Understanding the real world interactions

A key gap in our understanding of AMR is the role of the environment including host microbiome in AMR. The role of the environment and host microbiome in influencing the evolution, acquisition and spread of antibacterial resistance, and as a reservoir for resistance. The focus is antibacterials and resistant bacteria or resistance genes in varied environments e.g. the agricultural, aquaculture, wastewater and natural environments (freshwater, marine, soil, air and their interfaces), and also includes elements of the way people and communities interact with the environment.