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- Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Dear Keith,
may you consider ALL onside septic tanks around the world are only very simplified
too.anaerobic digesters (AD)
Would it not better finding common grounds together and moving on CHANGES together, instead of "only" being AGAINST. Based on my own experiences, being just against is easier... Finding common grounds takes more time and efforts.
So I invite you to CHANGES - Re-thinking Progress: The Circular Economy
Maybe interesting for you too.
Best Regards,
Detlef
"simple" Sanitation-Solutions by gravity
Low-Tech Solutions with High-Tech Effects
"Inspired by Circular Economy and Cooperation"
www.flickr.com/photos/aqua-verde/
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You need to login to reply- Elisabeth
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Of course, I agree antibiotic abuse is likely the main issue, perhaps especially in livestock which humans eat.
About anaerobic digesters and the mentioned link to dairy farms in Germany ("rise in botulism cases"), you might find this thread on the forum interesting where Ralf Otterpohl and Heinz-Peter Mang discussed this in 2011/2012 (I do have a good memory ):
forum.susana.org/forum/categories/35-bio...o-biogas-plants#1630
Further discussion could take place under that thread if you like.
Cheers,
Elisabeth
Freelance consultant on environmental and climate projects
Located in Ulm, Germany
This email address is being protected from spambots. You need JavaScript enabled to view it.
My Wikipedia user profile: en.wikipedia.org/wiki/User:EMsmile
LinkedIn: www.linkedin.com/in/elisabethvonmuench/
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
The same issue of concern takes place in anaerobic digesters (AD), technology poised for explosive growth here in the USA. Perhaps you've already discussed AD somewhere on this forum. Livestock waste especially may be a problem in creating superbugs such as pathogenic clostridium said to have destroyed dairy farms in Germany.
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You need to login to replyRe: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Concerning horizontal gene transfer: yes that can happen in WWTPs, but it is not MORE likely to happen there according to the literature I have seen so far. In general it seems like the physio-chemical properties of untreated sewerage and bio-films of fecal bacteria seem to slightly favor this, but it still needs an selection pressure to actually result in an increase in resistance gene harboring bacteria. This however is not the case in WWTPs (concentrations of antibiotics are too low) or at least not more so than elsewhere along the sanitation chain.
Edit: Can we agree that miss-using antibiotics and then flushing it all down the drain is a bad idea, instead of playing a blame game and pointing fingers at WWTPs which are really at most a minor factor in this?
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
In one wastewater treatment plant, we had four to five of these superbugs coming out for every one that came in.
That sounds like a measured increase to me.
www.sciencedaily.com/releases/2013/12/131216142807.htm
Furthermore, and I never say furthermore, a mechanism by which superbugs are created in WWTP is horizontal gene transfer.
www.plosone.org/article/info%3Adoi%2F10....journal.pone.0078906
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You need to login to replyRe: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
The conclusions so far seem to be:
1. WWTPs are not an environment where anti-biotic resistance is created, thus the real problem is upstream of them and WWTPs are rather the place where this is most often observed/tested.
2. There seems to be some evidence that the conditions inside a WWTPs can lead to an relative (!) increase in bacteria containing certain resistance genes compared to the inflow and that WWTPs in general do not completely or sufficiently remove bacteria that contain these genes. However note that an relative increase does not mean that the bacteria are multiplied, and it also seems to be not a positive selection specifically for the resistance, but rather that certain types of bacterial grow better in WWTPs that also happen to contain resistance genes more often.
3. There is this one paper you linked an article about above that seems to suggest that they actually measured an absolute increase, but I can't access the full original publication (Uganda seems to be blocked completely by that publisher) and the sensationalist writing that actually gets quite a few things wrong (for example NDM-1 protects the bacteria only against one family of antibiotics, which is one that is commonly used, but by far not the only one and treatment is still possible) and that quotations seem suspiciously out of context makes me suspect that the original article might have been misinterpreted. (Edit: I read another news article about this, which already made it sound much less severe: only one of the two WWTPs had a higher release and it is unclear if those are viable bacteria after the chlorination step. It also mentioned that the authors of that paper are also working on a improved waste water disinfection process...)
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I agree that this entire topic is something that needs to be looked into further, and it certainly warrants specific measures to be taken in decentralized WWTPs of hospitals (which is nothing new), but mainly focusing on this issue which seems of relatively minor importance in the bigger picture of the wide spread increase in multi-drug resistant pathogenic bacteria is counter productive as it tries to eliminate symptoms far from the original cause.
P.S.: having worked in Pakistan, which is one of the last countries with endemic polio, and having seen the horrible effects and how people are rallying against vaccination for ideological reasons, I would be the absolute last to talk about "scare tactics" in relation to polio.
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
www.sciencedaily.com/releases/2013/12/131216142807.htm
Similarly, some people may believe the polio virus found in wastewater treatment plants is part of vaccination industry scare tactics. I'm not one of those people.
www.haaretz.com/news/national/.premium-1.546081
www.nation.com.pk/karachi/31-Dec-2013/83...rted-across-pakistan
www.nbcnews.com/health/polio-strain-syri...-confirms-2D11577484
www.nytimes.com/2013/01/24/health/egypt-...n-cairos-sewers.html
blog.psiimpact.com/2013/11/daily-impact-...io-vaccine-campaign/
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You need to login to replyRe: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Not because I would disagree that antibiotic-resistant "super-bugs" are a huge problem (they are!), but because they consistently try to shift the focus to the WWTPs, while the main issue is clearly upstream of them.
But I guess the simpler explanation is that sanitation researchers tend to focus on sanitation infrastructure
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
www.sciencedirect.com/science/article/pii/S0147651313000328Available data show significantly higher proportion of antibiotic resistant bacteria contained in raw and treated wastewater relative to surface water. According to these studies, the conditions in wastewater treatment plants (WWTPs) are favourable for the proliferation of ARB.
www.plosone.org/article/info%3Adoi%2F10....06#pone-0078906-g003We also found significant differences with respect to community structure and composition between upstream and downstream samples. Therefore, our results indicate that WWTP discharges may contribute to the spread of ARGs into the environment and may also impact on the bacterial communities of the receiving river.
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Re: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
www.nature.com/srep/2013/131219/srep0355...&utm_campaign=Buffer
Interesting about alphaproteobacteria as that's the type found predominant in brain microbiome per one study. Or, do you believe your brain is sterile . . . and did you know chorine raises cholesterol? Ask champion swimmer, Mark Spitz. Wastewater and drinking water treatment appear akin to deforestation, permanently altering "old growth" ecosystems.
Please see here:
"'Superbugs' Found Breeding in Sewage Plants"
www.sciencedaily.com/releases/2013/12/131216142807.htm
www.scientificamerican.com/article.cfm?i...lants-super-bacteria
www.sciencedaily.com/releases/2011/12/111207133042.htm
www.ncbi.nlm.nih.gov/pubmed/20112862
www.medscape.com/viewarticle/756378_8
www.sciencedirect.com/science/article/pii/S0043135402005699
www.formatex.info/microbiology2/509-519.pdf
www.ingentaconnect.com/content/tandf/bes...41/00000003/art00002
onlinelibrary.wiley.com/doi/10.1111/j.15...41.2005.00032.x/full
"These results demonstrate that final effluents from wastewater treatment plants are potential reservoirs of various antibiotics resistance genes."
www.biomedcentral.com/1471-2180/10/143
www.sciencedirect.com/science/article/pii/S0944501309001153
www.pbs.org/wgbh/pages/frontline/hunting...-nightmare-bacteria/
blogs.wsj.com/indiarealtime/2013/04/23/i...s-lost-superbug-war/
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You need to login to replyRe: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Pronounce: 'Sured'
Some of my work on: www.nienhuys.info
for correspondence: This email address is being protected from spambots. You need JavaScript enabled to view it.
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You need to login to replyRe: Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply
Antibiotic resistant bacteria might well turn into one of the major burdens of the 21st century, just good hygiene will probably not solve that problem as the genes for that are transferred horizontally between bacteria species. Add to that, that many potential pathogens are opportunistic, e.g. might live with you for an extended period of time, on your skin or in your guts without ever causing trouble, but "activate" once your immune system is weakened. If you are then treated with an antibiotic you are actually helping those resistant strains to multiply without competition, which is a recipe for disaster.
Good personal hygiene will help somewhat, but you always have these bacteria on your skin and in your guts, in fact removing them would make you ill.
So these resistant bacteria really have to be dealt with in a way that they never even develop, as once the resistance giving plasmids are out in the wild it's almost impossible to get rid of them again.
So how can this be done? Well these resistances develop where antibiotics are administered to patients, mostly in hospitals (but also in ambulant and self medicating patients, as well as in industrial livestock farming), and the only way to really stop this from happening (given you still treat the patients) is to have an effective mix of antibiotics to make sure one of them finishes of the bacteria that might have been become resistant to the others.
So to conclude... improved hygiene and especially treatment of hospital wastes might lessen the problem somewhat, but it really needs to be dealt with at the source! That however can only be done by strictly regulating the use of antibiotics and developing new and improved ones that are still effective.
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- Mutated Entero Superbugs Being Spread in India's Sewage and Water Supply