“For decades, public health experts have warned that the overuse of antibiotics was reducing the effectiveness of drugs that have lengthened life spans by curing bacterial infections once commonly fatal.“
I had Lyme disease, and I learned that the CDC recommends against treating anyone with antibiotics for longer than 30 days because of the above concern and because they say longer-term use can hurt people’s health. (The counter argument is that a lot of people only recover with extended use, and because of how severe Lyme can be—like MS or even ALS—patients and doctors consider the risk:benefit ratio to be in favor of the health risk, as with chemotherapy.) Because I know that many dermatologists prescribe doxycycline (which is the go-to for Lyme treatment) for years to treat acne, and this use is not discouraged by the CDC, I looked into the seeming contradictions.
One thing I found out alarmed me, and no one ever talks about it—ever. You do not hear it in the news.
I interviewed the person in charge of antibiotic husbandry at the CDC. She told me overprescription of antibiotics is a major public health concern and that the CDC is worried about it. Eventually, I asked about the practice of feeding livestock antibiotics to accelerate their growth. She said that that is a far more worrisome concern and more dangerous practice than overprescribing antibiotics to treat human illness because the scale is exponentially greater.
Many livestock are fed a mix of antibiotics of all different types EVERY SINGLE DAY for their entire lives because doing this speeds their muscle development and time to market.
The antibiotics in animal feed are not regulated—not dosage and not what medications are used.
The CDC person told me that they are seeing more zoonotic bacteria, viruses and fungi than ever before. Zoonotic refers to pathogens that are gestated in one species and “jump” into another. She told me most major potential public health threats come from animals raised for food.
I asked her why the CDC doesn’t warn about that since they warn a lot about overprescribing medications to human beings. Is it not as much of a risk? She told me that it’s a far greater risk, but that the CDC has no juris diction over agriculture; that’s not their department. Another governmental agency handles it—one responsible primarily for commerce and food safety, not for human public health in the sense of incubating deadly infections.
So, I asked her, what if beginning today no human being were ever prescribed another antibiotic again? Would that stop the development of antimicrobial-resistant infectious agents?
She sighed and said, in reality, it would make ZERO DIFFERENCE at all as long as agricultural practices remain the same. As long as livestock are fed antibiotics as a matter of course to make the animals meatier faster, we are incubating drug-resistant bacteria, viruses and fungi, and we will see plagues as a result, no question about it.
Why, then, doesn’t the CDC talk about this? I asked her again. Because, she said, it’s not our territory. But, I asked, are you not charged with protecting public health and preventing and controlling disease? Yes, she said, that is the CDC’s charge—but only within its own juris diction, which is human health. Until the diseases hop from farms to human beings, it’s just not their concern.