UN calls drug-resistant germs in the environment a ‘ticking time-bomb’
Nairobi — The UN warned on Tuesday of a ticking time-bomb of drug-resistant germs brewing in the natural environment, aided by humans dumping antibiotics and chemicals into the water and soil.
If this continues, people will be at an even higher risk of contracting diseases, incurable with existing antibiotics, from swimming in the sea or other seemingly innocuous activities, a report warned.
"Around the world, discharge from municipal, agricultural and industrial waste in the environment means it is common to find antibiotic concentrations in many rivers, sediments and soils. It is steadily driving the evolution of resistant bacteria," the investigation warned bluntly. "A drug that once protected our health is now in danger of very quietly destroying it."
The report, entitled Frontiers 2017, was published at the UN Environment Assembly, the world’s paramount gathering on environmental matters.
Health watchdogs are already deeply worried about the dwindling armoury of weapons against germs. A report in 2014 warned that drug-resistant infections may kill 10-million people a year by 2050, making it the leading cause of death over heart disease and cancer. The cumulative economic cost would be about $100-trillion dollars by 2050.
A well-known problem is misuse or over-prescription of drugs, which enables bacteria to develop resistance that blunts frontline treatment. But the new report will deepen concerns, for it highlights a largely unacknowledged and poorly-researched factor — environmental pollution — that contributes to the resistance problem.
"We may enter what people are calling a post-antibiotic era, so we go back to the pre-1940s when simple infection ... will become very difficult, if not impossible" to treat, Will Gaze of the University of Exeter, who co-authored the new report, told AFP.
Bacteria that survive antibiotics can transfer genes that confer drug resistance directly between one another. The genes can be passed on to future generations or mutate further in the germ’s DNA.
Today, about 70% to 80% of all antibiotics humans take, or give to farm animals to prevent them from falling sick, are excreted back into the environment, partly through wastewater and agriculture. "So the majority of those hundreds of thousands of tonnes of antibiotics produced every year end up in the environment," Gaze explained.
Humans and animals also excrete germs, both resistant and non-resistant, into the environment, where they mix with the antibiotics and other, naturally-occurring bacteria. Add to the mix anti-bacterial products, such as disinfectants and heavy metals that are toxic to germs, and ideal conditions may be created for bacteria to develop drug-resistance in places where humans will come into contact with them.
"If we go into river systems, we see really big increases in resistance downstream [from] wastewater treatment plants ... and associated with certain types of land use, so grazing land for example," said Gaze. "If you go into coastal waters where ... you might be heavily exposed to the environment, we know we can measure quite high numbers of resistant bacteria there."