Friday, June 7, 2019

Warning of ‘Pig Zero’: One Drugmaker’s Push to Sell More Antibiotics - The New York Times

Facing a surge in drug-resistant infections, the World Health Organization issued a plea to farmers two years ago: "Stop using antibiotics in healthy animals."

But at last year's big swine industry trade show, the World Pork Expo in Des Moines, one of the largest manufacturers of drugs for livestock was pushing the opposite message.

"Don't wait for Pig Zero," warned a poster featuring a giant picture of a pig peeking through an enormous blue zero, at a booth run by the drugmaker Elanco.

The company's Pig Zero brochures encouraged farmers to give antibiotics to every pig in their herds rather than waiting to treat a disease outbreak caused by an unknown Patient Zero. It was an appealing pitch for industrial farms, where crowded, germ-prone conditions have led to increasing reliance on drug interventions. The pamphlets also detailed how feeding pigs a daily regimen of two antibiotics would make them fatter and, as any farmer understands, a heavier pig is a more profitable pig.

The rise of drug-resistant germs, caused by overuse of antibiotics, is one of the world's most nettlesome health predicaments. Excessive use of the medicines has allowed germs to develop defenses against them, rendering a growing number of drugs ineffective for people and animals. The practices of livestock farmers, who for decades have used huge quantities of the drugs deemed important to humans, have long been viewed as one of the roots of the problem, but the role of the companies that make the drugs has received less scrutiny.

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https://www.nytimes.com/2019/06/07/health/drug-companies-antibiotics-resistance.html

Sunday, June 2, 2019

Tweet by Julia Loewenthal, MD on Twitter

Julia Loewenthal, MD (@LoewenthalMd)
1/21 "Is there a nurse or doctor on board?"

Clinicians—have you ever responded to one of these?

Last week I left the hospital and boarded a flight for my vacation. I then responded to the mother of all in-flight emergencies…