# Reframing livestock antimicrobial use as a global public good

**Authors:** Alejandro Acosta, Francesco Nicolli, Rachel Dalton, Antonio Valcarce, Emmanuel Kabali, Alejandro Dorado Garcia, Carmen Bullon, Wondmagegn Tirkaso, Junxia Song

PMC · DOI: 10.1016/j.onehlt.2026.101349 · One Health · 2026-02-02

## TL;DR

This paper argues that responsible use of antibiotics in livestock should be treated as a global public good to prevent resistance and protect public health.

## Contribution

The paper introduces a new framework for antimicrobial stewardship based on global public good theory and a One Health perspective.

## Key findings

- Antimicrobial effectiveness in livestock is framed as a global public good with transboundary spillovers.
- Current national and voluntary stewardship efforts are insufficient due to governance and market failures.
- An integrated framework with four pillars is proposed to align local and global interests.

## Abstract

Global antimicrobial use in livestock is projected to rise over coming decades, accelerating antimicrobial resistance and eroding antimicrobial effectiveness. Although stewardship efforts have expanded, they remain largely national and voluntary, even as resistance dynamics propagate across borders. This paper reframes antimicrobial effectiveness in livestock systems as a global public good, defined by non-rivalry, non-excludability, and transboundary spillovers. Under this framing, persistent overuse reflects governance and market failures that misalign local production incentives with global welfare losses. Drawing on global public good theory within a One Health perspective, the paper develops an integrated stewardship framework that clarifies why aggregating national actions underdelivers. The framework links four mutually reinforcing pillars: international governance and accountability, incentive-compatible economic instruments, sustainable and equitable financing, and farm-level adoption enablers. Together, these pillars translate shared global objectives into national stewardship while preserving access for animal health needs, thereby supporting livestock productivity, food security, and public health.

## Full-text entities

- **Diseases:** AMU (MESH:D019966), AMR (MESH:D060467), infections (MESH:D007239)
- **Chemicals:** AMU (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

24 references — full list in the complete paper: https://tomesphere.com/paper/PMC12950407/full.md

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Source: https://tomesphere.com/paper/PMC12950407