One of the five goals of the US National Action Plan for combating Antibiotic Resistant Bacteria (2015) is to strengthen national One-health surveillance efforts.

• A. Increase antibiotic use in agriculture.
• B. Reduce vaccine development.
• C. Strengthen national One-health surveillance efforts.
• D. Delay diagnostic testing.

Answer: (C)

The question tests how addressing antibiotic resistance relies on integrated information from human, animal, and environmental health. Strengthening national One-health surveillance efforts means creating a coordinated system that collects and shares data on antibiotic resistance and antibiotic use across hospitals, clinics, farms, veterinary settings, and the environment. With this integrated view, public health authorities can detect emerging resistance patterns early, monitor trends across sectors, and evaluate the impact of stewardship, vaccination, and other prevention measures. The One Health approach is essential because resistance can move between people, animals, and ecosystems; only a unified surveillance network allows a full picture and informed, nationwide actions.

Those other ideas would not support the goal: increasing antibiotic use in agriculture drives resistance, reducing vaccine development undermines prevention, and delaying diagnostic testing hinders timely detection and response.