INTRODUCTION The global scale-up in demand for animal protein is the most notable
dietary trend of our time. Since 2000, meat production has plateaued in high-income
countries but has grown by 68%, 64%, and 40% in Asia, Africa, and South America,
respectively. The transition to high-protein diets in low-and middle-income countries (LMICs)
has been facilitated by the global expansion of intensive animal production systems in which
antimicrobials are used routinely to maintain health and productivity. Globally, 73% of all …

Background: Since the 1950s, the global increase in demand for meat and dairy has driven
the use of antimicrobial drugs in agriculture. This practice has led to the development of
antimicrobial resistance in animals and food products, with potentially harmful consequence
for agricultural productivity, and human health. In low-and middle-income countries (LMICs),
trends in AMR are poorly documented, and surveillance network are at best nascent. Thus
far, expert opinion has prevailed over an evidence-based assessment of the AMR status of …