A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä
Roadmap for integrated One Health AMR surveillance in Nordic countries
Tekijät: 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
Julkaisuvuosi: 2026
Lehti: Public Health
Artikkelin numero: 106285
Vuosikerta: 255
ISSN: 0033-3506
eISSN: 1476-5616
DOI: https://doi.org/10.1016/j.puhe.2026.106285
Julkaisun avoimuus kirjaamishetkellä: Avoimesti saatavilla
Julkaisukanavan avoimuus : Osittain avoin julkaisukanava
Verkko-osoite: https://doi.org/10.1016/j.puhe.2026.106285
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/523036156
Rinnakkaistallenteen lisenssi: CC BY
Rinnakkaistallennetun julkaisun versio: Kustantajan versio
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 designMapping and review of Nordic AMR infrastructure.
MethodsWe 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.
ResultsThe 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.
ConclusionsEstablishing 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.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
Julkaisussa olevat rahoitustiedot:
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.
