Overview

Schematic of environmental problem: mixing, dilution and transport of antibiotics, bacteria and nutrients from sewage through river networks while these active ingredients change

Summary of the motivation and aims of our research project

Various antibiotics are released into rivers from manufacturing sites.   However, the antibiotics will be diluted while being transported downstream, and some will be quickly degraded, and resistant bacteria may not survive.

We will answer questions such as:

a)        How long is resistance selected and how long does it survive?

b)        Is resistance transmitted to other bacteria before it is lost?

c)        How far are resistant bacteria transported?

d)        What is the exposure of humans or livestock?

In order to ask these questions, we will pursue a unique combined experimental and mathematical modelling programme including the following work packages:

(1)        Measure antibiotics, water quality, water levels and flow rates, water sediment exchange, antibiotic resistance genes and antibiotic-resistant bacteria.

(2)        Quantify transmission of resistance genes in bench-scale reactors.

(3)        Study selection in river samples in mesocosms.

(4)        Study the risk of infection by resistant bacteria.

(5)        Build and test a mathematical model of antimicrobial resistance.

(6)        Build and test a mathematical model of water flow for the river network.

(7)        Combine both models so we can track how resistance is spread long the chemicals and bacteria have been in the river water, sediments and floodplains and how far they spread to downstream populations and ecosystems.

(8)        The combined model can evaluate the benefits of various interventions.

(9)        Analyse the human health risks based on the predictions of the combined model, contributing to the development of international environmental standards.

We will study two river systems. The Musi (Hyderabad) is more polluted with antibiotics than the Adyar (Chennai). Both are polluted by sewage. Their pollution flows to people via irrigation, drinking water production and spiritual cleansing.

Flow of research

Our approach is to combine field measurements, experiments in the lab and mathematical modelling of AMR dynamics and water flow to enable risk analysis and evaluation of mitigation strategies, to lead to evidence-based policy advice.

Meet our team of experts – see page “Our Team” for more

As a team we cover a wide range of disciplines such as microbiology, toxicology, environmental engineering, hydrology, bioinformatics, mathematical modelling and risk analysis. We are brought together by our common goal to understand and mitigate the selection and transmission of antimicrobial resistance in the environment.

Portrait of Shashidhar Thatikonda

Shashidhar Thatikonda

PI – India
Shashidhar researches the fate and transport of pollutants and AMR

Professor, Department of Civil Engineering, Indian Institute of Technology Hyderabad (IITH), India

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Portrait of Rupert Hough

Rupert Hough

Co-I – UK
Rupert uses risk-based methods to aid decision making and management of specific problems
Head of Department, Information & Computational Sciences, The James Hutton Institute, Aberdeen & Dundee, Scotland UK

Portrait of Vimal Mishra

Vimal Mishra

Co-I – India
Vimal studies the nexus of climate and water (climate variability and change,
large scale hydrologic modeling,
extreme events including droughts and floods)
Associate Professor, Civil Engineering and Earth Sciences Departments, Indian Institute of Technology Gandhinagar (IITGn), India

Portrait of Balaji Narasimhan

Balaji Narasimhan

Co-I – India
Balaji uses GIS, radar and satellite sensing for hydrologic and hydraulic modelling, e.g., for flood and draught assessment and forecasting
Professor, Environmental & Water Resources Engineering Division, Department of Civil Engineering, Indian Institute of Technology Madras (IITM), India

Jan-Ulrich Kreft

PI – UK

Jan is a microbiologist turned mathematical modeller studying interactions between microbes and the environment

Senior Lecturer (Associate Professor), School of Biosciences & Institute of Microbiology and Infection & Centre for Computational Biology, The University of Birmingham, UK

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Portrait of Soumendra Kuiry

Soumendra Nath Kuiry

Co-I – India
Soumendra studies open channel flow (river flow, sediment transport, wave propagation, dam break flow, coastal and estuarine flow) computationally and experimentally
Assistant Professor, Environmental & Water Resources Engineering Division, Department of Civil Engineering, Indian Institute of Technology Madras (IITM), India

Portrait of Pranab Mohapatra

Pranab Kumar Mohapatra

Co-I – India
Pranap researches hydraulics and water resources engineering, particularly transients in pipe and open channel flows

Professor, Civil Engineering and Earth Sciences Departments, Indian Institute of Technology Gandhinagar (IITGn), India

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Portrait of Aravind Rengan

Aravind Kumar Rengan

Co-I – India
Aravind studies the synthesis and use of various nanoparticles in healthcare and toxicology using in vitro and in vivo models
Assistant Professor, Department of Bio-Medical Engineering, Indian Institute of Technology Hyderabad (IITH), India

Portrait of David Graham

David Graham

Co-I – UK
David combines methods from engineering, theoretical ecology, mathematics, biochemistry, and molecular biology to solve problems in environmental engineering at a fundamental level

Professor of Ecosystems Engineering, School of Engineering, Newcastle University, UK

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Portrait of Josh Larsen

Joshua Larsen

Co-I – UK
Josh researches all things water (hydrology, ecohydrology, biogeochemistry, water quality and palaeohydrology)
Senior Lecturer (Associate Professor), School of Geography, Earth and Environmental Sciences, The University of Birmingham, UK

Portrait of Indumathi Nambi

Indumathi M Nambi

Co-I – India
Indu researches the treatment of water and wastewater and remediation of environmental pollution with metals, pesticides, antibiotics and antimicrobial resistance

Professor, Environmental & Water Resources Engineering Division, Department of Civil Engineering, Indian Institute of Technology Madras (IITM), India

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Portrait of Willem Van Schaik

Willem van Schaik

Co-I – UK
Willem characterizes the mechanisms by which commensal bacteria evolve to become multi-drug resistant opportunistic pathogens and analyses the reservoir of antibiotic resistance genes (‘the resistome’) in complex microbial ecosystems

Professor, Director of the Institute of Microbiology and Infection, The University of Birmingham, UK

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We are grateful to our funders in the UK and in India