{
  "abstract": "Introduction Antimicrobial resistance (AMR) and plastic pollution are converging global crises that threaten both human health and environmental sustainability. Despite the growing recognition of these challenges, few legislative and policy frameworks acknowledge the complex interplay between antibiotic misuse and environmental plastic contamination. This protocol seeks to bridge that gap by critically examining policies in Europe and the Philippines, focusing on those that target antibiotic misuse and plastic pollution in human and animal health.Methods and analysis Document analysis will be employed to systematically review relevant legislative and policy frameworks. We will retrieve laws, regulations and policy documents from official databases, government websites and other sources using broad inclusion criteria. The extraction process and analysis will be guided by the READ (Ready, Extract, Analyse, Distill) approach which will ensure a thorough examination of how these documents address the dual challenges of AMR and plastic pollution. Particular attention will be paid to identifying policy gaps, overlaps and synergies that may affect the overall effectiveness and coherence of current governmental responses.Ethics and dissemination This policy review has been granted exemption from ethical review by the Research Institute for Tropical Medicine (RITM-IRB No. 2024-35), Philippines. The results are expected to provide a robust evidence base to inform the development of integrated policies at the nexus of global public health and environmental sustainability. Findings will be disseminated at academic conferences and peer-reviewed publications and to key stakeholders within European, Philippine, and international organisations.Trial registration number The detailed protocol is pre-registered and openly available on the Open Science Framework ( https://osf.io/3tkn2/overview).",
  "authors": [
    {
      "affiliations": [
        "Heidelberg Institute of Global Health, University Hospital and Faculty of Medicine, University of Heidelberg, Heidelberg, Germany",
        "Department of Global Health, Hans Rosling Center for Population Health, University of Washington, Seattle, Washington, USA"
      ],
      "name": "Rupal Shah-Rohlfs"
    },
    {
      "affiliations": [
        "Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine – Department of Health, Manila, Philippines"
      ],
      "name": "Jeniffer Landicho"
    },
    {
      "affiliations": [
        "Heidelberg Institute of Global Health, University Hospital and Faculty of Medicine, University of Heidelberg, Heidelberg, Germany"
      ],
      "name": "Vivienne Endoma"
    },
    {
      "affiliations": [
        "Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine – Department of Health, Manila, Philippines"
      ],
      "name": "Bianca Joyce Sornillo"
    },
    {
      "affiliations": [
        "Department of Epidemiology and Global Health, Umeå University, Umea, Sweden",
        "Heidelberg Institute of Global Health and Interdisciplinary Centre for Scientific Computing, University of Heidelberg, Heidelberg, Germany"
      ],
      "name": "Marina Treskova"
    },
    {
      "affiliations": [
        "Department of Epidemiology and Global Health, Umeå University, Umea, Sweden",
        "Heidelberg Institute of Global Health and Interdisciplinary Centre for Scientific Computing, University of Heidelberg, Heidelberg, Germany"
      ],
      "name": "Joacim Rocklöv"
    },
    {
      "affiliations": [
        "Heidelberg Institute of Global Health, University Hospital and Faculty of Medicine, University of Heidelberg, Heidelberg, Germany",
        "International Health Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"
      ],
      "name": "Shannon A McMahon"
    },
    {
      "affiliations": [
        "Heidelberg Institute of Global Health, University Hospital and Faculty of Medicine, University of Heidelberg, Heidelberg, Germany",
        "Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine – Department of Health, Manila, Philippines"
      ],
      "name": "Mark Donald C Reñosa"
    }
  ],
  "title": "Connection, confluence and convergence: a protocol for reviewing policies on antimicrobial resistance and plastic pollution",
  "uid": "0117f7ea-58de-55fb-a249-9f48fc2e4d63"
}