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Article ID: CBB888554047

The Emergence of Antimicrobial Resistance as a Public Matter of Concern: A Swedish History of a “Transformative Event” (2018)

Science in Context
Volume: 31
Issue: 4
Pages: 477-500
Publication date: 2018
Language: English

URI: https://www.cambridge.org/core/journals/science-in-context/article/emergence-of-antimicrobial-resistance-as-a-public-matter-of-concern-a-swedish-history-of-a-transformative-event/B9D962C8DE915EB0A38BB4162F8604F2

DOI: 10.1017/S0269889718000315

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Medicine and society Public understanding of medicine Antibiotics Antimicrobial resistance (AMR) Public health 20th century, late Sweden

This article examines how antimicrobial resistance (AMR) came to be constituted as a matter of public concern in Sweden in conjunction with the development of an inter-professional organization called Strama, founded to promote rational prescription of antibiotics. An outbreak of penicillin-resistant pneumococci in the mid-1990s was crucial for this development, because it brought attention to AMR as an urgent public threat. This outbreak fuelled the constitution of AMR as caused by consumption of antibiotics and as a matter of disease control. As a consequence, Strama was able to mobilize the Swedish health officers responsible for disease control. The outbreak is conceptualized as a “transformative event” – an event that makes an issue and its associated risks concrete and urgent. Transformative events play the crucial role of expediting the transformation of issues into matters of public concern.

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