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Beyond Resistance - Interdisciplinary network to tackle Antimicrobial Resistance

BEYOND RESISTANCE is an interdisciplinary network spanning the arts, sciences and social sciences to investigate, explore and find solutions to tackle antimicrobial resistance.

BEYOND RESISTANCE brings together people who are asking the same questions in different ways. 

It is the brain-child of Iona Walker and Ian Harper in the School of Social and Political Science at the University of Edinburgh, working with colleagues in Edinburgh Infectious Diseases and the Atelier network.

By sharing knowledge, building relationships and working collaboratively, the BEYOND RESISTANCE Network hopes to inspire creative solutions to AMR.

The network was launched with a workshop at the ASCUS Labs in Summerhall in August 2018, and has now secured funding through the Edinburgh Centre for Medical Anthropology and Atelier Network to continue its activities into the new 2018/19 academic year.  Read the report on the workshop below.

In the interests of working effectively and to the benefit of everyone involved, the network welcomes and encourage comments, questions or suggestions for future activities.  Please send your suggestions to Iona Walker.

Email Iona Walker

Report from the launch of Beyond Resistance

Antimicrobial resistance is a global crisis we cannot ignore

Dr Tedros Adhanom GhedbreyesusDirector-General of WHO, 2017

From the medicines we take, to the food we eat AMR is an issue that will touch all lives and exemplifies the challenges humans face in the age of the Anthropocene.

As antibiotics are becoming less effective, bacteria more resistant and with no miracle drug on the horizon, the age of controlling the tiny organisms that live on and amongst us has long passed - if it was ever here at all.

However, moving beyond headlines of antibiotic apocalypse - all is not lost.  Recognising that the answers to solving AMR will not come from any single field is a critical first step; this complex challenge necessitates cooperation, communication and innovation that spans all disciplines.

The BEYOND RESISTANCE Network contributes to solving this challenge by creating the space and opportunity for this kind of work to occur.  By recognising the ways in which interdisciplinary work connects people asking the same questions in different ways, we have the ability to utilise a vast range of skills, tools and perspectives - ultimately resulting in liveable solutions to AMR.

Group discussion
Stimulating discussion betwen all the participants.

Reframing AMR

BEYOND RESISTANCE Network launched with a half-day inaugural workshop for researchers on 24 August 2018. For the inaugural workshop, ‘reframing AMR’ was the central theme, with particular focus paid to finding alternatives to a militaristic understanding of infection and treatment.

BEYOND RESISTANCE inaugural workshop was held in association with the ASCUS Lab art science lab at Summerhall. By hosting the workshop in this unique venue, UK’s largest publicly accessible laboratory for interdisciplinary art/science experimentation, BEYOND RESISTANCE started as it means to go on: embracing the blurring of boundaries between artist studio, laboratory and lecture hall.

Reflecting this, the Network was delighted to welcome participants from a diverse range of disciplines: Microbiology, Medical Anthropology, Political Science, Architecture, Herbalism, Medical Sociology, Diagnostics, Social Work and Environmental Humanities.

This diversity was essential for the success of the workshop, as it ensured that the collaborative creative practice and ensuing discussions we engaged in were inclusive of a range of perspectives.

Creative practice to facilitate discussion and encourage imaginative thinking was a vital component of the workshop. 

By playing with bioluminescent bacteria and everyday microbial agents such as ginger, bleach, turmeric and soap in pairs of co-creators/contaminators participants were invited to test various antimicrobial agents for themselves. Further, participants were encouraged to use their creativity in using the glowing bacteria and antimicrobial agents to create images on agar.

Catalysing collaboration

As Art/Science, Science and Technology Studies (STS) have become increasingly recognised for their contributions in interdisciplinary spaces, anthropology can be further utilised effectively.

Inspiration for anthropological aspect of the workshop came from Anna Tsing’s Mushroom at the End of the World, where her call to “reopen our imaginations” has been received with enthusiasm. To catalyse the discussion, quotes from Tsing’s work were projected:

Collaboration means working across difference, which leads to contamination. Without collaborations, we all die.

Precarity is the condition of being vulnerable to others; we are not in control, even of ourselves.

Without the ability to make workable living arrangements, species would die out. Each organism changes everyone’s world.

Anna TsingMushroom at the End of the World

Although her work immediately relates to critiques of economic exchange, Tsing’s embrace of multispecies ethnography to investigate problems of the 21st century inspires the kind of creativity that BEYOND RESISTANCE aims to channel. In relation to AMR, where understandings of our bodies as republics of viruses, bacteria and fungi are critical, Tsing’s work encourages us to begin to pay attention to the ways that these tiny non-human others are here integral for our own survival.

Wide-ranging discussion

Our discussion was two part: preceding and following explorations in with the bioluminescent bacteria. Emerging from this free flowing discussion were conversations surrounding the use of antibiotics in the production of meat and dairy products. In particular, how we acquire, consume and think about food as well as the inequalities and challenges to ensuring the accessibility of sustainable nourishment.

Following the suggestion that the best way to cure a cough is with honey not antibiotics, bees entered the conversation.

In the clamour to flock to valorise bees and the honey that they produce, we were urged to pay attention to the ways in which we continue to esteem certain creatures at the expense of others. Bees are farmed industrially using antibiotics and we must endeavour to protect all pollinators not just those for which we feel an affinity.

Similarly, we cannot lurch from one ingestible saviour to another. No amount of honey turmeric lattes will save us, but we can learn to pay attention the qualities of the food we eat and the environment we cultivate.

This led us to questions of community, who is included and excluded from our communities? How does inequality manifest in the ways we craft solutions to problems like AMR? How can we better listen to those we want to help? Whose knowledge counts?

Turning to our inner world, our conversation traversed questions of productivity and the immune system. We asked what it would look like to privilege the productivity of our bodies in fighting infection over that of the demands of the workplace. In other words, allowing the body time to heal itself over the need to make it in for 8am Monday meeting.  Is capitalism itself a barrier to solving the antibiotic crisis?

Follow up

Although the workshop itself was confined to one afternoon, the sites of experimentation (the bioluminescent bacteria on agar) required time to yield their results. Participants were invited back to the lab the following day to observe their work (pictured above).

To further the reach of the workshop, BEYOND RESISTANCE and ASCUS Lab invited the cast and audience of the sell-out musical about AMR, The Mould that Changed the World to see the petri dishes for themselves.  As such, we were able to extend the reach of the lab further and work in tandem with other Edinburgh communities to tackle AMR.

Bacteria on plates
Testing the antibacterial properties of garlic, tumeric and bleach, amongst others.
Fluorescent bacteria
Creating images by painting with fluorescent bacteria.
Explaining a result to workshop attendees
Workshop participants working together in the lab.