“…As microbial genetic evolution occurs at a radically faster rate than human genetic evolution – hours to days versus decades to centuries – the effects of antibiotic use on human genetic evolution is obscured by more rapid changes in cultural and technological evolution, such as the development of new antibiotic classes (Martínez and Baquero, 2002). At the same time, the consequences of antibiotic use are paramount for human biology at more readily perceived levels: In the Anthropocene, where human biology has become increasingly permeable to a contaminated world (Meloni et al, 2022), antibiotics use is linked to epigenetic changes, microbiota dysbiosis, and complex non-communicable diseases (Austvol et al, 2020; see below). The co-evolutionary dynamics between humans and microorganisms, therefore, operate at distinct spatial-temporal levels and as complex interactions between various biological, cultural, and technological strata.…”