Wednesday November 20, 2019

Resistance to Common Antibiotic Rising Among Indian Patients: Health Experts

In India, a huge population prefers to consume over-the-counter (OTC) drugs without even consulting a doctor

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Antibiotic
According to the World Health Organization (WHO), Antibiotic resistance is one of the biggest threats to global health, food security and development today. Pixabay

Resistance to commonly-used antibiotic clarithromycin is rising among Indian patients and that too at quite a fast pace, health experts have warned.

Clarithromycin is used to treat a wide variety of bacterial infections. This medication can also be used in combination with anti-ulcer medications to treat certain types of stomach ulcers.

According to the World Health Organization (WHO), antibiotic resistance is one of the biggest threats to global health, food security and development today.

Sunil Sofat, Additional Director, Department of Interventional Cardiology (Adult) at Jaypee Hospital in Noida, said that every antibiotic medicine has its own mechanism to treat diseases.

“Yes, this is true that the resistance to clarithromycin is rising among the Indian patients and that too at quite a fast pace. There are multiple factors for the same but one of the major reasons behind it is self-medication,” Sofat told IANS.

“In India, a huge population prefers to consume over-the-counter (OTC) drugs without even consulting a doctor. In the long run, this may make them resistant to most of the antibiotics including clarithromycin,” Sofat added.

Antibiotic
In India the consumption of Antibiotic Medicines without consulting a qualified physician is quite common which is leading to its resistance. Pixabay

In a recent study presented at United European Gastroenterology (UEG) Week Barcelona 2019, researchers have found that resistance to clarithromycin, one of the most established antimicrobials used to eradicate Helicobacter pylori (H. pylori), had increased from 9.9 per cent in 1998 to 21.6 per cent last year, with increases in resistance also seen for levofloxacin and metronidazole.

The study, which analysed 1,232 patients from 18 countries across Europe, investigated resistance to antibiotics regularly taken for Helicobacter pylori infection, a harmful bacterium associated with gastric ulcers, lymphoma and gastric cancer.

According to Gaurav Jain, Senior Consultant, Internal Medicine at Dharamshila Narayana Superspeciality Hospital, New Delhi, antibiotic resistance is a major concern.

“In India the consumption of antibiotics without consulting a qualified physician is quite common which is leading to its resistance,” Jain told IANS.

“There is increase in resistance to antibiotics including clarithromycin which is undoubtedly a worrisome situation in the country,” Jain said.

However, Deepak Verma of Internal Medicine at Columbia Asia Hospital, Ghaziabad said: “Most of the cases that we see in India are connected to gram-negative bacteria such as e.coli that causes urinary tract infection (UTI).”

Antibiotic
Antibiotic Medicines can force the pathogen to develop resistance. Pixabay

He added that the main causes for antibiotic resistance in India are its rampant misuse where people indulge in self-doctoring as well as taking medicines prescribed by unregistered medical practitioners, including quacks who suggest antibiotics quite indiscriminately.

“They primarily use antibiotics symptomatically which is not a correct method for all ailments — without blood and urine culture. Antibiotics can force the pathogen to develop resistance,” Verma explained.

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“Since the clinical culture in India is different from that of the western countries, the lack of awareness of the right process to prescribe antibiotics increases the chances of people using antibiotics without questioning,” he stressed. (IANS)

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Report: Express Grieving Conditions for Sanitation Workers in Developing Countries

Authors of the report say sanitation workers in developing countries largely operate in the informal sector

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Developing Countries
Sanitation workers are the people who work in jobs such as cleaning toilets, emptying pits and septic tanks, cleaning sewage and manholes and operating pumping stations and treatment plants, but their Condition is not good in Developing Countries. Wikimedia Commons

A new report by leading health and safety agencies finds millions of sanitation workers in Developing Countries are forced to work under horrific conditions that put their health and lives at risk.

Sanitation workers everywhere occupy the lowest rung of society and are stigmatized and marginalized because they do the dirty work that other people do not want to do.

The report’s authors – the International Labor Organization, the World Health Organization, the World Bank and Water Aid – say they hope to raise awareness on the plight of sanitation workers and the dehumanizing conditions under which they are forced to work. For example, the report says that many sanitation workers aren’t given the safety training or equipment needed to protect them when handling effluent or fecal sludge.

World Health Organization spokesman Christian Lindmeier says sanitation workers make an important contribution to public health at the risk of their own lives. Poor sanitation, he says, causes more than 430,000 deaths from diarrhea every year and is linked to the spread of other diseases such as cholera, dysentery, typhoid, hepatitis A and polio.

“Sanitation workers are the people who work in jobs such as cleaning toilets, emptying pits and septic tanks, cleaning sewage and manholes and operating pumping stations and treatment plants.… Waste must be correctly treated before being disposed of or used. However, workers often come into direct contact with human waste, working with no equipment or no protection to remove it by hand which exposes them to a long list of health hazards and diseases,” Lindmeier said.

Developing Countries
A new report by leading health and safety agencies finds millions of Sanitation Workers in Developing Countries are forced to work under horrific conditions that put their health and lives at risk. VOA

Authors of the report say sanitation workers in developing countries largely operate in the informal sector. They labor under abusive conditions, have no rights or social protections and are poorly paid.

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The study calls on countries to rectify these wrongs. It urges governments to enact laws and regulations that improve working conditions for sanitation workers and protect their safety and health. It says sanitation workers must be given the equipment and training necessary for the safe, proper disposal of waste. (VOA)