This article is
dedicated to my friend Jan,
who is very much alive
at this moment,
but could have been
not anymore.
Jan and I are friends for already quite a long time. We met
each other through our wifes, who went to the Dutch civic integration college
together, and had a wonderful click since then. We found each other as worthy
opponents in political discussions and discussions about a zillion other topics
and as people who enjoy life to the fullest, On top of that we both got
children at roughly the same time...
Jan and I think differently about a lot of fundamental
things and his general position is more right-wing, while mine is more
left-wing in the political spectrum. Nevertheless, we appreciate each others
opinions and do agree upon a lot of topics, while differing on others. And Jan
is a truly honest guy, in the best Dutch tradition of: ‘a man is a man and a promise is a promise’. His word is his
guarantee and that is definitely an ironclad one.
Jan is also a person who helped me out in a few awkward
situations, that all had to do with me driving or parking at places where I
should not have driven or parked. One phone call and Jan was there to tow me
loose. With a big, ironic, yet understanding smile on his face and a twinkle in
his eyes, softly whispering: ‘You messed
up, right?!’
But at this very moment, Jan is not smiling...
Jan lies in a coma in an academic hospital in The
Netherlands, after he became critically ill. And even though his prognosis has fortunately
improved during the last few days, he is still anticipating a long sickbed and
a long, long period of revalidation, in order to be his old friendly, helpful
and politically aware self.
Apparently, his illness started relatively harmless with a
simple ear inflammation, but after a few days his left hand and arm became heavily
infected with an extremely dangerous, flesh-eating bacteria: allegedly a
streptococcus bacteria. Then his situation – which had been underestimated by
the family doctor in the first place – deteriorated very dramatically and when
he was finally brought to the hospital last Tuesday, he was in critical
condition.
This morning I visited him in the hospital for a short period.
It was heartbreaking to see this gentle giant of a man at the intensive care
department, in quite a deep coma; hooked up to a respirator and all kinds of
other machines that helped him to stay alive and survive his terrible illness.
In the meantime, Jan is making small steps forward, but he is still in a very
serious condition and will probably be the next few days.
When Jan survives his illness – I know he will – he will owe
his life to extremely strong, broad spectrum antibiotics and to the fact that
this miracle medicine is still able to kill even the most dangerous bacteria
species present in The Netherlands.
However, that is not so obvious as it sounds anymore...
The global emergence of various kinds of multi-resistent
bacteria inside and outside hospitals is an extremely worrisome development: think
for instance about the emergence of such bacteria in the open waters, that will
be used during the Olympic Games in Rio de Janeiro.
The fact that doctors and hospitals in many countries still
recklessly administer antibiotics to humans in situations when it is absolutely
not necessary, or that people still don’t use this drug in accordance with the
prescribed way, is very hazardous for the effectivity of these antibiotics: bacteria
which receive a less than lethal portion of antibiotics, might grow resistant
for it, thus changing in genuine killer bugs.
The fact that live cattle keepers/breeders and fish farms
still use shedloads of preventive antibiotics, to protect their live stock against
dangerous diseases in their overcrowded stables and fish farms, is even more dangerous.
Five years ago I wrote an article about the need to
develop new antibiotics, in order to fight the emergence of
multi-resistant bacteria, which cannot be destroyed at all by any of the
current kinds of antibiotics; even in combinations. Since that article, it
seemed to me that the silence from the pharmaceutical industry has been
deafening...
In the meantime Big Pharma kept producing new cardialgia
inhibitors, anti-cholesterol drugs, antidepressants, blood thinners, anti-diabetes
drugs and other drugs that are there in order to cure, but often especially to contain
(!) Western lifestyle diseases. Drugs that – as a matter of fact – I also need on
a daily basis to keep my current quality of life; at least some of them: I have
to admit that.
Such ‘lifestyle disease containment drugs’ are money makers
for the pharmaceutical industry, as the patients in many cases have to use them
for a long, long time and quite often even for life. Those pills are like a
checkbook that automatically writes a big paycheck every month, for every
company that produces them.
Unfortunately, new antibiotics are notoriously hard and
extremely expensive to develop, while taking years and years to do so. On top
of that they are probably not the real money-makers that these other lifestyle
pharmaceuticals are.
The obvious result of this is that the development of new
antibiotics still suffers from the stepmotherly treatment that these
indispensable, life-saving pharmaceuticals get from the industry.
But the world cannot wait anymore...
In case of large scale local (or global) wars with loads of critically
wounded people or large, uncontrollable outbreaks of bacterial diseases, the
presence of effective antibiotics can be a matter of life and death for
millions and millions of people. And the current types of antibiotics seem to lose
their effectiveness at an alarming speed.
This is the reason that international governments and
supranational, governmental organizations, like the EU, should run the
gauntlett and actively start to push the development of new antibiotics.
Not in ten years, not in five years, but now!
The development of new and effective antibiotics is just too
strategically important to leave it to the quirks of the free, international
pharmacy markets. Yes, strategically important is the right expression!
This development of antibiotics is so important that
governments should invest billions of dollars in it. Not in the form of warrant-free
subsidies on behalf of the common pharmacy companies, but directly: in
strategic, government-owned research centres, hospitals and laboratories, with
the help from the best universities and the brighest scientists.
After development, these new antibiotics should not be used
for widespread medication against relatively innocent human diseases, or on
behalf of the cattle and fish-farming industry.
No, they should be maintained as anti-bacterial weapons of
last resort, in case that all other medicine fails. It is our duty and the duty
of our governments to do so and not to wait until it is too late.
Jan’s wife, his children and his next-of-kin, as well as my
wife and I, all hope that Jan will open his eyes very soon and soon afterwards
is able to pick up his former life again. He will probably be saved by the
current generations of antibiotics.
But we must see to it that this privilege is also reserved
for our children and grandchildren and their friends, in the remainder of this
Century. This is a privilege that we should not abandon lightheartedly.