“…The general abundance of cultured E. coli has been shown to correlate with levels of antibiotic-resistant E. coli in riverine (Somerville et al, 2007;Ram and Kumar, 2020;Ott et al, 2021;Givens et al, 2023) and lacustrine (Stocker et al, 2023) systems however the ratios between the two groups is dependent on the local resistance in the human and animal populations (Huijbers et al, 2020;Givens et al, 2023). For example, no associations between anthropogenic markers and ARGs were found in a study using multi-nation sequencing data from pristine environments (Kampouris et al, 2022) whereas these associations are common in agriculture or anthropogenically affected ecosystems (Larsson and Flach, 2022;Bengtsson-Palme et al, 2023). The possibility of relationships between fecal pollution and antibiotic resistance has led to the idea that measuring the general abundance of E. coli in waterbodies, which is already routinely measured, may be a reasonable starting point for surveilling potential ARB risks without any additional antibiotic resistance testing (Berendonk et al, 2015;Anjum et al, 2021;Liguori et al, 2022;Bengtsson-Palme et al, 2023).…”