Roadmap for integrated One Health AMR surveillance in Nordic countries
Reviewartikel, 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
Författare
Anna Abramova
Göteborgs universitet
Chalmers, Life sciences, Systembiologi
Amulya Baral
Norges miljø- og biovitenskapelige universitet
Adriana D. Osińska
Norges miljø- og biovitenskapelige universitet
SciLifeLab
Niina Metsä-Simola
Helsingin Yliopisto
Kati Räisänen
National Institute for Health and Welfare
Ana Sofia Ribeiro Duarte
Danmarks Tekniske Universitet (DTU)
Kristján Orri Helgason
Landspitali University Hospital
Anna Margrét Halldórsdóttir
Embætti landlæknis
Katariina Pärnänen
Helsingin Yliopisto
Turun Yliopisto
Gunnar Skov Simonsen
Universitetssykehuset Nord-Norge
Universitetet i Tromsø – Norges arktiske universitet
Salla Sariola
Helsingin Yliopisto
Leo Lahti
Turun Yliopisto
Johan Bengtsson Palme
Göteborgs universitet
Chalmers, Life sciences, Systembiologi
Yngvild Wasteson
Norges miljø- og biovitenskapelige universitet
Patrick Munk
Danmarks Tekniske Universitet (DTU)
Veronika Kuchařová Pettersen
Universitetet i Tromsø – Norges arktiske universitet
Public Health
0033-3506 (ISSN) 1476-5616 (eISSN)
Vol. 255 106285Framtidens patogener och resistensgener
Stiftelsen för Strategisk forskning (SSF) (FFL21-0174), 2022-08-01 -- 2027-12-31.
Övervakning av framtidens antibiotikaresistens genom karaktärisering av nya resistensgener i miljön
Vetenskapsrådet (VR) (2023-01721), 2023-12-01 -- 2026-11-30.
Ämneskategorier (SSIF 2025)
Folkhälsovetenskap, global hälsa och socialmedicin
DOI
10.1016/j.puhe.2026.106285