Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050
BackgroundAntimicrobial 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...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.831097/full |
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| author | Irene Anna Lambraki Melanie Cousins Tiscar Graells Tiscar Graells Anaïs Léger Sara Abdelrahman Andrew P. Desbois Rose Gallagher Birgitta Staaf Larsson Bengt Mattson Patrik Henriksson Patrik Henriksson Patrik Henriksson Max Troell Max Troell Peter Søgaard Jørgensen Peter Søgaard Jørgensen Didier Wernli Carolee Anne Carson Elizabeth Jane Parmley Shannon Elizabeth Majowicz |
| author_facet | Irene Anna Lambraki Melanie Cousins Tiscar Graells Tiscar Graells Anaïs Léger Sara Abdelrahman Andrew P. Desbois Rose Gallagher Birgitta Staaf Larsson Bengt Mattson Patrik Henriksson Patrik Henriksson Patrik Henriksson Max Troell Max Troell Peter Søgaard Jørgensen Peter Søgaard Jørgensen Didier Wernli Carolee Anne Carson Elizabeth Jane Parmley Shannon Elizabeth Majowicz |
| author_sort | Irene Anna Lambraki |
| collection | DOAJ |
| description | BackgroundAntimicrobial 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.MethodsWe 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.ResultsRecognizing 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.ConclusionOur 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. |
| first_indexed | 2024-12-11T05:01:08Z |
| format | Article |
| id | doaj.art-2e53fc59faa64c0ea2ebc5af5841f30f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-11T05:01:08Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-2e53fc59faa64c0ea2ebc5af5841f30f2022-12-22T01:20:09ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-07-011010.3389/fpubh.2022.831097831097Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050Irene Anna Lambraki0Melanie Cousins1Tiscar Graells2Tiscar Graells3Anaïs Léger4Sara Abdelrahman5Andrew P. Desbois6Rose Gallagher7Birgitta Staaf Larsson8Bengt Mattson9Patrik Henriksson10Patrik Henriksson11Patrik Henriksson12Max Troell13Max Troell14Peter Søgaard Jørgensen15Peter Søgaard Jørgensen16Didier Wernli17Carolee Anne Carson18Elizabeth Jane Parmley19Shannon Elizabeth Majowicz20School of Public Health Sciences, University of Waterloo, Waterloo, ON, CanadaSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, CanadaGlobal Economic Dynamics and the Biosphere, Royal Swedish Academy of Sciences, Stockholm, SwedenStockholm Resilience Centre, Stockholm University, Stockholm, SwedenGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, CanadaFaculty of Natural Sciences, Institute of Aquaculture, University of Stirling, Stirling, United KingdomRoyal College of Nursing, London, United KingdomSwedish Centre for Animal Welfare, Swedish University of Agricultural Sciences, Uppsala, SwedenLIF, The Swedish Pharmaceutical Industry Association, Stockholm, SwedenStockholm Resilience Centre, Stockholm University, Stockholm, SwedenBeijer Institute of Ecological Economics, Royal Swedish Academy of Sciences, Stockholm, Sweden0WorldFish, Penang, MalaysiaStockholm Resilience Centre, Stockholm University, Stockholm, SwedenBeijer Institute of Ecological Economics, Royal Swedish Academy of Sciences, Stockholm, SwedenGlobal Economic Dynamics and the Biosphere, Royal Swedish Academy of Sciences, Stockholm, SwedenStockholm Resilience Centre, Stockholm University, Stockholm, SwedenGlobal Studies Institute, University of Geneva, Geneva, Switzerland1Centre for Food-Borne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, ON, Canada2Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, CanadaSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, CanadaBackgroundAntimicrobial 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.MethodsWe 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.ResultsRecognizing 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.ConclusionOur 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.https://www.frontiersin.org/articles/10.3389/fpubh.2022.831097/fullantimicrobial resistance (AMR)climate changeSwedenscenario planninginterventionsSustainable Development Goals (SDGs) |
| spellingShingle | Irene Anna Lambraki Melanie Cousins Tiscar Graells Tiscar Graells Anaïs Léger Sara Abdelrahman Andrew P. Desbois Rose Gallagher Birgitta Staaf Larsson Bengt Mattson Patrik Henriksson Patrik Henriksson Patrik Henriksson Max Troell Max Troell Peter Søgaard Jørgensen Peter Søgaard Jørgensen Didier Wernli Carolee Anne Carson Elizabeth Jane Parmley Shannon Elizabeth Majowicz Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050 Frontiers in Public Health antimicrobial resistance (AMR) climate change Sweden scenario planning interventions Sustainable Development Goals (SDGs) |
| title | Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050 |
| title_full | Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050 |
| title_fullStr | Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050 |
| title_full_unstemmed | Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050 |
| title_short | Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050 |
| title_sort | governing antimicrobial resistance amr in a changing climate a participatory scenario planning approach applied to sweden in 2050 |
| topic | antimicrobial resistance (AMR) climate change Sweden scenario planning interventions Sustainable Development Goals (SDGs) |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.831097/full |
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