A study earlier this year [ http://articles.latimes.com/2011/apr/15/news/la-heb-meat-bacteria-20110415 ] by a nonprofit research center in Phoenix analyzed 80 brands of beef, pork, chicken and turkey from five cities and found that 47 percent contained staphylococcus aureus [ http://www.medicinenet.com/staph_infection/article.htm ], a bacteria that can cause anything from minor skin infections to pneumonia and sepsis, more technically called systemic inflammatory response syndrome (SIRS), and commonly known as blood poisoning — but no matter what you call it, plenty scary. Of those bacteria, 52 percent were resistant to at least three classes of antibiotics. So when you go to the supermarket to buy one of these brands of pre-ground meat products, there’s a roughly 25 percent chance you’ll consume a potentially fatal bacteria that doesn’t respond to commonly prescribed drugs.
It’s not like this is happening without a reason; the little germs have plenty of practice fighting the drugs designed to kill them in the industrially raised animals to which antibiotics are routinely fed. And although it’s economical for producers to drug animals prophylactically[1], there are many strong arguments against the use of those drugs, including their declining efficacy in humans.
Probably you’d agree with the couple of people I described this situation to earlier this week, one of whom said something like, “Ugh, that’s crazy,” and the other simply, “They gotta do something about that!”
The thing is, “they” did. In 1977.
That’s when the Food and Drug Administration, aware of the health risks of administering antibiotics to healthy farm animals, proposed to withdraw its prior approval of putting penicillin and tetracycline in animal feed. Per their procedure, the F.D.A. then issued two “notices of opportunity for a hearing,” which were put on hold by Congress until further research could be conducted. On hold is exactly where the F.D.A.’s requests have been since your dad had sideburns.
Not because the situation has gotten better, that’s for sure; the agency is well aware that it’s only gotten worse. A staggering 80 percent of the antibiotics sold in the U.S. are given to farm animals [ http://www.wired.com/wiredscience/2010/12/news-update-farm-animals-get-80-of-antibiotics-sold-in-us/ ], mostly, as I said, prophylactically: the low-dose drugs help the animals fatten quickly and presumably help ward off diseases caused by squalid living conditions. The animals become perfect breeding grounds for bacteria to gain resistance to the drugs, and our inadequate testing procedures allow them to make their way into stores and our guts.
In its announcement last week [ http://www.gpo.gov/fdsys/pkg/FR-2011-12-22/html/2011-32775.htm ], the agency said that its “efforts will focus on promoting voluntary reform and the judicious use of antimicrobials in the interest of best using the agency’s overall resources to protect the public health.” What this means is that the F.D.A. has neither the budget nor the political support to mandate regulation.
Here’s the nut: The F.D.A. has no money to spare, but the corporations that control the food industry have all they need, along with the political power it buys. That’s why we can say this without equivocation: public health, the quality of our food, and animal welfare are all sacrificed to the profits that can be made by raising animals in factories. Plying “healthy” farm animals (the quotation marks because how healthy, after all, can battery chickens be?) with antibiotics — a practice the EU banned in 2006 [ http://www.ucsusa.org/food_and_agriculture/solutions/wise_antibiotics/european-union-bans.html ] — is as much a part of the American food system as childhood obesity and commodity corn. Animals move from farm to refrigerator case in record time; banning prophylactic drugs would slow this process down, and with it the meat industry’s rate of profit. Lawmakers beholden to corporate money are not about to let that happen, at least not without a fight.
*
[1] Economical, that is, as long as you don’t count the cost of human lives and suffering or the actual dollars it costs to treat the disease. Once that’s included, the cost to the U.S. healthcare system of treating such antibiotic-resistant infections in humans is estimated to be between $16 billion and $26 billion per year [ http://www.prnewswire.com/news-releases/antibiotic-resistant-infections-cost-the-us-healthcare-system-in-excess-of-20-billion-annually-64727562.html ]. But there’s no reason for animal producers to care about that unless they’re required to — or exhibit unusual levels of altruism.
[3] It’s worth noting that the F.D.A. is responsible for regulating antibiotics, but the department of agriculture (USDA) oversees the actual animals that receive them. Why it’s too much to ask for a single agency overseeing the production and health of animals is beyond me, but later for that.
Scientists have long worried that an influenza virus that has ravaged poultry and wild birds in Asia might evolve to pose a threat to humans. Now scientists financed by the National Institutes of Health have shown in a laboratory how that could happen. In the process they created a virus that could kill tens or hundreds of millions of people if it escaped confinement or was stolen by terrorists.
We nearly always champion unfettered scientific research and open publication of the results. In this case it looks like the research should never have been undertaken because the potential harm is so catastrophic and the potential benefits from studying the virus so speculative.
Unless the scientific community and health officials can provide more persuasive justifications than they have so far, the new virus, which is in the Netherlands, ought to be destroyed. Barring that, it should be put in a few government-controlled laboratories with the highest containment rating, known as biosafety level 4. That is how the United States and Russia contain samples of smallpox, which poses nowhere near the same danger of global devastation.
In the future, it is imperative that any such experiments be rigorously analyzed for potential dangers — preferably through an international review mechanism, but also by governmental funding agencies — before they are undertaken, not after the fact as is happening in this case.
The most frightening research was done by scientists at the Erasmus Medical Center in Rotterdam, who sought to discover how likely it is that the “bird flu” virus, designated A(H5N1), might mutate from a form that seldom infects or spreads among humans into a form highly transmissible by coughing or sneezing. Thus far the virus has infected close to 600 humans and killed more than half of them, a fatality rate that far exceeds the 2 percent rate in the 1918 influenza pandemic that killed as many as 100 million people.
Working with ferrets, the animal that is most like humans in responding to influenza, the researchers found that a mere five genetic mutations allowed the virus to spread through the air from one ferret to another while maintaining its lethality. A separate study at the University of Wisconsin, about which little is known publicly, produced a virus that is thought to be less virulent.
These findings led to an unprecedented request from an American federal advisory board that the researchers and the two scientific journals that plan to publish the studies omit any details that might help terrorists figure out how to unleash a devastating pandemic. That presumably includes details on how the engineered virus was made and details on the precise mutations that allowed it to go airborne.
We doubt that anything at all should be published, but it seems clear that something will be.
The two journals reviewing the papers seem inclined to follow the advisory board’s recommendations that the research be published in a redacted form, provided there is some way for researchers who need the information to gain access to the full details. The Erasmus team believes that more than 100 laboratories and perhaps 1,000 scientists around the world need to know the precise mutations to look for. That would spread the information far too widely. It should suffice to have a few of the most sophisticated laboratories do the analyses.
Defenders of the research in Rotterdam claim it will provide two major benefits for protecting global health. First, they say the findings could prove helpful in monitoring virus samples from infected birds and animals. If genetic analysis found a virus somewhere that was only one or two mutations away from going airborne, public health officials would then know to bear down aggressively in that area to limit human contact with infected poultry and ramp up supplies of vaccines and medicines.
But it is highly uncertain, even improbable, that the virus would mutate in nature along the pathways prodded in a laboratory environment, so the benefit of looking for these five mutations seems marginal.
A second postulated benefit is that the engineered virus can be used to test whether existing antiviral drugs and vaccines would be effective against it and, if they come up short, design new drugs and vaccines that can neutralize it. But genetic changes that affect transmissibility do not necessarily change the properties that make a virus susceptible to drugs or to the antibodies produced by a vaccine, so that approach may not yield much useful new information.
We cannot say there would be no benefits at all from studying the virus. We respect the researchers’ desire to protect public health. But the consequences, should the virus escape, are too devastating to risk.