Skip the antibiotics

So far this year, more than 300 people have gotten sick from bacteria called Salmonella heidelberg. Almost three-fourths of them live in California.

The Centers for Disease Control and Prevention reported that chicken produced in three central California processing facilities is the “likely source of this outbreak” and that the bacteria are “resistant to several commonly prescribed antibiotics.”

The CDC estimates that for every reported salmonella infection there are about 29 more unreported cases, bringing the potential toll to more than 9,000 victims. About 42 percent of the patients who reported their illness have been hospitalized, an uncommonly high rate that indicates this bug is more virulent than usual.

Forty years of scientific investigation demonstrate that using antibiotics to make food animals grow faster and to compensate for the overcrowded conditions in which they are raised breeds drug-resistant bacteria that can infect and hospitalize people.

Fortunately, we have it in our power to slow the emergence of drug-resistant bacteria. The FDA is planning to ask drug companies to stop marketing antibiotics for growth promotion. The policy is now at the Office of Management and Budget, one step from being finalized. It is a good start, but it ultimately falls short of President Obama’s promise to do more.

Congress can fulfill it by passing the Preservation of Antibiotics for Medical Treatment Act and its Senate counterpart, the Preventing Antibiotic Resistance Act. These landmark bills would eliminate the use of antibiotics for all production practices, not only to promote growth but also to compensate for conditions that foster disease. Importantly, the legislation would still allow sick animals to be treated with antibiotics.

Meanwhile, many consumers are taking matters into their own hands and buying meat raised without antibiotics. Parents are urging their children’s school systems to do the same.

Antibiotics are modern medical miracles that rendered lethal infections minor nuisances. But that 20th-Century success story is turning into a 21st-Century parable about shortsightedness and denial. The president and Congress have more than enough scientific justification to curb antibiotic overuse in food animal production. It is time for them to act.

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Gail Hansen is a doctor of veterinary medicine and senior officer with the Pew Charitable Trusts’ campaign to reduce antibiotic overuse on industrial farms.

Editorial, Pages 12 on 10/28/2013

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