Towards One Health action for addressing antimicrobial resistance in the age of polycrisis

Keenum, Ishi; Berendonk, Thomas U.; Bonnedahl, Jonas; Cytryn, Eddie; Dagot, Christophe; Karkman, Antti; Fatta-Kassinos, Despo; Hayes, April; Kirschner, Alexander; Kreft, Jan-Ulrich; Manaia, Célia M.; Merlin, Christophe; Rahman, Naziza; Tipper, Holly; Vass, Máté; Zastepa, Arthur; Adeoye, Israel Adedayo; Aga, Diana; Amoako, Daniel Gyamfi; Christou, Stella; Clarke, Leah Marie; Crotti, Elena Sara; Donner, Erica; Glaeser, Stefanie; Gracia, María Rincón; Guo, Jianhua; de França, Paulo Henrique Condeixa; Cooper-Beknazarova, Mira; Korzeniewska, Ewa; Lawal, Opeyemi U.; Macedo, Gonçalo; Moniruzzaman, M.; Morrison, Donald; Payne, Sarah Jane; Puljko, Ana; Rozman, Svjetlana Dekić; Schwermer, Carsten Ulrich; Topp, Ed; Virta, Marko

Keenum, Ishi ORCID: https://orcid.org/0000-0002-5441-4634; Berendonk, Thomas U.; Bonnedahl, Jonas; Cytryn, Eddie; Dagot, Christophe; Karkman, Antti ORCID: https://orcid.org/0000-0003-0983-3319; Fatta-Kassinos, Despo ORCID: https://orcid.org/0000-0003-1173-0941; Hayes, April ORCID: https://orcid.org/0000-0002-0293-3432; Kirschner, Alexander ORCID: https://orcid.org/0000-0002-9797-3073; Kreft, Jan-Ulrich ORCID: https://orcid.org/0000-0002-2351-224X; Manaia, Célia M. ORCID: https://orcid.org/0000-0002-3674-1789; Merlin, Christophe; Rahman, Naziza; Tipper, Holly ORCID: https://orcid.org/0000-0002-1857-9204; Vass, Máté ORCID: https://orcid.org/0000-0003-0718-7659; Zastepa, Arthur; Adeoye, Israel Adedayo; Aga, Diana; Amoako, Daniel Gyamfi; Christou, Stella; Clarke, Leah Marie; Crotti, Elena Sara; Donner, Erica; Glaeser, Stefanie; Gracia, María Rincón; Guo, Jianhua; de França, Paulo Henrique Condeixa; Cooper-Beknazarova, Mira; Korzeniewska, Ewa; Lawal, Opeyemi U.; Macedo, Gonçalo; Moniruzzaman, M.; Morrison, Donald; Payne, Sarah Jane; Puljko, Ana; Rozman, Svjetlana Dekić; Schwermer, Carsten Ulrich; Topp, Ed; Virta, Marko. 2026 Towards One Health action for addressing antimicrobial resistance in the age of polycrisis. Nature Sustainability, 9 (1). 24-34. 10.1038/s41893-025-01753-z

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Abstract

Antimicrobial resistance (AMR) represents a major One Health issue, driven by a myriad of potential accelerators that include emerging climate and social challenges. There is little doubt about the need for interventions at critical control points to reduce AMR, but addressing AMR within a single realm of One Health (for example, human, animal or environmental) is not sufficient to reduce it. Building on the past decade of research, this Perspective highlights comprehensive, systemic and integrative strategies that address the effects of anthropogenic activities and the complex relationship between humans and the environment as key targets for intersectoral and global action.

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https://doi.org/10.1038/s41893-025-01753-z

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