Titled Farm antibiotic use and resistance: Account from a Red River Delta province of Vietnam, her dissertation reports several paradoxes in this northern part of the country, including the fact that there is a high level of antibiotic resistance in livestock and an overall low prevalence of antibiotic use among farmers.

Here, drug overuse, including routine antibiotic prophylaxis, is limited to a very specific group of farmers who have joined Vietnam’s new wave of ‘công nghiệp hóa-hiện đại hóa’ (modernization and industrialization). Such overuse causes high levels of resistance on certain farms and has externalities for neighboring farms, a problem amplified by the northern region’s situation of ‘too many people and too little land.’