9 ms·
Here is a link to the World Health Organization media release[1] about the new WHO report, which links to a fact sheet summary[2] of the findings, and to the fu
by tokenadult 13y ago
Here is a link to the World Health Organization media release[1] about the new WHO report, which links to a fact sheet summary[2] of the findings, and to the full report.[3] What's new here is the comparative data from different countries. It has been known for a while that multidrug-resistant tuberculosis is a grave problem in India,[4] for example, but the new report makes clear that antibiotic-resistant microorganisms that cause major human disease are present all over the world.
Some of the other comments posted here ask, well, what can we do about this? A submission to Hacker News from 189 days ago linked to a PBS report about the views of a Centers for Disease Control and Prevention epidemiologist in the United States[5] who advocated specific policy changes, some of which have been adopted since then. The discussion of that submission (including one of my highest-karma-ever comments[6]) provides more perspective on some biological evolution issues that are being brought up again in today's discussion here.
[1] http://www.who.int/mediacentre/news/releases/2014/amr-report/en/ http://www.who.int/mediacentre/news/releases/2014/amr-report...
[2] http://www.who.int/mediacentre/factsheets/fs194/en/ http://www.who.int/mediacentre/factsheets/fs194/en/
[3] http://www.who.int/drugresistance/documents/surveillancereport/en/ http://www.who.int/drugresistance/documents/surveillancerepo...
[4] http://online.wsj.com/news/articles/SB10001424052702303444204577460734274201756 http://online.wsj.com/news/articles/SB1000142405270230344420...
http://articles.economictimes.indiatimes.com/2013-06-23/news/40134749_1_stop-tb-department-mario-raviglione-jmm-meeting http://articles.economictimes.indiatimes.com/2013-06-23/news...
http://www.iom.edu/Reports/2012/Facing-the-Reality-of-Drug-Resistant-Tuberculosis-Challenges-and-Potential-Solutions-in-India.aspx http://www.iom.edu/Reports/2012/Facing-the-Reality-of-Drug-R...
http://www.tbcindia.nic.in/pdfs/RNTCP%20Response%20DR%20TB%20in%20India%20-%20Jan%202012%20update.pdf http://www.tbcindia.nic.in/pdfs/RNTCP%20Response%20DR%20TB%2...
[5] https://news.ycombinator.com/item?id=6599040 https://news.ycombinator.com/item?id=6599040
[6] https://news.ycombinator.com/item?id=6599795 https://news.ycombinator.com/item?id=6599795
- chez17 13y agoIn America, the number one thing you can do is stop eating factory farmed meat. That is a huge contributor to antibiotics resistance. Either eat mainly vegan or spend the few extra dollars to buy meat that isn't gross. Remember, it is MORE EXPENSIVE in the long run to buy that cheap meat. When you have a routine infection that can't be cured with antibiotics, the hospital bills will be far more then the few dollars you saved. Eat less meat. Oh, and you'll massively reduce your carbon footprint as well, and you'll use less land and water, and you'll be healthier (if you cut out red meat). It really is a no brainer.
- mef 13y agoCitation for these claims? Edit: here's one article about the use of fluoroquinolones on poultry contributing to the increase of fluoroquinolones-resistant Campylobacter http://www.sciencedaily.com/releases/2012/04/120405131431.htm http://www.sciencedaily.com/releases/2012/04/120405131431.ht...
- chez17 13y agoIn his book "Eating Animals" Jonathan Safran Foer dedicates a lot of time to this. Remember, he is not a vegan. This shouldn't be important but there are few groups that get more irrational hate than vegans. He cites multiple studies and if you are really concerned it's a quick read. One study showed how effectiveness of a specific antibiotic was at ~99% and then only 10 years after it being introduced into livestock feed the effectiveness shot down to 80%. So we went from about a 1 in 100 chance of it not working to around 1 in 5. That is a massive and terrifying difference. I urge you to read more. Clearly this is an issue I care about. I firmly believe this is the most likely cause of my unnecessary death. Far more than war or terrorism. Protect yourself, your loved ones, your children, your grand children. Stop eating meat that is fed antibiotics.
- araes 13y ago"few groups that get more irrational hate than vegans" This, like most stereotypes, is built around a core of experience, and then expounded. With a lot of vegans, its often not that they're wrong about what they say, its how they convey it. This came up today in another HN discussion on smoking as well. Its ok for them to not like things, just don't be a jerk about it. On topic, while I agree that we may very well all die, this can also be looked at in a different perspective. When the antibiotic in question was first introduced, it had effectively a 5/5 chance of working. After ten years, it then had a 4/5 chance of working. Like most power laws, in maybe 10-20 years, it will have a 3/5 chance of working, ect... with a decay rate that slows with time. Like all evolution, antibiotic resistance is driven primarily by the rate of survival and reproduction in the population. If resistance against AntibioticA is a strong predictor of survival (like when its newly introduced, and highly effective), then lots of bacteria will develop the immunity. As it gets used less, due to limited effectiveness, then it will become less of a predictor, and less bacteria will multiply with that as a trait. Its not like evolution is "free" either. Often times, if an organism becomes heavily specialized in fending off one threat, then they leave themselves open to invasive species or perpendicular threats. I firmly believe that we have intelligence (I really do) and that while natural evolution is powerful, we already have many of the tools necessary to understand, and adapt along with it. We just need to be able to understand why they're changing, how they're changing, and how we can exploit that process for our gain.