Daniela Corno

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97 appearances 1 recordings 1 series first heard Jul 2026 last heard 8 Jul

Daniela Corno’s voice in public audio — every appearance, attributed to the second.

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Unpacking AMR · New Conceptions to Manage AMR – Part 4 – Collective Action Problems · 8 Jul 2026 podcast

And is it the most useful way to think about it?

Thinking about language, calling some countries the weakest link could sound like blame, as if the burden's on them to simply try harder.

So if AMR is a problem where the whole system is only as protected as its least resource member, then the obvious next question is what happens there?

When a country or health system simply isn't able to act, where do the consequences land?

Resistance, in other words, doesn't carry a passport.

A gap in one place becomes a risk everywhere.

And yet the tools we usually reach for, like stewardship programs, prescribing rules, and surveillance systems, were largely designed in well resourced countries.

So why do approaches that work well in one health system struggle to take root in another?

Programs to use antimicrobials responsibly only work when a country already has a strong basic system in place.

Things like funding, political support, surveillance, clear rules, and the people and agencies who make sure those rules are followed.

When a country doesn't have these supports, it's very hard to build and sustain effective AMR programs.

So we need to focus not only on specific stewardship activities, but on building the basic systems that let those

do those activities work in the first place?

Specific implementation barriers that are dependent on on technology and uh and availability for example, doctors need reliable testing to know what's causing an infection and which medicine will work best against it.

In many lower income countries, that testing can be missing, hard to access, or too slow.

So doctors are often left to make their best guess and prescribe broad spectrum antibiotics just in case.

obstacles actually.

It comes back to foundations.

You can't run a stewardship program on infrastructure that isn't there.

Think of a team with no goalkeeper or players who've never trained together.

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