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From Asia to Africa: Antibiotic trajectories across the Indian Ocean

The global markets for antibiotics are rapidly shifting. This project aims to explore antibiotic trajectories in the global South, from Asia to the markets in eastern Africa.

The project brings together an interdisciplinary group of scholars, combining methods and perspectives from the humanities, social sciences and medicine to investigate how active pharmaceutical ingredients (APIs) and generic antibiotics are produced, regulated and exported from China and India to Africa, and particularly Tanzania.

In Tanzania we follow national regulations efforts and the circulation patterns of antibiotics in formal and informal markets, into the rural Kilimanjaro region where we investigate how small and large-scale farmers make use of these drugs for humans, animals and in the fields.

Projects

Background

Antibiotics are some of our most precious medical technologies. Introduced in the 1930s, they soon came to transform deadly diseases into treatable life events. Antibiotics are also the infrastructure of the health system – a necessary component of a broad range of advanced medical surgery.

Over the last decades, there has been an increasing concern that this old and potent technology is losing its power to heal due to growing numbers of resistant microbes worldwide. At the same time, only few new antibiotics have been developed since the 1980s, resulting in what is often described as the dry antibiotic pipeline.

The global markets for the old school generic antibiotics are rapidly shifting, from European and North American dominance, to an increasing production in the global South. This project therefore explores antibiotic production in and export from the global South, following antibiotic trajectories in the contemporary and historical trade routes from Asia to the markets in eastern Africa.

Aims

In close collaboration with local partners, the project employs long-term ethnographic fieldwork, document and policy analyses, and archival work to develop a theory of drug trajectories in the global South.

The project is also response to the call from leading medical journals, such as The Lancet and Science for research contributions from the humanities and social sciences.

With the project we aim to inspire a more sustainable and context-sensitive use of antibiotics by humans, animals and in the environment.

Financing

The Research Council of Norway, SAMKUL programme. 

Start and Finish

2020 - 2025

 

 

Publications

  • Zhang, Mingyuan & Bjerke, Lise (2023). Antibiotics “dumped”: Negotiating Pharmaceutical Identities, Properties, and Interests in China–India Trade Disputes. Medical Anthropology Quarterly. ISSN 0745-5194. 37(2), p. 148–163. doi: 10.1111/maq.12757. Full text in Research Archive
  • Zhang, Mingyuan (2023). In Shortage Understanding Global Antibiotic Supply Chains Through Pharmaceutical Trade Fairs. Anthropologica. ISSN 0003-5459. 65(1). doi: 10.18357/anthropologica65120232605.
  • Bjerke, Lise (2022). Antibiotic geographies and access to medicines: Tracing the role of India's pharmaceutical industry in global trade. Social Science and Medicine. ISSN 0277-9536. 312. doi: 10.1016/j.socscimed.2022.115386. Full text in Research Archive
  • Fjeld, Heidi E; Grude, Sine; Spjeldnæs, Amanda Hylland; Patel, Davina Kaur; Lie, Anne Helene Kveim & Bjerke, Lise (2021). Fra Asia til Afrika: antibiotikas reiser over det indiske havet. Michael. ISSN 1893-9651. 18.

View all works in Cristin

  • Bjerke, Lise (2023). Antibiotic geographies and access to medicines: Tracing the role of India in global pharmaceutical trade.
  • Bjerke, Lise (2023). Antibiotics and microbes in the water: Collaboration and politics in the science of drug resistance and pharma-industrial effluents in India.
  • Reddy Burri, Ranga; Banik, Dan; Bjerke, Lise & Kishore Kannuri, Nanda (2023). Promoting sustainable healthcare and India-Africa pharmaceutical trade. Financial Express, India.
  • Bjerke, Lise & Zhang, Mingyuan (2023). Fierce competition between manufacturers of antibiotics in China and India. [Internet]. UiO.no.
  • Bjerke, Lise & Zhang, Mingyuan (2023). Sterk konkurranse mellom produsenter av antibiotika i India og Kina. [Internet]. Forskning.no.
  • Bjerke, Lise (2023). Antibiotika på reisefot: Indisk legemiddelproduksjon er viktig for verden. Michael. ISSN 1893-9651. 3.
  • Bjerke, Lise (2023). Tracing the global map for antibiotic production and distribution with Lise Bjerke. [Business/trade/industry journal]. The Experimentalist.
  • Bjerke, Lise (2023). Translation between molecularization and situated molecules: The science-policy response to industrial antibiotics pollution and drug-resistant microbes in the environment.
  • Bjerke, Lise (2023). Antibiotics in rivers: Exploring the science and regulation of pharma-industrial pollution and AMR in the environment in India.
  • Bjerke, Lise (2022). Antibiotics in rivers: Following the trajectory of effluent limits on pharma-industrial wastewater in India.
  • Bjerke, Lise (2022). Enorm vekst i eksport av antibiotika fra India. Forskning.no. ISSN 1891-635X.
  • Bjerke, Lise (2022). India er en av verdens største antibiotikaprodusenter. [Internet]. UiO.no.
  • Zhang, Mingyuan (2022). The Digital Frontier of Antibiotics: Tracing Pharmaceuticals through Online Trade Fairs.
  • Zhang, Mingyuan (2022). Antibiotics ‘Dumped’: Negotiating Pharmaceutical Identities, Properties, and Interests in China-India Trade Disputes.
  • Zhang, Mingyuan (2022). Is Antimicrobial Resistance Really a Crisis: Urgency, Temporality, and the Ordinary.
  • Bjerke, Lise (2022). Social science perspectives on antimicrobial resistance (AMR) policy.
  • Reddy Burri, Ranga; Banik, Dan & Bjerke, Lise (2022). Strengthening India-Africa Cooperation for Promoting Sustainable Healthcare and Pharmaceutical Trade . Oslo SDG Blog.
  • Bjerke, Lise (2021). Medical globalization and antibiotic geographies: Tracing the role of India’s pharmaceutical industry .
  • Eikeland, Per Ove (2021). EU energy policy – developments and drivers .
  • Bjerke, Lise (2020). Generics across the ocean: A framework for exploring South-South antibiotic trajectories (conference paper).
  • Bjerke, Lise (2020). Medical globalisation and India’s pharmaceutical industry: New trajectories in the global trade of antibiotics (conference paper).

View all works in Cristin

Tags: One Health, India, China, Tanzania, Antimicrobial resistance, Antibiotics, Pharmaceuticals
Published June 17, 2020 9:47 AM - Last modified Jan. 29, 2024 1:09 PM

Participants

Detailed list of participants