Roadmap for integrated One Health AMR surveillance in Nordic countries - UTU Research Portal

A2 Refereed review article in a scientific journal

Roadmap for integrated One Health AMR surveillance in Nordic countries

Authors: Abramova, Anna; Baral, Amulya; Osińska, Adriana Dorota; Metsä-Simola, Niina; Räisänen, Kati; Ribeiro Duarte, Ana Sofia; Helgason, Kristján Orri; Halldórsdóttir, Anna Margrét; Pärnänen, Katariina; Simonsen, Gunnar Skov; Sariola, Salla; Lahti, Leo; Bengtsson-Palme, Johan; Wasteson, Yngvild; Munk, Patrick; Pettersen, Veronika Kuchařová

Publication year: 2026

Journal: Public Health

Article number: 106285

Volume: 255

ISSN: 0033-3506

eISSN: 1476-5616

DOI: https://doi.org/10.1016/j.puhe.2026.106285

Publication's open availability at the time of reporting: Open Access

Publication channel's open availability : Partially Open Access publication channel

Web address : https://doi.org/10.1016/j.puhe.2026.106285

Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/523036156

Self-archived copy's licence: CC BY

Self-archived copy's version: Publisher`s PDF

Abstract

Objectives

Outline the basis for integrated One Health AMR surveillance in the Nordic region by mapping existing surveillance systems and research assets, identifying key challenges to cross-border alignment, and proposing practical steps toward coordinated cross-sector, cross-country surveillance.

Study design

Mapping and review of Nordic AMR infrastructure.

Methods

We mapped AMR data sources and surveillance infrastructure across the Nordic countries and compiled the findings into an online resource (www.nomoreamr.org). We also assessed requirements for linking national systems, including ethical, legal, and data-sharing considerations relevant to establishing an integrated regional framework.

Results

The Nordic countries have well-established AMR surveillance systems supported by digital infrastructure, longstanding public health collaboration, and similar socio-economic organization. However, surveillance is currently conducted independently, with limited cross-border data sharing and coordination. Synchronizing national systems would strengthen regional preparedness by enabling earlier detection of emerging threats and supporting more consistent, evidence-based policies and coordinated antimicrobial stewardship. A shared Nordic surveillance network could also serve as an adaptable model for other regions.

Conclusions

Establishing an integrated Nordic One Health AMR surveillance is feasible but requires structured linkage of existing national systems and clear ethical and legal frameworks for data access and sharing. The compiled mapping resource can support the technical and governance steps needed to advance regional integration.

Downloadable publication

This is an electronic reprint of the original article.
This reprint may differ from the original in pagination and typographic detail. Please cite the original version.

1-s2.0-S003335062600154X-main.pdf

Funding information in the publication:
The authors’ meetings and discussions at workshops were supported by NordForsk through the NoMoReAMR grant (project 205159). PM was supported by the Novo Nordisk Foundation (NNF24SA0094147). VKP was supported by Centre for New Antibacterial Strategies (CANS) through a starting grant from Tromsø Research Foundation (TFS18_CANS_AS-HVF). NMS was supported by the Research Council of Finland (grant 363724). KP was supported by the Research Council of Finland (grants: 368511 & 348439). ADO was supported by the Research Council of Norway (project 320349). JBP and AA were supported by the Swedish Research Council (VR; grant 2023-01721) under the frame of JPI AMR (SEARCHER; JPIAMR2023-DISTOMOS-016), the Data-Driven Life Science (DDLS) program supported by the Knut and Alice Wallenberg Foundation (Knut and Alice Wallenberg Foundation), and the Swedish Foundation for Strategic Research (FFL21-0174). SS was supported by the Finnish Multidisciplinary Centre of Excellence in Antimicrobial Resistance Research (346129) funded by the Research Council of Finland. The funders had no role in the study design, data collection and analysis, the decision to publish, or the preparation of the manuscript.