Joan Delaney, TheEpochTimes.com
June 2009
The overuse and misuse of antibiotics in poultry and livestock worldwide is also causing human resistance to the medicines, leading to growing concerns that these all-important infection fighters are losing their effectiveness at a more rapid rate than previously thought.
For years, antibiotic resistance has been a problem in hospitals, where the heavy use of the drugs can breed resistant bacteria, resulting in infections that are difficult—or impossible—to treat.
But the overuse and misuse of antibiotics in poultry and livestock
worldwide is also causing human resistance to the medicines, leading to
growing concerns that these all-important infection fighters are losing
their effectiveness at a more rapid rate than previously thought.
In Canada, the use of cephalosporin in chicken hatcheries across the country
is causing resistance in humans to this class of antibiotics, according to a
recent report in the Canadian Medical Association Journal (CMAJ).
Surveillance data from the Canadian Integrated Program for Antimicrobial
Resistance (CIPARS) “strongly indicates that cephalosporin resistance in
humans is moving in lockstep with use of the drug in poultry production,”
said the CMAJ.
Between 2007 and 2008, resistance in retail chicken bacteria increased in
British Columbia, Quebec, and Saskatchewan—with B.C. rates soaring from 29
percent to 46 percent. A CIPARS update in March showed that ceftiofur
resistance in bacteria in chicken and humans “rose dramatically” in Ontario
in 2008.
In humans, cephalosporin antibiotics are used to treat respiratory tract
infections such as pneumonia as well as skin infections and urinary tract
infections.
Ceftiofur is injected into eggs in hatcheries as a prophylactic against
infection. This is an off- or extra-label use, meaning the antibiotics are
being employed in an unapproved way, according to the CMAJ report.
But Steve Leech, national program manager with Chicken Farmers of Canada,
says the extra-label use occurs “as part of our on-farm approved safety
program.”
“Health Canada and the Veterinary Drugs Director, which regulates
anti-microbial approval, recognize the importance of extra-label use in
agriculture and food producing animals, and it is viewed as a necessary
tool.”
Resistance Increasing
Antibiotic resistance has increased rapidly worldwide in the last decade,
and miracle drugs that once delivered a knock-out punch to even the most
virulent bacteria are increasingly losing their effectiveness.
In July 2008, the U.S. Food and Drug Administration ordered the livestock
and poultry industry to stop extra-label use of cephalosporins because of
the risk to human health.
Also in 2008, Health Canada, which did not respond to a request for comment
by deadline, introduced nonbinding labels to ceftiofur packages warning
against off-label use.
Critics say such measures don’t go nearly far enough to address the problem
of resistance, which is said to be at crisis proportions worldwide.
“There need to be tighter regulations,” says John Prescott, a professor at
the Department of Pathobiology at the University of Guelph in Ontario.
“I’m not sure where Health Canada’s going to go with this, but they are
responsible for the health of Canadians, that’s their mandate. I don’t think
they can just ignore this, and they can’t ignore some of the issues that are
driving resistance including the issues of ‘own use’ and using antibiotics
in an unregulated way.”
“Own use” are provisions in which farmers can import cephalosporins without
a prescription, explains Prescott, who is chair of the Canadian Committee on
Antibiotic Resistance.
“There’s a loophole in the regulations which allows farmers to import drugs
for their own use, and these don’t have to go through an approval process….
So the quantities of non-approved drugs in food animal use are quite high.”
Leech says the chicken industry is working with CIPARS to develop an on-farm
surveillance program to examine antimicrobial use and determine the extent
of the resistance.
“There are quite a number of confounding variables that come together to
result in resistance, and I think it’s worthwhile to go about the exercise
and determine exactly where it comes from.”
Paradise for Pathogens
“The industry does not just use antibiotics to control disease levels, they
also use antibiotics for the equal if not surpassing reason in meat-type
animals to enhance growth rate and size,” says Karen Davis, president of
United Poultry Concerns, a Virginia-based organization dedicated to the
respectful treatment of domestic fowl.
Davis, who just released an updated version of her book Prisoned Chickens,
Poisoned Eggs, says the stress, overcrowding, and unsanitary conditions
inherent in animal agriculture foster a host of diseases, hence the need for
high antibiotic use.
Davis lives in a big poultry producing area on the eastern shore of
Virginia, where it’s not uncommon for as many as 30,000 birds to be housed
in a 600-foot building.
“The way these birds are forced to live is the opposite of what nature
intended. They’re living in a very intensive type of slum situation where
diseases are going to advance and become more virulent and it’s a paradise
for pathogens—that’s just the reality of how the birds are living,” she
says.
Poultry litter, an important part of big broiler operations, is also a
culprit in the problem of resistance. Researchers at the University of
Georgia found that litter from industrial chicken houses harbours a “huge
reservoir” of resistant genes, called integrons, which “promote the spread
and persistence of clusters of varied antibiotic resistance genes.”
Such litter, according to Davis, is rendered and reused in livestock feed,
fertilizer, and other areas in the animal agriculture industry.
A study by the Massachusetts-based Union of Concerned Scientists found that
tetracycline, penicillin, erythromycin, and other antimicrobials that are
valuable for humans are used extensively in the absence of disease for
non-therapeutic purposes in livestock production.
Superbug MRSA
Researchers have found the presence of methicillin-resistant Staphylococcus
aureus (MRSA) on pig farms, where strains of MRSA have been discovered that
can jump from swine to humans. These strains have been isolated in several
countries, including Canada and the U.S.
“Right now what’s been shown is that in Europe, the U.S., Canada, and I
think in some Asian countries as well, contact with pigs has definitely been
shown to be a risk factor for carrying MRSA, and some people who carry MRSA
are going to get sick and then transfer it to other people who will get
sick,” says Steve Roach, spokesperson for Keep Antibiotics Working.
To prevent disease outbreaks and to stimulate growth, the hog industry adds
more than 10 million pounds of antibiotics to its feed, according to UCS.
The organization estimates that 70 percent of antibiotics and related drugs
used in the U.S. are used in animals.
However, some progress is being made in addressing antibiotic resistance,
largely through the voluntary decisions of private companies.
In 2003, McDonald's Corporation announced it would only buy chicken from
producers who do not use antibiotics for growth promotion, and some other
restaurant chains have followed suit. According to UCS, four of America's
top ten chicken producers have stopped using antibiotics for growth
promotion.
Using antibiotics for growth promotion has also been banned in Europe,
resulting in a dramatic decline in total antibiotic use in most European
countries. North America, says Roach, can do the same.
“I think that we can do a lot better than we’re doing in the U.S. and
Canada. The Europeans have reduced their amounts drastically…. So it can be
done.”
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