Antimicrobial Resistance in Conflict - Mixed Methods Analysis of the MENA Region

Lead Research Organisation: King's College London
Department Name: War Studies

Abstract

My proposed doctoral thesis interrogates the interface
between antimicrobial resistance (AMR) and conflict. AMR is a
growing challenge across health systems globally. The Chief
Medical Officer has declared that antimicrobial resistance is
the greatest medical challenge of the 21st century. Conflict
is suggested as a driver of resistance patterns due to
biological and social pressures including flight of medical
staff, attacks on healthcare, heavy metal pollution and
population migration. With no robust studies in conflict
regions, there are important gaps in the understanding of
distribution and association with dynamics of conflict such as
geography, weaponry, intensity of violence and the nature of
wounds acquired in conflict.
Existing narrow policy framings of AMR reflect a phenomenon
poorly translated across non-medical policy domains. The
narratives of securitisation and biosurveillance dominate
much of the public and political discourse surrounding AMR.
Political doctrines charting the longstanding stigmatisation of
migrants have been further cemented through the adoption
of discourses that employ medical concerns as central to
appreciating the "threat" posed by displaced peoples fleeing
conflict. Identifying how the stigmatisation of populations has
emerged from security narratives connects this issue to
wider work on communicable diseases, and provides a lens
with which to interrogate the social production of AMR as a
'threat' to the global system. Using the lens of complex
adaptive systems, a novel and illuminative model for AMR in
conflict can be established

Publications

10 25 50

Studentship Projects

Project Reference Relationship Related To Start End Student Name
ES/P000703/1 01/10/2017 30/09/2027
2293540 Studentship ES/P000703/1 01/10/2019 30/09/2025 Gemma Bowsher
 
Description Major findings relate to health emergency response measures - showing that in NW Syria and more widely, agile bio-emergency response requires sensitised measures to local communities, structured information and communication programmes and effective health intelligence measures.

These finds are specific to the location, and generalisable through expanded study into global networks.
Exploitation Route My work is already being put to use by a range of organisations such as national governments (USA, Canada, Australia), private sector organisations (eg. GlaxoSmithKline) and civil society groups in the arts and sciences. Working in health emergency response has meant that my findings could be used in a time critical manner as they emerge during various phases of the COVID-19 and subsequent health and biological crises. This is likely to remain the case as interest in my work continues to be maintained.
Sectors Aerospace, Defence and Marine,Healthcare,Government, Democracy and Justice,Security and Diplomacy

 
Description My findings are being used to support a number of non-academic initiatives: 1. The Bioweapons Disinformation monitor - https://www.bioweaponsdisinformationmonitor.com This is an initiative funded by the Canadian Government which focuses on countering biological disinformation and supports the norms of the Biological Weapons Convention. This project was targeted to support efforts countering malign Russian narratives following the invasion of Ukraine and were circulated widely amongst diplomatic networks. 2. My work is being into part of an art exhibition as part of the LIFT Festival which takes place in London and Taiwan (planned for 2024). This is part of a project imagining new versions of biological futures.
First Year Of Impact 2020
Sector Aerospace, Defence and Marine,Creative Economy,Healthcare,Government, Democracy and Justice,Security and Diplomacy
Impact Types Cultural,Societal,Policy & public services

 
Description One Health in Complex Settings 
Organisation University College London
Country United Kingdom 
Sector Academic/University 
PI Contribution I have collaborated with a researcher from UCL on a project titled "One Health in Complex Settings" which explores intersecting health threats in settings experiencing conflict, criminality and displacement. This has been funded by a CAPE fund award.
Collaborator Contribution Project design and execution across involving groups across UK government, civil society and health sector.
Impact Awaiting outputs
Start Year 2022