Roadmap for integrated One Health AMR surveillance in Nordic countries
Review article, 2026
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.
Northern Europe
Surveillance
Antimicrobial use
Antimicrobial resistance
One Health
Public health
Author
Anna Abramova
University of Gothenburg
Chalmers, Life Sciences, Systems and Synthetic Biology
Amulya Baral
Norwegian University of Life Sciences
Adriana D. Osińska
Norwegian University of Life Sciences
SciLifeLab
Niina Metsä-Simola
University of Helsinki
Kati Räisänen
National Institute for Health and Welfare
Ana Sofia Ribeiro Duarte
Technical University of Denmark (DTU)
Kristján Orri Helgason
Landspitali University Hospital
Anna Margrét Halldórsdóttir
Directorate of Health Iceland
Katariina Pärnänen
University of Helsinki
University of Turku
Gunnar Skov Simonsen
University Hospital of North Norway
University of Tromsø – The Arctic University of Norway
Salla Sariola
University of Helsinki
Leo Lahti
University of Turku
Johan Bengtsson Palme
University of Gothenburg
Chalmers, Life Sciences, Systems and Synthetic Biology
Yngvild Wasteson
Norwegian University of Life Sciences
Patrick Munk
Technical University of Denmark (DTU)
Veronika Kuchařová Pettersen
University of Tromsø – The Arctic University of Norway
Public Health
0033-3506 (ISSN) 1476-5616 (eISSN)
Vol. 255 106285Predicting future pathogenicity and antibiotic resistance
Swedish Foundation for Strategic Research (SSF) (FFL21-0174), 2022-08-01 -- 2027-12-31.
Surveillance for Emerging Antimicrobial Resistance through Characterization of the uncharted Environmental Resistome
Swedish Research Council (VR) (2023-01721), 2023-12-01 -- 2026-11-30.
Subject Categories (SSIF 2025)
Public Health, Global Health and Social Medicine
DOI
10.1016/j.puhe.2026.106285