Advancing Planetary Health in Australia: focus on emerging infections and antimicrobial resistance

Hill-Cawthorne, Grant; Negin, Joel; Capon, Tony; Gilbert, Gwendolyn L; Nind, Lee; Nunn, Michael; Ridgway, Patricia; Schipp, Mark; Firman, Jenny; Sorrell, Tania C; Marais, Ben J

Within Australia, there is no formal framework within academic institutions or government to facilitate and support cross-disciplinary collaboration, although the National Framework for Communicable Disease Control does encourage a One Health approach to pandemic preparedness. 31 Increased AMR awareness has been encouraging, 32 33 but like climate change progress is slow, given the multiple vested interests and differences in risk/benefit perception. Much can also be learnt from the roadmap developed by the US Centers for Disease Control and Prevention (CDC) to assist One Health operationalisation. 34 The Australian National Antimicrobial Resistance Strategy 2015-2019, jointly developed by the Departments of Health and Agriculture and Water Resources, represents an example of how these silos can be linked, 35 but implementation remains challenging. Table 3 summarises participant responses to open-ended questions focused on AMR. The main discussion themes included antimicrobial use in production animals, AMR in companion animals, antimicrobial stewardship and public education. Table 4 provides an overview of key barriers and potential solutions identified.