Wastewater-based analysis of antimicrobial resistance at UK airports: Evaluating the potential opportunities and challenges
[Display omitted] •The resistome composition differed between airport terminals.•Flights from Asia carried more diverse resistomes than those from Europe.•Aircraft wastewater may introduce ARGs from global travellers into local systems.•Flight resistome clusters were not associated with geography.•A...
Saved in:
| Published in | Environment international Vol. 195; p. 109260 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.01.2025
Elsevier |
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | [Display omitted]
•The resistome composition differed between airport terminals.•Flights from Asia carried more diverse resistomes than those from Europe.•Aircraft wastewater may introduce ARGs from global travellers into local systems.•Flight resistome clusters were not associated with geography.•Aircraft wastewater has potential for global AMR surveillance, despite some limitations.
With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute. Wastewater derived from airports and aircraft represent both a potential route for the global dispersion of antimicrobial resistant (AMR) organisms and an under-utilised resource for strengthening global AMR surveillance. This study investigates the abundance and diversity of antimicrobial resistance genes (ARGs) in wastewater samples collected from airport terminals (n = 132), aircraft (n = 25), and a connected wastewater treatment plant (n = 11) at three international airports in the UK (London Heathrow, Edinburgh and Bristol). A total of 76 ARGs were quantified using high throughput qPCR (HT-qPCR) while a subset of samples (n = 30) was further analysed by metagenomic sequencing. Our findings reveal that aircraft wastewater resistomes were compositionally distinct from those observed at airport terminals, despite their similar diversity. Notably, flights originating from Asia and Africa carried a higher number of unique ARGs compared to those from Europe and North America. However, clustering of the ARG profile displayed no overall association with geography. Edinburgh terminal and pumping station wastewater had compositionally comparable resistomes to that of the connected urban wastewater treatment plant, though further research is needed to determine the relative contributions of the local population and international travellers. This study provides the first comprehensive investigation of AMR in wastewater from both aircraft and terminals across multiple international airports. Our results highlight aircraft wastewater as a potential route for cross-border AMR transmission and a valuable tool for global AMR surveillance. However, the findings also underscore the limitations and need for standardised approaches for AMR monitoring in airport environments, to effectively mitigate the global spread of AMR and enhance public health surveillance strategies. |
|---|---|
| AbstractList | With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute. Wastewater derived from airports and aircraft represent both a potential route for the global dispersion of antimicrobial resistant (AMR) organisms and an under-utilised resource for strengthening global AMR surveillance. This study investigates the abundance and diversity of antimicrobial resistance genes (ARGs) in wastewater samples collected from airport terminals (n = 132), aircraft (n = 25), and a connected wastewater treatment plant (n = 11) at three international airports in the UK (London Heathrow, Edinburgh and Bristol). A total of 76 ARGs were quantified using high throughput qPCR (HT-qPCR) while a subset of samples (n = 30) was further analysed by metagenomic sequencing. Our findings reveal that aircraft wastewater resistomes were compositionally distinct from those observed at airport terminals, despite their similar diversity. Notably, flights originating from Asia and Africa carried a higher number of unique ARGs compared to those from Europe and North America. However, clustering of the ARG profile displayed no overall association with geography. Edinburgh terminal and pumping station wastewater had compositionally comparable resistomes to that of the connected urban wastewater treatment plant, though further research is needed to determine the relative contributions of the local population and international travellers. This study provides the first comprehensive investigation of AMR in wastewater from both aircraft and terminals across multiple international airports. Our results highlight aircraft wastewater as a potential route for cross-border AMR transmission and a valuable tool for global AMR surveillance. However, the findings also underscore the limitations and need for standardised approaches for AMR monitoring in airport environments, to effectively mitigate the global spread of AMR and enhance public health surveillance strategies.With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute. Wastewater derived from airports and aircraft represent both a potential route for the global dispersion of antimicrobial resistant (AMR) organisms and an under-utilised resource for strengthening global AMR surveillance. This study investigates the abundance and diversity of antimicrobial resistance genes (ARGs) in wastewater samples collected from airport terminals (n = 132), aircraft (n = 25), and a connected wastewater treatment plant (n = 11) at three international airports in the UK (London Heathrow, Edinburgh and Bristol). A total of 76 ARGs were quantified using high throughput qPCR (HT-qPCR) while a subset of samples (n = 30) was further analysed by metagenomic sequencing. Our findings reveal that aircraft wastewater resistomes were compositionally distinct from those observed at airport terminals, despite their similar diversity. Notably, flights originating from Asia and Africa carried a higher number of unique ARGs compared to those from Europe and North America. However, clustering of the ARG profile displayed no overall association with geography. Edinburgh terminal and pumping station wastewater had compositionally comparable resistomes to that of the connected urban wastewater treatment plant, though further research is needed to determine the relative contributions of the local population and international travellers. This study provides the first comprehensive investigation of AMR in wastewater from both aircraft and terminals across multiple international airports. Our results highlight aircraft wastewater as a potential route for cross-border AMR transmission and a valuable tool for global AMR surveillance. However, the findings also underscore the limitations and need for standardised approaches for AMR monitoring in airport environments, to effectively mitigate the global spread of AMR and enhance public health surveillance strategies. With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute. Wastewater derived from airports and aircraft represent both a potential route for the global dispersion of antimicrobial resistant (AMR) organisms and an under-utilised resource for strengthening global AMR surveillance. This study investigates the abundance and diversity of antimicrobial resistance genes (ARGs) in wastewater samples collected from airport terminals (n = 132), aircraft (n = 25), and a connected wastewater treatment plant (n = 11) at three international airports in the UK (London Heathrow, Edinburgh and Bristol). A total of 76 ARGs were quantified using high throughput qPCR (HT-qPCR) while a subset of samples (n = 30) was further analysed by metagenomic sequencing. Our findings reveal that aircraft wastewater resistomes were compositionally distinct from those observed at airport terminals, despite their similar diversity. Notably, flights originating from Asia and Africa carried a higher number of unique ARGs compared to those from Europe and North America. However, clustering of the ARG profile displayed no overall association with geography. Edinburgh terminal and pumping station wastewater had compositionally comparable resistomes to that of the connected urban wastewater treatment plant, though further research is needed to determine the relative contributions of the local population and international travellers. This study provides the first comprehensive investigation of AMR in wastewater from both aircraft and terminals across multiple international airports. Our results highlight aircraft wastewater as a potential route for cross-border AMR transmission and a valuable tool for global AMR surveillance. However, the findings also underscore the limitations and need for standardised approaches for AMR monitoring in airport environments, to effectively mitigate the global spread of AMR and enhance public health surveillance strategies. With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute. Wastewater derived from airports and aircraft represent both a potential route for the global dispersion of antimicrobial resistant (AMR) organisms and an under-utilised resource for strengthening global AMR surveillance. This study investigates the abundance and diversity of antimicrobial resistance genes (ARGs) in wastewater samples collected from airport terminals (n = 132), aircraft (n = 25), and a connected wastewater treatment plant (n = 11) at three international airports in the UK (London Heathrow, Edinburgh and Bristol). A total of 76 ARGs were quantified using high throughput qPCR (HT-qPCR) while a subset of samples (n = 30) was further analysed by metagenomic sequencing. Our findings reveal that aircraft wastewater resistomes were compositionally distinct from those observed at airport terminals, despite their similar diversity. Notably, flights originating from Asia and Africa carried a higher number of unique ARGs compared to those from Europe and North America. However, clustering of the ARG profile displayed no overall association with geography. Edinburgh terminal and pumping station wastewater had compositionally comparable resistomes to that of the connected urban wastewater treatment plant, though further research is needed to determine the relative contributions of the local population and international travellers. This study provides the first comprehensive investigation of AMR in wastewater from both aircraft and terminals across multiple international airports. Our results highlight aircraft wastewater as a potential route for cross-border AMR transmission and a valuable tool for global AMR surveillance. However, the findings also underscore the limitations and need for standardised approaches for AMR monitoring in airport environments, to effectively mitigate the global spread of AMR and enhance public health surveillance strategies. [Display omitted] •The resistome composition differed between airport terminals.•Flights from Asia carried more diverse resistomes than those from Europe.•Aircraft wastewater may introduce ARGs from global travellers into local systems.•Flight resistome clusters were not associated with geography.•Aircraft wastewater has potential for global AMR surveillance, despite some limitations. With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute. Wastewater derived from airports and aircraft represent both a potential route for the global dispersion of antimicrobial resistant (AMR) organisms and an under-utilised resource for strengthening global AMR surveillance. This study investigates the abundance and diversity of antimicrobial resistance genes (ARGs) in wastewater samples collected from airport terminals (n = 132), aircraft (n = 25), and a connected wastewater treatment plant (n = 11) at three international airports in the UK (London Heathrow, Edinburgh and Bristol). A total of 76 ARGs were quantified using high throughput qPCR (HT-qPCR) while a subset of samples (n = 30) was further analysed by metagenomic sequencing. Our findings reveal that aircraft wastewater resistomes were compositionally distinct from those observed at airport terminals, despite their similar diversity. Notably, flights originating from Asia and Africa carried a higher number of unique ARGs compared to those from Europe and North America. However, clustering of the ARG profile displayed no overall association with geography. Edinburgh terminal and pumping station wastewater had compositionally comparable resistomes to that of the connected urban wastewater treatment plant, though further research is needed to determine the relative contributions of the local population and international travellers. This study provides the first comprehensive investigation of AMR in wastewater from both aircraft and terminals across multiple international airports. Our results highlight aircraft wastewater as a potential route for cross-border AMR transmission and a valuable tool for global AMR surveillance. However, the findings also underscore the limitations and need for standardised approaches for AMR monitoring in airport environments, to effectively mitigate the global spread of AMR and enhance public health surveillance strategies. |
| ArticleNumber | 109260 |
| Author | Pass, Daniel A. Jones, Davey L. Knight, Margaret E. Singer, Andrew Farkas, Kata Perry, William Wade, Matthew Webster, Gordon Kille, Peter |
| Author_xml | – sequence: 1 givenname: Margaret E. orcidid: 0009-0006-6875-3254 surname: Knight fullname: Knight, Margaret E. email: maggie.knight@bangor.ac.uk organization: School of Environmental & Natural Sciences, Bangor University, Bangor LL57 2UW, UK – sequence: 2 givenname: Kata orcidid: 0000-0002-7068-3228 surname: Farkas fullname: Farkas, Kata organization: School of Environmental & Natural Sciences, Bangor University, Bangor LL57 2UW, UK – sequence: 3 givenname: Matthew orcidid: 0000-0001-9824-7121 surname: Wade fullname: Wade, Matthew organization: UK Health Security Agency, London E14 4PU, UK – sequence: 4 givenname: Gordon orcidid: 0000-0002-9530-7835 surname: Webster fullname: Webster, Gordon organization: Microbiomes, Microbes and Informatics Group, Organisms and Environment Division, School of Biosciences, Museum Avenue, Cardiff University, Cardiff CF10 3AX, UK – sequence: 5 givenname: Daniel A. surname: Pass fullname: Pass, Daniel A. organization: Compass Bioinformatics, 17 Habershon Street, Cardif, CF24 2DU, Wales, UK – sequence: 6 givenname: William orcidid: 0000-0001-9596-3333 surname: Perry fullname: Perry, William organization: Microbiomes, Microbes and Informatics Group, Organisms and Environment Division, School of Biosciences, Museum Avenue, Cardiff University, Cardiff CF10 3AX, UK – sequence: 7 givenname: Peter surname: Kille fullname: Kille, Peter organization: Microbiomes, Microbes and Informatics Group, Organisms and Environment Division, School of Biosciences, Museum Avenue, Cardiff University, Cardiff CF10 3AX, UK – sequence: 8 givenname: Andrew orcidid: 0000-0003-4705-6063 surname: Singer fullname: Singer, Andrew organization: UK Centre for Ecology & Hydrology, Wallingford, UK – sequence: 9 givenname: Davey L. orcidid: 0000-0002-1482-4209 surname: Jones fullname: Jones, Davey L. organization: School of Environmental & Natural Sciences, Bangor University, Bangor LL57 2UW, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39813953$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNkkFv1DAQhS1URLeFf4BQjlyyjJ3YTjggoaotFZW4UHG0Js5k61U2Xmxnq4o_j5eUHhGnsUbfe_LMvDN2MvmJGHvLYc2Bqw_bNU0HN6W1ACFzqxUKXrAVb3RVKi3hhK0yBmXNBZyysxi3ACDqRr5ip1Xb8KqV1Yr9-oEx0QMmCmWHkfoCJxwfo4uFH_I7uZ2zwXcOxyJQbiecLBWYiruvBbqw9yHFj8XlAccZk5s2RbqnYu8TZWnW-P2RmCeXHMXs1xf2HseRpg3F1-zlgGOkN0_1nN1dXX6_-FLefru-ufh8W9paqlRqDkByUFALSSDybBIaTdhLTopb5IOsoOo7O4CAlltokISsFe80cD2I6pzdLL69x63ZB7fD8Gg8OvOn4cPGYEjOjmSEkLIerOh6bmtFfUfd0CO2dZMr53X2er947YP_OVNMZueipXHEifwcTcWVbDRoBf-BSiWF5lpn9N0TOnc76p__-PdOGagXIN8ixkDDM8LBHONgtmaJgznGwSxxyLJPi4zyeg-OgonWUT5g7wLZlOd3_zb4DQtzwFk |
| Cites_doi | 10.1016/j.jhazmat.2022.130042 10.1016/j.scitotenv.2024.173315 10.1373/clinchem.2008.112797 10.1016/j.gloenvcha.2020.102194 10.1186/s40246-024-00617-5 10.1016/j.envint.2021.106938 10.1021/acs.est.9b03236 10.1016/j.tbs.2021.05.008 10.1093/nar/gkac1047 10.1016/j.envpol.2023.123225 10.1001/jama.1983.03330330054035 10.1093/jtm/taz036 10.2486/indhealth.48.123 10.1080/10473220050175652 10.1016/j.watres.2024.121989 10.1186/s13073-021-00893-z 10.1016/j.scitotenv.2022.159162 10.1136/medethics-2019-105651 10.1371/journal.pgph.0001975 10.1111/1462-2920.14009 10.3389/fmicb.2016.02137 10.1038/s41467-019-08853-3 10.1016/j.jece.2018.03.004 10.1016/j.envpol.2023.123283 10.1093/jtm/taw072 10.1371/journal.pgph.0001346 10.1016/j.envpol.2021.117651 10.3389/bjbs.2023.11387 10.1038/srep11444 10.1016/S1473-3099(16)30319-X 10.1128/AAC.00933-15 10.1099/acmi.0.000321 10.1038/s41467-022-34312-7 10.1186/s13756-022-01142-7 10.1016/j.scitotenv.2023.167128 10.1016/j.envpol.2022.120883 10.1016/j.watres.2024.121952 10.1021/acs.est.1c01250 10.3201/eid2912.230717 10.3390/ijerph19084758 10.1186/s13756-024-01374-9 10.1016/j.scitotenv.2021.146964 10.3389/fphar.2022.1058669 10.1016/S0167-7012(03)00140-4 10.1016/S0140-6736(21)02724-0 10.1016/j.watres.2021.117214 10.1038/s41598-022-09234-5 10.3390/healthcare11131946 10.1371/journal.pgph.0003010 10.1016/j.watres.2019.06.075 10.1038/s41564-023-01351-9 10.1186/s13059-019-1891-0 10.1609/icwsm.v3i1.13937 10.1016/j.jval.2023.01.015 10.1017/S0950268808001027 10.3390/tropicalmed6010011 10.1093/jtm/taae074 10.1136/medethics-2021-107464 |
| ContentType | Journal Article |
| Copyright | 2025 Copyright © 2025. Published by Elsevier Ltd. |
| Copyright_xml | – notice: 2025 – notice: Copyright © 2025. Published by Elsevier Ltd. |
| DBID | 6I. AAFTH AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 7S9 L.6 DOA |
| DOI | 10.1016/j.envint.2025.109260 |
| DatabaseName | ScienceDirect Open Access Titles Elsevier:ScienceDirect:Open Access CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic AGRICOLA AGRICOLA - Academic DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic AGRICOLA AGRICOLA - Academic |
| DatabaseTitleList | MEDLINE - Academic AGRICOLA MEDLINE |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Engineering Public Health Environmental Sciences Geography |
| EISSN | 1873-6750 |
| ExternalDocumentID | oai_doaj_org_article_22554fc2bd1c46edbebfdaa948bfd114 39813953 10_1016_j_envint_2025_109260 S016041202500011X |
| Genre | Journal Article |
| GeographicLocations | United Kingdom Asia North America Europe Africa |
| GeographicLocations_xml | – name: United Kingdom – name: Asia – name: Africa – name: Europe – name: North America |
| GroupedDBID | --- --K --M .~1 0R~ 1B1 1RT 1~. 1~5 29G 4.4 457 4G. 53G 5GY 5VS 6I. 7-5 71M 8P~ 9JM AABNK AACTN AAEDT AAEDW AAFTH AAFWJ AAHBH AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AATTM AAXKI AAXUO ABEFU ABFNM ABFYP ABJNI ABLST ABMAC ABWVN ABXDB ACDAQ ACGFS ACRLP ACRPL ADEZE ADMUD ADNMO ADVLN AEBSH AEGFY AEIPS AEKER AENEX AFJKZ AFPKN AFTJW AFXIZ AGCQF AGHFR AGQPQ AGUBO AGYEJ AHEUO AHHHB AIEXJ AIKHN AITUG AKIFW AKRWK ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU APXCP ASPBG AVWKF AXJTR AZFZN BKOJK BLECG BLXMC BNPGV CS3 DU5 EBS EFJIC EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA GROUPED_DOAJ HMC HVGLF HZ~ IHE J1W K-O KCYFY KOM LY9 M41 MO0 N9A O-L O9- OAUVE OK1 OZT P-8 P-9 P2P PC. Q38 R2- RIG RNS ROL RPZ SCC SDF SDG SDP SEN SES SEW SSH SSJ SSZ T5K TN5 WUQ XPP ~02 ~G- AAYWO AAYXX ACVFH ADCNI AEUPX AFPUW AGRNS AIGII AIIUN AKBMS AKYEP CITATION CGR CUY CVF ECM EFKBS EIF NPM 7X8 7S9 L.6 |
| ID | FETCH-LOGICAL-c456t-7100e5f60425e026755087ead51e61ca1f5303dbcf02091c08ae25461b7017f23 |
| IEDL.DBID | DOA |
| ISSN | 0160-4120 1873-6750 |
| IngestDate | Wed Aug 27 01:23:30 EDT 2025 Tue Aug 05 09:53:00 EDT 2025 Fri Jul 11 16:38:21 EDT 2025 Mon Jul 21 05:57:22 EDT 2025 Tue Jul 01 04:59:22 EDT 2025 Sat May 03 15:57:55 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | AMR Global biosecurity HT-qPCR MGE NMDS PERMANOVA CT Cross-border transmission One health Wastewater based epidemiology WWTP MLS Public health surveillance ARG ESBL WBE Transboundary passenger movement dbRDA |
| Language | English |
| License | This is an open access article under the CC BY-NC-ND license. Copyright © 2025. Published by Elsevier Ltd. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c456t-7100e5f60425e026755087ead51e61ca1f5303dbcf02091c08ae25461b7017f23 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0003-4705-6063 0009-0006-6875-3254 0000-0002-7068-3228 0000-0002-1482-4209 0000-0002-9530-7835 0000-0001-9596-3333 0000-0001-9824-7121 |
| OpenAccessLink | https://doaj.org/article/22554fc2bd1c46edbebfdaa948bfd114 |
| PMID | 39813953 |
| PQID | 3156527177 |
| PQPubID | 23479 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_22554fc2bd1c46edbebfdaa948bfd114 proquest_miscellaneous_3165870760 proquest_miscellaneous_3156527177 pubmed_primary_39813953 crossref_primary_10_1016_j_envint_2025_109260 elsevier_sciencedirect_doi_10_1016_j_envint_2025_109260 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | January 2025 2025-01-00 2025-Jan 20250101 2025-01-01 |
| PublicationDateYYYYMMDD | 2025-01-01 |
| PublicationDate_xml | – month: 01 year: 2025 text: January 2025 |
| PublicationDecade | 2020 |
| PublicationPlace | Netherlands |
| PublicationPlace_xml | – name: Netherlands |
| PublicationTitle | Environment international |
| PublicationTitleAlternate | Environ Int |
| PublicationYear | 2025 |
| Publisher | Elsevier Ltd Elsevier |
| Publisher_xml | – name: Elsevier Ltd – name: Elsevier |
| References | Bonin, Doster, Worley, Pinnell, Bravo, Ferm, Marini, Prosperi, Noyes, Morley, Boucher (b0055) 2023; 51 Driver, Ahsan, Piske, Lee, Forrest, Halden, Trieu (b0085) 2024; 940 Wagner, Zhang, Ryan, Xing, Nong, Kardia, Platt (b0320) 2023; 26 Bengtsson-Palme, Angelin, Huss, Kjellqvist, Kristiansson, Palmgren, Larsson, Johansson (b0045) 2015; 59 Beltran de Heredia, I., Garbisu, C., Alkorta, I., Urra, J., Gonzalez-Gaya, B. & Ruiz-Romera, E. 2023. Spatio-seasonal patterns of the impact of wastewater treatment plant effluents on antibiotic resistance in river sediments. Environmental pollution (Barking, Essex : 1987), 319 pp. 120883. Perry, Ahmadian, Munday, Jones, Ormerod, Durance (b0225) 2024; 343 Wood, Lu, Langmead (b0340) 2019; 20 Armitage, Berry, Matthews (b0030) 2002 Hendriksen, R.S., Munk, P., Njage, P., van Bunnik, B., McNally, L., Lukjancenko, O., Röder, T., Nieuwenhuijse, D., Pedersen, S.K., Kjeldgaard, J., Kaas, R.S., Clausen, P.T.L.C., Vogt, J.K., Leekitcharoenphon, P., van de Schans, M.G.M., Zuidema, T., de Roda Husman, A.M., Rasmussen, S., Petersen, B., Global Sewage Surveillance project consortium, … Aarestrup, F.M., 2019. Global monitoring of antimicrobial resistance based on metagenomics analyses of, urban sewage. Nat. Commun. 10, 1124. DOI: 10.1038/s41467-019-08853-3. Jones, Rhymes, Wade, Kevill, Malham, Grimsley, Rimmer, Weightman, Farkas (b0160) 2023; 856 Smith, Liu, Simpson, Bivins, Ahmed (b0275) 2024; 18 Wei, Feng, Wang, Zhang, Yang, Zhu, Virta, Deng (b0330) 2021; 55 Alkhawaldeh, Abu Farha, Abu Hammour, Alefishat (b0015) 2022; 13 Nordahl Petersen, Rasmussen, Hasman, Caroe, Baelum, Schultz, Bergmark, Svendsen, Lund, Sicheritz-Ponten, Aarestrup (b0215) 2015; 5 Bustin, Benes, Garson, Hellemans, Huggett, Kubista, Mueller, Nolan, Pfaffl, Shipley, Vandesompele, Wittwer (b0070) 2009; 55 Hou, Long, Wang, Li, Mao, Luo, Ren (b0150) 2023; 442 Munk, P., Brinch, C., Moller, F.D., Petersen, T.N., Hendriksen, R.S., Seyfarth, A.M., Kjeldgaard, J.S., Svendsen, C.A., van Bunnik, B., Berglund, F., Global Sewage Surveillance Consortium, Larsson, D.G.J., Koopmans, M., Woolhouse, M., Aarestrup, F.M., 2022. Genomic analysis of sewage from 101 countries reveals global landscape of antimicrobial resistance. Nature Commun. 13, 7251. DOI: 10.1038/s41467-022-34312-7. O’Neill, J., 2016. Tackling drug-resistant infections globally: Final report and recommendations. Review on Antimicrobial Resistance. Wellcome Trust and HM Government. Burton, McCleery (b0065) 2000; 15 Tang, Bennedbaek, Gunalan, Qvesel, Thorsen, Larsen, Rasmussen, Krogsgaard, Rasmussen, Stegger, Alexandersen (b0295) 2024; 10 D'Souza, A.W., Boolchandani, M., Patel, S., Galazzo, G., van Hattem, J.M., Arcilla, M.S., Melles, D.C., de Jong, M.D., Schultsz, C., COMBAT Consortium, Dantas, G. Penders, J., 2021. Destination shapes antibiotic resistance gene acquisitions, abundance increases, and diversity changes in Dutch travelers. Genome Med. 13, 79. DOI: 10.1186/s13073-021-00893-z. Larsson, Gaze, Laxminarayan, Topp (b0185) 2023; 8 Muziasari, Pitkänen, Sørum, Stedtfeld, Tiedje, Virta (b0205) 2017; 7 Büchs, Mattioli (b0060) 2021; 25 Qvesel, Bennedbæk, Larsen, Gunalan, Krogsgaard, Rasmussen, Rasmussen (b0240) 2023; 29 R Core Team, 2022. R: A Language and Environment for Statistical Computing. [Online]. Available at . Quintela-Baluja, Abouelnaga, Romalde, Su, Yu, Gomez-Lopez, Smets, Zhu, Graham (b0235) 2019; 162 Lai, Muziasari, Virta, Wiberg, Ahrens (b0180) 2021; 287 Shingleton, Lilley, Wade (b0270) 2023; 3 Kalkman, van Delden, Banerjee, Tyl, Mostert, van Thiel (b0165) 2022; 48 Lacey, Abelmann, Dorevitch (b0175) 2010; 48 Tang, Millar, Moore (b0300) 2023; 80 Hess, Kneis, Osterlund, Li, Kristiansson, Berendonk (b0135) 2019; 53 Eurocontrol, 2024. Daily UK Flight Data. European Organization for the Safety of Air Navigation, Brussels, Belgium. Rodriguez-Molina, Berglund, Blaak, Flach, Kemper, Marutescu, Pircalabioru Gradisteanu, Popa, Spiessberger, Wengenroth, Chifiriuc, Larsson, Nowak, Radon, de Roda Husman, Wieser, Schmitt (b0250) 2022; 19 Steffen, van der Linde, Gyr, Schär (b0290) 1983; 249 Frost, Van Boeckel, Pires, Craig, Laxminarayan (b0110) 2019; 26 Graham (b0125) 2023; 49 Post, Guiraud, Peeters, Lompo, Ombelet, Karama, Yougbaré, Garba, Rouamba, Tinto, Jacobs (b0230) 2022; 11 Sabri, Schmitt, Van der Zaan, Gerritsen, Zuidema, Rijnaarts, Langenhoff (bib346) 2020; 8 Tipper, Stanton, Payne, Read, Singer (b0315) 2024; 260 Steffen (b0285) 2017; 2 A4A, 2024. Air Travelers in America. Airlines for America (A4A), Washington DC, USA. Yan, Li, Yu, Wu, Sun, Cheng, Zhao, Nie, Xia (b0345) 2024; 343 Ahmed, Bivins, Simpson, Bertsch, Ehret, Hosegood, Metcalfe, Smith, Thomas, Tynan, Mueller (b0010) 2022; 158 Arcilla, van Hattem, Haverkate, Bootsma, van Genderen, Goorhuis, Grobusch, Lashof, Molhoek, Schultsz, Stobberingh, Verbrugh, de Jong, Melles, Penders (b0025) 2017; 17 Hillary, Farkas, Maher, Lucaci, Thorpe, Distaso, Gaze, Paterson, Burke, Connor, McDonald, Malham, Jones (b0140) 2021; 200 Webster, Newberry, Fry, Weightman (b0325) 2003; 55 Arc (b0020) 2022; 399 Bastian, Heymann, Jacomy (b0035) 2009; 3 Cottalorda, Dahyot, Soares, Alexandre, Zorgniotti, Etienne, Jumas-Bilak, Pestel-Caron (b0080) 2022; 12 Feng, Li, Jiang, Yang, Wells, Zhang, Li (b0105) 2018; 20 Holmes, Simmons (b0145) 2009; 137 Mohapatra, S., Panigrahy, R., Tak, V., J V, S., K C, S., Chaudhuri, S., Pundir, S., Kocher, D., Gautam, H., Sood, S., Das, B.K., Kapil, A., Hari, P., Kumar, A., Kumari, R., Kalaivani, M., R, A., Salve, H.R., Malhotra, S., Kant, S., 2022. Prevalence and resistance pattern of uropathogens from community settings of different regions: an experience from India. Access Microbiol. 4, 000321. DOI: 10.1099/acmi.0.000321. Knight, Webster, Perry, Baldwin, Rushton, Pass, Cross, Durance, Muziasari, Kille, Farkas, Weightman, Jones (b0170) 2024; 262 Tay, Lee, Ismail, Yam, Maliki, Gin, Chae, Ho, Teoh, Ng, Wong (b0310) 2024; 31 Salam, Al-Amin, Salam, Pawar, Akhter, Rabaan, Alqumber (b0265) 2023; 11 Graf, Stüben, Pump (b0120) 2012; 109 Tartari, Bellissimo-Rodrigues, Pires, Fankhauser, Lotfinejad, Saito, Suchomel, Kramer, Allegranzi, Boyce, Sax, Stewardson, Pittet, Alcohol-Based Handrub Task Force (b0305) 2024; 13 Gössling, Humpe (b0115) 2020; 65 WHO, 2021. Global antimicrobial resistance and use surveillance system (GLASS) report 2021. World Health Organization, Rome Italy. Statista, 2023. Total number of passengers transported by airlines based in the United Kingdom (UK) from 2013 to 2023. Caa (b0075) 2023 Bokhary, Pangesti, Rashid, Abd El Ghany, Hill-Cawthorne (b0050) 2021; 6 Farkas, Williams, Alex-Sanders, Grimsley, Pântea, Wade, Woodhall, Jones (b0100) 2023; 3 Maal-Bared, Brisolara, Knight, Mansfeldt (b0190) 2023; 905 Nguyen, Vu, Nguyen, Wang, Djordjevic, Donner, Yin, Nghiem (b0210) 2021; 783 Jin, Dickens, Toh, Lye, Lee, Cook (b0155) 2024; 4 Farkas (10.1016/j.envint.2025.109260_b0100) 2023; 3 Hillary (10.1016/j.envint.2025.109260_b0140) 2021; 200 Bastian (10.1016/j.envint.2025.109260_b0035) 2009; 3 Nguyen (10.1016/j.envint.2025.109260_b0210) 2021; 783 10.1016/j.envint.2025.109260_b0090 Bengtsson-Palme (10.1016/j.envint.2025.109260_b0045) 2015; 59 Driver (10.1016/j.envint.2025.109260_b0085) 2024; 940 Steffen (10.1016/j.envint.2025.109260_b0290) 1983; 249 Bokhary (10.1016/j.envint.2025.109260_b0050) 2021; 6 10.1016/j.envint.2025.109260_b0130 Perry (10.1016/j.envint.2025.109260_b0225) 2024; 343 10.1016/j.envint.2025.109260_b0095 Nordahl Petersen (10.1016/j.envint.2025.109260_b0215) 2015; 5 10.1016/j.envint.2025.109260_b0335 Holmes (10.1016/j.envint.2025.109260_b0145) 2009; 137 Webster (10.1016/j.envint.2025.109260_b0325) 2003; 55 Ahmed (10.1016/j.envint.2025.109260_b0010) 2022; 158 Arc (10.1016/j.envint.2025.109260_b0020) 2022; 399 Post (10.1016/j.envint.2025.109260_b0230) 2022; 11 Tang (10.1016/j.envint.2025.109260_b0295) 2024; 10 10.1016/j.envint.2025.109260_b0220 Tang (10.1016/j.envint.2025.109260_b0300) 2023; 80 Cottalorda (10.1016/j.envint.2025.109260_b0080) 2022; 12 Qvesel (10.1016/j.envint.2025.109260_b0240) 2023; 29 Jin (10.1016/j.envint.2025.109260_b0155) 2024; 4 Graf (10.1016/j.envint.2025.109260_b0120) 2012; 109 Graham (10.1016/j.envint.2025.109260_b0125) 2023; 49 Arcilla (10.1016/j.envint.2025.109260_b0025) 2017; 17 Jones (10.1016/j.envint.2025.109260_b0160) 2023; 856 Wood (10.1016/j.envint.2025.109260_b0340) 2019; 20 Wei (10.1016/j.envint.2025.109260_b0330) 2021; 55 Wagner (10.1016/j.envint.2025.109260_b0320) 2023; 26 Sabri (10.1016/j.envint.2025.109260_bib346) 2020; 8 Hess (10.1016/j.envint.2025.109260_b0135) 2019; 53 Kalkman (10.1016/j.envint.2025.109260_b0165) 2022; 48 Alkhawaldeh (10.1016/j.envint.2025.109260_b0015) 2022; 13 Quintela-Baluja (10.1016/j.envint.2025.109260_b0235) 2019; 162 10.1016/j.envint.2025.109260_b0195 Feng (10.1016/j.envint.2025.109260_b0105) 2018; 20 Maal-Bared (10.1016/j.envint.2025.109260_b0190) 2023; 905 Armitage (10.1016/j.envint.2025.109260_b0030) 2002 Tipper (10.1016/j.envint.2025.109260_b0315) 2024; 260 Burton (10.1016/j.envint.2025.109260_b0065) 2000; 15 Larsson (10.1016/j.envint.2025.109260_b0185) 2023; 8 Frost (10.1016/j.envint.2025.109260_b0110) 2019; 26 Salam (10.1016/j.envint.2025.109260_b0265) 2023; 11 Steffen (10.1016/j.envint.2025.109260_b0285) 2017; 2 Tartari (10.1016/j.envint.2025.109260_b0305) 2024; 13 Lai (10.1016/j.envint.2025.109260_b0180) 2021; 287 Caa (10.1016/j.envint.2025.109260_b0075) 2023 Hou (10.1016/j.envint.2025.109260_b0150) 2023; 442 Bonin (10.1016/j.envint.2025.109260_b0055) 2023; 51 Bustin (10.1016/j.envint.2025.109260_b0070) 2009; 55 Yan (10.1016/j.envint.2025.109260_b0345) 2024; 343 Muziasari (10.1016/j.envint.2025.109260_b0205) 2017; 7 Lacey (10.1016/j.envint.2025.109260_b0175) 2010; 48 Shingleton (10.1016/j.envint.2025.109260_b0270) 2023; 3 Gössling (10.1016/j.envint.2025.109260_b0115) 2020; 65 10.1016/j.envint.2025.109260_b0040 Tay (10.1016/j.envint.2025.109260_b0310) 2024; 31 10.1016/j.envint.2025.109260_b0280 Büchs (10.1016/j.envint.2025.109260_b0060) 2021; 25 Knight (10.1016/j.envint.2025.109260_b0170) 2024; 262 Smith (10.1016/j.envint.2025.109260_b0275) 2024; 18 10.1016/j.envint.2025.109260_b0005 Rodriguez-Molina (10.1016/j.envint.2025.109260_b0250) 2022; 19 10.1016/j.envint.2025.109260_b0245 10.1016/j.envint.2025.109260_b0200 |
| References_xml | – volume: 48 start-page: 3 year: 2022 end-page: 13 ident: b0165 article-title: Patients' and public views and attitudes towards the sharing of health data for research: a narrative review of the empirical evidence publication-title: J. Med. Ethics – volume: 11 start-page: 1946 year: 2023 ident: b0265 article-title: Antimicrobial resistance: A growing serious threat for global public health publication-title: Healthcare – volume: 55 start-page: 155 year: 2003 end-page: 164 ident: b0325 article-title: Assessment of bacterial community structure in the deep sub-seafloor biosphere by 16S rDNA-based techniques: a cautionary tale publication-title: J. Microbiol. Methods – reference: WHO, 2021. Global antimicrobial resistance and use surveillance system (GLASS) report 2021. World Health Organization, Rome Italy. – volume: 65 year: 2020 ident: b0115 article-title: The global scale, distribution and growth of aviation: Implications for climate change publication-title: Glob. Environ. Chang. – volume: 5 start-page: 11444 year: 2015 ident: b0215 article-title: Meta-genomic analysis of toilet waste from long distance flights; a step towards global surveillance of infectious diseases and antimicrobial resistance publication-title: Sci. Rep. – volume: 15 start-page: 803 year: 2000 end-page: 808 ident: b0065 article-title: Exposure potentials during cleaning, overhauling and repairing of aircraft lavatory tanks and hardware publication-title: Appl. Occup. Environ. Hyg. – volume: 25 start-page: 92 year: 2021 end-page: 101 ident: b0060 article-title: Trends in air travel inequality in the UK: From the few to the many? publication-title: Travel Behav. Soc. – volume: 55 start-page: 611 year: 2009 end-page: 622 ident: b0070 article-title: The MIQE Guidelines: Minimum Information for Publication of Quantitative Real-Time PCR Experiments publication-title: Clin. Chem. – reference: A4A, 2024. Air Travelers in America. Airlines for America (A4A), Washington DC, USA. – volume: 8 start-page: 754 year: 2023 end-page: 755 ident: b0185 article-title: AMR, One Health and the environment publication-title: Nat. Microbiol. – volume: 399 start-page: 629 year: 2022 end-page: 655 ident: b0020 article-title: Antimicrobial Resistance Collaborators: Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis publication-title: Lancet – volume: 12 start-page: 5421 year: 2022 ident: b0080 article-title: Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates publication-title: Sci. Rep. – volume: 26 start-page: 1301 year: 2023 end-page: 1307 ident: b0320 article-title: US residents' preferences for sharing of electronic health record and genetic information: A discrete choice experiment publication-title: Value Health – volume: 343 year: 2024 ident: b0345 article-title: Systematic evaluation of the impact of standard storage conditions on plasmid conjugation behavior in wastewater samples publication-title: Environ. Pollut. – reference: D'Souza, A.W., Boolchandani, M., Patel, S., Galazzo, G., van Hattem, J.M., Arcilla, M.S., Melles, D.C., de Jong, M.D., Schultsz, C., COMBAT Consortium, Dantas, G. Penders, J., 2021. Destination shapes antibiotic resistance gene acquisitions, abundance increases, and diversity changes in Dutch travelers. Genome Med. 13, 79. DOI: 10.1186/s13073-021-00893-z. – volume: 287 year: 2021 ident: b0180 article-title: Profiles of environmental antibiotic resistomes in the urban aquatic recipients of Sweden using high-throughput quantitative PCR analysis publication-title: Environ. Pollut. – volume: 442 year: 2023 ident: b0150 article-title: Global trend of antimicrobial resistance in common bacterial pathogens in response to antibiotic consumption publication-title: J. Hazard. Mater. – volume: 162 start-page: 347 year: 2019 end-page: 357 ident: b0235 article-title: Spatial ecology of a wastewater network defines the antibiotic resistance genes in downstream receiving waters publication-title: Water Res. – volume: 49 start-page: 515 year: 2023 end-page: 522 ident: b0125 article-title: Data for sale: trust, confidence and sharing health data with commercial companies publication-title: J. Med. Ethics – reference: Munk, P., Brinch, C., Moller, F.D., Petersen, T.N., Hendriksen, R.S., Seyfarth, A.M., Kjeldgaard, J.S., Svendsen, C.A., van Bunnik, B., Berglund, F., Global Sewage Surveillance Consortium, Larsson, D.G.J., Koopmans, M., Woolhouse, M., Aarestrup, F.M., 2022. Genomic analysis of sewage from 101 countries reveals global landscape of antimicrobial resistance. Nature Commun. 13, 7251. DOI: 10.1038/s41467-022-34312-7. – volume: 29 start-page: 2559 year: 2023 end-page: 2561 ident: b0240 article-title: SARS-CoV-2 Variants BQ.1 and XBB.1.5 in wastewater of aircraft flying from China to Denmark, 2023 publication-title: Emerg. Infect. Dis. – volume: 262 year: 2024 ident: b0170 article-title: National-scale antimicrobial resistance surveillance in wastewater: A comparative analysis of HT qPCR and metagenomic approaches publication-title: Water Res. – volume: 11 start-page: 112 year: 2022 ident: b0230 article-title: Escherichia coli from urine samples of pregnant women as an indicator for antimicrobial resistance in the community: a field study from rural Burkina Faso publication-title: Antimicrob. Resist. Infect. Control – reference: Eurocontrol, 2024. Daily UK Flight Data. European Organization for the Safety of Air Navigation, Brussels, Belgium. – volume: 13 start-page: 26 year: 2024 ident: b0305 article-title: Updates and future directions regarding hand hygiene in the healthcare setting: insights from the 3 publication-title: Antimicrob. Resist. Infect. Control – volume: 3 year: 2023 ident: b0270 article-title: Evaluating the theoretical performance of aircraft wastewater monitoring as a tool for SARS-CoV-2 surveillance publication-title: PLOS Global Public Health – volume: 31 year: 2024 ident: b0310 article-title: Usefulness of aircraft and airport wastewater for monitoring multiple pathogens including SARS-CoV-2 variants publication-title: J. Travel Med. – volume: 6 start-page: 11 year: 2021 ident: b0050 article-title: Travel-Related Antimicrobial Resistance: A Systematic Review publication-title: Tropical Medicine and Infectious Disease – volume: 109 start-page: 591 year: 2012 end-page: 602 ident: b0120 article-title: In-flight medical emergencies. Deutsches Arzteblatt publication-title: International – volume: 200 year: 2021 ident: b0140 article-title: Monitoring SARS-CoV-2 in municipal wastewater to evaluate the success of lockdown measures for controlling COVID-19 in the UK publication-title: Water Res. – volume: 7 start-page: 2137 year: 2017 ident: b0205 article-title: The resistome of farmed fish feces contributes to the enrichment of antibiotic resistance genes in sediments below Baltic Sea fish farms publication-title: Front. Microbiol. – volume: 80 start-page: 11387 year: 2023 ident: b0300 article-title: Antimicrobial Resistance (AMR) publication-title: Br. J. Biomed. Sci. – volume: 249 start-page: 1176 year: 1983 end-page: 1180 ident: b0290 article-title: Epidemiology of diarrhea in travelers publication-title: JAMA – volume: 17 start-page: 78 year: 2017 end-page: 85 ident: b0025 article-title: Import and spread of extended-spectrum β-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): a prospective, multicentre cohort study publication-title: Lancet Infect. Dis. – volume: 343 year: 2024 ident: b0225 article-title: Addressing the challenges of combined sewer overflows publication-title: Environ. Pollut. – reference: Statista, 2023. Total number of passengers transported by airlines based in the United Kingdom (UK) from 2013 to 2023. – volume: 20 start-page: 257 year: 2019 ident: b0340 article-title: Improved metagenomic analysis with Kraken 2 publication-title: Genome Biol. – volume: 260 year: 2024 ident: b0315 article-title: Do storm overflows influence AMR in the environment and is this relevant to human health? A UK perspective on a global issue publication-title: Water Res. – volume: 51 start-page: D744 year: 2023 end-page: D752 ident: b0055 article-title: MEGARes and AMR++, v3.0: an updated comprehensive database of antimicrobial resistance determinants and an improved software pipeline for classification using high-throughput sequencing publication-title: Nucleic Acids Res. – volume: 940 year: 2024 ident: b0085 article-title: Encrypted data-sharing for preserving privacy in wastewater-based epidemiology publication-title: Sci. Total Environ. – volume: 20 start-page: 355 year: 2018 end-page: 368 ident: b0105 article-title: Antibiotic resistome in a large-scale healthy human gut microbiota deciphered by metagenomic and network analyses publication-title: Environ. Microbiol. – volume: 905 year: 2023 ident: b0190 article-title: To sample or not to sample: A governance-focused decision tree for wastewater service providers considering participation in wastewater-based epidemiology (WBE) in support of public health programs publication-title: Sci. Total Environ. – volume: 137 start-page: 441 year: 2009 end-page: 447 ident: b0145 article-title: Gastrointestinal illness associated with a long-haul flight publication-title: Epidemiol. Infect. – volume: 18 start-page: 54 year: 2024 ident: b0275 article-title: Assessment of nucleic acid extraction protocols for antibiotic resistance genes (ARGs) quantification in aircraft wastewater publication-title: Hum. Genomics – year: 2002 ident: b0030 article-title: Statistical Methods in Medical Research publication-title: Blackwell Science Ltd – volume: 10 year: 2024 ident: b0295 article-title: Variations in the persistence of 5'-end genomic and subgenomic SARS-CoV-2 RNAs in wastewater from aircraft, airports and wastewater treatment plants publication-title: Heliyon – volume: 8 start-page: 102245 year: 2020 ident: bib346 article-title: Prevalence of antibiotics and antibiotic resistance genes in a wastewater effluent-receiving river in the Netherlands publication-title: J. Environ. Chem. Eng. – volume: 856 year: 2023 ident: b0160 article-title: Suitability of aircraft wastewater for pathogen detection and public health surveillance publication-title: Sci. Total Environ. – volume: 53 start-page: 13898 year: 2019 end-page: 13905 ident: b0135 article-title: Sewage from airplanes exhibits high abundance and diversity of antibiotic resistance genes publication-title: Environm. Sci. Technol. – volume: 3 year: 2023 ident: b0100 article-title: Wastewater-based monitoring of SARS-CoV-2 at UK airports and its potential role in international public health surveillance publication-title: PLOS Global Public Health – reference: O’Neill, J., 2016. Tackling drug-resistant infections globally: Final report and recommendations. Review on Antimicrobial Resistance. Wellcome Trust and HM Government. – volume: 4 year: 2024 ident: b0155 article-title: Feasibility of wastewater-based detection of emergent pandemics through a global network of airports publication-title: PLOS Global Public Health – volume: 3 start-page: 361 year: 2009 end-page: 362 ident: b0035 article-title: Gephi: An open source software for exploring and manipulating networks publication-title: International AAAI Conference on Weblogs and Social Media – reference: Beltran de Heredia, I., Garbisu, C., Alkorta, I., Urra, J., Gonzalez-Gaya, B. & Ruiz-Romera, E. 2023. Spatio-seasonal patterns of the impact of wastewater treatment plant effluents on antibiotic resistance in river sediments. Environmental pollution (Barking, Essex : 1987), 319 pp. 120883. – reference: Mohapatra, S., Panigrahy, R., Tak, V., J V, S., K C, S., Chaudhuri, S., Pundir, S., Kocher, D., Gautam, H., Sood, S., Das, B.K., Kapil, A., Hari, P., Kumar, A., Kumari, R., Kalaivani, M., R, A., Salve, H.R., Malhotra, S., Kant, S., 2022. Prevalence and resistance pattern of uropathogens from community settings of different regions: an experience from India. Access Microbiol. 4, 000321. DOI: 10.1099/acmi.0.000321. – reference: . – volume: 158 year: 2022 ident: b0010 article-title: Wastewater surveillance demonstrates high predictive value for COVID-19 infection on board repatriation flights to Australia publication-title: Environ. Int. – volume: 783 year: 2021 ident: b0210 article-title: Monitoring antibiotic resistance genes in wastewater treatment: Current strategies and future challenges publication-title: Sci. Total Environ. – reference: Hendriksen, R.S., Munk, P., Njage, P., van Bunnik, B., McNally, L., Lukjancenko, O., Röder, T., Nieuwenhuijse, D., Pedersen, S.K., Kjeldgaard, J., Kaas, R.S., Clausen, P.T.L.C., Vogt, J.K., Leekitcharoenphon, P., van de Schans, M.G.M., Zuidema, T., de Roda Husman, A.M., Rasmussen, S., Petersen, B., Global Sewage Surveillance project consortium, … Aarestrup, F.M., 2019. Global monitoring of antimicrobial resistance based on metagenomics analyses of, urban sewage. Nat. Commun. 10, 1124. DOI: 10.1038/s41467-019-08853-3. – year: 2023 ident: b0075 article-title: International passenger movements at UK airports by country of embarkation or landing: 2012 to 2022 – reference: R Core Team, 2022. R: A Language and Environment for Statistical Computing. [Online]. Available at: – volume: 19 start-page: 4758 year: 2022 ident: b0250 article-title: International travel as a risk factor for carriage of extended-spectrum beta-lactamase-producing Escherichia coli in a large sample of European individuals: The AWARE study publication-title: Int. J. Environ. Res. Public Health – volume: 55 start-page: 11824 year: 2021 end-page: 11834 ident: b0330 article-title: High-throughput single-cell technology reveals the contribution of horizontal gene transfer to typical antibiotic resistance gene dissemination in wastewater treatment plants publication-title: Environm. Sci. Technol. – volume: 26 year: 2019 ident: b0110 article-title: Global geographic trends in antimicrobial resistance: the role of international travel publication-title: J. Travel Med. – volume: 59 start-page: 6551 year: 2015 end-page: 6560 ident: b0045 article-title: the human gut microbiome as a transporter of antibiotic resistance genes between continents publication-title: Antimicrob. Agents Chemother. – volume: 2 start-page: S2 year: 2017 end-page: S5 ident: b0285 article-title: Epidemiology of travellers' diarrhea publication-title: J. Travel Med. – volume: 48 start-page: 123 year: 2010 end-page: 128 ident: b0175 article-title: Exposure to human waste from spills while servicing aircraft lavatories: hazards and methods of prevention publication-title: Ind. Health – volume: 13 year: 2022 ident: b0015 article-title: Optimizing antimicrobial therapy in urinary tract infections: A focus on urine culture and sensitivity testing publication-title: Front. Pharmacol. – ident: 10.1016/j.envint.2025.109260_b0280 – volume: 442 year: 2023 ident: 10.1016/j.envint.2025.109260_b0150 article-title: Global trend of antimicrobial resistance in common bacterial pathogens in response to antibiotic consumption publication-title: J. Hazard. Mater. doi: 10.1016/j.jhazmat.2022.130042 – volume: 940 year: 2024 ident: 10.1016/j.envint.2025.109260_b0085 article-title: Encrypted data-sharing for preserving privacy in wastewater-based epidemiology publication-title: Sci. Total Environ. doi: 10.1016/j.scitotenv.2024.173315 – volume: 55 start-page: 611 issue: 4 year: 2009 ident: 10.1016/j.envint.2025.109260_b0070 article-title: The MIQE Guidelines: Minimum Information for Publication of Quantitative Real-Time PCR Experiments publication-title: Clin. Chem. doi: 10.1373/clinchem.2008.112797 – volume: 65 year: 2020 ident: 10.1016/j.envint.2025.109260_b0115 article-title: The global scale, distribution and growth of aviation: Implications for climate change publication-title: Glob. Environ. Chang. doi: 10.1016/j.gloenvcha.2020.102194 – volume: 18 start-page: 54 year: 2024 ident: 10.1016/j.envint.2025.109260_b0275 article-title: Assessment of nucleic acid extraction protocols for antibiotic resistance genes (ARGs) quantification in aircraft wastewater publication-title: Hum. Genomics doi: 10.1186/s40246-024-00617-5 – volume: 158 year: 2022 ident: 10.1016/j.envint.2025.109260_b0010 article-title: Wastewater surveillance demonstrates high predictive value for COVID-19 infection on board repatriation flights to Australia publication-title: Environ. Int. doi: 10.1016/j.envint.2021.106938 – volume: 53 start-page: 13898 year: 2019 ident: 10.1016/j.envint.2025.109260_b0135 article-title: Sewage from airplanes exhibits high abundance and diversity of antibiotic resistance genes publication-title: Environm. Sci. Technol. doi: 10.1021/acs.est.9b03236 – volume: 25 start-page: 92 year: 2021 ident: 10.1016/j.envint.2025.109260_b0060 article-title: Trends in air travel inequality in the UK: From the few to the many? publication-title: Travel Behav. Soc. doi: 10.1016/j.tbs.2021.05.008 – volume: 51 start-page: D744 year: 2023 ident: 10.1016/j.envint.2025.109260_b0055 article-title: MEGARes and AMR++, v3.0: an updated comprehensive database of antimicrobial resistance determinants and an improved software pipeline for classification using high-throughput sequencing publication-title: Nucleic Acids Res. doi: 10.1093/nar/gkac1047 – ident: 10.1016/j.envint.2025.109260_b0245 – ident: 10.1016/j.envint.2025.109260_b0335 – volume: 343 year: 2024 ident: 10.1016/j.envint.2025.109260_b0225 article-title: Addressing the challenges of combined sewer overflows publication-title: Environ. Pollut. doi: 10.1016/j.envpol.2023.123225 – volume: 249 start-page: 1176 year: 1983 ident: 10.1016/j.envint.2025.109260_b0290 article-title: Epidemiology of diarrhea in travelers publication-title: JAMA doi: 10.1001/jama.1983.03330330054035 – volume: 26 year: 2019 ident: 10.1016/j.envint.2025.109260_b0110 article-title: Global geographic trends in antimicrobial resistance: the role of international travel publication-title: J. Travel Med. doi: 10.1093/jtm/taz036 – volume: 48 start-page: 123 year: 2010 ident: 10.1016/j.envint.2025.109260_b0175 article-title: Exposure to human waste from spills while servicing aircraft lavatories: hazards and methods of prevention publication-title: Ind. Health doi: 10.2486/indhealth.48.123 – volume: 15 start-page: 803 year: 2000 ident: 10.1016/j.envint.2025.109260_b0065 article-title: Exposure potentials during cleaning, overhauling and repairing of aircraft lavatory tanks and hardware publication-title: Appl. Occup. Environ. Hyg. doi: 10.1080/10473220050175652 – volume: 262 year: 2024 ident: 10.1016/j.envint.2025.109260_b0170 article-title: National-scale antimicrobial resistance surveillance in wastewater: A comparative analysis of HT qPCR and metagenomic approaches publication-title: Water Res. doi: 10.1016/j.watres.2024.121989 – ident: 10.1016/j.envint.2025.109260_b0090 doi: 10.1186/s13073-021-00893-z – volume: 856 year: 2023 ident: 10.1016/j.envint.2025.109260_b0160 article-title: Suitability of aircraft wastewater for pathogen detection and public health surveillance publication-title: Sci. Total Environ. doi: 10.1016/j.scitotenv.2022.159162 – volume: 48 start-page: 3 year: 2022 ident: 10.1016/j.envint.2025.109260_b0165 article-title: Patients' and public views and attitudes towards the sharing of health data for research: a narrative review of the empirical evidence publication-title: J. Med. Ethics doi: 10.1136/medethics-2019-105651 – volume: 3 year: 2023 ident: 10.1016/j.envint.2025.109260_b0270 article-title: Evaluating the theoretical performance of aircraft wastewater monitoring as a tool for SARS-CoV-2 surveillance publication-title: PLOS Global Public Health doi: 10.1371/journal.pgph.0001975 – volume: 20 start-page: 355 year: 2018 ident: 10.1016/j.envint.2025.109260_b0105 article-title: Antibiotic resistome in a large-scale healthy human gut microbiota deciphered by metagenomic and network analyses publication-title: Environ. Microbiol. doi: 10.1111/1462-2920.14009 – volume: 7 start-page: 2137 year: 2017 ident: 10.1016/j.envint.2025.109260_b0205 article-title: The resistome of farmed fish feces contributes to the enrichment of antibiotic resistance genes in sediments below Baltic Sea fish farms publication-title: Front. Microbiol. doi: 10.3389/fmicb.2016.02137 – ident: 10.1016/j.envint.2025.109260_b0130 doi: 10.1038/s41467-019-08853-3 – volume: 8 start-page: 102245 year: 2020 ident: 10.1016/j.envint.2025.109260_bib346 article-title: Prevalence of antibiotics and antibiotic resistance genes in a wastewater effluent-receiving river in the Netherlands publication-title: J. Environ. Chem. Eng. doi: 10.1016/j.jece.2018.03.004 – volume: 343 year: 2024 ident: 10.1016/j.envint.2025.109260_b0345 article-title: Systematic evaluation of the impact of standard storage conditions on plasmid conjugation behavior in wastewater samples publication-title: Environ. Pollut. doi: 10.1016/j.envpol.2023.123283 – volume: 2 start-page: S2 year: 2017 ident: 10.1016/j.envint.2025.109260_b0285 article-title: Epidemiology of travellers' diarrhea publication-title: J. Travel Med. doi: 10.1093/jtm/taw072 – volume: 3 year: 2023 ident: 10.1016/j.envint.2025.109260_b0100 article-title: Wastewater-based monitoring of SARS-CoV-2 at UK airports and its potential role in international public health surveillance publication-title: PLOS Global Public Health doi: 10.1371/journal.pgph.0001346 – volume: 287 year: 2021 ident: 10.1016/j.envint.2025.109260_b0180 article-title: Profiles of environmental antibiotic resistomes in the urban aquatic recipients of Sweden using high-throughput quantitative PCR analysis publication-title: Environ. Pollut. doi: 10.1016/j.envpol.2021.117651 – volume: 80 start-page: 11387 year: 2023 ident: 10.1016/j.envint.2025.109260_b0300 article-title: Antimicrobial Resistance (AMR) publication-title: Br. J. Biomed. Sci. doi: 10.3389/bjbs.2023.11387 – ident: 10.1016/j.envint.2025.109260_b0005 – volume: 5 start-page: 11444 year: 2015 ident: 10.1016/j.envint.2025.109260_b0215 article-title: Meta-genomic analysis of toilet waste from long distance flights; a step towards global surveillance of infectious diseases and antimicrobial resistance publication-title: Sci. Rep. doi: 10.1038/srep11444 – volume: 17 start-page: 78 year: 2017 ident: 10.1016/j.envint.2025.109260_b0025 article-title: Import and spread of extended-spectrum β-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): a prospective, multicentre cohort study publication-title: Lancet Infect. Dis. doi: 10.1016/S1473-3099(16)30319-X – volume: 59 start-page: 6551 year: 2015 ident: 10.1016/j.envint.2025.109260_b0045 article-title: the human gut microbiome as a transporter of antibiotic resistance genes between continents publication-title: Antimicrob. Agents Chemother. doi: 10.1128/AAC.00933-15 – ident: 10.1016/j.envint.2025.109260_b0195 doi: 10.1099/acmi.0.000321 – ident: 10.1016/j.envint.2025.109260_b0200 doi: 10.1038/s41467-022-34312-7 – ident: 10.1016/j.envint.2025.109260_b0095 – volume: 11 start-page: 112 year: 2022 ident: 10.1016/j.envint.2025.109260_b0230 article-title: Escherichia coli from urine samples of pregnant women as an indicator for antimicrobial resistance in the community: a field study from rural Burkina Faso publication-title: Antimicrob. Resist. Infect. Control doi: 10.1186/s13756-022-01142-7 – year: 2023 ident: 10.1016/j.envint.2025.109260_b0075 – volume: 905 year: 2023 ident: 10.1016/j.envint.2025.109260_b0190 article-title: To sample or not to sample: A governance-focused decision tree for wastewater service providers considering participation in wastewater-based epidemiology (WBE) in support of public health programs publication-title: Sci. Total Environ. doi: 10.1016/j.scitotenv.2023.167128 – ident: 10.1016/j.envint.2025.109260_b0040 doi: 10.1016/j.envpol.2022.120883 – volume: 260 year: 2024 ident: 10.1016/j.envint.2025.109260_b0315 article-title: Do storm overflows influence AMR in the environment and is this relevant to human health? A UK perspective on a global issue publication-title: Water Res. doi: 10.1016/j.watres.2024.121952 – volume: 55 start-page: 11824 year: 2021 ident: 10.1016/j.envint.2025.109260_b0330 article-title: High-throughput single-cell technology reveals the contribution of horizontal gene transfer to typical antibiotic resistance gene dissemination in wastewater treatment plants publication-title: Environm. Sci. Technol. doi: 10.1021/acs.est.1c01250 – volume: 29 start-page: 2559 year: 2023 ident: 10.1016/j.envint.2025.109260_b0240 article-title: SARS-CoV-2 Variants BQ.1 and XBB.1.5 in wastewater of aircraft flying from China to Denmark, 2023 publication-title: Emerg. Infect. Dis. doi: 10.3201/eid2912.230717 – volume: 19 start-page: 4758 year: 2022 ident: 10.1016/j.envint.2025.109260_b0250 article-title: International travel as a risk factor for carriage of extended-spectrum beta-lactamase-producing Escherichia coli in a large sample of European individuals: The AWARE study publication-title: Int. J. Environ. Res. Public Health doi: 10.3390/ijerph19084758 – volume: 13 start-page: 26 year: 2024 ident: 10.1016/j.envint.2025.109260_b0305 article-title: Updates and future directions regarding hand hygiene in the healthcare setting: insights from the 3rd ICPIC alcohol-based handrub (ABHR) task force publication-title: Antimicrob. Resist. Infect. Control doi: 10.1186/s13756-024-01374-9 – volume: 783 year: 2021 ident: 10.1016/j.envint.2025.109260_b0210 article-title: Monitoring antibiotic resistance genes in wastewater treatment: Current strategies and future challenges publication-title: Sci. Total Environ. doi: 10.1016/j.scitotenv.2021.146964 – volume: 13 year: 2022 ident: 10.1016/j.envint.2025.109260_b0015 article-title: Optimizing antimicrobial therapy in urinary tract infections: A focus on urine culture and sensitivity testing publication-title: Front. Pharmacol. doi: 10.3389/fphar.2022.1058669 – volume: 55 start-page: 155 year: 2003 ident: 10.1016/j.envint.2025.109260_b0325 article-title: Assessment of bacterial community structure in the deep sub-seafloor biosphere by 16S rDNA-based techniques: a cautionary tale publication-title: J. Microbiol. Methods doi: 10.1016/S0167-7012(03)00140-4 – volume: 399 start-page: 629 year: 2022 ident: 10.1016/j.envint.2025.109260_b0020 article-title: Antimicrobial Resistance Collaborators: Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis publication-title: Lancet doi: 10.1016/S0140-6736(21)02724-0 – ident: 10.1016/j.envint.2025.109260_b0220 – volume: 200 year: 2021 ident: 10.1016/j.envint.2025.109260_b0140 article-title: Monitoring SARS-CoV-2 in municipal wastewater to evaluate the success of lockdown measures for controlling COVID-19 in the UK publication-title: Water Res. doi: 10.1016/j.watres.2021.117214 – volume: 12 start-page: 5421 year: 2022 ident: 10.1016/j.envint.2025.109260_b0080 article-title: Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates publication-title: Sci. Rep. doi: 10.1038/s41598-022-09234-5 – volume: 11 start-page: 1946 year: 2023 ident: 10.1016/j.envint.2025.109260_b0265 article-title: Antimicrobial resistance: A growing serious threat for global public health publication-title: Healthcare doi: 10.3390/healthcare11131946 – volume: 4 year: 2024 ident: 10.1016/j.envint.2025.109260_b0155 article-title: Feasibility of wastewater-based detection of emergent pandemics through a global network of airports publication-title: PLOS Global Public Health doi: 10.1371/journal.pgph.0003010 – volume: 162 start-page: 347 year: 2019 ident: 10.1016/j.envint.2025.109260_b0235 article-title: Spatial ecology of a wastewater network defines the antibiotic resistance genes in downstream receiving waters publication-title: Water Res. doi: 10.1016/j.watres.2019.06.075 – volume: 8 start-page: 754 year: 2023 ident: 10.1016/j.envint.2025.109260_b0185 article-title: AMR, One Health and the environment publication-title: Nat. Microbiol. doi: 10.1038/s41564-023-01351-9 – volume: 20 start-page: 257 year: 2019 ident: 10.1016/j.envint.2025.109260_b0340 article-title: Improved metagenomic analysis with Kraken 2 publication-title: Genome Biol. doi: 10.1186/s13059-019-1891-0 – volume: 3 start-page: 361 year: 2009 ident: 10.1016/j.envint.2025.109260_b0035 article-title: Gephi: An open source software for exploring and manipulating networks publication-title: International AAAI Conference on Weblogs and Social Media doi: 10.1609/icwsm.v3i1.13937 – volume: 26 start-page: 1301 year: 2023 ident: 10.1016/j.envint.2025.109260_b0320 article-title: US residents' preferences for sharing of electronic health record and genetic information: A discrete choice experiment publication-title: Value Health doi: 10.1016/j.jval.2023.01.015 – volume: 10 year: 2024 ident: 10.1016/j.envint.2025.109260_b0295 article-title: Variations in the persistence of 5'-end genomic and subgenomic SARS-CoV-2 RNAs in wastewater from aircraft, airports and wastewater treatment plants publication-title: Heliyon – volume: 109 start-page: 591 year: 2012 ident: 10.1016/j.envint.2025.109260_b0120 article-title: In-flight medical emergencies. Deutsches Arzteblatt publication-title: International – volume: 137 start-page: 441 year: 2009 ident: 10.1016/j.envint.2025.109260_b0145 article-title: Gastrointestinal illness associated with a long-haul flight publication-title: Epidemiol. Infect. doi: 10.1017/S0950268808001027 – volume: 6 start-page: 11 year: 2021 ident: 10.1016/j.envint.2025.109260_b0050 article-title: Travel-Related Antimicrobial Resistance: A Systematic Review publication-title: Tropical Medicine and Infectious Disease doi: 10.3390/tropicalmed6010011 – year: 2002 ident: 10.1016/j.envint.2025.109260_b0030 article-title: Statistical Methods in Medical Research publication-title: Blackwell Science Ltd – volume: 31 year: 2024 ident: 10.1016/j.envint.2025.109260_b0310 article-title: Usefulness of aircraft and airport wastewater for monitoring multiple pathogens including SARS-CoV-2 variants publication-title: J. Travel Med. doi: 10.1093/jtm/taae074 – volume: 49 start-page: 515 year: 2023 ident: 10.1016/j.envint.2025.109260_b0125 article-title: Data for sale: trust, confidence and sharing health data with commercial companies publication-title: J. Med. Ethics doi: 10.1136/medethics-2021-107464 |
| SSID | ssj0002485 |
| Score | 2.4578943 |
| Snippet | [Display omitted]
•The resistome composition differed between airport terminals.•Flights from Asia carried more diverse resistomes than those from... With 40 million annual passenger flights, airports are key hubs for microbial communities from diverse geographic origins to converge, mix, and distribute.... |
| SourceID | doaj proquest pubmed crossref elsevier |
| SourceType | Open Website Aggregation Database Index Database Publisher |
| StartPage | 109260 |
| SubjectTerms | Africa aircraft Airports antibiotic resistance antibiotic resistance genes Asia Cross-border transmission Drug Resistance, Bacterial - genetics Drug Resistance, Microbial - genetics environment Environmental Monitoring Europe geography Global biosecurity metagenomics monitoring North America One health public health Public health surveillance Transboundary passenger movement United Kingdom wastewater Wastewater - microbiology Wastewater based epidemiology wastewater treatment |
| SummonAdditionalLinks | – databaseName: Elsevier SD Freedom Collection dbid: .~1 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lj9MwELZWe1qEEFtYKC8ZiatpHNt5cGNXXa1AcIGK3iy_sgoSSdWmJyR-OzN2st09ABKnptHEeczY840985mQNyJkXllbMFNWnsnQcGbqMmeBN0JZUZg64HzHp8_F1Up-WKv1EbmYamEwrXIc-9OYHkfr8cxi_JqLTdsuviA3muQ5OnEENmusYJclWvnbX4c0D6TsSvzeGUPpqXwu5nhhMVmHGZW5Ql6lPBJVHtxTZPG_46X-hEKjN7p8SB6MMJK-T096So5CNyP3bpELzsjZ8lDDBqJjJ97NyP00VUdTBdIj8vOb2eEUGnxhhk7NUzMyldC-geOh_dFGuiZoBYJzBJzQEDUDXX2kpt3GRYd3dDnyhnfXFEAl3fQDJiLBNf0GJfZd5G6F9jx10w4uu8dkdbn8enHFxj0ZmAOoNWDqZhZUU2BfD7h7FUQ4VQnmqHgouDO8UeAUvXUN4NCau6wyASn3uS2h7ze5OCPHXd-Fp4Rm1nhRO4hwVC2l9JU0gL8cL4KXuTNiTtikCr1J1Bt6ykn7rpPqNKpOJ9XNyTnq60YWibPjiX57rUfL0TB8Kdm43HruJNzJBtt4Y2pZwS_EhnNSTtrWd-wQmmr_cfvXk3Fo6KK47mK60O93WkCMrHKIm8u_yQAULHGZdE6eJMu6eRFRV4DTlXj238_2nJzgvzR19IIcD9t9eAlgarCvYm_5DehFHpg priority: 102 providerName: Elsevier |
| Title | Wastewater-based analysis of antimicrobial resistance at UK airports: Evaluating the potential opportunities and challenges |
| URI | https://dx.doi.org/10.1016/j.envint.2025.109260 https://www.ncbi.nlm.nih.gov/pubmed/39813953 https://www.proquest.com/docview/3156527177 https://www.proquest.com/docview/3165870760 https://doaj.org/article/22554fc2bd1c46edbebfdaa948bfd114 |
| Volume | 195 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwEB5BuYAQgoXC8lgZiWsgju08uBW01UJFT6zozfIraCuRrLrZExK_nRk7acsBeuGUKHIcJzOT-cYefwPwRoTcK2vLzFS1z2RoeWaaqsgCb4WyojRNoPmOL6flai0_n6mza6W-KCcs0QOnD_cO9U3J1hXWcyfL4G2wrTemkTUeeSxhXaDPm4Kp8R9MRF2J1TvPJC_yadNczOyiLWQd5VEWitiUikhPeeWUInf_H77pb9gz-qDjh_BgBI_sKA36EdwK3QzuXaMUnMHh8mrnGjYdTXc3g_tpgo6lfUeP4ec3s6OJM_yuGbkyz8zIT8L6Fs-HzY9NJGnCXjAkJ5iJHTEzsPUJM5uLuNTwni1HtvDuO0Moybb9QOlHeE-_pRb7LjK2Yn-eualuy-4JrI-XXz-usrESQ-YQYA2UsJkH1ZZk4YFqVmFcU1eohIqHkjvDW4Wu0FvX5iQMl9cmENE-txVafFuIQzjo-i48A5Zb40XjMK5RjZTS19Ig6nIcRSsLZ8QcskkUepsIN_SUiXauk-g0iU4n0c3hA8nrsi3RZccLqER6VCJ9kxLNoZqkrUfkkRAFdrW54fGvJ-XQaJi02mK60O93WmBkrAqMlqt_tUEAWNHi6ByeJs26fBHR1IjOlXj-P17wBdylQae5o5dwMFzswytEU4NdwO23v_gC7hx9OlmdLqIZ_QaagiHe |
| linkProvider | Directory of Open Access Journals |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lj9MwEB4t3QMghKCwUJ5G4ho1Tuw8uC2rrrp0txe2ojfLcZxVkEiqNj3x55mJnS57ACROiVLHSTMznm_smc8AH2MblrIokkCnWRkIW_FA52kUWF7FsogTnVua77haJvOV-LKW6yM4G2phKK3Sj_1uTO9Ha39l6r_mdFPX06_EjSZ4RE6cgM36HhwTO5UcwfHpxWK-PAzIxNrlKL7DgG4YKuj6NC-qJ2soqTKSRK0U9VyVtx6qJ_K_46j-BER7h3T-BB57JMlO3cs-hSPbjOHhb_yCYziZ3ZaxYVNvx7sxPHKzdcwVIT2Dn9_0jmbR8CMH5NdKpj1ZCWsrPO_qH3XP2IS9YHxOmBM7YrpjqwXT9bZfd_jEZp46vLlhiCvZpu0oFwnvaTfUYt_09K3YX8nMsInL7jmszmfXZ_PAb8sQGERbHWVvhlZWCZm7pQ2sMMjJUtRIyW3CjeaVRL9YFqZCKJpzE2baEus-L1I0_yqKT2DUtI19CSwsdBnnBoMcmQshykxohGCGJ7YUkdHxBIJBFGrj2DfUkJb2XTnRKRKdcqKbwGeS16EtcWf3F9rtjfLKo3AEk6IyUVFyI_BJhS2qUutcZHjE8HAC6SBtdUcVsav6H4__MCiHQiulpRfd2Ha_UzGGyTLC0Dn9WxtEgymtlE7ghdOswx-J8wyhuoxf_fe7vYf78-urS3V5sVy8hgf0i5tJegOjbru3bxFbdcU7bzu_AKtRItc |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Wastewater-based+analysis+of+antimicrobial+resistance+at+UK+airports%3A+Evaluating+the+potential+opportunities+and+challenges&rft.jtitle=Environment+international&rft.au=Knight%2C+Margaret+E&rft.au=Farkas%2C+Kata&rft.au=Wade%2C+Matthew&rft.au=Webster%2C+Gordon&rft.date=2025-01-01&rft.issn=0160-4120&rft.volume=195+p.109260-&rft_id=info:doi/10.1016%2Fj.envint.2025.109260&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0160-4120&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0160-4120&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0160-4120&client=summon |