
Health Check Antimicrobial resistance in conflict zones
Mar 25, 2026
Chhavi Sachdev, journalist covering India’s snakebite crisis and national plan. Dr Antoine Abou Fayad, Beirut-based microbiologist studying conflict-driven drug resistance. James Gallagher, BBC health correspondent explaining outbreak responses. They discuss how war fuels multidrug resistance, heavy metals causing cross-resistance, spread of pan‑resistant strains across borders, meningitis outbreak responses and vaccine safety, and India's antivenom challenges.
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Pan‑Drug Resistance Is Becoming Routine In Conflict Areas
- Pan-drug resistant isolates are increasingly common in Lebanon and conflict-affected areas, rising from occasional to weekly occurrences.
- Antoine Abou Fayad warns this trend could make resistant percentages the norm and push medicine toward a pre-antibiotic era.
Push For New Antibiotics And Preventive Vaccines
- Expand antibiotic development and preventive measures like vaccination because few new antibiotic classes exist.
- James Gallagher stresses the antibiotic pipeline is dry and prevention (vaccines) is the other main defense, though limited in war settings.
Dusty Dry Conditions Fuel Meningitis Epidemics
- The African meningitis belt experiences cyclical large epidemics driven by dry, dusty conditions that irritate nasal mucosa and enable meningococcal invasion.
- James Gallagher links Sahara dust, low humidity and heat to higher meningitis transmission and outbreaks every 5–12 years.

