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dc.contributor.authorLambraki, Irene Annaen_UK
dc.contributor.authorCousins, Melanieen_UK
dc.contributor.authorGraells, Tiscaren_UK
dc.contributor.authorLéger, Anaïsen_UK
dc.contributor.authorAbdelrahman, Saraen_UK
dc.contributor.authorDesbois, Andrew Pen_UK
dc.contributor.authorGallagher, Roseen_UK
dc.contributor.authorStaaf Larsson, Birgittaen_UK
dc.contributor.authorMattson, Bengten_UK
dc.contributor.authorHenriksson, Patriken_UK
dc.contributor.authorTroell, Maxen_UK
dc.contributor.authorSøgaard Jørgensen, Peteren_UK
dc.contributor.authorWernli, Didieren_UK
dc.contributor.authorCarson, Carolee Anneen_UK
dc.contributor.authorParmley, Elizabeth Janeen_UK
dc.description.abstractBackground: 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.en_UK
dc.publisherFrontiers Media SAen_UK
dc.relationLambraki IA, Cousins M, Graells T, Léger A, Abdelrahman S, Desbois AP, Gallagher R, Staaf Larsson B, Mattson B, Henriksson P, Troell M, Søgaard Jørgensen P, Wernli D, Carson CA & Parmley EJ (2022) Governing Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050. <i>Frontiers in Public Health</i>, 10, Art. No.: 831097.
dc.rightsCopyright © 2022 Lambraki, Cousins, Graells, Léger, Abdelrahman, Desbois, Gallagher, Staaf Larsson, Mattson, Henriksson, Troell, Søgaard Jørgensen, Wernli, Carson, Parmley and Majowicz. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_UK
dc.subjectantimicrobial resistance (AMR)en_UK
dc.subjectclimate changeen_UK
dc.subjectscenario planningen_UK
dc.subjectSustainable Development Goals (SDGs)en_UK
dc.subjectalternative futuresen_UK
dc.titleGoverning Antimicrobial Resistance (AMR) in a Changing Climate: A Participatory Scenario Planning Approach Applied to Sweden in 2050en_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleFrontiers in Public Healthen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderSwedish Research Councilen_UK
dc.contributor.funderCanadian Institutes of Health Researchen_UK
dc.contributor.funderSwiss Federal Office of Energyen_UK
dc.description.notesAdditional co-author: Shannon Elizabeth Majowiczen_UK
dc.contributor.affiliationUniversity of Waterlooen_UK
dc.contributor.affiliationUniversity of Waterlooen_UK
dc.contributor.affiliationRoyal Swedish Academy of Sciencesen_UK
dc.contributor.affiliationUniversity of Genevaen_UK
dc.contributor.affiliationUniversity of Waterlooen_UK
dc.contributor.affiliationInstitute of Aquacultureen_UK
dc.contributor.affiliationRoyal College of Nursing (UK)en_UK
dc.contributor.affiliationSwedish University of Agricultural Sciencesen_UK
dc.contributor.affiliationSwedish Pharmaceutical Industry Association (LIF)en_UK
dc.contributor.affiliationStockholm Universityen_UK
dc.contributor.affiliationStockholm Universityen_UK
dc.contributor.affiliationRoyal Swedish Academy of Sciencesen_UK
dc.contributor.affiliationUniversity of Genevaen_UK
dc.contributor.affiliationPublic Health Agency of Canadaen_UK
dc.contributor.affiliationUniversity of Guelphen_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorLambraki, Irene Anna|en_UK
local.rioxx.authorCousins, Melanie|en_UK
local.rioxx.authorGraells, Tiscar|en_UK
local.rioxx.authorLéger, Anaïs|en_UK
local.rioxx.authorAbdelrahman, Sara|en_UK
local.rioxx.authorDesbois, Andrew P|0000-0001-6052-8761en_UK
local.rioxx.authorGallagher, Rose|en_UK
local.rioxx.authorStaaf Larsson, Birgitta|en_UK
local.rioxx.authorMattson, Bengt|en_UK
local.rioxx.authorHenriksson, Patrik|en_UK
local.rioxx.authorTroell, Max|en_UK
local.rioxx.authorSøgaard Jørgensen, Peter|en_UK
local.rioxx.authorWernli, Didier|en_UK
local.rioxx.authorCarson, Carolee Anne|en_UK
local.rioxx.authorParmley, Elizabeth Jane|en_UK
local.rioxx.projectProject ID unknown|Swedish Research Council|en_UK
local.rioxx.projectProject ID unknown|Canadian Institutes of Health Research|
local.rioxx.projectProject ID unknown|Swiss Federal Office of Energy|en_UK
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