While the world watches missiles fly across Eastern Europe, a slower, more insidious threat is spreading through Ukraine’s hospitals, refugee centers, and food systems — a threat that could cross borders and overwhelm even the best-resourced healthcare systems: antimicrobial resistance (AMR).
In January 2025, I authored a confidential national security briefing to the White House and senior officials outlining the worsening AMR crisis in Ukraine. This article presents a public summary of that warning. The key message is simple:
If we ignore the Ukrainian AMR crisis, we are sleepwalking into the post-antibiotic era.

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