Wednesday, August 11, 2010

Resistance

Regular readers will know that I subscribe to the FDA Twitterfeed: with a seemingly endless supply of recalls, they never have to dig deep for content. There were a few drug-related, and "undeclared allergen" recalls this past week, and one voluntary recall each for salad with listeria and ground beef with E. coli. Nothing exceptional. I'm not sure there's much more to say about it, other than the regularity of so many alarms being raised is in itself dangerous, as we become inured and lax about it. After all, what can we do about it?

There is a Calvin & Hobbes strip where Calvin has the hiccups. He asks his tiger buddy to scare them away, so Hobbes mentions the hole in the ozone and nuclear waste piling up. It doesn’t cure the hiccups, but it does drive home just how frightening this is--and how cynical we have become.

I was reminded of this strip when I opened up my virtual papers this morning, and read the headlines from across the pond. The UK press has a frightening tale to tell, of published studies of common bacteria that "have developed near total resistance to all forms of antibiotics." The words "total" and "all" frighten me. A gene in some bacteria has been identified that confers antibiotic resistance to the bacteria. And if that's not scary enough, there are three more bits of information we all need to be aware of:
  1. It has been found in two very common bacteria, E.coli and Klebsiella pneumoniae. Yup, the same E. coli you read about in all those FDA recalls.
  2. It can spread to other bacteria.
  3. It has been found in at least eight countries, including the UK, India and the United States. The study's conclusion? "The potential of NDM-1 to become endemic worldwide is "clear and frightening" (http://www.bbc.co.uk/news/health-10925411).
I had the opportunity yesterday to listen to an interview with a friend's mother, who was witness to the murders at Kent State. It was both horrifying and inspiring. A war protester in the 60s, this grandmother is still struggling with understanding why we as a country have settled into complacency over so many things the corruption and lack of political will of both government and industry does. How can we incite to change?

There is no one solution to this, and it is unlikely that any individual will make enough difference on their own, but we simply cannot desist from trying. So the next time you are faced with a skinned knee, don't reach for the antibiotic cream. If you must use anything against germs, walk past the sanitzer dispenser and try soap and water. The next time you decide to buy meat, support a producer who avoids routine anitbiotics by practicing responsible animal husbandry. And, if you are so inclined, write that letter to your representative or the FDA and ask them to clamp down on antibiotic use.

Resist.

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