U.S. House Takes Important Step on Antibiotic Stewardship

DAVID WALLINGA, MD, NRDC, AND HARRY RHODES, EXECUTIVE DIRECTOR AT FOOD ANIMAL CONCERNS TRUST. NRDC HAS KINDLY ALLOWED US TO REPOST THIS ARTICLE FROM THE ORIGINAL ON THE NRDC BLOG.

Strong public health action, taken at the right time, saves lives. In mid-May, public health researchers at Columbia University looked at social distancing measures taken across the country from March 15 to May 3. Enacted only one week earlier, the researchers concluded, those measures could have prevented 700,000 or more additional cases of COVID-19 -- and 36,000 deaths.

Future pandemics await us, whether caused by another virus or antibiotic-resistant “superbug” bacteria. More infectious disease crises have never been matter of “if”, but “when”.

Experts for years have warned of a coming global crisis in antibiotic resistance. In truth, it is already here. Up to 162,000 people in the U.S. die of antibiotic-resistant infections each year – more than the current death toll from coronavirus. Recently, some in the House of Representatives have shown leadership by taking action to curb unnecessary antibiotic use – it’s well-known that overuse of these precious medicines is a key driver in the spread of resistance.

New Data: Animal vs. Human Antibiotic Use Remains Lopsided

DAVID WALLINGA, MD, AND AVINASH KAR, NRDC, HEALTHY PEOPLE & THRIVING COMMUNITIES PROGRAM. Eili Klein, Center on Disease Dynamics, Economics & Policy. NRDC HAS KINDLY ALLOWED US TO REPOST THIS ARTICLE FROM THE ORIGINAL ON THE NRDC BLOG.

Tragically, our nation’s response to COVID-19 shows what happens when public health isn’t protected, science and scientists are not trusted, and the nation’s preparedness is not prioritized.

For decades, U.S. policymakers have been aware of the rising threat from infections caused by antibiotic resistant bacteria (aka superbugs). Superbugs already infect more than 2.8 million people each year in the United States, contributing to between 35,000 and 162,000 deaths.

And yet the failure of these same policymakers to take meaningful action to protect the public continues (as noted in NRDC’s blog, To Protect the Future, Protect Antibiotics). In the absence of such action, the rates of illness and death could continue to rise, eventually generating economic impacts that on a global scale might look similar to what we now are seeing with COVID-19.

The antibiotic resistance crisis is driven in large part by ongoing antibiotic misuse and overuse. Unnecessary antibiotic use, whether in hospitals or pharmacies, on farms or feedlots, contributes to the proliferation and spread of resistant bacteria and genes. That’s why the tracking and reporting of antibiotic resistance and antibiotic use, wherever it occurs, is particularly important.

Antibiotic Use on Farm is Threatening Our Ability to Fight Pandemics Like COVID-19

MADELEINE KLEVEN , PROJECT ASSISTANT, FOOD SAFETY PROGRAM AT FOOD ANIMAL CONCERNS TRUST

In a matter of months the COVID-19 pandemic has drastically altered our global economy, trade, and most critically our health. Without a reliable vaccine and/or cure, we are left questioning which medications in our arsenal will be effective in not only treating the current organisms plaguing our society, but those to come. Antibiotics, which are rapidly becoming ineffective through overuse in medicine and agriculture, are some of our most prized tools in the fight against infectious disease. While antibiotics don’t work against viruses, they are critical in treating the bacterial co-infections which are a significant cause of morbidity and mortality associated with viral infections, including COVID-19.

Very High Livestock Antibiotic Use Undercuts Effective Drugs

DAVID WALLINGA, MD, and Avinash Kar, NRDC, HEALTHY PEOPLE & THRIVING COMMUNITIES PROGRAM. NRDC has kindly allowed us to repost this article from the original on the NRDC blog.

Yesterday, the U.S. Food and Drug Administration released its annual report showing last year's sales of antibiotics important to human medicine for use in livestock production.

The news wasn't good. Sales are on the rise, thanks to the pig and cattle industries. And a new NRDC analysis using these figures shows the industries are not only buying more of these drugs, but using them more intensely.

In short, the report underscores that America's beef and pork companies must use these drugs more responsibly if we want to continue to rely on antibiotics for treating infections the way we have for decades.

How are Antibiotics Used on U.S. Cattle and Swine Farms?

Steve Roach, Food Safety Program Director, Food Animal Concerns Trust

In May and August of 2019, U.S. Department of Agriculture (USDA) released the results of two national surveys of livestock producers conducted by the National Animal Health Monitoring System (NAHMS) in 2017. Both looked at antimicrobial use and stewardship, one on U.S. cattle feedlots and the other on U.S. swine operations. USDA surveyed pig farms and cattle feedlots across the United States and gathered information on how they used antibiotics in feed, water, or by injection. Food Animal Concerns Trust (FACT) reviewed the data in the reports, filled in some gaps, and created a summary and analysis of the most interesting findings. You can read our summary here. Though the USDA reports have some serious limitations, they provide some very useful insights on how and why antibiotics are used on farm.

Here are some of the most important findings regarding antimicrobial use. More details are available in our summary and even more in the reports themselves.

Shorter is Better Is Not Just for Human Antibiotics

MADELEINE KLEVEN , PROJECT ASSISTANT, FOOD SAFETY PROGRAM AT FOOD ANIMAL CONCERNS TRUST

 FDA allows some medically important antibiotics to be used for the whole life of the animals receiving them.  This creates an increased risk of antibiotic resistance which can harm human and animal health. In 2016, FDA proposed adding limits on how long an antibiotic could be used in food animals. FDA must move forward with this proposal and in doing so make sure that durations are short enough to lower the risk of resistance and other negative side effects.  Evidence from human medicine shows that using antibiotics for shorter periods or durations usually works just as well and leads to less resistance and other side effects. Read further to learn more.

How are the Chicken and Beef Sectors Responding to the Threat of Antibiotic Resistance?

MADELEINE KLEVEN , PROJECT ASSISTANT, FOOD SAFETY PROGRAM AT FOOD ANIMAL CONCERNS TRUST

 The spread of antibiotic resistant bacteria, i.e. superbugs, threatens the health of both humans and animals globally. To combat the transmission of superbugs, significant reductions must be made in the amount of antibiotic used both in human medicine and agriculture. While antibiotics are essential in the treatment of serious bacterial infections in both humans and animals, their overuse exclusively benefits the superbugs. So what are the two biggest U.S. livestock sectors, chicken and beef, doing to reduce their antibiotic use?

Recent Outbreaks and Antibiotic Resistance in the Food Supply

THOMAS GREMILLION, DIRECTOR, FOOD POLICY INSTITUTE AT CONSUMER FEDERATION OF AMERICA

 Food safety has stayed in the headlines in 2018. Just in the past month, a sweeping alert on E. coli contamination in romaine lettuce has led to promises of significant change in the ways that leafy greens are labeled. An earlier outbreak linked to romaine prompted growers to revise safety standards by, for example, tripling the buffer zone between concentrated animal feeding operations (“CAFOs”) and leafy green crop fields. Other outbreaks, however, have failed to prod a similarly public response, raising the concern that history may soon repeat itself.

Turkey Is Bad on Antibiotics—Pork and Beef, Even Worse

DAVID WALLINGA, MD, NRDC Senior Health Advisor, Healthy People & Thriving Communities. Dr. Wallinga and NRDC have kindly allowed us to repost this article from the original on the NRDC blog.

 Heading into the holidays, many of our families are planning meals centered around a delicious turkey, ham or brisket. But a new analysis from NRDC and our partners at Food Animal Concerns Trust shows that our families' health is at significant risk from how these American meats are typically produced.

Just a week before Thanksgiving, there's news that an outbreak of antibiotic-resistant Salmonella, linked to raw turkey, is still spreading; it has sickened 164 people thus far, killing one. Each year, at least 2 million Americans suffer infections caused by drug-resistant bacteria, resulting in more than 23,000 deaths. Those numbers are rising according to experts

What's that got to do with your holiday dinner planning? Plenty, says our new analysis, released just in time for Antibiotic Awareness Week

Grades are in for America’s top burger chains

HANNAH LACASSE, U.S. PIRG EDUCATION FUND.

22 out of 25 get an “F” for a lack of meaningful policies restricting antibiotic use in their beef supply chains. Here’s our beef with the overuse of antibiotics in the beef industry:

On October 17, U.S. PIRG Education Fund, Consumer Reports, the Natural Resources Defense Council, Food Animal Concerns Trust, Friends of the Earth, and Center for Food Safety released the fourth annual Chain Reaction report. This year, the report surveyed and graded America’s top 25 burger chains on their antibiotic use policies and practices for the beef they buy.

FDA Five-year Plan on Antibiotics Falls Short

Steven Roach, Food Safety Program Director, Food Animal Concerns Trust

On September 14, the Food and Drug Administration (FDA) Center for Veterinary Medicine (CVM) released a Five-Year Action Plan to slow the spread of antibiotic resistance by reducing antibiotic overuse on the farm. While it is great that FDA continues to recognize the problem and take steps to address it, the plan does not do enough and does not include concrete goals for success. With the world on the brink of a post-antibiotic era where routine infection will once again kill and the threat of infection makes routine surgery dangerous, the FDA needs to do much more.

Economic studies support the withdrawal of antibiotics in animal feed to protect public health and agricultural environments

Dr. Tanya Roberts, PhD, Chair of the Center for Foodborne Illness Research and Prevention and retired Sr. Economist from Economic Research Service, United States Department of Agriculture

Antibiotic resistance (AR) is a huge global health challenge. Both the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) have identified the use of antibiotics to promote growth in farm animals as contributing to the development and spread of AR bacteria that are transmitted from animals to humans. If resistant bacteria contaminate the foods that come from those animals, people who consume these foods can develop serious and sometimes life-threatening AR infections.