Environmental Dimensions of the Ethics of Antimicrobial Resistance

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ID: 338490
2026
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Abstract
Abstract This chapter outlines the environmental dimensions of antimicrobial resistance (AMR)—the phenomenon of microbes developing resistance to pharmaceuticals used for treating infections, their bioethical significance, and some of the most obvious new ethical complexities and challenges for bioethical research made visible by broadening the scope of the ethics of AMR. AMR is a massive systemic, global threat to public health and the effectiveness of health care. The ethics of AMR comprises ethical aspects of the phenomenon itself, understanding its significance for fundamental values, and proposed actions to manage AMR, often linked to the concept of “one health.” Most of this discussion has focused on rationalizing the use of antibiotics in human health care and farming. However, AMR has a sizeable environmental dimension that so far has mostly gone unnoticed by bioethics. This dimension comprises the role of the environment as a source for evolution of resistance as well as a transmission route, both spawned by the pollution of antibiotics and faecal matter from various sources. A bioethical analysis of AMR needs to take these dimensions into account, and doing so may potentially upset fundamental assumptions in both practical bioethics, health policy and their environmental counterparts.
Reference Key
openalex_W7225186650 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Christian Munthe, D G Joakim Larsson
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Journal Oxford University Press eBooks
Year 2026
DOI
10.1093/9780197807262.003.0012
URL
https://doi.org/10.1093/9780197807262.003.0012
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