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How can One Health approaches be operationalized in order to enable action to reduce or prevent AMR?

Published online by Cambridge University Press:  27 October 2022

Hans Keune Open the ORCID record for Hans Keune [Opens in a new window]
Hans Keune*
Affiliation:
University of Antwerp, Chair Care and the Natural Environment, Antwerpen, Belgium
*
Author for correspondence: Hans Keune, Email: hans.keune@uantwerpen.be
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Extract

Antimicrobial resistance (AMR) is a global health threat to humanity, animals, plants and the wider environment. The intrinsic complexity and interconnectivity of human, animal and environmental factors has now been globally acknowledged and warrants a One Health approach. International communities launched guidelines to support the development and implementation of comprehensive national One Health (OH) AMR strategies with a particular concern for threatened antibiotics. Yet, AMR National Action Plans have proven difficult to implement because of social and structural obstacles/barriers, which are well-known as OH challenges (Keune, Payyappallimana, Morand and Rüegg 2022) such as overcoming inter-sectorial and interdisciplinary barriers, taking into account structural societal dynamics, implementing transdisciplinary system’s approaches. To enhance necessary transformative system changes, it is vital to operationalize and contextualize One Health AMR approaches for the design, implementation and evaluation of community-based AMR interventions, tailored to the local circumstances.

Type
Question
Information
Research Directions: One Health , Volume 1 , 2023 , e6
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Context

Antimicrobial resistance (AMR) is a global health threat to humanity, animals, plants and the wider environment. The intrinsic complexity and interconnectivity of human, animal and environmental factors has now been globally acknowledged and warrants a One Health approach. International communities launched guidelines to support the development and implementation of comprehensive national One Health (OH) AMR strategies with a particular concern for threatened antibiotics. Yet, AMR National Action Plans have proven difficult to implement because of social and structural obstacles/barriers, which are well-known as OH challenges (Keune, Payyappallimana, Morand and Rüegg Reference Keune, Payyappallimana, Morand, Rüegg, Visseren-Hamakers and Kok2022) such as overcoming inter-sectorial and interdisciplinary barriers, taking into account structural societal dynamics, implementing transdisciplinary system’s approaches. To enhance necessary transformative system changes, it is vital to operationalize and contextualize One Health AMR approaches for the design, implementation and evaluation of community-based AMR interventions, tailored to the local circumstances.

We invite papers related to AMR One Health operationalization challenges:

  • How to put AMR reduction and prevention strategies into practice as a One Health approach? Case studies.

  • How to deal with multi-level and multi-stakeholder AMR governance in a One Health perspective?

  • How to handle AMR policy across international, national systems and social scales taking into account a One Health approach?

  • How to weigh scientific and other evidence on AMR from a One Health perspective?

  • How to organize AMR science – policy – society interfaces in a One Health perspective?

  • How to (co-)design AMR decision support as a One Health approach?

  • How One Health approaches can help to improve national environmental AMR law implementation?

  • How ethics should envision AMR in a One Health perspective.

  • How can actors be supported to avoid the fallacy of an ad hoc reductionist response to the complex AMR crisis by implementing a One Health approach?

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Competing interests

The author(s) declare none.

References

Keune, H, Payyappallimana, U, Morand, S and Rüegg, S (2022) One health and biodiversity. In Visseren-Hamakers, I and Kok, M (eds.), Transforming Biodiversity Governance. Cambridge University Press https://www.cambridge.org/core/books/transforming-biodiversity-governance/one-health-and-biodiversity/2129DB8760F09666F3111E9575F4F256 Google Scholar