Reducing antibiotic use in farm animals requires addressing the welfare conditions that drive disease requiring antibiotic treatment, making welfare improvement and stewardship inextricably linked.
Antibiotic stewardship and welfare improvement are not competing but complementary goals in farm animal production. High antibiotic dependence typically signals underlying welfare problems including overcrowding, poor ventilation, inadequate nutrition, and chronic stress that suppress immune function and create disease vulnerability. Farms that address these welfare root causes achieve antibiotic reduction as a consequence rather than a separate target. The Danish experience demonstrates that integrated welfare improvement can achieve dramatic stewardship gains at national scale, providing a replicable model for antibiotic transition programs that may otherwise focus on restriction without addressing underlying drivers.