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Saturday, November 23, 2019 Vol. 15 No. 44
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SEA GAMES BUDGET ‘WELL SPENT’
TOP government officials—Philippine Southeast Asian Games Organizing Committee Chairman and House Speaker Alan Peter Cayetano, Executive Secretary Salvador Medialdea, Finance Secretary Carlos Dominguez, Public Works Secretary Mark Villar, Bases Conversion and Development Authority President and CEO Vince Dizon, Philippine Olympic Committee President Rep. Abraham “Bambol” Tolentino, Albay Rep. Joey Salceda, Tarlac Rep. Noel Villanueva, Tarlac Gov. Susan Yap and Clark Development Corporation President and CEO Noel Manankil—inspect the New Clark City sports facilities in Capas, Tarlac, on Thursday. Story and more photos on A8. BERNARD TESTA
WHEN ANTIBIOTICS FAIL Cooperation against antimicrobial resistance urged to save more lives
A
By Roderick L. Abad Contributor
10M
NTIMICROBIAL resistance (AMR) could take 10 million lives annually by 2050, unless the health-care sector, governments, stakeholders and the people work together fast to address this challenge, experts warned. tions being incurable and at a high risk of spreading to others. “Simply put, it’s when you have a group of bugs…which [was] previously [treated] when you used [an] antibiotic, it would kill the bug and, in effect, it will be able to treat the infection. But if you have antimicrobial resistance [and if] you use the same antibiotic…it’s not able to kill the bug. Hence, you don’t get better from the infection,” explained Dr. Ma. Charmian M. Hufano, medical consultant in internal medicine and infectious diseases at De Los Santos Medical Center (DLSMC) and St. Luke’s Medical Center. Approximately at least 700,000 people die each year due to drug-resistant diseases, per the latest UN report. Apart from humans, AMR also affects animals
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The magnitude of this global threat over the next 30 years, based on a report prepared by the United Nations Ad hoc Interagency Coordinating Group on AMR, was raised by Pfizer Philippines Country Brand Lead Rene Carlo B. Pascual at a recent media roundtable discussion as part of the observance of World Antibiotic Awareness Week, which runs until November 24, 2019. “This is not because of a natural calamity, not because of an earthquake, not because of a typhoon, but it’s another phenomenon which we can [already deal with] today,” he said. AMR among microorganisms, such as bacteria, viruses and fungi, is mainly caused by improper use of antibiotics. This leads to infec-
Estimated death count by 2050 if the challenge posed by antimicrobial resistance is not properly addressed as early as today.
and the environment.
Improper use of antibiotics
HEALTH professionals agree that inappropriate use of antibiotics could be partly blamed for the rise of AMR worldwide. Citing the study of the World
Health Organization (WHO) on how antibiotics are being used in primary care in developing and transitional countries that included the Philippines from 1990 to 2006, Hufano revealed that more than 50 percent of antibiotic prescriptions were identified as “inap-
‘AMR affects everyone, any age, any social class, all over the world. It is a worldwide challenge. That is why programs by the DOH, and under the Universal Healthcare law, include the proper distribution, administration and taking of antibiotics. We need to be responsible as health-industry workers, and the public, as people who consume medicines, [must also be responsible].’—Dr. Rontgene M. Solante, former president of the Philippine Society for Microbiology and Infectious Diseases
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propriate,” or “given at the wrong dose, at the wrong duration, or for the wrong indication.” If the so-called “antibiotic selective pressure” brought about by the use of antibiotic appropriately and inappropriately becomes very strong, the acquisition of drug resistance becomes faster, Hufano noted. “So we are faced with the possibility that there will be not enough antibiotics to treat even common infections,” she cautioned. The Clinical Infectious Diseases journal reported in 2008 that the recent number of new antibiotics launched in the market is lower compared to the early years. It showed that there were 16 antibacterial agents made available in
the market from 1983 to 1987; 14, from 1988 to 1992; 10, from 1993 to 1997; 7, from 1998 to 2002; 5, from 2003 to 2007; and 2, from 2008 to 2012. “Less and less new antibiotics are being introduced. So this is what we forecast if nothing is done about this,” said Hufano, who is also the chairman of the Department of Medicine and the Committee of Antimicrobial Stewardship at Dela Salle Medical Center (DLSMC). Another negative effect of improper use of antibiotics, she said, is the possibility that these medications will no longer work when used to treat patients with drug-resistant bugs. Given Continued on a2
n JAPAN 0.4691 n UK 65.7855 n HK 6.5163 n CHINA 7.2499 n SINGAPORE 37.3832 n AUSTRALIA 34.5641 n EU 56.3432 n SAUDI ARABIA 13.5882
Source: BSP (November 22, 2019 )