The indiscriminate usage of antimicrobials in the animal health sector contributes immensely to antimicrobial resistance (AMR). The present study aims to assess the antimicrobial usage pattern and risk factors for AMR in animal husbandry sector of India. A cross-sectional survey about Knowledge, Attitude, and Practices (KAP) among veterinarians was carried out using a questionnaire comprising of 52 parameters associated with antibiotic use and the emergence of AMR in dairy herds. Respondents’ KAP scores were estimated to rank their level of knowledge, attitude, and practice. Furthermore, risk factors associated with treatment failure were analyzed by univariable and multivariable analyses. Out of a total of 466 respondents, the majority had average knowledge (69.5%), neutral attitude (93.2%), and moderate practice (51.3%) scores toward judicious antibiotic usage. Veterinarians reported mastitis (88.0%), reproductive disorders (76.6%), and hemoprotozoan infections (49.6%) as the top three disease conditions that require antibiotic usage. Most of the veterinarians (90.6%) resorted to their “own experience” as the main criteria for antibiotic choice. The use of the highest priority critically important antimicrobials (HPCIA) listed by the World Health Organization (WHO) in animals, particularly quinolones (76.8%) and third-generation cephalosporins (47.8%), has been reported. On multivariable regression analysis of the risk factors, the lack of cooperation of the dairy farmers in the completion of a prescribed antibiotic course by the veterinarian and the demand for antibiotic use even in conditions not requiring antibiotic use were found to be significantly associated with the outcome variable “treatment failure” having respective odds of 1.8 (95%CI: 1.1–3.0) and 3.6 (95%CI: 2.3–5.8) (p < 0.05). The average KAP score of veterinarians, poor farm management practices, lack of awareness among farmers on prudent antibiotic use, and lack of antibiotic stewardship are the significant factors that need attention to combat the rising AMR in veterinary sector in India.
In view of emerging threat of COVID-19 pandemic, stringent lockdown measures have been implemented in India since 25 th March, 2020. The present study aims to assess the changes in air quality before and during lockdown in the four major metropolitan cities of India viz., Delhi, Mumbai, Kolkata and Chennai. The data on major air quality parameters and meteorological parameters was collected for 15 days before lockdown (i.e., March 10 th-March 24 th , 2020) and 15 days after implementation of lockdown (25 th March-April 8 th , 2020). The lockdown measures reflected a significant reduction in air pollutants, most significant fall was estimated for NO 2 (29.3-74.4%) while the least reduction was noticed for SO 2. On the contrary, levels of ground level ozone were found to be increased (except in Mumbai), could be related to the lower utilization of O 3 owing to decrease of NO x in the environment. Since, the lockdown period has been extended, therefore further reduction of most pollutants is expected. Among the various metrological parameters, significant increase in diurnal temperature was observed at Delhi, Kolkata and Mumbai, however relative humidity has changed significantly only in Mumbai. In the absence of any major violent meteorological phenomena in India during recent months the significant difference in air quality parameters could be majorly attributed to the effect of lockdown measures. However, the regional differences may be because of the local emission of pollutants and the prevailing effects of secondary pollutants. These observations highlight the contribution of anthropogenic sources in air pollution, therefore, sustainable polices for mitigation of air pollution are essential in India.
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