Enhanced data sharing and coordination to ensure Australia can address the threat of extensively drug-resistant Shigella - a case study for consideration by the Australian Centre for Disease Control.

Increasing antimicrobial resistance and changing epidemiological risk groups for shigellosis pose a threat to Australian public health. Integrated surveillance, enhanced through pathogen genomics data, represents an opportunity to improve the precision of public health responses to drug-resistant shigellosis in Australia and a compelling case study for the new Australian Centre for Disease Control. Here we describe a national public health laboratory scoping study and propose a model for enhanced surveillance of shigellosis that will improve national responses to this emerging public health threat.