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Review
. 2023 Jul;7(7):e630-e637.
doi: 10.1016/S2542-5196(23)00128-6.

Scope and applicability of social-ecological resilience to antimicrobial resistance

Didier Wernli  1 , Peter Søgaard Jørgensen  2 , E Jane Parmley  3 , Shannon E Majowicz  4 , Irene Lambraki  4 , Carolee A Carson  5 , Melanie Cousins  4 , Tiscar Graells  2 , Patrik J G Henriksson  6 , Anaïs Léger  7 , Stephan Harbarth  8 , Max Troell  9
Affiliations
Free article
Review

Scope and applicability of social-ecological resilience to antimicrobial resistance

Didier Wernli et al. Lancet Planet Health. 2023 Jul.
Free article

Abstract

Social-ecological systems conceptualise how social human systems and ecological natural systems are intertwined. In this Personal View, we define the scope and applicability of social-ecological resilience to antimicrobial resistance. Resilience to antimicrobial resistance corresponds to the capacity to maintain the societal benefits of antimicrobial use and One Health systems' performance in the face of the evolutionary behaviour of microorganisms in response to antimicrobial use. Social-ecological resilience provides an appropriate framework to make sense of the disruptive impacts resulting from the emergence and spread of antimicrobial resistance; capture the diversity of strategies needed to tackle antimicrobial resistance and to live with it; understand the conditions that underpin the success or failure of interventions; and appreciate the need for adaptive and coevolutionary governance. Overall, resilience thinking is essential to improve understanding of how human societies dynamically can cope with, adapt, and transform to the growing global challenge of antimicrobial resistance.

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Conflict of interest statement

Declaration of interests EJP reports grants from the Natural Sciences and Engineering Research Council, the Public Health Agency of Canada, and the Canadian Safety and Security Program, outside of the submitted work; and is the President of the Board of Directors of the Centre for Coastal Health, President of the Canadian Association of Veterinary Epidemiology and Preventive Medicine, member of the Board of Directors of the McEachran Institute, member of the Advisory Council for Research Directions: One Health, and a member of the Royal Society of Canada One Health Working Group. PJGH reports grants from FORMAS Inequality and the Biosphere project (2020–00454), FORMAS SeaWin (2016–00227), and CGIAR Trust Fund, outside of the submitted work. PSJ reports grants from the Swedish Research Council FORMAS, Wallenberg Foundation, Ikea Foundation, and Erling Persson Family Foundation, outside of the submitted work; reports grants from the Swedish Research Council (grant 2017–05981) for the submitted work; reports support from a European Research Council starting grant (101039376) during the submitted work; has received support for travel from the Vienna Science and Technology Fund, Konrad Lorenz Institute, and Royal Society of the UK; and is the chair of the jury for selecting Vienna Research Group leaders in Environmental System Dynamics, including social-ecological systems. SEM reports grants from the Canadian Institutes for Health Research (155210), Natural Sciences and Engineering Research Council, Institut de recherche Robert-Sauvé en santé et en sécurité du travail, and Bill and Melinda Gates Foundation, during the submitted work; received personal fees from the Attorney General of Canada (expert evidence) outside of the submitted work; and is a member of the Joint FAO/WHO Expert Meetings on Microbiological Risk Assessment Roster of Experts and the WHO Foodborne Disease Burden Epidemiology Reference Group. SH reports grants from the European Commission and the Swiss National Science Foundation, outside of the submitted work; and is a board member of SwissNoso. DW reports an operating grant from the Swiss National Science Foundation (40AR40_180189) for this paper. All other authors declare no competing interests. This work was supported by an operating grant from the Fifth Joint Programming Initiative on AMR (JPIAMR 2017).

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