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Antimicrobial resistance is a worldwide, increasing threat to human health. International cooperation to tackle it started with the transatlantic taskforce on AMR in 2009[1], growing to a UN High Level Meeting on AMR in 2016[2] and G20 Berlin Declaration in 2017[3]. Its threat level is now considered to be on a par with climate change[4].
Health and food sectors are heavily involved in action to mitigate the risk but there has been limited action in the third part of the potential exposure/transmission pathway, environment.
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The second way pollutants from waste water reaching the environment is sewage sludge remaining form waste water treatment if it is utilized for fertilizing purposes.
In Germany and I think in Europe (would have to check) sewage sludge of WWTP cannot be used anymore for fertilization (I think by 2027), except for smaller WWTP - below 50000 citizens