Antimicrobial Resistance: Part #2 - Antimicrobials in Livestock

As mentioned in our previous article on antimicrobial resistance (AMR), antimicrobials are typically used in the livestock production to treat sick animals, to prevent future disease from spreading amongst livestock, and to stimulate growth, usually via the feed and water provided to the animals.

Since any and all uses of antimicrobials contribute towards the development of AMR, it is important that their use is limited to only when it is medically necessary. Unfortunately, statistics reveal a less-than-stellar practice at work—it is estimated that global antimicrobial consumption by food animals in 2013 was 131,109 tonnes (Van Boeckel et al., 2017), a whopping increase of 107% from the conservatively estimated 63,151 tonnes in 2010; Center for Disease Dynamics, Economics & Policy (CDDEP) projections further reveal a potential increase in consumption by more than half by 2030.

The CDDEP has developed an interactive ResistanceMap which helpfully shows the estimated consumption of antimicrobials in 2013 and projected change of the same in 2030 for each nation. Also featured in the map are the AMR (exposure) of chickens, pigs, and cattle.

Note: PCU, i.e. population correction unit, is a standardised theoretical unit developed by the European Medicines Agency which allows for YOY comparisons. 1 PCU = 1kg, e.g. 319mg/PCU in mainland China would mean that on average throughout 2013, 319mg of antibiotics was used for every kilogramme of body weight of a livestock at the time of treatment (United Kingdom Veterinary Medicines Directorate, 2016).

An article by Van Boeckel et al. (2015), which was cited over 1,200 times according to Google Scholar, reported that in 2010, the countries recording the biggest shares of global antimicrobial consumption by livestock were China (23%), the United States (13%), Brazil (9%), India (3%), and Germany (3%); by 2030, this ranking is expected to change to China (30%), the United States (10%), Brazil (8%), India (4%), and Mexico (2%). The graph below showcases further rankings of countries by largest increase and largest relative increase in antimicrobial consumption between 2010 and 2030.

(It is interesting to note here that livestock in China and Brazil, despite being the top consumers of antimicrobials, did not count amongst the countries with the most rapid projected increase in consumption. Van Boeckel et al. (2015) suggest that this implies that the two nations have already shifted toward intensified livestock production systems, where antimicrobials are regularly used to maintain the health and productivity of the animals.)

Van Boeckel et al. (2015): (A) Largest five consumers of antimicrobials in livestock in 2010. (B) Largest five consumers of antimicrobials in livestock in 2030 (projected). (C) Largest increase in antimicrobial consumption between 2010 and 2030. (D) Largest relative increase in antimicrobial consumption between 2010 and 2030. CHN, China; USA, United States; BRA, Brazil; DEU, Germany; IND, India; MEX, Mexico; IDN, Indonesia; MMR, Myanmar; NGA, Nigeria; PER, Peru; PHL, Philippines.

Van Boeckel et al. (2015): Antimicrobial consumption in chickens (A) and pigs (B) in 2010. Purple indicates new areas where antimicrobial consumption will exceed 30 kg per 10 km2 by 2030.

The increase in antimicrobial consumption has been attributed towards the growing global demand for meat (FAO, 2017; Van Boeckel et al., 2017; Gelband et al., 2015). This trend is clearly observed in countries within the Asian region, where regulations on antimicrobial use are still lax or in its infancy (Lo et al., 2019). Antimicrobial consumption by livestock in Asia alone is estimated to be 51,851 tonnes by 2030, with chicken and pigs expected to consume an increase of 129% and 125% of antimicrobial respectively by 2030 (Van Boeckel et al., 2015).

Consumers, particularly those in higher-income nations, however, are growing increasingly, albeit slowly, becoming aware of AMR and its adverse effects on human health. The total sales of antibiotic-free chicken in the United States, for example, increased by 34% in 2012 with a Consumer Reports survey in the same year reporting that more than 60% of respondents are willing to pay an extra five cents per pound for antibiotic-free meat.

Food producers are still slow on the uptake, unfortunately. In 2019, it was found that most fast-food chains in the US, including big names such as Burger King, Pizza Hut, Domino’s Pizza, and Chilli’s, still do not have policies or plans in place to reduce antibiotic use in their beef supply. This is worrying, especially since factory farming has been linked to the emergence of antibiotic resistant superbugs, which constitutes a serious threat to human health. In response, famed primatologist and conservationist Jane Goodall has warned that there is not much time left to “change our ways… [and] drastically change our diets and move to plant-rich foods”.

This is the second article of a multi-part series on the topic of antimicrobial use in the agri-food sector by Khor Reports. Read the first post here: Antimicrobial Resistance: Part #1 - The General Gist.

Antimicrobial Resistance: Part #1 - The General Gist

There is a growing danger as big as, but lesser known than, the looming threat of climate change: antimicrobial resistance (AMR). Defined by the Food and Agricultural Organisation of the United Nations (FAO) as “micro-organisms—bacteria, fungi, viruses, and parasites—[evolving] resistance to antimicrobial substances, like antibiotics”, AMR adversely affects food safety and security by rendering medicines much less effective or useless when it comes to treating infections. While it is difficult to quantify the full economic and health impact of AMR, the FAO estimates that global GDP will decrease by 2 to 3.5%, equivalent to USD100 trillion, by 2050, with up to 10 million human lives lost each year.

Generally, antimicrobials in agriculture are used by farmers in the livestock production and fish farming industries to treat sick animals, to prevent future disease from spreading amongst livestock, and to stimulate growth, usually via the feed and water provided to the animals. In plant agriculture, antibiotics are usually sprayed onto plants as a fine mist, although direct antibiotic application on crops is much more modest compared to its use in livestock (McManus et al., 2002); however, it should be kept in mind that indirect applications could still happen via the use of manure and wastewater already contaminated (Zhang et al., 2017).

The amount of animal consumption of antibiotics is rather eye-opening—in the United States throughout 2012 alone, 72.5% of the use of medically important antibiotics were found to have been for animals, with only 27.5% used by humans; in absolute figures, animal consumption of antibiotics was 8.9 million kg compared to human consumption of 3.4 million kg (FDA, 2012; IMS Health, 2012).

“When we have a flock and there’s a lot of sick chickens in that flock, the quickest way to get an antibiotic in them is to put it in the water. We do that through a system that proportions that water out uniformly through all of these water lines so that every drink, every drop has the correct amount of antibiotics.”

The same practices were later adopted in aquaculture, the difference being that antibiotic doses may be proportionally higher than doses in livestock (O’Neill, 2015). Residue from antimicrobials as well as undigested food and faeces containing unabsobed antimicrobials usually remain in the water and the surrounding sediments for an extended amount of time, with some studies further suggesting that 70 to 80% of antibiotics administered to fish are excreted into the water (Cabello et al., 2013; Burridge et al., 2010).

Pathways of AMR genes from closed and open aquaculture systems into the water and its surrounding environment (Watts et al., 2017).

In comparison, the antibiotic use for crops is relatively low, comprising only 0.36% of total agricultural antibiotic consumption (Smalla and Tiedje, 2014). While this resulted in much less attention given to antibiotic use in plants, the potentially extensive use of fungicide may be a source of concern since fungal diseases presents significant threat to crops (O’Neill, 2015).

It is quite undeniable that the issue of AMR is an increasingly alarming one. With news of bacteria developing new resistance to antibiotics and increasing resistance in animals such as dolphins, it is clear that, quoting author and journalist Maryn McKenna in her book Big Chicken, AMR is becoming “an overwhelming threat, created over decades by millions of individual decisions and reinforced by the actions of industries.” It would be interesting to see further developments in this area.

This is the first article of a multi-part series on the topic of antimicrobial use in the agri-food sector by Khor Reports.