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COLUMN





                                  Overuse of antibiotics


                                  doesn’t cure, but kills



                                           ecember is here. So is winter.   Globally, drug-resistant infections are
                                           Almost every other person falls   predicted to the reason for an estimated
         THE LAST                          prey to cold and flu. The only   2.4 million deaths in developed countries
                                           way to deal with these viral in-
                                                                       alone by 2050. Sadly, the pharmaceutical
         WORD                     Dfections, we generally believe,     industry, in general, is not much interested
                                                                       in investing time and money in researching
                                  is to resort to antibiotics. Many of us don’t
         ABDUL WASEY              even bother to consult the doctor before ap-  for new antibiotics as the drug discovery of
                                  proaching a pharmacy. These pharmacists   any kind is inordinately expensive. Major-
                                  rarely bother to inform us that antibiotics   ity of the drugmakers are not ready to block
                                  are used to treat infections caused by bac-  billions of rupees for research and develop-
                                  teria and they don’t work against infections   ment of an antibiotic that can cure an infec-
                                  caused by viruses, that include cold and flu.   tion in five to 10 days. The same fund and re-
                                  Such misuse and overuse of these kind of   sources, according to them, could be better
                                  medicines have helped a growing number   utilised on medications for conditions like
                                  of bacteria become resistant to most or all   high cholesterol or blood pressure, which
                                  antibiotics — a phenomenon doctors are   are typically taken for life. Moreover, a new
                                  calling a crisis as there are no alternative   antibiotic may have a limited shelf life as
                                  in sight for these drugs. However, patients,   the bugs it treats may develop resistance.
                                          doctors and pharmacists are not
                                          the only ones to be blamed for the   Governments, private
                                          worsening human health condi-
                                          tions. In fact, they are just small   firms and powerful
                                          players.
                                            The inaction and indifference   individuals are not
                                          of governments, private corpo-  doing enough to
                                          rations and powerful individuals
                                          should more be blamed for not   halt a post-antibiotic
                                          stalling a post-antibiotic apoca-  apocalypse
                                          lypse. Antibiotics, for example, are
                                          being liberally used for decades
                                          to promote the health of farm   The Central government must intervene
                                          animals meant for our food. The   to halt the death toll from the misuse of an-
                                          environmental contamination   tibiotics, which is growing at an alarming
                                          by the ubiquitous drugs have led   rate. Around 58,000 infants, according to a
                                          to so-called superbugs like MRSA   2013 estimate, die across the country each
                                  and VRE that have developed resistance   year due to sepsis from resistant bacteria. If
                                  to their effects. Had India, like its Western   the policymakers continue to delay the for-
                                  counterparts, set regulations for antibiotic   mulation of regulations on the use of anti-
                                  use in poultry, drugmakers such as Zoetis   biotics, the health of common people would
                                  would not have been able to serve illnesses   remain at grave risk. Unlike Drugs and Cos-
                                  on our plates. After all, more than 70 per   metics Rules 1945, the new laws should be
                                  cent of Indians are non-vegetarians.   strictly implemented to curb the overuse of
                                    As per a 2016 PLOS Medicine paper, 416   antibiotics by human beings; its misuse in
                                  of every 100,000 Indians die of infectious   the veterinary sector; and environmental
                                  diseases each year. This is more than twice   antibiotic contamination due to pharma
                                  the crude infectious-disease mortality rate   and hospital discharge. Else, India will have
                                  in the US in the 1940s when antibiotics   no one to blame but itself.
                                  were first used there. If these miracle drugs
                                  stop working, India will be the hardest hit.             LETTERS@TEHELKA.COM



                                      TEHELKA / 15 DECEMBER 2018  66  WWW.TEHELKA.COM
                                                                                                                      Add.indd   9                                                                                 02/05/18   4:41 PM
   66 The Last Word-Abdul-Column.indd   2                                                          11/30/2018   6:20:58 PM  66 The Last Word-Abdul-Column.indd   3                                                11/30/2018   6:21:08 PM
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