Resistant bacteria do not care about international borders. This is why it is important to collaborate with other countries in fighting antimicrobial resistance. If we can reduce the numbers of resistant bacteria, the entire world will benefit. RIVM National Institute for Public Health and the Environment collaborates with other countries and shares any information it uncovers when tracking antimicrobial resistance. RIVM also helps others to use this information in specific operations to fight resistance. All international activities focus, to some extent, on the work that is being done here in the Netherlands and on transferring details of the findings. RIVM focuses specifically on surveillance, AMR in the environment, and One Health.

RIVM National Institute for Public Health and the Environment collaborates with the Kingdom’s Overseas Territories to fight antimicrobial resistance. Together with professionals on these islands, RIVM is looking into the possibility of developing a Caribbean surveillance system. That would involve a Caribbean version of the Dutch ISIS-AR database. A project is also underway to improve infection prevention on the ‘BES islands’ (Bonaire, Sint Eustatius and Saba).



Within Europe, the Netherlands collaborates with the ECDC. The Netherlands also participates in the European Antimicrobial Resistance Surveillance Network (EARS-Net). This is the largest publicly funded system for the surveillance of antimicrobial resistance in Europe. The Netherlands collaborates with professionals throughout Europe, in the framework of various partnerships.

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The Netherlands also collaborates with the World Health Organization (WHO), both within Europe and elsewhere. This means that, since 2012, RIVM National Institute for Public Health and the Environment has supported the WHO in the implementation of national action plans. RIVM runs two WHO collaborating centres in the area of ABR:

RIVM helps to set up and improve national surveillance. In that context, the Netherlands set up the CAESAR network for the Central Asia and Eastern Europe region, together with the WHO and ESCMID (European Society of Clinical Microbiology and Infectious Diseases). In addition to work in the WHO EURO region, the Netherlands is collaborating with China, India, and Indonesia, to share knowledge. As part of a Dutch consortium, RIVM is also collaborating with other Asian countries, on the instructions of the Fleming Fund.

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RIVM National Institute for Public Health and the Environment participates in research projects such as the European Joint Programme One Health (EJP One Health, in JPIAMR and the Joint Action EU JAMRAI. For an overview go to international projects.