AMResilience logo.Project title: Comparative assessment of social-ecological resilience and transformability to limit antimicrobial resistance in One Health systems (AMResilience)

Funded by the Joint Programming Initiative on Antimicrobial Resistance (JPIAMR), via the Canadian Institutes of Health Research, 2018-2022

Principal investigators: Shannon Majowicz (University of Waterloo), Jane Parmley (University of Guelph)

University of Waterloo lead researcher: Irene Lambraki

Collaborating institutions: University of Waterloo (Shannon Majowicz, Irene Lambraki, Melanie Cousins, Sara Abdelrahman), University of Guelph (Jane Parmley), Royal Swedish Academy of Sciences and the Stockholm Resilience Centre (Peter Søgaard Jørgensen, Tiscar Graells, Patrik Henriksson, Max Troell), University of Geneva (Didier Wernli, Anaïs Leger), University of Geneva Hospitals and Faculty of Medicine (Stephan Harbarth), Public Health Agency of Canada (Carolee Carson), WorldFish (Patrik Henriksson).

External site: AMResilience project  

Project summary:

Antimicrobial resistance (AMR) is a threat to human, animal and environmental health globally. This project examines what is needed to build system resilience to tackle AMR in selected high-income and low-middle income contexts. In contribution to the AMResilience project, the Foodborne Disease Epidemiology Group is using causal loop diagrams (CLDs) and scenario analyses to determine what actions will help to build social and ecological capacity and readiness to tackle AMR now and in the future.

Applying a One Health approach, complex adaptive system lens, and social-ecological system resilience theory to AMR, this research will quantify CLDs of AMR in the Europe and Southeast Asian food system context that are developed by diverse stakeholders in participatory workshops. CLDs are models that help visualize how different factors in a system are related. CLDs are used to create visual models of the underlying causal structure (factors, connections, and feedbacks) that generates and spreads AMR within One Health systems in a high-income region (Europe) and a low-middle income region (Southeast Asia). Using these CLDs, the long-term impacts of selected interventions on AMR will be explored under alternate future scenarios (e.g., climate change) via simulation modelling and participatory workshops with traditional and non-traditional stakeholders.

This mixed-methods research is being done in conjunction with international partners on the AMResilience project as part of the Joint Programming Initiative on Antimicrobial Resistance (JPIAMR). Learn more about coordinated efforts of the AMResilience project.

Peer-reviewed publications:

Lambraki, I.A., Majowicz, S.E., Parmley, E.J., Wernli, D., Léger, A., Graells, T., Cousins, M., Harbarth, S., Carson, C., Henriksson, P., Troell, M. Building Social-Ecological System Resilience to Tackle Antimicrobial Resistance Across the One Health Spectrum: Protocol for a Mixed Methods Study. JMIR Research Protocols. 2021, 10(6):e24378.

Léger, A., Lambraki, I., Graells, T., Cousins, M., Henriksson, P., Harbarth, S., Carson, C., Majowicz, S., Troell, M., Parmley, E.J., Jørgensen, P.S., Wernli, D. AMR-Intervene: a social ecological framework to capture the diversity of actions to tackle antimicrobial resistance from a One Health perspective. Journal of Antimicrobial Chemotherapy, 2021, 76, 1-21.

Wernli, D., Jørgensen, P. S., Parmley, E. J., Troell, M., Majowicz, S., Harbarth, S., Léger, A., Lambraki, I., Graells, T., Henriksson, J. G., Carson, C., Cousins, M., ... Carson, C. Evidence for action: a One Health learning platform on interventions to tackle antimicrobial resistance. The Lancet Infectious Diseases, 2020, 20(12), e307-e311.

Content created to guide participatory workshop discussions:

The following work is all licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. This means the material is free to be shared as long there is attribution, it is noncommericial and there are no derivatives. Read the full license for further information.

1) "A look at Sweden as it greets the 2050 new year”: scenario newsletter developed for participatory scenario analysis workshops in Sweden

Image of future newsletter for Sweden.   PDF

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cite this as: Wysong P, Kwan X, Cousins M, Lambraki I, Carson C, Parmley J, Majowicz S. "A look at Sweden as it greets the 2050 new year”: scenario newsletter developed for participatory scenario analysis workshops in Sweden [internet]. 2020 Nov 5. Available from: https://uwaterloo.ca/food-epi-group/sites/ca.foodborne-disease-epidemiology-group/files/uploads/files/swedenscenarionewsletter2020.pdf

2) "Malaysia suffers greatly from climate change”: scenario newsletter developed for participatory scenario analysis workshops in Malaysia

Future newsletter for Malaysia.PDF

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cite this as: Wysong P, Kwan X, Cousins M, Lambraki I, Carson C, Parmley J, Majowicz S. "Malaysia suffers greatly from climate change”: scenario newsletter developed for participatory scenario analysis workshops in Malaysia [internet]. 2020 Nov 5. Available from: https://uwaterloo.ca/food-epi-group/sites/ca.foodborne-disease-epidemiology-group/files/uploads/files/malaysiascenarionewsletter2020.pdf

3) "Welcome to the world in 2050": Scenario video developed for participatory scenario analysis workshops in Sweden

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cite this as: D’Mello K, Kwan X, Wysong P, Cousins M, Lambraki I, Carson C, Parmley J, Majowicz S. [Foodborne Disease Epidemiology Group]. "Welcome to the world in 2050": Scenario video developed for participatory scenario analysis workshops in Sweden [video file]. 2020 Oct 28. Available from: https://youtu.be/Ox-MYjDfCT8

4)"Welcome to the world in 2050": Scenario video developed for participatory scenario analysis workshops in Malaysia

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cite this as: D’Mello K, Kwan X, Wysong P, Cousins M, Lambraki I, Carson C, Parmley J, Majowicz S. [Foodborne Disease Epidemiology Group]. "Welcome to the world in 2050": Scenario video developed for participatory scenario analysis workshops in Malaysia [video file]. 2020 Nov 2. Available from: https://youtu.be/ouzy2FvYSik