projects

SAFE AMR Governance Partnership

The Partnership

SAFE AMR

The use (and misuse) of antimicrobial drugs has increased for decades. This increase has fuelled growing levels of antimicrobial resistance (AMR), killing more people globally than HIV/AIDS or malaria. 

AMR threatens human health, food security, the environment, and global development. It is truly a global, multi-sectoral challenge. 

Now, a partnership of world-leading social science research centres, led by the Global Strategy Lab, has come together to develop sustainable, acceptable, fair, and effective strategies to mitigate AMR, bringing together experts in economics, ethics, evaluation, evidence synthesis, gender analysis, law, political science, and veterinary science. 


Streams

Unifying Goals

Establish a political goal that the international community can use as a barometer for measuring progress in managing antimicrobial resistance. 

1-10-100 Unifying Goals

To establish a political goal that the international community can use as a barometer for measuring progress in managing antimicrobial resistance.

Researchers

Mathieu Poirier, Kayla Strong, Isaac Weldon, Steven Hoffman, Gabriel Fezza

Institutions

York University

Outputs

Unifying goals on AMR: Saving lives and livelihoods Link

From April 8-12, 2024, the Bellagio Group for Accelerating Action on AMR, a group of global policy and AMR experts from across One Health sectors, met to develop a proposal for equitable unifying goals on antimicrobial resistance.


Transnational Regime and Actor Analysis

Identify key actors and necessary political conditions for global AMR goals to be considered acceptable by the countries that will be working toward them.

Researchers

Kelley Lee, Julianne Piper

Institutions

Simon Fraser University


National Policies

Critically evaluate national policy options that would best support the SAFE management of the global antimicrobial commons.

Living Systematic Reviews

Undertake living systematic reviews of AMR interventions addressing both human health and animal health.

Researchers

Daniela Corno, Fiona Emdin, Kayla Strong, Jeremy Grimshaw, Mathieu Poirier, Susan Rogers Van Katwyk, Sharlini Yogasingam, Clare McGall, Heather Kinsey, Arne Ruckert, Heather Ganshorn

Institutions

York University, Ottawa Hospital Research Institute, University of Calgary


Equity and Ethics Analyses

Unpack existing inequalities related to AMR and the power dynamics that sustain them by evaluating the ethics and equity of different policy options.

Researchers

A. M. Viens, Clare Wenham

Institutions

York University, London School of Economics


Economic modelling studies

Predict the potential impact of various national policies when applied at the global level and consider what distribution of efforts and events would yield optimal outcomes.

Researchers

Kednapa Thavorn, Alyssa Grant

Institutions

Ottawa Hospital Research Institute

Global Strategies

To propose transformative global strategies for the SAFE management of AMR.

Comparing common-pool resources

Comparative analysis of regulatory approaches to managing common-pool resources.

Researchers

Timo Minssen, Isaac Weldon, Kathleen Liddell, Kevin Outterson, A. M. Viens, Susan Rogers Van Katwyk, Steven Hoffman

Institutions

York University, University of Copenhagen, Centre for Advanced Studies in Bioscience Innovation Law (CeBIL), Boston University, University of Cambridge

Outputs

Analyzing Antimicrobial Resistance as a Series of Collective Action Issues Link

This article relies on the work of Elinor Ostrom to develop an analytical framework for collective action problems around public and common goods. When analyzed through this framework, the authors found that AMR poses at least nine distinct collective action problems.


Planetary Antimicrobial Resistance Regimes and Collective Action Link

This article considers how the enduring phenomenon of antimicrobial resistance (AMR) challenges us to reconsider the way we ask questions about and govern global issues. 


Policy Options for Antimicrobial Resistance: Exploring Lessons From Environmental Governance Link

This publication examines twelve major environmental treaties to see how different governance approaches tackle shared-resource challenges.


Analyses of Veterinary Policies

Identify transformative opportunities for more equitably intervening in the animal health sector.

Researchers

Muhammad Zaman, Veronika Wirtz, Carly Ching

Institutions

Boston University

Outputs

Evaluation of Surveillance Strategies of Antimicrobial Consumption in Animals Link

The aim of this paper is to explore and assess various strategies for monitoring antimicrobial consumption (AMC) in animals, within the context of the One Health approach. 


Policy discourse on AMR in food-producing animals: examining framing and language for effective communication Link

This study examines how AMR in food-producing animals is communicated, and whether those messages resonate with farmers, policymakers, and the public.  

AMR is a One Health problem, affecting humans, animals and the environment. Clear, targeted messaging is needed to drive action across all sectors.  


Limited integration of one health and antimicrobial resistance within biodiversity strategies Link

Antimicrobial resistance (AMR) is a One Health policy issue, which connects humans, animals and the environment. Antibiotics and AMR impact ecosystems, yet microbes (which are also part of ecosystems) are often overlooked in biodiversity strategies. This perspective examines the limited integration of AMR-related topics in current biodiversity strategies and discusses barriers and recommendations for inclusion.


Feasibility of Meeting Global AMR Targets

Assess the political acceptability of different global strategies in a variety of contexts.

Researchers

Patrick Fafard, Mary Wiktorowicz, Tracey Wagner-Rizvi

Institutions

York University, University of Ottawa


Decorative icon

New Conceptions of AMR

New perspectives drawing from the social sciences are beginning to address the limitations of the traditional biomedical approach, reframing AMR and generating new avenues for policy impact.

AMR as a Series of Collective Action Problems

AMR is a social challenge created by actors with competing interests and limited incentives to cooperate. A coordinated, systems-wide response is needed for collective benefits.

Researchers

Isaac Weldon, Timo Minssen, Kathleen Liddell, Daniel Carelli, Laura Valtere, Pedro Henrique D. Batista, Sonia Lewycka

Institutions

University of Copenhagen, Centre for Advanced Studies in Bioscience Innovation Law (CeBIL), University of Cambridge, Max Planck Institute for Innovation and Competition, Oxford University Clinical Research Unit, Chalmers University of Technology


Antimicrobials as Infrastructure

Antimicrobials serve as essential infrastructure that support modern food systems, land-use practices, and clinical medicine. We need to shift the focus to systems rather than non-compliant patients.

Researchers

Clare Chandler, Susan Nayiga, Maarten Van Der Heijden, Yen Hong Thi Nguyen

Institutions

London School of Hygiene and Tropical Medicine, Infectious Disease Research Collaboration, Oxford University Clinical Research Unit


Socio-ecological Dynamics

Microbes are omnipresent, and resistance is biologically inevitable. Robust institutions are needed to manage the dynamic co-evolution of human societies and microbial ecologies.

Researchers

Isaac Weldon, Ilaria Natali, J. S. Thakur

Institutions

York University, Toulouse School of Economics, Post Graduate Institute of Medical Education and Research

Listen to the Unpacking AMR Episode on Socio-ecological Dynamics:


Urban Political Ecology

AMR is influenced by the interconnectedness of urbanization, the environment, global health threats, and climate change. Recognizing the relationship between urbanization and AMR can aid us in tackling this issue.

Researchers

Raphael Aguiar, Mary Wiktorowicz, Roger Keil, Srinivasa Srigiri

Institutions

York University, German Institute of Development and Sustainability

Listen to the Unpacking AMR Episode on Urban Political Ecology:


New Conceptions of AMR Outputs


Unpacking AMR Podcast

Unpacking AMR podcast logo

Antimicrobial resistance occurs when bacteria, viruses, and other microbes stop responding to antimicrobial medicines. Unpacking AMR delves into the challenges of drug-resistant infections. Join the conversation on creating sustainable, fair, and evidence-informed policies. Remember, AMR is more than drugs and bugs!

Project Coordination & Funding 

This project is funded through a Social Sciences and Humanities Research Council (SSHRC) Partnership Grant and is coordinated by the Global Strategy Lab. This project offers a unique opportunity to better understand and address the root social processes, structures, and power dynamics that drive AMR, beyond what could be accomplished by any one country, centre, or discipline alone. 

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Advancing Tobacco Control Through Gender Data 

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December 17, 2025

ART x AMR: An Artistic Initiative for Global Action