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This case presents a scenario of a local public health challenge relating to the global threat of antimicrobial resistance. It is caused and driven by complex factors and a solution is required to contain and prevent it. To holistically address this problem requires a multidisciplinary approach to accurately analyze the problem, identify its drivers and create innovative solutions that are effective, feasible and sustainable. There are many possible solutions to the problem, but all would require a judicious recognition and balance of public and private health care rights, responsibilities, and values. The case description is adapted from real occurrences and can represent real life situations. Fictitious characters and plots that bear no direct relation to any existing individuals or locations are used.