Antibiotics Pollution Index 19 November 2017

Updated on 19 November 2017

The Index

For each antibiotic that pollutes the environment, this Index estimates its impact on consumer safety from none (1) to severe (1000). It takes the following 5 factors into account:

  1. Polluted sites, identified by SquaredAnt
  2. Pollution in food
  3. Resistance against this antibiotic
  4. Placed on the WHO Model List of Essential Medicines
  5. Incorrect use: Public Demand to obtain this antibiotic without prescription on the web (in English)

Correlations of these 5 factors as well as this Index are provided in the table below. Any striking numbers here?

Factor correlations (Spearman's)

 Polluted sites FoodResistanceWHO essential drugOn-line demandThis Index
Polluted sites 1.000.460.510.470.490.77
Food 1.000.410.230.270.62
Resistance1.000.650.770.77
WHO essential drug1.000.620.78
On-line demand1.000.64
This Index1.00

What can I do with the Index?

Consumers

Find out the Index for your antibiotic. If it is high, this drug is likely on its way out, and the world may loose an important cure for your disease, unless we reduce it’s usage and pollution levels in the pharmaceutical, agricultural and (health-)care industries.

Follow your physician’s advice, but don’t forget to confirm that:

a/ without antibiotics, you would be at risk;
b/ without antibiotics, you will not get better.

Dispose of the remains responsibly and never keep antibiotics to self-medicate.

Professionals

Health care providers and veterinarians

Use the Index as an entry point for improving the sustainable use of antibiotics in your practice and to inform your patients and clients on risks associated to irrational use of antibiotics.

Public Health professionals and NGOs

Your policy advice and/or implementation could benefit from data behind the Index, which contain more detailed insights of the factors involved. Please get in touch via LinkedIn to see how we can support you.

My antibiotic is not on the list. What does it mean?

SquaredAnt looks for antibiotics in the environment. Only those that are identified are indexed. For now, we only use academic publications as a resource. If your antibiotic is not on the list, it means that no publications have been processed that mention this antibiotic.

Leader of the pack

Currently, Tetracycline has the highest Index. SquaredAnt has found

  • evidence for pollution on 22 locations globally;
  • 99 publications that link to pollution of food;
  • thousands of publications that link to resistance;
  • it is present on the WHO Model List of Essential Medicines;
  • tens of thousands posts on-line, that request or offer this drug.

The List.

Antibiotic Index
Tetracycline

763

Ciprofloxacin

731

Ampicillin

674

Chloramphenicol

601

Trimethoprim

502

Sulfamethoxazole

484

Amoxicillin

470

Erythromycin

456

Clindamycin

427

Sulfadimidine or Sulfamethazine

392

Ofloxacin

377

Doxycycline

324

Sulfadiazine

308

Metronidazole

281

Norfloxacin

280

Oxytetracycline

274

Enrofloxacin

232

Piperacillin

232

Cephalexin

230

Chlortetracycline

215

Cefazolin

206

Clarithromycin

203

Cefotaxime

197

Sulfadoxin

178

Azithromycin

160

Levofloxacin

149

Roxithromycin

141

Nalidixic acid

129

Lincomycin

123

Moxifloxacin

116

Tylosin

116

Sulfadimethoxine

101

Flumequine

87

Cefuroxime

80

Sulfamonomethoxine

76

Oxolinic acid

67

Florfenicol

66

Sarafloxacin

59

Sulfathiazole

58

Sulfapyridine

56

Sulfameter

56

Sulfaclozine

54

Sulfaquinoxaline

53

Lomefloxacin

49

Monensin

49

Sulfachinoxlin

48

Spiramycin

47

Gatifloxacin

46

Sulfamerazine

45

Difloxacin

42

Pefloxacin

41

Marbofloxacin

40

Enoxacin

39

Sulfisoxazole

38

Sparfloxacin

38

Sulfachloropyridazine

35

Sulfacetamide

35

Dimetridazole

33

Pipemidic acid

32

Oleandomycin

31

Sulfamethizole

31

Sulfametoxazole

30

Josamycin

29

Sulfamethoxydiazine

26

Enfloxacin

23

Sulfachinoxalin

23

Disclaimer
The Antibiotics Pollution Index is an initiative of SquaredAnt and intended to generate awareness on the risks of uncontrolled exposure to antibiotics. SquaredAnt does not accept responsibility for any damage through the use or interpretation of the Index, and no rights may be derived from its contents.

History
Click here to browse the preceding version of this index.