DANMAP
DANMAP (Danish Integrated Antimicrobial Resistance Monitoring and Research Programme) is Denmark’s integrated surveillance programme for monitoring antimicrobial resistance and antimicrobial consumption in humans, animals, and food.
- Established: 1995 - one of the world’s first integrated AMR surveillance programmes
- Website: danmap.org
- Funding: Ministry of Health and Ministry of Food, Agriculture and Fisheries
Structure
DANMAP is a collaboration between:
- Statens Serum Institut (SSI) - Human clinical microbiology data, AMR/AMU analysis
- National Food Institute (DTU Food) - Animal and food AMR analysis
- Danish Veterinary and Food Administration (DVFA) - Animal AMR/AMU data via VetStat
- Danish Health Data Authority (DHDA) - Register of Medicinal Product Statistics
- DK-Vet Consortium - Clinical isolates from sick animals
Human Surveillance
- Broad surveillance of invasive and non-invasive pathogens
- Integration of primary care data with hospital-level granularity
- Routine Whole-Genome Sequencing (WGS) for many pathogens
- Legislative basis: Danish Health Act + EU regulations
Animal & Food Surveillance
| Component | Data Source |
|---|---|
| Pathogenic/zoonotic/indicator bacteria | DVFA, DK-Vet, DTU Food |
| Antibiotic sales | DVFA, DTU Food |
- VetStat database captures detailed veterinary drug use data
- Indicator bacteria monitored beyond EU mandatory requirements
- Denmark monitors E. coli and enterococci in food-producing animals for data continuity
Environmental Surveillance
- Pilot and research-based wastewater monitoring
- Not yet routine, but under development
- See Environmental AMR Surveillance
Historical Significance
DANMAP was launched in 1995, following growing recognition of AMR as a cross-sectoral threat. The 1998 WHO/FAO/OIE conference in Denmark resulted in the Copenhagen Recommendations, emphasising coordinated surveillance - a landmark moment for global AMR awareness.
International Reporting
DANMAP data feeds into:
- EARS-Net (human AMR)
- EFSA/ECDC (animal and food AMR)
- ESAC-Net (human AMU)
- ESVAC/ESUAvet (veterinary AMU)
- WHO GLASS