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Governing Antimicro...
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Lambraki, Irene Anna
(författare)
Governing Antimicrobial Resistance (AMR) in a Changing Climate : A Participatory Scenario Planning Approach Applied to Sweden in 2050
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
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2022-07-06
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Frontiers Media SA,2022
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:su-207968
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-207968URI
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https://doi.org/10.3389/fpubh.2022.831097DOI
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https://res.slu.se/id/publ/118306URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Background: Antimicrobial resistance (AMR) is a growing global crisis with long-term and unpredictable health, social and economic impacts, with which climate change is likely to interact. Understanding how to govern AMR amidst evolving climatic changes is critical. Scenario planning offers a suitable approach. By envisioning alternative futures, stakeholders more effectively can identify consequences, anticipate problems, and better determine how to intervene. This study explored future worlds and actions that may successfully address AMR in a changing climate in a high-income country, using Sweden as the case.Methods: We conducted online scenario-building workshops and interviews with eight experts who explored: (1) how promising interventions (taxation of antimicrobials at point of sale, and infection prevention measures) could each combat AMR in 2050 in Sweden given our changing climate; and (2) actions to take starting in 2030 to ensure success in 2050. Transcripts were thematically analyzed to produce a narrative of participant validated alternative futures.Results: Recognizing AMR to be a global problem requiring global solutions, participants looked beyond Sweden to construct three alternative futures: (1) “Tax Burn Out” revealed taxation of antimicrobials as a low-impact intervention that creates inequities and thus would fail to address AMR without other interventions, such as infection prevention measures. (2) “Addressing the Basics” identified infection prevention measures as highly impactful at containing AMR in 2050 because they would contribute to achieving the Sustainable Development Goals (SDGs), which would be essential to tackling inequities underpinning AMR and climate change, and help to stabilize climate-induced mass migration and conflicts; and (3) ”Siloed Nations” described a movement toward nationalism and protectionism that would derail the “Addressing the Basics” scenario, threatening health and wellbeing of all. Several urgent actions were identified to combat AMR long-term regardless which future un-folds, such as global collaboration, and a holistic approach where AMR and climate change are addressed as interlinked issues.Conclusion: Our participatory scenario planning approach enabled participants from different sectors to create shared future visions and identify urgent actions to take that hinge on global collaboration, addressing AMR and climate change together, and achieving the SDGs to combat AMR under a changing climate.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Cousins, Melanie
(författare)
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Graells, TiscarStockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden
(författare)
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Léger, Anaïs
(författare)
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Abdelrahman, Sara
(författare)
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Desbois, Andrew P.
(författare)
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Gallagher, Rose
(författare)
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Staaf Larsson, BirgittaSwedish University of Agricultural Sciences,Sveriges lantbruksuniversitet,SCAW Nationellt centrum för djurvälfärd(Swepub:slu)48754
(författare)
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Mattson, Bengt
(författare)
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Henriksson, PatrikStockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden; WorldFish, Malaysia(Swepub:su)pahe6853
(författare)
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Troell, MaxStockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden(Swepub:su)troel
(författare)
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Søgaard Jørgensen, PeterStockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden(Swepub:su)psoga
(författare)
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Wernli, Didier
(författare)
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Carson, Carolee Anne
(författare)
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Parmley, Elizabeth Jane
(författare)
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Majowicz, Shannon Elizabeth
(författare)
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Stockholms universitetStockholm Resilience Centre
(creator_code:org_t)
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Sveriges lantbruksuniversitet
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Ingår i:Frontiers In Public Health: Frontiers Media SA102296-2565
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Cousins, Melanie
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Graells, Tiscar
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Desbois, Andrew ...
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Gallagher, Rose
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Staaf Larsson, B ...
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Troell, Max
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Wernli, Didier
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