The International Risk Podcast podcast

Episode 265: Antimicrobial Resistance as a Geopolitical Flashpoint with Dr. Ramanan Laxminarayan

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In this episode Dominic Bowen and Dr. Ramanan Laxminarayan explore antimicrobial resistance (AMR) as a geopolitical flashpoint. Find out more about how drug resistance has already crossed the red line with untreatable infections, why AMR is not a future threat but a present crisis claiming 1.3 million lives annually, and how the erosion of antibiotic effectiveness undermines cancer care, surgery, and modern medicine. The conversation examines the political and economic reasons governments have been slow to act, the fragile economics of antibiotic development, and the risks of over-reliance on a handful of pharmaceutical firms. It also addresses the spread of multi-drug resistant infections in conflict zones such as Ukraine and Gaza, the importance of prevention through vaccines and sanitation, and the broader international risks as nationalism rises and global cooperation weakens.

Dr. Ramanan Laxminarayan is the Founder and President of the One Health Trust and a Senior Research Scholar at Princeton University. He is also an Affiliate Professor at the University of Washington, a Visiting Professor at the University of Strathclyde, and a Senior Associate at the Johns Hopkins Bloomberg School of Public Health. Dr. Laxminarayan chairs the board of GARD-P, a global product development partnership created by the World Health Organization to develop and deliver new treatments for drug-resistant infections. He is also the founder and board chair of HealthCubed, which works to improve access to healthcare and diagnostics worldwide. Since 1995, he has been a leading global voice on antimicrobial resistance, bringing the issue to the United Nations General Assembly in 2016 and shaping health policy across Asia and Africa through the Global Antibiotic Resistance Partnership.

The International Risk Podcast brings you conversations with global experts, frontline practitioners, and senior decision-makers who are shaping how we understand and respond to international risk. From geopolitical volatility and organised crime, to cybersecurity threats and hybrid warfare, each episode explores the forces transforming our world and what smart leaders must do to navigate them. Whether you’re a board member, policymaker, or risk professional, The International Risk Podcast delivers actionable insights, sharp analysis, and real-world stories that matter. 

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