Click amount to donate direct to CounterPunch
  • $25
  • $50
  • $100
  • $500
  • $other
  • use PayPal
Support Our Annual Fund Drive! We only shake you down once a year, but when we do we really mean it. It costs a lot to keep the site afloat, and our growing audience, well over TWO million unique viewers a month, eats up a lot of bandwidth — and bandwidth isn’t free. We aren’t supported by corporate donors, advertisers or big foundations. We survive solely on your support.
FacebookTwitterGoogle+RedditEmail

The Deep Harm of Antibiotics

by

Resistance to antibiotics is a growing phenomenon and has become one of the world’s most serious public health concerns. Antibiotic resistance is a form of drug resistance where some bacteria are able to survive the administration of one or more antibiotics. This phenomenon is a consequence of misuse and overuse of antibiotics in medicine and in livestock feed. As a result of this, there is a growing presence of superbugs, as are called microorganisms -mostly bacteria- that carry several antibiotic-resistance genes.

The seriousness of the problem is underscored by the World Health Organization (WHO), which in a recent report has called this phenomenon a ‘global threat.’ The WHO report follows a 2013 U.S. Centers for Disease Control and Prevention (CDC) report which showed that two million people in the U.S. are infected annually with antibiotic-resistant bacteria, and 23,000 people die each year from them. Last year, Dr. Sally Davies had called the problem a “ticking time bomb” and said that it probably will become as important in the magnitude of its effects as climate change.

As a result of antibiotic resistance and the increasing number of superbugs, common infections that could be treated without major problems have become untreatable. In 2012, the WHO reported 450,000 cases of tuberculosis in 92 countries where multiple drugs used to treat them were found ineffective.

A similar situation may happen with gonorrhea, with the serious public health consequences it implies. Sexually transmitted gonorrhea is now increasing worldwide, and so is its resistance to antibiotic treatment.

“Effective antibiotics have been one of the pillars allowing us to live longer, live healthier, and benefit from modern medicine. Unless we take significant actions to improve efforts to prevent infections and also change how we produce, prescribe and use antibiotics, the world will lose more and more of these public health goods, and the implications will be devastating,” said Dr. Keiji Fukuda, WHO’s assistant director general for health security.

The new WHO report has gathered information on antibiotic resistance from 114 countries. The problem is particularly serious because no new antibiotics are being developed. As Dr. Danilo Lo Fo Wong, senior adviser on antimicrobial resistance to WHO Europe has indicated, “New antibiotics coming into the market are not really new. They are variations of those we already have.” The last completely new class of antibacterial drugs was developed 27 years ago, according to the report.

Many bacteria acquire the ability to destroy antibiotics to protect themselves. They develop a gene for antibiotic resistance to one or more antibiotics by developing a mutation that results in the production of enzymes that inactivate the antibiotics. And the bacteria accumulate resistance by developing new genes. In a strange twist of fate, genetics can work against us. Thus, any time a person uses an antibiotic without proper indication or for a shorter time than needed, it is promoting the development of antibiotic resistance.

Sir Alexander Flemming, who discovered penicillin, warned about this danger in his 1945 Nobel lecture when he said, “The time may come when penicillin can be bought by anyone in the shops. Then there is the danger that the ignorant man may easily underdose himself and by exposing his microbes to non-lethal quantities of the drug make them resistant.”

In addition, the widespread use of antibiotics in livestock feed to help them grow better and put on more weight increases the magnitude of the problem. When livestock excrete the antibiotics they are largely not broken down. They then enter the environment through the ground and water and, when newly ingested by humans they retain the capacity to promote antibiotic resistance. Thus, the resistant bacteria in animals due to their exposure to antibiotics in their feed can be transmitted to humans via three pathways: consumption of animal products, close contact with animals, and through the environment.

In 2001, the Union of Concerned Scientists estimated that more than 70 percent of the antibiotics used in the U.S. are given to animals in their food. Despite WHO’s warning that the use of antibiotics in animal husbandry should be prohibited, they continue to be used without restraint.

With fewer drug options, the most negatively affected are the poor and those that lack health insurance, circumstances that limit the search for the most effective treatment. The WHO, the medical charity organization Médecins Sans Frontières, and experts worldwide have stated that a global plan for the rational use of affordable antibiotics is urgently needed. To ignore their advice is to sow the seeds of our own destruction.

Dr. Cesar Chelala is an international public health consultant and a co-winner of an Overseas Press Club of America award. 

 

Dr. Cesar Chelala is a co-winner of the 1979 Overseas Press Club of America award for the article “Missing or Disappeared in Argentina: The Desperate Search for Thousands of Abducted Victims.”

More articles by:

2016 Fund Drive
Smart. Fierce. Uncompromised. Support CounterPunch Now!

  • cp-store
  • donate paypal

CounterPunch Magazine

minimag-edit

September 29, 2016
Robert Fisk
The Butcher of Qana: Shimon Peres Was No Peacemaker
James Rose
Politics in the Echo Chamber: How Trump Becomes President
Russell Mokhiber
The Corporate Vice Grip on the Presidential Debates
Daniel Kato
Rethinking the Race over Race: What Clinton Should do Now About ‘Super-Predators’
Peter Certo
Clinton’s Awkward Stumbles on Trade
Fran Shor
Demonizing the Green Party Vote
Rev. William Alberts
Trump’s Road Rage to the White House
Luke O'Brien
Because We Couldn’t Have Sanders, You’ll Get Trump
Michael J. Sainato
How the Payday Loan Industry is Obstructing Reform
Robert Fantina
You Can’t Have War Without Racism
Gregory Barrett
Bad Theater at the United Nations (Starring Kerry, Power, and Obama
James A Haught
The Long, Long Journey to Female Equality
Thomas Knapp
US Military Aid: Thai-ed to Torture
Jack Smith
Must They be Enemies? Russia, Putin and the US
Gilbert Mercier
Clinton vs Trump: Lesser of Two Evils or the Devil You Know
Tom H. Hastings
Manifesting the Worst Old Norms
George Ella Lyons
This Just in From Rancho Politico
September 28, 2016
Eric Draitser
Stop Trump! Stop Clinton!! Stop the Madness (and Let Me Get Off)!
Ted Rall
The Thrilla at Hofstra: How Trump Won the Debate
Robert Fisk
Cliché and Banality at the Debates: Trump and Clinton on the Middle East
Patrick Cockburn
Cracks in the Kingdom: Saudi Arabia Rocked by Financial Strains
Lowell Flanders
Donald Trump, Islamophobia and Immigrants
Shane Burley
Defining the Alt Right and the New American Fascism
Jan Oberg
Ukraine as the Border of NATO Expansion
Ramzy Baroud
Ban Ki-Moon’s Legacy in Palestine: Failure in Words and Deeds
David Swanson
How We Could End the Permanent War State
Sam Husseini
Debate Night’s Biggest Lie Was Told by Lester Holt
Laura Carlsen
Ayotzinapa’s Message to the World: Organize!
Binoy Kampmark
The Triumph of Momentum: Re-Electing Jeremy Corbyn
David Macaray
When the Saints Go Marching In
Seth Oelbaum
All Black Lives Will Never Matter for Clinton and Trump
Adam Parsons
Standing in Solidarity for a Humanity Without Borders
Cesar Chelala
The Trump Bubble
September 27, 2016
Louisa Willcox
The Tribal Fight for Nature: From the Grizzly to the Black Snake of the Dakota Pipeline
Paul Street
The Roots are in the System: Charlotte and Beyond
Jeffrey St. Clair
Idiot Winds at Hofstra: Notes on the Not-So-Great Debate
Mark Harris
Clinton, Trump, and the Death of Idealism
Mike Whitney
Putin Ups the Ante: Ceasefire Sabotage Triggers Major Offensive in Aleppo
Anthony DiMaggio
The Debates as Democratic Façade: Voter “Rationality” in American Elections
Binoy Kampmark
Punishing the Punished: the Torments of Chelsea Manning
Paul Buhle
Why “Snowden” is Important (or How Kafka Foresaw the Juggernaut State)
Jack Rasmus
Hillary’s Ghosts
Brian Cloughley
Billions Down the Afghan Drain
Lawrence Davidson
True Believers and the U.S. Election
Matt Peppe
Taking a Knee: Resisting Enforced Patriotism
FacebookTwitterGoogle+RedditEmail
[i]
[i]
[i]
[i]