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Table 3: Options / measures for reducing potential for AMR transmission via UWWT.

 

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  • Bertrand Vallet (invited by Caroline Whalley) 22 Mar 2019 13:27:19

    Industrial production: Agreed:
    I would say "not mixing effluent into municipal waste water" makes more sense that the orignial sentence.
    "Don't allow production sites to discharge to UMMTPs[, especally at development stage for new antibiotics]: alternatively, set discharge standards to UWWTPs"

    Hospital as hotspots: Agreed: collect and incinerate human waste for patients treated with new molecules.

  • Dominique Monnet (invited by Caroline Whalley) 26 Mar 2019 14:21:48

    Hospitals as hotspots:

    Agreed: Known releases of antibiotics only used in hospitals, e.g. carbapenems.

    Agreed: Possible collection and separate treatment, or even incineration, of human waste (urine and faeces) for patients receiving treatment with new antimicrobial agents. [THIS IS A REFORMULATION OF BERTRAND's STATEMENT].

    Unclear: Could undertake regulation on release of antimicrobials and other medicinal products by hospitals and other healthcare facilities.

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