Did you read the lancet paper?
It answers a few of your questions.. like the non prescription use of antibiotics....
The link between England and India... This is not a coincidence.
And about the medical tourism:
NDM-1 Gene Spreading to Multiple Bacteria Species, Making Them Antibiotic-Resistant
Medical visas mark growth of Indian medical tourism
Medical tourism and New Delhi metallo β- lactamase 1- A concern and threat
I am not saying India is the only country to blame, but its clear there are major problems with sanitation in India.. A lot of the people are living in very dirty situations... (and yes thats not only in India the case, but India is more developed, has more money, has more oppertunities to handle things.. but it fails and a lot has to do with for example the caste system or the lack of rules , or not following them)
Like I said before: the use of antibiotics in fish/poultry for ages without a limit, the roses that are grown and the polution due to it. The industry thats poluting, tha plastics....
About the "so all clean hospitals have no nosocomial infections???" In every hospital its possible to have infections yes. In clean ones less and the change of having a superbug is smaller.
You cant deny the fact there are many very dirty hospitals in India. The system with the different castes is also making things more difficult.
Whats your opinion then on the fact that cows defecate on streets and it stays there , same with garbage trown on the street.. water that is poluted .. Dead rats on the street ....
Major efforts are being made , I agree, but still a lot has to be done. And yes, this is not only the fault of India, Europe and USA play a role in this too.
And I never said all resistance bearing bacteria come from India or Azia.. But its no secret that a lot of the problem cases come from these countries.
Another example: the bird flu.... Why do you think it comes from Azia.. its because of the way how they handle their poultry...
The government has not the same strict rules in using antibiotics for example.
In China (like in India) they still treat fish with massive amounts of antibiotics.
You did say that antibiotics are prescribed on a regular basis by Medical doctors (who spend years in medical school... )
What is your idea of alternative medicines? Do you think that the only way of ending infections is using antibiotics?
I will agree that central healthcare in India needs improvement, training and regulation but convicting a nation/ region for "granting antibiotic resistance" is like being a 10 yr old and saying "I dint do it, He did it". Modern Medicine being practised around the world is Western in origin, so should I blame the technology transfer methods adopted in the first place for all nosocomial infections? Why play this blame game, when we know that we all are responsible.
Our basic problem has been not understanding the potential of nature itself. Like Venter, who made synthetic DNA, but could not put it in a man-made cell, we are still too naive about how things work around us and within us.
And how do you think you can end a bacterial infection without the use of a antibiotic substance?
I really dont understand your point. Give me an example ? it the end it all turns down on having a certain substance that kills the bacteria? (or weakens them)
Or do you mean we need to find substances that are antibiotics, but dont come from fungi or bacteria?
Or do you really believe in the more alternative therapy like putting "jars" on your back and making them vacuum so they stick on your back? Or the "trowing up" therapy used in India to "clean" the body?
And about the technology transfer: there is this transfer yes, but how its used is up to the receiver and the receiver has to take care of the propper judgement and thats where it goes wrong: still using too much antibiotics etc.. (like said before: treating fish with it... or poultry or...)
Non prescripted antibiotica is easy to get in India....
And there is no blame game... there are simple facts and those facts need to be taken in care.. India has allready started doing this by setting limits on how much antibiotica can be used in fish or poultry.. but it still has a long way to go.
Edited by pito, 21 April 2011 - 04:41 AM.
If you don't know it, then ask it! Better to ask and look foolish to some then not ask and stay stupid.