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Wastewater surveillance reveals antibiotic resistance across Indian cities — Level A2 — man in blue denim jeans standing beside blue and yellow train during daytime

Wastewater surveillance reveals antibiotic resistance across Indian citiesCEFR A2

9 Apr 2026

Adapted from K.S. Harikrishnan, SciDev CC BY 2.0

Photo by Sujeeth Potla, Unsplash

Level A2 – High beginner / Elementary
2 min
89 words

Antimicrobial resistance is a public health concern in India. Scientists studied wastewater from four large cities to see how common resistance genes are. They collected many samples between 2022 and 2024 and tested them in the lab.

The study found resistance genes across the cities and similar resistance patterns. Experts say sewage is a place where human activity and antibiotics meet, so monitoring wastewater can help track spread and guide action.

The 2025 National Action Plan supports wastewater surveillance, but some people say implementation at state level is weak.

Difficult words

  • antimicrobialmedicine or chemical that kills germs
  • resistanceability of germs to survive medicine
  • wastewaterused water from homes and factories
  • sewagewastewater and human waste in pipes
  • surveillanceregular watching and testing for a problem
  • implementationputting a plan or idea into action

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • Do you think your city should monitor wastewater? Why or why not?
  • How can monitoring wastewater help public health?
  • Have you heard of antimicrobial resistance before? Where did you learn about it?

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