Strengthening antimicrobial resistance governance in Europe: a coordinated one health approach
Benjamin Davido, Benjamin Davido, Sofia Ny, Corine van Lingen, Christine Årdal, Laura Alonso Irujo, Sofia Linnros, Lucie Collineau, Nerea Gonzalez Hernandez, Marta Gutierrez Rubio, Giel van de Laar, Lida Politi, Brian Kristensen, Ana Álvarez-Fernández, Yohann Lacotte, Agathe Claude, Marie-Cécile Ploy, Laura Alonso Irujo, Ana Alvarez Fernandez, Fortunato D'Ancona, Victor Aníbal Lopez, Christine Ardal, Servane Bareille, Min Barnet, Anne Becker, Gitte Bekker, Michael Borg, Blanca Bradley Valdenegro, Els Broens, Ricardo Carapeto Garcia, Pieter-Jan Ceyssens, Agathe Claude, Lucie Collineau, Geoffrey Couraud, Christophe Dagot, Peter Damborg, Benjamin Davido, Benjamin Davido, Julie Debouvere, Giulia Fadda, Rocío Fernández Urrusuno, Marie Fuentes-Braesch, Ane Fullaondo Zabala, Silvana Gastaldi, Jonathan Gómez Raja, Nerea Gonzalez Hernandez, Priscila Guerra, Marta Gutierrez, Evelyne de Graef, Annette Hulth, Katerina Iliopoulou, Claudia Isonne, Ulisa Jeyaratnam, Moira Kelly, Brian Kristensen, Asja Kunoe, Aapo Kuusipalo, Giel van de Laar, Ane Laburu Dañobeitia, Yohann Lacotte, Sarah Le Gall, Enric Limon Caceres, Corine van Lingen, Sofia Linnros, Maria del Pilar Lopez Acuña, Antonio Lopez, Maria Lopez Rodriguez, Luis Lucena Baeza, Roosmarijn Luiken, Jean-Yves Madec, Noémie Mercier, Signe Miang Jensen, Cristina Munoz, Ana Navarro Tamayo, María Núñez-Núñez, Sofia Ny, Minttu Palsola, Jose Ramon Paño, Amy Parrish, Marie-Cécile Ploy, Lida Politi, Miquel Pujol Rojo, Karina Rojas Salvador, Heike Schmitt, Uramaru Teinauri, Jose Luis Trillo Contreras, Richard Vaux, Dolores Verdoy Berastegi, Christophe Vermeulen, Maria J. Vilar, Isaura Wayop, Ute Wolff Sönksen, Maite Zabala Ugarteburu
Abstract
Antimicrobial resistance (AMR) causes over 35,000 deaths annually in the EU/EEA and is projected to result in 1.91 million global deaths each year by 2050. The second Joint Action on Antimicrobial Resistance and Healthcare-Associated Infections (EU-JAMRAI-2), uniting 128 partners from 30 countries, represents a coordinated EU/EEA effort to curb AMR through a One Health approach. Although nearly all EU/EEA countries have an AMR National Action Plan, our initial assessment revealed that implementation remains constrained by limited resources, weak intersectoral coordination and fragmented leadership. EU-JAMRAI-2 addresses these challenges by promoting harmonized surveillance, strengthening infection prevention and control, applying behaviorally tailored stewardship interventions, ensuring sustainable access to essential antibiotics, and raising awareness among priority target audiences. By analyzing policy gaps and operational barriers, this paper underscores the need for stronger accountability and political commitment to translate strategies into sustainable action. Strengthening AMR governance through a unified European approach is essential to achieve effective, lasting progress against this silent pandemic.