The global COVID-19 pandemic has exacerbated existing health, social, and economic challenges and threatened progress towards achieving the UN sustainable development goals. We discuss lessons learned from the COVID-19 pandemic for global policymaking for health security governance, with a particular focus on antimicrobial resistance. We identify One Health as the primary foundation of public health risk management owing to the collaborative, multidisciplinary, and multisectoral efforts that underpin the One Health approach and that enhance understanding of the complex interactions at the human–animal–environment interface. We discuss the narrow human-centric focus of the One Health approach, highlight the underrepresentation of the environmental sector in One Health networks, and encourage greater representation from the environmental sector. Furthermore, we highlight the importance of the social sciences for health security research and the need for effective communication and trust. Finally, we underscore the importance of strengthened and collaborative health, social care, and disaster management systems. The application of these lessons will facilitate holistic, multisectoral, collaborative, and ethical actions on antimicrobial resistance.

中文翻译：

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作为全球健康威胁的抗菌素耐药性：需要从 COVID-19 大流行中吸取教训

全球 COVID-19 大流行加剧了现有的健康、社会和经济挑战，并威胁到实现联合国可持续发展目标的进展。我们讨论了从 COVID-19 大流行中吸取的经验教训，用于卫生安全治理的全球决策，特别关注抗菌素耐药性。我们将 One Health 确定为公共卫生风险管理的主要基础，因为协作、多学科和多部门的努力支撑了 One Health 方法，并增强了对人类-动物-环境界面复杂相互作用的理解。我们讨论了 One Health 方法以人为中心的狭隘焦点，强调了 One Health 网络中环境部门的代表性不足，并鼓励环境部门有更多的代表性。此外，我们强调社会科学对健康安全研究的重要性以及有效沟通和信任的必要性。最后，我们强调加强和协作的卫生、社会关怀和灾害管理系统的重要性。这些经验教训的应用将促进针对抗菌素耐药性的整体、多部门、协作和合乎道德的行动。