The Akaki River in Ethiopia is facing a significant challenge: it's becoming a hotbed for antimicrobial-resistant (AMR) pathogens and genes. These nasty little guys are spreading to other water sources, causing a lot of concern. The good news is that a plan is in the works to keep an eye on the water quality. The bad news is that the current monitoring is like trying to find a needle in a haystack. It's inconsistent and based on short-term data from random spots.

To tackle this, a team came up with a comprehensive plan. They did their homework by reviewing 48 articles and going out into the field to see things for themselves. They looked at chemical oxygen demand, dissolved oxygen, ammonia, and even some nasty bacteria like extended-spectrum βeta-lactamase (ESβL)-producing Escherichia coli and Salmonella enteritidis/Shigella flexneri.

The team collected water samples from 40 sites and used this data to identify hotspots. They even had a workshop with stakeholders to refine their results. The plan is to monitor 20 sites in the future, focusing on hotspots, reference sites, and known pollution sources. This plan is a big step forward in tracking and mitigating AMR and zoonotic pathogens in the area.

The Akaki River isn't the only one facing this issue. This approach could be used to design similar plans for other rivers. It's a reminder that water quality monitoring is crucial for public health. The Akaki River is a lifeline for many communities, and keeping it clean is essential.

River Watch: Tracking Waterborne Threats in Ethiopia

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