Abstract
Antimicrobial resistance (AMR) is a growing global public health concern affecting animals, humans, and the environment. Given its ubiquity, Escherichia coli may play a key role in the dissemination of AMR across these domains. Peri-urban regions where urban and rural systems intersect present unique challenges for controlling AMR. Despite this, limited data are available on AMR dissemination across the One Health continuum in peri-urban settings such as the Fraser Valley region of Canada. This study adopted a One Health approach to assess associations in AMR traits between E. coli from dairy production systems, nearby natural environments, and peri-urban communities within the same geographic location and timeframe. Over 1,000 isolates were recovered, and 421 were whole-genome sequenced to determine the presence of antimicrobial resistance genes (ARGs), plasmids, and virulence genes and to assess genomic relatedness. Findings revealed that AMR was not widespread: 17.8% of isolates carried at least one ARG, 10.2% were classified as multidrug-resistant, and 9.5% carried beta-lactamase genes. Phylogenomic analysis revealed high genomic diversity, with isolates belonging to 174 different sequence types (STs), including clinically important ST131 and ST10. Pairwise single-nucleotide polymorphism (SNP) comparisons identified 207 isolate pairs differing by ≤100 SNPs, indicating early-stage cross-domain movement of AMR. Overall, the findings from this study show that the prevalence of AMR E. coli is low, but there is evidence of transmission between animals and the environment, highlighting the importance of proactive, integrated surveillance and mitigation strategies to reduce the risk of future AMR dissemination across the One Health continuum. IMPORTANCE: Antimicrobial resistance (AMR) is a global public health concern that spans all three One Health domains (humans, animals, and the environment). Escherichia coli is present in humans, animals, and environmental sources-its ubiquity makes it an ideal organism to study AMR hotspots and transmission pathways across the One Health continuum. While surveillance of AMR in agricultural settings is increasing globally, little is known about transmission pathways in peri-urban agriculture areas where there is a high density of livestock farming in close proximity to residential communities. To identify potential AMR hotspots and transmission routes, this study investigated the occurrence and genomic relatedness of generic E. coli in the Fraser Valley region of British Columbia, a highly diverse agricultural region in western Canada. Our findings expand current knowledge by suggesting that early-stage transmission of AMR is occurring between the human, animal, and environmental sectors of the One Health triad, highlighting areas for improved resistance mitigation to prevent widespread dissemination.