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Roadmap for integrated One Health AMR surveillance in Nordic countries.

Anna Abramova1, Amulya Baral2, Adriana Dorota Osińska3

  • 1Division of Systems and Synthetic Biology, Department of Life Sciences, SciLifeLab, Chalmers University of Technology, Gothenburg, Sweden; Centre for Antibiotic Resistance Research (CARe) in Gothenburg, Sweden.

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Establishing integrated One Health antimicrobial resistance (AMR) surveillance in the Nordic region is feasible. Coordinated cross-border data sharing and clear legal frameworks are key to strengthening regional preparedness and response to AMR threats.

Keywords:
Antimicrobial resistanceAntimicrobial useNorthern EuropeOne HealthPublic healthSurveillance

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Area of Science:

  • One Health approach to infectious disease surveillance.
  • Antimicrobial resistance (AMR) monitoring and control.
  • Public health infrastructure and policy in Nordic countries.

Background:

  • Nordic countries possess robust antimicrobial resistance (AMR) surveillance systems.
  • Existing digital infrastructure and public health collaboration facilitate regional integration.
  • Current AMR surveillance is fragmented, lacking cross-border data sharing and coordination.

Purpose of the Study:

  • To outline the foundation for integrated One Health AMR surveillance in the Nordic region.
  • To map existing surveillance systems and research assets.
  • To identify challenges and propose steps for cross-border alignment.

Main Methods:

  • Comprehensive mapping and review of AMR infrastructure across Nordic countries.
  • Assessment of requirements for linking national surveillance systems.
  • Evaluation of ethical, legal, and data-sharing considerations.

Main Results:

  • Nordic nations have strong AMR surveillance capabilities but operate independently.
  • Limited cross-border data sharing hinders regional preparedness and coordinated response.
  • An integrated network can enhance early detection of threats and inform policy.

Conclusions:

  • Integrated One Health AMR surveillance in the Nordics is achievable.
  • Structured linkage of national systems and clear data governance are essential.
  • A shared mapping resource supports technical and governance advancements for regional integration.