Posts Tagged Water

Resistance Is Futile

1928 was a happy year for humanity as this was the year that a nondescript mould called Penicillium notatum was found to have antibacterial properties. This mould would prove to be the first in a long line of what we now know as antibiotics. Antibiotics are a group of drugs that kill bacteria for us either by interfering with their cell wall, mucking up their DNA or messing with their metabolic processes so they cease to function. Unfortunately they do not affect viruses.

Before the discovery of antibiotics people died from all sorts of minor complaints such as small infected skin wounds (before penicillin1 in 9 skin infections killed people), mild burn infections, tooth abscesses and infected insect stings. Unfortunately, according to a recently published World Health Organisation report (http://www.who.int/drugresistance/documents/surveillancereport/en/), that time could be returning as more and more bacteria are laughing in the face of the antibiotics we use.

The natural world uses a marvellous tool to adapt to changing circumstances. It is called natural selection and it is based on genetic diversity. This means that when a disease comes along it rarely kills everyone. Some people will be naturally resistant to it. They will survive and breed and, before you know it, most people will be resistant and the disease will no longer kill people. Unfortunately the same is true for bacteria and antibiotics. In any given bacterial population some bacteria will be resistant to a given antibiotic. Using that antibiotic will kill off the sensitive bacteria, leaving the resistant ones behind to proliferate. This activity can be accelerated by increasing the use of antibiotics, especially when they are prescribed for conditions that cannot be resolved by antibiotic use, such as the common cold or flu, both of which are viruses and completely unaffected by antibiotics.

If you are prescribed antibiotics, to delay the onset of resistance appearing, it is vital to take your full dose and complete the prescription, even if you feel better ahead of time. Otherwise you have not killed the bacteria but only wounded them, allowing them the opportunity to strike back bigger and better than before.

It is also important to practice effective preventative medicine to minimise the number of times that antibiotics are needed. An example of this is gonorrhoea. More than one million people are infected with gonorrhoea around the world every day. Resistance of this bacterium to all antibiotics is becoming more and more common. Prevention is simple and obvious. All it requires is a condom. Preventative measures for other diseases can include vaccination, washing your hands with soap and water, wearing your protective gear at work, not allowing your pets to stick their tongues down your throat, washing your hands with soap and water, observing good hygiene when preparing food, washing your hands with soap and water, and sticking with bottled water if you are uncertain of the quality of the water supply. Oh, and did I mention washing your hands with soap and water?

Dr. F. Bunny

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MERS

MERS (Middle East Respiratory Syndrome) is the latest disease in nature’s little bag of tricks, which could turn into the next pandemic and solve our population issues for us. It is closely related to SARS (Severe Acute Respiratory Syndrome), both belonging to the same virus family. But, while SARS appeared in Asia, MERS first popped up in Saudi Arabia in 2012. Since then all cases have been seen either in the Middle East or in people who have travelled to the Middle East. As of June 2014 we have had 697 cases of which 210 people have died. As usual symptoms have been flu-like.

This is quite a high case fatality rate but, like bird flu, the virus has not raced around the world killing a third of the world’s population because it is not easily transferred from person to person, yet.

Any time one of these new diseases pops up it requires quite a bit of detective work to try and determine where it came from and how it works. It will probably come as no surprise that bats are once again implicated, the virus having been found in Egyptian tomb bats, a name guaranteed to generate sympathy with a nervous public.

Intriguingly the virus has also been found in camels, a situation which has some similarities with Hendra virus in Australia. Hendra virus lives happily in bats, infects horses (and kills them) and then spreads from horses to humans. However, as yet, there are no recorded cases of MERS causing disease in camels (although a number of camels have died in the UAE recently of undetermined cause, so this situation may change) and we have only recently seen the first confirmed case of a human catching the disease from a camel. Most of the other cases have been in people who have had very close contact with other sufferers. Where they caught it originally is still open to speculation.

It makes me think that the practice of veterinary medicine may be more dangerous than first thought. While we are all aware of the wonderful things we can catch from our primate neighbours no one really believed there was anything worth catching from our more distant cousins, like horses. Twenty years ago you would not have thought twice about examining a snuffly horse. Two years ago you would not have thought twice about examining a camel.

Australia has the largest feral camel population in the world, but no human cases of MERS. Preliminary testing of 25 camels has failed to find any evidence of MERS, implying that the Middle East camels may have been infected from the tomb bats or that the virus appeared in Middle East camels after the Australian population was established.

The upshot of all this is that we have absolutely no idea where the next fun plague might be coming from. As I get older and more paranoid I am becoming increasingly more nervous about travelling on crowded trains, planes and buses, full of sneezing and coughing people. And I am starting to think that sport is much more enjoyable when viewed from the comfort of my living room than from one of those packed sporting stadiums. I can see the day coming when I refuse to venture outside without my biohazard suit on.

Paranoia aside, most viruses are transferred between us via the things we touch, such as door handles, coffee cups, pens, etc. The best way to prevent this is by washing your hands frequently, with soap and water. To do it properly, sing the Happy Birthday song through twice while you are soaping up your hands. Oh, and don’t kiss bats, camels or any other non-human life forms. And maybe not even the human life forms.

Dr. F. Bunny

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Be Smart Choose Tap

Recently I participated in one of those “fun” runs. I must admit that I used to think the term “fun run” was an oxymoron but I appear to have been converted and can feel myself getting quite twitchy if I don’t go out and hit the pavement at least a couple of times a week.

All the participants at this particular event were handed a plastic drink bottle that was labelled, “Be Smart, Choose Tap” which started me thinking about the bizarre bottled water industry.

I can understand bottled water in countries full of Giardia, cryptosporidium, Salmonella and who knows what else, but to purchase bottled water in Australia seems to be the height of lunacy. It has been a brilliant advertising and marketing scam to convince us that somehow water in a plastic bottle is superior to water out of a tap.

There is, however, no evidence to support this and I, for one, can’t see why I should pay for something that I can get for free. Apart from being ripped off by the bottled water merchants there is also the issue of depleting the aquifers that contain the stuff along with producing mountains of plastic waste. While it would be nice to think that water bottles are all recycled, apparently that only happens to 36% of them, with the rest going to landfill (http://www.yvw.com.au/Home/Inyourcommunity/ChooseTap/index.htm).

The irony is that the people who buy bottled water are probably concerned about their health and environmental health. Unfortunately, while they are not harming their own health they are certainly acting in a way that is detrimental to environmental health. So, like the slogan says, “Be Smart. Choose Tap.”

Dr. F. Bunny

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