<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 12 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Wingdings;
panose-1:5 0 0 0 0 0 0 0 0 0;}
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";
color:#000099;}
h1
{mso-style-priority:9;
mso-style-link:"Heading 1 Char";
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:24.0pt;
font-family:"Times New Roman","serif";
font-weight:bold;}
h2
{mso-style-priority:9;
mso-style-link:"Heading 2 Char";
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:18.0pt;
font-family:"Times New Roman","serif";
font-weight:bold;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p
{mso-style-priority:99;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-priority:99;
mso-style-link:"Balloon Text Char";
margin:0in;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma","sans-serif";
color:#000099;}
span.EmailStyle17
{mso-style-type:personal-compose;
font-family:"Times New Roman","serif";
color:#000099;}
span.Heading1Char
{mso-style-name:"Heading 1 Char";
mso-style-priority:9;
mso-style-link:"Heading 1";
font-family:"Times New Roman","serif";
font-weight:bold;}
span.Heading2Char
{mso-style-name:"Heading 2 Char";
mso-style-priority:9;
mso-style-link:"Heading 2";
font-family:"Times New Roman","serif";
font-weight:bold;}
span.caption
{mso-style-name:caption;}
span.credit
{mso-style-name:credit;}
p.bylinebody, li.bylinebody, div.bylinebody
{mso-style-name:bylinebody;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.publisheddate, li.publisheddate, div.publisheddate
{mso-style-name:publisheddate;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.comments, li.comments, div.comments
{mso-style-name:comments;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
span.relcontdate
{mso-style-name:relcontdate;}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-priority:99;
mso-style-link:"Balloon Text";
font-family:"Tahoma","sans-serif";
color:#000099;}
.MsoChpDefault
{mso-style-type:export-only;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
/* List Definitions */
@list l0
{mso-list-id:735397188;
mso-list-template-ids:403489790;}
@list l0:level1
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
ol
{margin-bottom:0in;}
ul
{margin-bottom:0in;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="2050" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="blue" vlink="purple">
<div class="WordSection1">
<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><span style="font-size:12.0pt"><a href="http://www.telegraph.co.uk/health/healthnews/10797764/Antibiotic-crisis-bigger-than-Aids-as-common-infections-will-kill-WHO-warns.html">http://www.telegraph.co.uk/health/healthnews/10797764/Antibiotic-crisis-bigger-than-Aids-as-common-infections-will-kill-WHO-warns.html</a></span><o:p></o:p></font></p>
<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><o:p> </o:p></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><font size="6" color="black" face="Times New Roman"><span lang="EN" style="font-size:24.0pt;color:windowtext;font-weight:bold">Antibiotic crisis bigger than Aids as common infections
will kill, WHO warns <o:p></o:p></span></font></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><font size="5" color="black" face="Times New Roman"><span lang="EN" style="font-size:18.0pt;color:windowtext;font-weight:bold">Common infections and minor scratches could soon
kill because antibiotics are becoming useless against new superbugs, World Health Organisation warns
<o:p></o:p></span></font></b></p>
<p class="MsoNormal"><font size="3" color="black" face="Times New Roman"><span style="font-size:12.0pt;color:windowtext"><img border="0" width="620" height="387" id="Picture_x0020_1" src="cid:image001.jpg@01CF651C.DC0BE350" alt="The crisis is bigger and more urgent than the AIDS epidemic of the 1980s "></span></font><font color="black"><span lang="EN" style="color:windowtext"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">The crisis is bigger and more urgent than the AIDS epidemic of the 1980s Photo: Alamy<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><span style="font-size:12.0pt"><a href="http://www.telegraph.co.uk/journalists/"><font color="blue"><span style="color:blue;text-decoration:none"><img border="0" width="60" height="60" id="Picture_x0020_2" src="cid:image002.jpg@01CF651C.DC0BE350" alt="Rebecca Smith"></span></font></a></span></font><font color="black"><span lang="EN" style="color:windowtext"><o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">By
<a href="http://www.telegraph.co.uk/journalists/rebecca-smith/" title="Rebecca Smith">
<font color="blue"><span style="color:blue">Rebecca Smith</span></font></a>, Medical Editor<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">12:45PM BST 30 Apr 2014<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">A child's scratched knee from falling off their bike, common bladder
infections among the elderly in care homes and routine surgery to replace broken hips could all become fatal as antibiotics are becoming increasingly useless, the World Health Organisation has said.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">The crisis is bigger and more urgent than the Aids epidemic of the
1980s, it was warned. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">UK experts said the 'era of safe medicine is coming to an end' and
government funds must be pumped into the production of new drugs. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">In the foreword to the report Dr Keiji Fukuda, WHO’s Assistant Director-General
for Health Security, wrote: "A post-antibiotic era — in which common infections and minor injuries can kill — far from being an apocalyptic fantasy, is instead a very real possibility for the 21st century."
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">He said: "Unless we take significant actions to improve efforts to
prevent infections and also change how we produce, prescribe and use antibiotics, the world will lose more and more of these global public health goods and the implications will be devastating.”
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">He said modern medicine, from the treatment of urinary tract infections
and pneumonia in babies to chemotherapy and kidney dialysis are under threat. <o:p>
</o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">"This is not an abstract problem. We have a big problem now and it
is going to get bigger. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">"What do we do when we have infections we cannot treat or when we lose
the ability to protect people when having chemotherapy? I think there are very concrete implications, " he said.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">The report,<i><span style="font-style:italic"> Antimicrobial resistance:
global report on surveillance,</span></i> focuses on antibiotic resistance in seven different bacteria responsible for common, serious diseases such as sepsis, diarrhoea, pneumonia, urinary tract infections and gonorrhoea.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">It is the most comprehensive picture of drug resistance across the
globe with data from 114 countries. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">It found that antibiotic resistance is present in all areas of the
world and is growing. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Over the last 30 years no new types of antibiotics have been developed,
the WHO said. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Dr Danilo Lo Fo Wong, Senior Adviser Antimicrobial Resistance at WHO
Europe, told the Telegraph: "A child falling off their bike and developing a fatal infection would be a freak occurrence in the UK but that is where we are heading.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">"Antibiotic resistance travels with infectious diseases and infectious
diseases travel around the world. Whatever good is being done in the UK and elsewhere it can be made redundant by a lack of action elsewhere in the world."
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">The report comes after England's Chief Medical Officer, Dame Sally
Davis, said the issue 'scared' her and called for greater restriction of antibiotics and incentives for pharmaceutical companies to produce new medicines.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Professor Laura Piddock, Director of Antibiotic Action and Professor
of Microbiology at University of Birmingham said: “The world needs to respond as it did to the Aids crisis of the Eighties.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">"To do this, we need to be ambitious to succeed – moves such as a fully
funded mandatory global surveillance programme will document the size of the problem and funded public education will help minimise use – but these are just starting points. We still need a better understanding of all aspects of resistance as well as new discovery,
research and development of new antibiotics." <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">She said governments need to pump money into research to develop new
drugs and added that UK funding on antibiotic research as dropped to less than one per cent of available research funds.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Dr Lo Fo Wong warned that antibiotic resistance was bigger than the
1980s Aids crisis because "everyone is potentially in danger". <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">The report highlighted drug resistance in viral infections also, such
as HIV treatments, Tamiflu which is used to combat flu during epidemics and in some fungal infections.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Dr Paul Cosford, Director for Health Protection and Medical Director
at Public Health England, said: “Whilst the UK does not have the levels of antibiotic resistance seen in some parts of the world we do see patients with infections resistant to antibiotics and we take these very seriously.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">“Combating the development and spread of antibiotic resistance requires
a multifaceted approach and PHE is working very closely with its stakeholders to address this. Our work is contributing to the new cross-government national strategy that aims to tackle one of the biggest health care issues of our time.”
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Members of the public, health workers and pharmacists, and policymakers
could all play a part in fighting the superbugs, said the WHO. <o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Patients could help by only using antibiotics when they were prescribed
by a doctor, making sure they completed the full course of treatment even if feeling better, and never sharing antibiotics or using left over prescriptions.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Health professionals were reminded only to prescribe and dispense antibiotics
when they are truly needed and to ensure the right drugs were used for particular infections.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">Antibiotic use in food production can be reduced, Dr Fukuda said, and
better diagnostic tests need to be used in health care so drugs can be focused on those infections they will be most effective against.
<o:p></o:p></span></font></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><font size="3" color="black" face="Times New Roman"><span lang="EN" style="font-size:12.0pt;color:windowtext">The rise of antibiotic resistance will mean patients will spend longer
in hospital, incurring greater costs for health care systems globally, Dr Fukuda said.
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><o:p> </o:p></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Times New Roman"><span style="font-size:10.0pt;color:navy">Deborah L. DeBiasi</span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><b><font size="2" color="navy"><span style="font-size:10.0pt;color:navy;font-weight:bold">Email: Deborah.DeBiasi@deq.virginia.gov</span></font></b><b><i><font size="2" color="red"><span style="font-size:10.0pt;color:red;font-weight:bold;font-style:italic"><br>
</span></font></i></b><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">WEB site address:
<a href="http://www.deq.virginia.gov/">www.deq.virginia.gov</a></span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">Virginia Department of Environmental Quality</span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">Office of Water Permits
</span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">Industrial Pretreatment/Whole Effluent Toxicity (WET) Program</span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">PPCPs, EDCs, and Microconstituents<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Times New Roman"><span style="font-size:11.0pt;color:navy"><a href="http://www.deq.virginia.gov/Programs/Water/PermittingCompliance/PollutionDischargeElimination/Microconstituents.aspx">http://www.deq.virginia.gov/Programs/Water/PermittingCompliance/PollutionDischargeElimination/Microconstituents.aspx</a></span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Times New Roman"><span style="font-size:10.0pt;color:navy">Mail: P.O. Box 1105, Richmond, VA 23218</span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">Location: 629 E. Main Street, Richmond, VA 23219</span></font><font size="2" color="navy"><span style="font-size:11.0pt;color:navy"><br>
</span></font><font size="2" color="navy"><span style="font-size:10.0pt;color:navy">PH: 804-698-4028 FAX: 804-698-4032<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" color="#000099" face="Times New Roman"><o:p> </o:p></font></p>
</div>
</body>
</html>