When Scotsman James
Alexander Fleming developed penicillin in 1928, it was seen as a miracle cure
which would deal with previously untreatable bacterial infections. Since that
time a host of different antibiotics have been developed by scientists and
successfully marketed by drug companies.
Routinely prescribed by
doctors and vets, antibiotics are even added to animal and fish feed in order
to ensure their continued health and the profits of the fish and animal
farmers.
However,
the age of the availability of a wide range of effective antibiotics is coming
to an end.
According
to the Washington Post in March 2012: “One of the
most urgent global public health problems is the increasing capability of
bacteria to resist antibiotic drugs. The crisis of antimicrobial resistance is
particularly acute in hospitals, where superbugs able to resist multiple drugs
have spawned. More than 70 per cent of the bacteria that cause hospital-related
infections are already resistant to at least one type of antibacterial drug.
The spectre of a world without effective
antibiotics has been looming for years, but recent evidence suggests that the
superbugs are evolving ever faster. Meanwhile, the pipeline of new antibiotics
is running dry, leaving some patients with no effective treatment for
life-threatening disease.”
In March this year, Dame Sally Davis, the
British Government’s Chief Medical officer warned that the “catastrophic
threat” of antibiotic resistance should be seen as the medical equivalent of
the war on terror or the issue of climate change. Failure to act could set
healthcare and mortality rates back by 2 centuries unless urgent coordinated
international action is taken.
Tom Chivers writing in the Telegraph said, ‘the Chief
Medical Officer, who has very sensibly pointed out that resistance to
antibiotics is a "ticking time bomb": unnecessary use of antibiotics,
and the failure of drug companies to come up with new ones, could lead to a
situation in which all the boring little infections that we thought we'd beaten
suddenly become dangerous again. “If we don’t act now, any one of us could go
into hospital in 20 years for minor surgery and die because of an ordinary
infection that can’t be treated by antibiotics," she says, entirely
accurately.’
Dame Sally and Chief Pharmaceutical Officer
Keith Ridge are calling for tighter restrictions on antibiotic prescriptions by
GPs and cooperation at international level.
The World Health Organisation has highlighted
the causes of the problem which include: the lack of a comprehensive and
coordinated response; weak or absent antimicrobial resistance surveillance and
monitoring systems; inadequate systems to ensure quality and uninterrupted
supply of medicines; inappropriate use of antimicrobial medicines, including in
animal husbandry; poor infection prevention and control practices; insufficient
diagnostic, prevention and therapeutic tools.
The mind boggles at a future where bacterial infections
might be untreatable, and where only the brave or very foolish might be
prepared to contemplate treatment as a hospital in patient. The tragedy is that
this state of affairs has been self inflicted.
As a Christian, I’m an optimist because I know
that God is in control. It’s when we turn to Him and put ourselves in His hands
that miracles do happen. So let’s pray that our scientists and researchers receive
wisdom and insight to remain one step ahead of the mutating
superbugs.
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