Recommendation 7

We have heard disturbing evidence that sewage treatment works and the rivers that they discharge into are becoming breeding grounds for antimicrobial resistance. There will need to be cross-sector collaboration to reduce the growth of antimicrobial resistance genes in rivers. Following the work streams of the Pathogen Surveillance in Agriculture, Food and the Environment programme on antimicrobial resistance, we 120 Water quality in rivers recommend that the Government bring together farming groups and water companies to decide on a programme of action to reduce opportunities for resistance to develop in the water environment.