Antibiotic resistance is an area where a 'one world – one health' approach is needed to fully understand and deal with the problem. Much is still unknown regarding the emergence of antibiotic resistance and how the spread can be contained. Co-operation between countries, between veterinary and human medicine, as well as involvement of the environmental sector open up for new opportunities for sustainable change.
The Public Health Agency of Sweden has, through the Unit for Antibiotics and Infection Control, a focus on international work in the field. We have on-going collaborations with, for example, India, China and the Baltic Sea region. We also have multilateral collaborations with European and international organisations, such as ECDC, WHO and ReAct.
There is a broad political consensus in Sweden on prioritising action against antibiotic resistance. A Swedish Strategy to combat antibiotic resistance was therefore presented in April 2016. This strategy points out the direction of Swedish efforts and is also intended for international actors wishing to benefit from Swedish knowledge and experience.
Swedish work on containment of antibiotic resistance
The report Swedish work on containment of antibiotic resistance, published in 2014, describes Sweden's work on containment of antibiotic resistance, which is characterised by long-term, structured measures as well as collaborations on local, national and international levels involving many disciplines and sectors.
Global surveillance is crucial to comprehend the impact of antimicrobial resistance on public health, economy and entire societies. The Government of Sweden and the Public Health Agency are supporting the implementation of a global programme initiated by WHO.
NorthernGLASS is a collaborative project on early implementation of the Global AMR Surveillance System (GLASS) among partner countries in the Northern Dimension Partnership in Public Health and Social Well-being.
In the IMPACT project many of the contributing factors to the development and spread of antibiotic resistance are addressed through a holistic approach within a geographically defined area in China.
Northern Dimension Partnership in Public Health and Social Well-being (NDPHS) is the coordinator of the policy area Health in the EU strategy for the Baltic Sea Region. Sweden, represented by the Public Health Agency, is lead country and chair of the Antimicrobial Resistance Expert Group (AMR-EG) within the partnership.
The Baltic Antibiotic Resistance collaborative Network, BARN, creates possibilities for informal collaboration between practitioners from different fields concerned with antibiotic resistance. The members are active in areas such as infection prevention and control, microbiology, primary health care, public health and clinical specialties.