December 05, 2016

Use of antibiotic needs to be brought down

There is an overall decline in antibiotic effectiveness across the world. While the 
US Center for Disease Control and Prevention (CDC) estimates that 
antibiotic resistance is responsible for more than 2 million infections and 23,000 
deaths each year in the US, the `State of the World's Antibiotics 2015' estimates that
58,000 neonatal sepsis deaths are attributable to drug resistant infections in India 
alone. Director of the Antibiotic Resistance Action Center at the George 
Washington University's Milken Institute School of Public Health, Lance 
Price, says we need aggressive global reduction targets for antibiotic use in people 
and animals.

A recent study suggests contaminated meat may be spreading superbugs through the 
food chain and the environment, potentially causing hard-to-treat infections in 
people. Farms supplying India's biggest poultry meat companies routinely use 
antibiotics classified by the World Health Organisation as “critically important“ as 
a way of staving off disease. You have advised Americans to stop buying animals 
that are being fed antibiotics to get rid of the `superbug' syndrome. Do you think 
that we should switch away from animal protein to plant protein entirely because 
studies have shown that even farm chickens have been fed antibiotics?

I think that we need to do two things. Whenever possible, consumers should purchase 
meat or poultry products raised without antibiotics. In the US, consumers look for 
labels that read `raised without antibiotics' or `no antibiotics ever' to name just a few. 
This way we are sending a clear signal to producers and food companies that these 
are our preferred products. Reducing antibiotics anywhere (humans or animals) 
helps lessen antibiotic resistance and helps preserve the utility of our current arsenal 
of drugs just a little bit longer.

The second thing we need to do is set aggressive global reduction targets for antibiotic 
use in people and animals. It's not enough to just rely on market forces to fix the 
situation we are in. The UN General Assembly unanimously supported a declaration 
calling for better stewardship of drugs and countries promised to put plans in place 
to do this. But it fell short in not setting goals for use.

What do you think is the way out of this conundrum? What are our options?
We have a way forward. Both The Netherlands and Denmark are models for the 
rest of the world to follow when it comes to producing lots of food animals while 
using very few antibiotics. What we need is the political will globally to emulate 
what they have been able to achieve.

Do you think drug manufacturers should be banned from selling antibiotics to 
poultry farms?

I think that only veterinarians should be able to prescribe antibiotics for use in farm 
settings. And even then, it should be under the strictest of cautions. Antibiotics should 
never be used as cheap production tools to grow animals faster or compensate for 
overcrowding or unsanitary living conditions. Antibiotics should only be prescribed 
if there is a known disease or exposure to disease.

Source : Times of India

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