Antibiotics are extensively used in livestock production to prevent and treat diseases, but their environmental impact through contamination of rivers and groundwater is a growing concern. The specific antibiotics involved, their sources, and their geographic distribution remain inadequately documented, hindering effective mitigation strategies for river and groundwater pollution control caused by livestock production. Here we develope the spatially explicit MARINA-Antibiotics (China-1.0) model to estimate the flows of 24 antibiotics from seven livestock species into rivers and leaching into groundwater across 395 sub-basins in China, and examine changes between 2010 and 2020. We find that 8364 tonnes and 3436 tonnes of antibiotics entered rivers and groundwater nationwide in 2010 and 2020, respectively. Approximately 50–90% of these amounts originated from about 40% of the basin areas. Antibiotic inputs to rivers decreased by 59% from 2010 to 2020, largely due to reduced manure point sources. Conversely, antibiotic leaching into groundwater increased by 15%, primarily because of enhanced manure recycling practices. Pollution varied by antibiotic groups and livestock species: fluoroquinolones contributed approximately 55% to river pollution, mainly from pig, cattle, and chicken manure; sulfonamides accounted for over 90% of antibiotics in groundwater, predominantly from pig and sheep manure. While our findings support existing policies promoting manure recycling to mitigate river pollution in China, they highlight the need for greater attention to groundwater pollution. This aspect is essential to consider in developing and designing future reduction strategies for antibiotic pollution from livestock production.
Between 90% of antibiotics found in rivers and 50% in groundwater originated from only 10%–40% of China’s basin areas.
The total input of antibiotics into rivers decreased by 59% compared to that in ten years ago.
Antibiotic leaching into groundwater increased by 15% from 2010 to 2020.
Fluoroquinolones contributed to approximately 55% of river pollution in China.
Sulfonamides accounted for over 90% of antibiotics in groundwater in China.
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