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The 2024 WHO bacterial priority pathogens list: a critical evolution from a global One Health perspective.

Subhankar Mukhopadhyay1,2, Ye Peng1,2,3, Hein Min Tun1,2,3

  • 1The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region of China.

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The 2024 WHO Bacterial Priority Pathogens List aids antimicrobial resistance (AMR) strategy but needs broader scope. Integrating environmental and agricultural AMR drivers is crucial for a comprehensive global response.

Keywords:
Antimicrobial resistanceBacterial priority pathogens listOne Health

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Area of Science:

  • One Health
  • Antimicrobial Resistance (AMR)
  • Global Health Security

Background:

  • The World Health Organization's (WHO) 2024 Bacterial Priority Pathogens List (BPPL) identifies critical pathogens for global AMR strategies.
  • The list prioritizes 24 bacteria, emphasizing Gram-negative pathogens and community-acquired infections.

Purpose of the Study:

  • To examine the One Health implications of the 2024 WHO BPPL.
  • To identify limitations in the current list's approach to AMR drivers and surveillance.
  • To propose recommendations for a more comprehensive global AMR response.

Main Methods:

  • Perspective analysis of the 2024 WHO BPPL.
  • Review of existing AMR research, development, policy, and infection control frameworks.
  • Examination of surveillance data and challenges in cross-sectoral monitoring.

Main Results:

  • The 2024 WHO BPPL effectively guides research, policy, and infection control but has a human-centric focus.
  • The list underrepresents critical agricultural and environmental AMR drivers.
  • Surveillance biases towards high-income countries and challenges in monitoring diverse pathogens limit the list's scope.

Conclusions:

  • A more equitable and holistic AMR response requires integrating zoonotic and environmental metrics.
  • Strengthening global surveillance systems, such as the Global Antimicrobial Resistance and Use Surveillance System (GLASS), is essential.
  • Accelerating the development of novel therapeutics is crucial for combating priority pathogens.