Invisible nexus of antimicrobial resistance and urban informal settlements

Rosie Steege; Anne Ngunjiri; Sabina Rashid; Adam P. Roberts; Katy Davis; Kate Hawkins; Ralalicia Limato; Joseph Kimani; Clarissa Magdalena; Russell Dacombe; Sally Theobald

doi:10.1016/j.langlo.2026.103952

Invisible nexus of antimicrobial resistance and urban informal settlements

Rosie Steege
, Anne Ngunjiri
, Sabina Rashid
, Adam P. Roberts
, Katy Davis
, Kate Hawkins
, Ralalicia Limato
, Joseph Kimani
, Clarissa Magdalena
, Russell Dacombe
, Sally Theobald

LVCT Health
BRAC University
Independent Consultant
Slum and Shack Dwellers International Kenya
Liverpool School of Tropical Medicine

Research output: Contribution to journal › Comment/debate

Abstract

By 2050, antimicrobial resistance (AMR) is predicted to have caused 40 million deaths globally. In the same timeframe, almost 70% of the global population has been projected to be living in urban areas. 90% of this urbanisation will occur in Africa and Asia, regions most burdened by AMR. Urbanisation is linked to an abundance of pathogens in soil, drains, and water. Yet, research and action on the convergence of AMR and rapid, often informal, urbanisation are scarce.

Original language	English
Article number	103952
Journal	The Lancet Global Health
Volume	14
Issue number	7
DOIs	https://doi.org/10.1016/j.langlo.2026.103952
Publication status	Published - 18 Jun 2026

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 11 Sustainable Cities and Communities

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PIIS2214109X26000975Final published version, 128 KBLicence: CC BY

Cite this

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title = "Invisible nexus of antimicrobial resistance and urban informal settlements",

abstract = " By 2050, antimicrobial resistance (AMR) is predicted to have caused 40 million deaths globally. In the same timeframe, almost 70\% of the global population has been projected to be living in urban areas. 90\% of this urbanisation will occur in Africa and Asia, regions most burdened by AMR. Urbanisation is linked to an abundance of pathogens in soil, drains, and water. Yet, research and action on the convergence of AMR and rapid, often informal, urbanisation are scarce.",

author = "Rosie Steege and Anne Ngunjiri and Sabina Rashid and Roberts, \{Adam P.\} and Katy Davis and Kate Hawkins and Ralalicia Limato and Joseph Kimani and Clarissa Magdalena and Russell Dacombe and Sally Theobald",

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T1 - Invisible nexus of antimicrobial resistance and urban informal settlements

AU - Steege, Rosie

AU - Ngunjiri, Anne

AU - Rashid, Sabina

AU - Roberts, Adam P.

AU - Davis, Katy

AU - Hawkins, Kate

AU - Limato, Ralalicia

AU - Kimani, Joseph

AU - Magdalena, Clarissa

AU - Dacombe, Russell

AU - Theobald, Sally

PY - 2026/6/18

Y1 - 2026/6/18

N2 - By 2050, antimicrobial resistance (AMR) is predicted to have caused 40 million deaths globally. In the same timeframe, almost 70% of the global population has been projected to be living in urban areas. 90% of this urbanisation will occur in Africa and Asia, regions most burdened by AMR. Urbanisation is linked to an abundance of pathogens in soil, drains, and water. Yet, research and action on the convergence of AMR and rapid, often informal, urbanisation are scarce.

AB - By 2050, antimicrobial resistance (AMR) is predicted to have caused 40 million deaths globally. In the same timeframe, almost 70% of the global population has been projected to be living in urban areas. 90% of this urbanisation will occur in Africa and Asia, regions most burdened by AMR. Urbanisation is linked to an abundance of pathogens in soil, drains, and water. Yet, research and action on the convergence of AMR and rapid, often informal, urbanisation are scarce.

U2 - 10.1016/j.langlo.2026.103952

DO - 10.1016/j.langlo.2026.103952

M3 - Comment/debate

AN - SCOPUS:105042288270

SN - 2572-116X

VL - 14

JO - The Lancet Global Health

JF - The Lancet Global Health

IS - 7

M1 - 103952

ER -

Invisible nexus of antimicrobial resistance and urban informal settlements

Abstract

UN SDGs

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