A project chartered by the British government, which has been examining everything that can be done to stem the tide of antibiotic resistance, in its next-to-last report has focused on the basics: municipal sanitation and hospital hygiene.

It’s something of a change in tone for the Review on Antimicrobial Resistance, a two-year effort created by Prime Minister David Cameron, supported by the Wellcome Trust and chaired by Lord Jim O’Neill, the former chief economist of Goldman Sachs (who now also serves in an unpaid post in Cameron’s government). The Review’s previous reports have examined what could be changed or created to solve problems that contribute to the rise of resistance: funding drug development, supporting vaccine research, detecting counterfeit drugs, innovating rapid-diagnosis devices and improving vaccine use.

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