resources: a current status. J Environ Manag 253:109741

    Article  CAS  Google Scholar 

  • Magwira CA, Aneck-Hahn N, Taylor MB (2019) Fate, occurrence and potential adverse effects of antimicrobials used for treatment of tuberculosis in the aquatic environment in South Africa. Environ Pollut 254(Pt A):112990. https://doi.org/10.1016/j.envpol.2019.112990

    Article  CAS  PubMed  Google Scholar 

  • Malema MS, Abia ALK, Tandlich R, Zuma B, Mwenge Kahinda JM, Ubomba-Jaswa E (2018) Antibiotic-resistant pathogenic Escherichia Coli isolated from rooftop rainwater-harvesting tanks in the eastern cape, South Africa. Int J Environ Res Public Health 15(5):892. https://doi.org/10.3390/ijerph15050892

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Manaia CM, Macedo G, Fatta-Kassinos D, Nunes OC (2016) Antibiotic resistance in urban aquatic environments: can it be controlled? Appl Microbiol Biotechnol 100(4):1543–1557

    Article  CAS  PubMed  Google Scholar 

  • Mann BC, Bezuidenhout JJ, Bezuidenhout CC (2019) Biocide resistant and antibiotic cross-resistant potential pathogens from sewage and river water from a wastewater treatment facility in the North-West, Potchefstroom, South Africa. Water Sci Technol 80(3):551

    Article  CAS  PubMed  Google Scholar 

  • Mathew MG, Samuel SR, Soni AJ, Roopa KB (2020) Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary molars: randomized controlled trial. Clin Oral Investig 24(9):3275–3280

    Article  PubMed  Google Scholar 

  • Mbanga J, Amoako DG, Abia AL, Allam M, Ismail A, Essack SY (2021) Genomic insights of multidrug-resistant Escherichia coli from wastewater sources and their association with clinical pathogens in South Africa. Front Vet Sci 8:137

    Article  Google Scholar 

  • Masich AM, Vega AD, Callahan P, Herbert A, Fwoloshi S, Zulu PM et al (2020) Antimicrobial usage at a large teaching hospital in Lusaka, Zambia. PLoS One 15(2):e0228555

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mbanga J, Abia ALK, Amoako DG, Essack S (2020) Quantitative microbial risk assessment for waterborne pathogens in a wastewater treatment plant and its receiving surface water body. BMC Microbiol 20(1):1–12

    Article  Google Scholar 

  • Michael I, Rizzo L, McArdell CS, Manaia CM, Merlin C, Schwartz T, Fatta-Kassinos DJWR (2013) Urban wastewater treatment plants as hotspots for the release of antibiotics in the environment: a review. Water Res 47(3):957–995

    Article  CAS  PubMed  Google Scholar 

  • Miguel ABR, Jetten MS, Welte CU (2020) The role of mobile genetic elements in organic micropollutant degradation during biological wastewater treatment. Water Res X 9:100065

    Article  Google Scholar 

  • Mikecz O, Pica-Ciamarra U, Felis A, Nizeyimana G, Okello P, Brunelli C (2020) Data on antimicrobial use in livestock: lessons from Uganda. One Health 10:100165

    Article  PubMed  PubMed Central  Google Scholar 

  • Mlandu CM (2017) Exploring horizontal gene transfer and phage infections in a South African deep subsurface bacterial population. Doctoral dissertation, University of the Free State

    Google Scholar 

  • Molale-Tom LG, Bezuidenhout CC (2020) Prevalence, antibiotic resistance and virulence of Enterococcus spp. from wastewater treatment plant effluent and receiving waters in South Africa. J Water Health 18(5):753–765

    Article  CAS  PubMed  Google Scholar 

  • Montwedi MG, Kumar A, Ateba CN (2018) Persistence of vancomycin resistance genes and transposable elements in Enterococcus faecalis isolated from groundwater intended for human consumption: a public health implication. Gene Rep 13:49–58

    Article  Google Scholar 

  • Muhammad MH, Idris AL, Fan X, Guo Y, Yu Y, Jin X, Qiu J, Guan X, Huang T (2020) Beyond risk: bacterial biofilms and their regulating approaches. Front Microbiol 11:928

    Article  PubMed  PubMed Central  Google Scholar 

  • Mugadza DT, Nduku SI, Gweme E, Manhokwe S, Marume P, Mugari A et al (2021) Drinking water quality and antibiotic resistance of E. coli and Salmonella spp. from different sources in Gweru urban, Zimbabwe. Environ Monit Assess 193(8):1–12

    Article  Google Scholar 

  • Mulamattathil SG, Esterhuysen HA, Pretorius PJ (2000) Antibiotic-resistant Gram-negative bacteria in a virtually closed water reticulation system. J Appl Microbiol 88(6):930–937

    Article  CAS  PubMed  Google Scholar 

  • Mulamattathil SG, Bezuidenhout C, Mbewe M, Ateba CN (2014) Isolation of environmental bacteria from surface and drinking water in Mafikeng, South Africa, and characterization using their antibiotic resistance profiles. J Pathog 2014:1

    Article  Google Scholar 

  • Murinda S, Kraemer S (2008) The potential of solar water disinfection as a household water treatment method in peri-urban Zimbabwe. Phys Chem Earth Parts A B C 33(8–13):829–832

    Article  Google Scholar 

  • Murphy HM, Prioleau MD, Borchardt MA, Hynds PD (2017) Epidemiological evidence of groundwater contribution to global enteric disease, 1948–2015. Hydrogeol J 25(4):981–1001

    Article  Google Scholar 

  • Murray CJ, Ikuta KS, Sharara F, Swetschinski L, Aguilar GR, Gray A, Han C, Bisignano C, Rao P, Wool E, Johnson SC (2022) Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Lancet 399(10325):629–655

    Article  CAS  Google Scholar 

  • Muriuki SW, Neondo JO, Budambula NL (2020) Detection and profiling of antibiotic resistance among culturable bacterial isolates in vended food and soil samples. Int J Microbiol 2020

    Google Scholar 

  • Naidoo S, Olaniran AO (2014) Treated wastewater effluent as a source of microbial pollution of surface water resources. Int J Environ Res Public Health 11(1):249–270

    Article  Google Scholar 

  • Nalwanga R, Muyanja CK, McGuigan KG, Quilty B (2018) A study of the bacteriological quality of roof-harvested rainwater and an evaluation of SODIS as a suitable treatment technology in rural Sub-Saharan Africa. J Environ Chem Eng 6(3):3648–3655. https://doi.org/10.1016/j.jece.2016.12.008

    Article  CAS  Google Scholar 

  • Nappier SP, Liguori K, Ichida AM, Stewart JR, Jones KR (2020) Antibiotic resistance in recreational waters: State of the science. Int J Environ Res Public Health 17(21):8034

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nassri I, Tahri L, Saidi A, Ameur N, Fekhaoui M (2021) Prevalence, diversity and antimicrobial resistance of Salmonella enterica and Pseudomonas aeruginosa isolates from spring water in a rural area of northwestern Morocco. Biodivers J Biol Divers 22(3)

    Google Scholar 

  • Ndihokubwayo JB, Yahaya AA, Desta AT, Ki-Zerbo G, Odei EA, Keita B et al (2013) Antimicrobial resistance in the African Region: issues, challenges and actions proposed. Afr Health Monitor 16:27–30

    Google Scholar 

  • Ngqwala NP, Muchesa P (2020) Occurrence of pharmaceuticals in aquatic environments: a review and potential impacts in South Africa. S Afr J Sci 116(7–8):1–7

    Google Scholar 

  • Ngumba E, Gachanja A, Tuhkanen T (2016) Occurrence of selected antibiotics and antiretroviral drugs in Nairobi River Basin, Kenya. Sci Total Environ 539:206–213

    Article  CAS  PubMed  Google Scholar 

  • Njage PM, Buys EM (2015) Pathogenic and commensal E scherichia coli from irrigation water show potential in transmission of extended spectrum and AmpC β-lactamases determinants to isolates from lettuce. Microb Biotechnol 8(3):462–473

    Article  CAS  PubMed  Google Scholar 

  • Nolan VC, Harrison J, Wright JE, Cox JA (2020) Clinical significance of manuka and medical-grade honey for antibiotic-resistant infections: a systematic review. Antibiotics (Basel) 9(11):766

    Article  CAS  PubMed  Google Scholar 

  • Nonaka L, Maruyama F, Miyamoto M, Miyakoshi M, Kurokawa K, Masuda M (2012) Novel conjugative transferable multiple drug resistance plasmid pAQU1 from Photobacterium damselae subsp. damselae isolated from marine aquaculture environment. Microbes Environ 27(3):263–272

    Article  PubMed  PubMed Central  Google Scholar 

  • Obayiuwana A, Ibekwe AM (2020) Antibiotic resistance genes occurrence in wastewaters from selected pharmaceutical facilities in Nigeria. Water 12(7):1897

    Article  CAS  Google Scholar 

  • Obi CL, Bessong PO, Momba MNB, Potgieter N, Samie A, Igumbor EO (2004) Profiles of antibiotic susceptibilities of bacterial isolates and physico-chemical quality of water supply in rural Venda communities, South Africa. Water SA 30(4):515–519

    Article  CAS  Google Scholar 

  • O'Connell B, Slawson D, Quinn M, Scheuerman P, Ogunleye O (2018) Biosand water filter evaluation: pilot study of field use indicators in Cyegera, Rwanda. J Water Supply Res Technol AQUA 67(6):607–614

    Article  Google Scholar 

  • Odjadjare EE, Igbinosa EO, Mordi R, Igere B, Igeleke CL, Okoh AI (2012) Prevalence of multiple antibiotics resistant (MAR) Pseudomonas species in the final effluents of three municipal wastewater treatment facilities in South Africa. Int J Environ Res Public Health 9(6):2092–2107

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Odeyemi AT, Awokunmi EE, Adebayo AA, Fasoranti OF (2015) Plasmid profile of multi-drug resistance bacteria isolated from available water sources and leachate samples from dumpsite at Ebira communities in Ekiti north senatorial district, Ekiti state, Nigeria. Eur J Adv Res Biol Life Sci 3(1)

    Google Scholar 

  • Odeyemi OA, Asmat A, Usup G (2021) Antibiotics resistance and putative virulence factors of Aeromonas hydrophila isolated from estuary. J Microbiol Biotechnol Food Sci 2021:1339–1357

    Google Scholar 

  • O’Flynn D, Lawler J, Yusuf A, Parle-McDermott A, Harold D, Mc Cloughlin T, Holland L, Regan F, White B (2021) A review of pharmaceutical occurrence and pathways in the aquatic environment in the context of a changing climate and the COVID-19 pandemic. Anal Methods 13(5):575–594

    Google Scholar 

  • Olaniran AO, Nzimande SB, Mkize NG (2015) Antimicrobial resistance and virulence signatures of Listeria and Aeromonas species recovered from treated wastewater effluent and receiving surface water in Durban, South Africa. BMC Microbiol 15(1):1–10

    Article  Google Scholar 

  • Oluwasusi VO, Akinruli FT, Olalemi AO (2019) Antibiotic resistance pattern of bacteria isolated from biofilms in water from groundwater sources in Ado-Ekiti, Nigeria. South Asian J Res Microbiol:1–9

    Google Scholar 

  • Ollo KA, Antoinette AA, Mathurin YA, Emmanuelle SI, Simplice DJ, Rose KN (2021) Antimicrobial resistance of enterotoxigenic Escherichia coli strains isolated from aby lagoon in Ivory Coast. J Microbiol Biotechnol Food Sci 2021:111–114

    Google Scholar 

  • Oluyege JO, Dada AC, Odeyemi AT (2009) Incidence of multiple antibiotic resistant Gram-negative bacteria isolated from surface and underground water sources in south western region of Nigeria. Water Sci Technol 59(10):1929–1936

    Article  CAS  PubMed  Google Scholar 

  • Onuoha SC (2017) The prevalence of antibiotic resistant diarrhogenic bacterial species in surface waters, South Eastern Nigeria. Ethiop J Health Sci 27(4):319–330

    Article  PubMed  PubMed Central  Google Scholar 

  • Onuoha SC (2018) Distribution and antibiogram of bacterial species in effluents from abattoirs in Nigeria. J Environ Occup Sci 7(1):1–8

    Article  Google Scholar 

  • Onuoha SC, Okafor CO, Aduo BC, Nwaka FC (2016) Distribution of antibiotic resistant bacteria from abattoir wastes and its receiving waters at Nkwo-ezzamgbo, Ebonyi State, Nigeria. World J Med Sci 13(4):242–250

    Google Scholar 

  • Osei FB, Boamah VE, Boakye YD, Agyare C, Abaidoo RC (2021) Antibiotic resistance of bacteria isolated from water supplies used in poultry production in Ashanti Region of Ghana. Open Microbiol J 15(1):7

    Article  CAS  Google Scholar 

  • Osei Sekyere J, Reta MA (2020) Genomic and resistance epidemiology of Gram-negative bacteria in Africa: a systematic review and phylogenomic analyses from a One Health perspective. Msystems 5(6):e00897–e00820

    Article  PubMed  PubMed Central  Google Scholar 

  • Osińska A, Korzeniewska E, Harnisz M, Felis E, Bajkacz S, Jachimowicz P, Niestępski S, Konopka I (2020) Small-scale wastewater treatment plants as a source of the dissemination of antibiotic resistance genes in the aquatic environment. J Hazard Mater 381:121221

    Article  PubMed  Google Scholar 

  • Pärnänen KMM, Narciso-da-Rocha C, Kneis D, Berendonk TU, Cacace D, Do TT, Elpers C, Fatta-Kassinos D, Henriques I, Jaeger T, Karkman A, Martinez JL, Michael SG, Michael-Kordatou I, O’Sullivan K, Rodriguez-Mozaz S, Schwartz T, Sheng H, Sørum H, Stedtfeld RD, Tiedje JM, Giustina SVD, Walsh F, VazMoreira I, Virta M, Manaia CM (2019) Antibiotic resistance in European wastewater treatment plants mirrors the pattern of clinical antibiotic resistance prevalence. Sci Adv 5(3):eaau9124. https://doi.org/10.1126/sciadv.aau9124

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Partridge SR, Kwong SM, Firth N, Jensen SO (2018) Mobile genetic elements associated with antimicrobial resistance. Clin Microbiol Rev 31(4):e00088–e00017

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pruden A, Larsson DJ, Amézquita A, Collignon P, Brandt KK, Graham DW et al (2013) Management options for reducing the release of antibiotics and antibiotic resistance genes to the environment. Environ Health Perspect 121(8):878–885

    Article  PubMed  PubMed Central  Google Scholar 

  • Rafraf ID, Lekunberri I, Sànchez-Melsió A, Aouni M, Borrego CM, Balcázar JL (2016) Abundance of antibiotic resistance genes in five municipal wastewater treatment plants in the Monastir Governorate, Tunisia. Environ Pollut 219:353–358

    Article  CAS  PubMed  Google Scholar 

  • Ramessar K, Olaniran AO (2019) Antibiogram and molecular characterization of methicillin-resistant Staphylococcus aureus recovered from treated wastewater effluent and receiving surface water in Durban, South Africa. World J Microbiol Biotechnol 35(9):1–11

    Article  CAS  Google Scholar 

  • Rizzo L, Manaia C, Merlin C, Schwartz T, Dagot C, Ploy MC et al (2013) Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: a review. Sci Total Environ 447:345–360

    Article  CAS  PubMed  Google Scholar 

  • Rodriguez-Mozaz S, Chamorro S, Marti E, Huerta B, Gros M, Sànchez-Melsió A, Borrego CM, Barceló D, Balcázar JL (2015) Occurrence of antibiotics and antibiotic resistance genes in hospital and urban wastewaters and their impact on the receiving river. Water Res 69:234–242

    Article  CAS  PubMed  Google Scholar 

  • Ryberg EC, Knight J, Kim JH (2020) Farm-to-tap water treatment: naturally-sourced photosensitizers for enhanced solar disinfection of drinking water. ACS ES&T Eng 1(1):86–99

    Article  Google Scholar 

  • Salamandane A, Vila-Boa F, Malfeito-Ferreira M, Brito L (2021) High fecal contamination and high levels of antibiotic-resistant Enterobacteriaceae in water consumed in the city of Maputo, Mozambique. Biology 10(6):558

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Salyers AA, Gupta A, Wang Y (2004) Human intestinal bacteria as reservoirs for antibiotic resistance genes. Trends Microbiol 12(9):412–416

    Article  CAS  PubMed  Google Scholar 

  • Sanderson P, Qi F, Seshadri B, Wijayawardena A, Naidu R (2018) Contamination, fate and management of metals in shooting range soils—a review. Curr Poll Rep 4(2):175–187

    Article  Google Scholar 

  • Sanganyado E, Gwenzi W (2019) Antibiotic resistance in drinking water systems: occurrence, removal, and human health risks. Sci Total Environ 669:785–797

    Article  CAS  PubMed  Google Scholar 

  • Schages L, Wichern F, Geisen S, Kalscheuer R, Bockmühl D (2021) Distinct resistomes and microbial communities of soils, wastewater treatment plants and households suggest development of antibiotic resistances due to distinct environmental conditions in each environment. Antibiotics (Basel) 10(5):514

    Article  CAS  PubMed  Google Scholar 

  • Schlüter A, Heuer H, Szczepanowski R, Forney LJ, Thomas CM, Pühler A, Top EM (2003) The 64 508 bp IncP-1β antibiotic multiresistance plasmid pB10 isolated from a waste-water treatment plant provides evidence for recombination between members of different branches of the IncP-1β group. Microbiology 149(11):3139–3153

    Article  PubMed  Google Scholar 

  • Schoen ME, Jahne MA, Garland J, Ramirez L, Lopatkin AJ, Hamilton KA (2021) Quantitative microbial risk assessment of antimicrobial resistant and susceptible staphylococcus aureus in reclaimed wastewaters. Environ Sci Technol 55(22):15246–15255

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Selaledi LA, Hassan ZM, Manyelo TG, Mabelebele M (2020) The current status of the alternative use to antibiotics in poultry production: an African perspective. Antibiotics 9(9):1–18. https://doi.org/10.3390/antibiotics9090594

    Article  CAS  Google Scholar 

  • Shamsizadeh Z, Ehrampoush MH, Nikaeen M, Mohammadi F, Mokhtari M, Gwenzi W, Khanahmad H (2021) Antibiotic resistance and class 1 integron genes distribution in irrigation water-soil-crop continuum as a function of irrigation water sources. Environ Pollut 289:117930. https://doi.org/10.1016/j.envpol.2021.117930

    Article  CAS  PubMed  Google Scholar 

  • Soge OO, Tivoli LD, Meschke JS, Roberts MC (2009) A conjugative macrolide resistance gene, mef (A), in environmental Clostridium perfringens carrying multiple macrolide and/or tetracycline resistance genes. J Appl Microbiol 106(1):34–40

    Article  CAS  PubMed  Google Scholar 

  • Stanton IC, Bethel A, Leonard AF, Gaze WH, Garside R (2020) What is the research evidence for antibiotic resistance exposure and transmission to humans from the environment? A systematic map protocol. Environ Evid 9(1):1–8

    Article  Google Scholar 

  • Stalder T, Top E (2016) Plasmid transfer in biofilms: a perspective on limitations and opportunities. NPJ Biofilms Microbiomes 2(1):1–5

    Article  Google Scholar 

  • Sura S, Degenhardt D, Cessna AJ, Larney FJ, Olson AF, McAllister TA (2015) Transport of three veterinary antimicrobials from feedlot pens via simulated rainfall runoff. Sci Total Environ 521–522:191–199. https://doi.org/10.1016/j.scitotenv.2015.03.080

    Article  CAS  PubMed  Google Scholar 

  • Suzuki S, Pruden A, Virta M, Zhang T (2017) Antibiotic resistance in aquatic systems. Front Microbiol 8:14

    Article  PubMed  PubMed Central  Google Scholar 

  • Smyth C, O’Flaherty A, Walsh F, Do TT (2020) Antibiotic resistant and extended-spectrum β-lactamase producing faecal coliforms in wastewater treatment plant effluent. Environ Pollut 262:114244

    Article  CAS  PubMed  Google Scholar 

  • Tadesse BT, Ashley EA, Ongarello S, Havumaki J, Wijegoonewardena M, González IJ, Dittrich S (2017) Antimicrobial resistance in Africa: a systematic review. BMC Infect Dis 17(1):1–17

    Article  Google Scholar 

  • Tangwa BV, Keubou H, Nfor EN, Ngakou A (2019) Antimicrobial resistance profile of bacteria isolated from boreholes and hand dug wells water in Ngaoundere Municipality of Adamawa Region in Cameroon. Adv Microbiol 9(7):629–645

    Article  CAS  Google Scholar 

  • Tapela K, Rahube T (2019) Isolation and antibiotic resistance profiles of bacteria from influent, effluent and downstream: a study in Botswana. Afr J Microbiol Res 13(15):279–289

    Article  Google Scholar 

  • Taylor P, Reeder R (2020) Antibiotic use on crops in low and middle-income countries based on recommendations made by agricultural advisors. CABI Agric Biosci 1(1):1–14

    Article  Google Scholar 

  • Titilawo Y, Obi L, Okoh A (2015) Antimicrobial resistance determinants of Escherichia coli isolates recovered from some rivers in Osun State, South-Western Nigeria: implications for public health. Sci Total Environ 523:82–94

    Article  CAS  PubMed  Google Scholar 

  • Thakali O, Brooks JP, Shahin S, Sherchan SP, Haramoto E (2020) Removal of antibiotic resistance genes at two conventional wastewater treatment plants of Louisiana, USA. Water 12(6):1729

    Article  CAS  Google Scholar 

  • Van Abel N, Taylor MB (2018) The use of quantitative microbial risk assessment to estimate the health risk from viral water exposures in sub-Saharan Africa: a review. Microb Risk Anal 8:32–49

    Article  Google Scholar 

  • Wamala SP, Mugimba KK, Mutoloki S, Evensen Ø, Mdegela R, Byarugaba DK, Sørum H (2018) Occurrence and antibiotic susceptibility of fish bacteria isolated from Oreochromis niloticus (Nile tilapia) and Clarias gariepinus (African catfish) in Uganda. Fish Aquatic Sci 21(1):1–10

    Article  Google Scholar 

  • Wambugu PW (2016) Antimicrobial resistance profiles and genetic characterization of (Doctoral dissertation)

    Google Scholar 

  • Wambugu P, Kiiru J, Matiru V (2018) Escherichia coli harbouring resistance genes, virulence genes and integron 1 isolated from athi river in Kenya. Adv Microbiol 8(11):846–858

    Article  CAS  Google Scholar 

  • Wan K, Guo L, Ye C, Zhu J, Zhang M, Yu X (2021) Accumulation of antibiotic resistance genes in full-scale drinking water biological activated carbon (BAC) filters during backwash cycles. Water Res 190:116744

    Article  CAS  PubMed  Google Scholar 

  • Wan K, Lin W, Zhu S, Zhang S, Yu X (2020) Biofiltration and disinfection codetermine the bacterial antibiotic resistome in drinking water: a review and meta-analysis. Front Environ Sci Eng 14(1):1–12

    Article  Google Scholar 

  • Wang J, Chen X (2022) Removal of antibiotic resistance genes (ARGs) in various wastewater treatment processes: an overview. Crit Rev Environ Sci Technol 52(4):571–630

    Article  CAS  Google Scholar 

  • Wang R, Ji M, Zhai H, Guo Y, Liu Y (2021) Occurrence of antibiotics and antibiotic resistance genes in WWTP effluent-receiving water bodies and reclaimed wastewater treatment plants. Sci Total Environ 796:148919

    Article  CAS  PubMed  Google Scholar 

  • Wangai FK, Masika MM, Lule GN, Karari EM, Maritim MC, Jaoko WG, Museve B, Kuria A (2019) Bridging antimicrobial resistance knowledge gaps: the East African perspective on a global problem. PLoS One 14(2):1–12. https://doi.org/10.1371/journal.pone.0212131

    Article  CAS  Google Scholar 

  • Waso M, Khan S, Khan W (2018) Microbial source tracking markers associated with domestic rainwater harvesting systems: correlation to indicator organisms. Environ Res 161:446–455. https://doi.org/10.1016/j.envres.2017.11.043

    Article  CAS  PubMed  Google Scholar 

  • Waseem H, Williams MR, Stedtfeld RD, Hashsham SA (2017) Antimicrobial resistance in the environment. Water Environ Res 89(10):921–941

    Article  CAS  PubMed  Google Scholar 

  • Watts JE, Schreier HJ, Lanska L, Hale MS (2017) The rising tide of antimicrobial resistance in aquaculture: sources, sinks and solutions. Mar Drugs 15(6):158

    Article  PubMed  PubMed Central  Google Scholar 

  • Wellington EM, Boxall AB, Cross P, Feil EJ, Gaze WH, Hawkey PM, Williams AP (2013) The role of the natural environment in the emergence of antibiotic resistance in Gram-negative bacteria. Lancet Infect Dis 13(2):155–165

    Article  CAS  PubMed  Google Scholar 

  • Williams PC, Isaacs D, Berkley JA (2018) Antimicrobial resistance among children in sub-Saharan Africa. Lancet Infect Dis 18(2):e33–e44

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Woodall CA (2003) DNA transfer by bacterial conjugation. In: E. coli plasmid vectors. Humana Press, pp 61–65

    Chapter  Google Scholar 

  • World Health Organization (2014) Antimicrobial resistance global report on surveillance: 2014 summary (No. WHO/HSE/PED/AIP/2014.2). World Health Organization

    Google Scholar 

  • World Health Organization (2016) Quantitative microbial risk assessment: application for water safety management. In World Health Organization 2016. https://apps.who.int/iris/bitstream/handle/10665/246195/9789241565370-eng.pdf?sequence=1&isAllowed=y

  • World Health Organization (2020) Global antimicrobial resistance surveillance system (GLASS) report: early implementation 2020. World Health Organization

    Google Scholar 

  • Xie S, Wu N, Tian J, Liu X, Wu S, Mo Q, Lu S (2019) Review on the removal of antibiotic resistance genes from livestock manure by composting. In: IOP conference series: earth and environmental science, vol 237, No. 5. IOP Publishing, p 052010

    Google Scholar 

  • Xu L (2020) Drinking water biofiltration: removal of antibiotics and behaviour of antibiotic resistance genes. Doctoral dissertation, UCL (University College London)

    Google Scholar 

  • Yang Y, Li B, Zou S, Fang HH, Zhang T (2014) Fate of antibiotic resistance genes in sewage treatment plant revealed by metagenomic approach. Water Res 62:97–106

    Article  CAS  PubMed  Google Scholar 

  • Yang S, Chen C, Chu K (2021) Fecal indicators, pathogens, antibiotic resistance genes, and ecotoxicity in Galveston Bay after Hurricane Harvey. J Hazard Mater 411:124953. https://doi.org/10.1016/j.jhazmat.2020.124953

    Article  CAS  PubMed  Google Scholar 

  • Zainab SM, Junaid M, Xu N, Malik RN (2020) Antibiotics and antibiotic resistant genes (ARGs) in groundwater: a global review on dissemination, sources, interactions, environmental and human health risks. Water Res 187:116455. https://doi.org/10.1016/j.watres.2020.116455

    Article  CAS  PubMed  Google Scholar 

  • Zearley TL, Summers RS (2012) Removal of trace organic micropollutants by drinking water biological filters. Environ Sci Technol 46(17):9412–9419

    Article  CAS  PubMed  Google Scholar 

  • Zhang CM, Xu LM, Wang XC, Zhuang K, Liu QQ (2017) Effects of ultraviolet disinfection on antibiotic-resistant Escherichia coli from wastewater: inactivation, antibiotic resistance profiles and antibiotic resistance genes. J Appl Microbiol 123(1):295–306

    Article  CAS  PubMed  Google Scholar 

  • Zhang Y, Zhuang Y, Geng J, Ren H, Zhang Y, Ding L, Xu K (2015) Inactivation of antibiotic resistance genes in municipal wastewater effluent by chlorination and sequential UV/chlorination disinfection. Sci Total Environ 512:125–132

    Article  PubMed  Google Scholar 

  • Zheng XY, Xu XJ, Liu YY, Xu YJ, Pan SX, Zeng XY et al (2020) Age-standardized mortality, disability-adjusted life-years and healthy life expectancy in different cultural regions of Guangdong, China: a population-based study of 2005–2015. BMC Public Health 20(1):1–20

    Article  Google Scholar 

  • Zhuang Y, Ren H, Geng J, Zhang Y, Zhang Y, Ding L, Xu K (2015) Inactivation of antibiotic resistance genes in municipal wastewater by chlorination, ultraviolet, and ozonation disinfection. Environ Sci Pollut Res 22(9):7037–7044

    Article  CAS  Google Scholar 

  • Zhuang M, Achmon Y, Cao Y, Liang X, Chen L, Wang H, Siame BA, Leung KY (2021) Distribution of antibiotic resistance genes in the environment. Environ Pollut 285:117402

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments and Funding

The study received no external funding.

Credits: Author Contributions

WG, conceptualization, coordination, and finalization; WG, NN, JM, MZ, MM, IN, TM, and NC contributed equally to methodology, investigation, formal analysis, visualization, and writing – original draft, review, revision, and editing.

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Gwenzi, W. et al. (2023). Occurrence and Health Risks of Antibiotic Resistance in African Aquatic Systems. In: Abia, A.L.K., Essack, S.Y. (eds) Antimicrobial Research and One Health in Africa. Springer, Cham. https://doi.org/10.1007/978-3-031-23796-6_7

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