Equity in the governance of antimicrobial resistance surveillance: Global experts’ perspectives

This study explores how equity and social justice can be better integrated into antimicrobial resistance (AMR) surveillance. Using an Urban Political Ecology (UPE) perspective, the authors argue that AMR is deeply linked to unequal development, resource distribution, and social determinants of health — all of which make certain populations more vulnerable to resistant infections. Interviews with global AMR experts revealed key themes such as North–South inequities, data access gaps, sectoral imbalances, and the neglect of root causes. The study concludes that focusing solely on biomedical solutions is insufficient; instead, AMR surveillance should explicitly address equity, sustainability, and the broader relationships between people, society, and the environment to more effectively combat AMR worldwide.