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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>Just an observation and hindsight’s 20/20, but IF the healthcare industry knew 50 yrs ago that over-prescribing antibiotics would lead to this, our younger generation(s) would not be as susceptible to 1/1000<sup>th</sup> the bacteria that are becoming more and more antibiotics resistance.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>Dad’s 92, Mom’s 85, and when they grew up, they didn’t know what an antibiotic was. Good ‘ol pine tar and other home remedies cured what ailed them. <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>Our younger generations have been over-medicated and over-sanitized to fight off bacteria by their own immune system. Seems we’re past the point of no return.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>Just my opinion.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>Allen g<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>DeBiasi, Deborah (DEQ)<br><b>Sent:</b> Monday, January 11, 2016 9:34 AM<br><b>To:</b> (pharmwaste@lists.dep.state.fl.us)<br><b>Subject:</b> [Pharmwaste] Another setback for antibiotics<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><h1 style='line-height:normal'><span lang=EN style='font-size:12.0pt;font-weight:normal'><a href="https://www.washingtonpost.com/opinions/another-setback-for-antibiotics/2016/01/10/feb4ee30-b649-11e5-a842-0feb51d1d124_story.html?wpmm=1&wpisrc=nl_opinions">https://www.washingtonpost.com/opinions/another-setback-for-antibiotics/2016/01/10/feb4ee30-b649-11e5-a842-0feb51d1d124_story.html?wpmm=1&wpisrc=nl_opinions</a><o:p></o:p></span></h1><h1><span lang=EN>Another setback for antibiotics<o:p></o:p></span></h1><p class=category-desc><span lang=EN>The inside track on Washington politics. <o:p></o:p></span></p><p class=MsoNormal style='line-height:12.0pt'><span class=hidetext><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight;color:#2E6D9D'><a href="https://www.washingtonpost.com/opinions/another-setback-for-antibiotics/2016/01/10/feb4ee30-b649-11e5-a842-0feb51d1d124_story.html?wpmm=1&wpisrc=nl_opinions"><span style='color:#2E6D9D;text-decoration:none'>Comments </span><span class=echocontainer7><span style='color:#2E6D9D;text-decoration:none'>3</span></span></a></span></span><span class=MsoHyperlink><o:p></o:p></span></p><p class=MsoNormal style='line-height:12.0pt'><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight'><o:p> </o:p></span></p><p class=MsoNormal style='line-height:12.0pt'><a name=b865aab30cfd514d1776807654daba0e0e609e29></a><span style='font-size:8.5pt;font-family:FranklinITCProLight'><img border=0 width=295 height=217 id="Picture_x0020_1" src="cid:image001.jpg@01D14C5D.82C9FC80" alt="https://img.washingtonpost.com/rf/image_1484w/2010-2019/WashingtonPost/2016/01/09/Editorial-Opinion/Images/Merlin_18163437.jpg?uuid=jGwrnLcjEeWnagtRRehnmg"></span><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight'><br></span><span class=pb-caption3><span lang=EN style='font-size:9.0pt'>A calf and a farmer in Newburg, Pa., in 2009. (Dayna Smith/for The Washington Post)</span></span><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight'> <o:p></o:p></span></p><p class=MsoNormal style='line-height:12.0pt'><span class=pb-byline3><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight'>By <a href="https://www.washingtonpost.com/opinions/the-posts-view/">Editorial Board</a></span></span><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight'> </span><span class=pb-timestamp3><span lang=EN style='font-size:7.0pt'>January 10 at 8:16 PM</span></span><span lang=EN style='font-size:8.5pt;font-family:FranklinITCProLight'> <o:p></o:p></span></p><p id=U10001178646127uBD><span lang=EN>THE REMARKABLE advances in genomics have provided an ever-more-startling view of life’s basic mechanics. Just in recent days, scientists sleuthing through huge databases unearthed a worrisome discovery: A mobile gene that can help bacteria resist antibiotics has <a href="http://phenomena.nationalgeographic.com/2016/01/07/colistin-r-7/">spread to many more countries than previously realized</a>. The good news is that technology is pulling back the curtain. The bad news is that the problem of antibiotic resistance has opened a new front. <o:p></o:p></span></p><p><span lang=EN>Ever since humans developed antibiotics in earnest more than half a century ago, bacteria have been finding ways to resist the drugs. For several decades it was possible to stay ahead of this trend by finding new antibiotics. But then the pace of innovation slowed, and bacteria evolved methods to resist more and more antibiotics. Without these drugs, some diseases can become untreatable.<o:p></o:p></span></p><p><span lang=EN>In November and December, researchers in China and Denmark <a href="https://www.washingtonpost.com/opinions/danger-in-the-genetic-pipeline/2015/12/11/1f7e8de0-9d0b-11e5-a3c5-c77f2cc5a43c_story.html">reported discovering </a>evidence of resistance to the <span style='background:yellow;mso-highlight:yellow'>antibiotic colistin</span>. A relatively old antibiotic with toxic side effects, colistin has been used for human health in the United States — when other antibiotics don’t work, colistin is sometimes deployed as a last resort — and it has been <a href="http://phenomena.nationalgeographic.com/2016/01/06/colistin-r-6/">used on farm animals overseas</a>. The resistance mechanism to colistin was carried on a plasmid, a kind of bus for genetic material, given the designation MCR-1 that can be transferred from one bacterium to another. <o:p></o:p></span></p><p><span lang=EN>Only weeks after the reports from China and Denmark, a <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2815%2900541-1/abstract">slew of new MCR-1 sightings</a> appeared in the journal the Lancet Infectious Diseases. In <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2816%2900007-4/fulltext">France</a>, scientists looked at 517 isolates from veal calves taken from 2005 to 2014 on 94 widely distant farms. They found MCR-1 on 21 percent of them and estimated that the dissemination happened a decade ago. In <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2816%2900009-8/fulltext">Germany</a>, researchers looked at 577 isolates since 2009 and found evidence of MCR-1 in three swine and one human . “Our data suggest that the advent of untreatable infections has already arrived,” they declared, because <span style='background:yellow;mso-highlight:yellow'>every bacteria resistant to colistin was also resistant to more modern antibiotics</span>. There were similar reports from scientists checking data from animals and people in <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2816%2900008-6/fulltext">Japan</a>, <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2816%2900014-1/abstract">Vietnam</a>, <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2816%2900006-2/fulltext">Switzerland</a>, <a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2816%2900012-8/fulltext">Belgium </a>and elsewhere. <o:p></o:p></span></p><p><span lang=EN>This kind of forensic examination is revelatory but not the last word. The agriculture industry has long defended giving antibiotics to healthy animals to help them grow larger and faster, saying that the practice does not contribute to resistance to antibiotics important to human health. But the latest findings suggest humans and other animals are not so easily separated when it comes to antibiotic resistance. It also suggests that relatively older antibiotics, like colistin, can lead to resistance that undermines more modern antibiotics vital to human health. Antibiotics have for too long been overused in both human health and animal agriculture, and the new research is yet another reason to insist these valuable drugs be dispensed more judiciously — everywhere.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#0000CC'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#0000CC'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;color:#000099'>Deborah L. DeBiasi<br><b>Email: <a href="mailto:Deborah.DeBiasi@deq.virginia.gov"><span style='color:#000099'>Deborah.DeBiasi@deq.virginia.gov</span></a><i><br></i></b>WEB site address: <a href="http://www.deq.virginia.gov/"><span style='color:#000099'>www.deq.virginia.gov</span></a><br>Virginia Department of Environmental Quality<br>Office of Water Permits <br>Industrial Pretreatment/Whole Effluent Toxicity (WET) Program<br>PPCPs, EDCs, and Microconstituents<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;color:#000099'><a href="http://www.deq.virginia.gov/Programs/Water/PermittingCompliance/PollutionDischargeElimination/Microconstituents.aspx"><span style='color:#000099'>http://www.deq.virginia.gov/Programs/Water/PermittingCompliance/PollutionDischargeElimination/Microconstituents.aspx</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;color:#000099'>Mail: P.O. Box 1105, Richmond, VA 23218<br>Location: 629 E. Main Street, Richmond, VA 23219<br>PH: 804-698-4028 FAX: 804-698-4032</span><span style='font-size:9.0pt;color:navy'><o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>