Alistair Boxall, 58, is a chemist and professor of environmental science at the University of York. In 2022, he helped lead the largest study ever conducted on pharmaceutical pollution in rivers around the world. Boxall is now leading a new monitoring project covering 93 rivers in 31 European countries. Among them are the Manzanares, Jarama, Henares and Pantueña streams in the Madrid region, as well as the Zadorra and Nervión rivers in Álava.

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The so-called “delayed prescribing” is an evidence-based strategy that remains underused despite concerns over the misuse of antibiotics and the rise of superbugs, which are responsible for an estimated 1.2 million deaths worldwide each year. Under this approach, a doctor prescribes treatment for a patient with a respiratory infection but advises them to monitor their symptoms and wait up to 72 hours before collecting the medication from the pharmacy and starting the course.

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