Antibiotic crisis grows while drug companies make lifestyle meds
November 22, 2011 By Matthew Thompson in Diseases, Conditions, Syndromes
South Korean models promote Cialis, a drug made by Eli Lilly that claims to make men potent for up to 36 hours, dosage depending. Credit: AAP/Yonhap News.
Antibiotics for acute infections are a pillar of medicine, but doctors say the pillar is crumbling as pharmaceutical companies neglect antibiotic development and instead chase massive profits from chronic illnesses and lifestyle diseases.
With a surge in often lethal infections that are resistant to existing antibiotics coinciding with a drastic shortage of new antibiotics in development, Professor Laura Piddock, of the University of Birminghams School of Immunity and Infection, has called for a global alliance to find a new generation of this most staple of medicines.
Writing in The Lancet Infectious Diseases edition last week, Professor Piddock argues that the drug industry will be shooting itself in the foot if it continues its myopic focus on the most lucrative drugs: pharmaceutical companies need to recognise that many expensive medicines in their portfolio and in development might by useless if patients succumb to fatal infections. Therefore, their return on investment for products to treat cancer or chronic diseases depends, in part, on effective treatment of infections.
Professor Piddock, who is also the President of the British Society for Antimicrobial Chemotherapy, writes that while public attention is often focused on access to exotic new drugs for diseases such as cancer, it is antibiotics that routinely keep cancer patients alive. The same is true for people aged over 65 whose immune systems are naturally waning yet often find themselves having medical procedures, Professor Piddock writes. For such people, antibiotics are an integral and routine part of treatment.
Yet, this routine treatment is increasingly failing as infectious bacteria become resistant to antibiotics. The World Health Organization (WHO) warns that many infectious diseases risk becoming uncontrollable.
Even as the antibiotic pipeline is drying up, discovering new ones is much more difficult than it used to be, said Professor Ken Harvey, Adjunct Senior Lecturer of Public Health at La Trobe University.
The low-hanging fruits disappeared. Penicillin came from a mould that floated in through the window of Alexander Flemings laboratory. Streptomycin came from a mould on a cantaloupe. The easy stuff has been done, and its more difficult to develop new drugs, Professor Harvey said.
Another really big problem is that the industry really hasnt put the money into it in recent years, and theres a reason for that: theres not a good return on investment with antibiotics when you compare them to drugs for diabetes, heart disease these are chronic, lifelong diseases that need lifelong medication the problem is that antibiotics are basically used in short courses to treat infections, Professor Harvey said
They [the drug companies] say theres no return on investment, and thats rather ironic because classically thats been the problem of neglected diseases in the third world where poor people dont have the money to pay for medicines, and so they havent researched tropical diseases, etcetera, but now its definitely come home to bite developed countries with antibiotics, Professor Harvey said.
The relatively few new antibiotics suitable for resistant organisms are often used very sparingly to avoid the bugs finding ways to overcome them and this practice compounds the commercial disincentive to develop such medicines, Professor Harvey said.
Theres no profit in it, and therefore the research has dried up, but meanwhile bacterial resistance has increased inexorably and theres still a lot of inappropriate use of antibiotics out there. There are now some organisms in hospital practice that are resistant to everything weve got and patients are dying, but they tend to be immuno-suppressed patients, critically ill, with lots of other things wrong with them. We are running out of antibiotics the germs are doing well and the chemists have not given us what we should have, Professor Harvey said. The profit orientated approach, which has been quite successful for chronic diseases because theres money in it, is not working for antibiotics.
Developing medicines for ongoing conditions is often so profitable that the drug industry sometimes exaggerates the incidence of diseases requiring ongoing medication or even invents diseases to suit, Professor Harvey said.
Disease mongering its called, said Professor Harvey. The focus were trying to bring the industry to is to produce drugs that are genuinely needed rather than producing drugs that arent needed, but its more profitable to produce the 15th anti-depressant or the 27th anti-hypertensive than it is to produce a new antibiotic at the moment, because you can market them aggressively and try to make out that new is better than old when often it isnt.
Meanwhile, antibiotic-resistant superbugs are killing an estimated 500,000 people each year just in Europe and the US, according to Matthew Cooper, the Professor of Molecular Bioscience at the University of Queensland. With each patient who gets a superbug staying in an ICU [intensive care unit] upwards of a week, its costing the US alone upwards of $20 billion a year its an enormous cost to society, said Professor Cooper, who is working to gather the figures for Australia.
Despite the toll of our failing antibiotics, it would be unrealistic to expect pharmaceutical companies to pull their R&D money out of more lucrative drugs aimed at patients who need to take them for years. We cant change capitalist behaviour; we live in a capitalist society, and drug companies need to make money to survive. What we can do, however, is look at different types of business models, he said.
In addition to hybrid models of public-private partnerships, we could use patent extension [for new antibiotics] so they have five more years before it becomes generic, or if the government subsidised the cost of Phase III trials [randomised multi-centre trials on large numbers of patients], then not just big pharma companies but smaller biotechs could afford to develop antibiotics, Professor Cooper said. When a new drug is launched it will not only save millions of lives, it will save billions of dollars so it makes a lot of sense to look at different types of business models and development models that will encourage biotechs to invest in antibiotics again.
A global alliance to develop new antibiotics was vital but not unprecedented, Professor Cooper said. Weve seen a couple of global alliances make a huge impact polio vaccine, small pox. HIV/AIDS is a good example because there was a fantastic lobbying alliance by the gay community in America and right now weve got great drugs for HIV/AIDS and people dont actually die in Africa very much anymore from HIV, they die from TB tuberculosis so when we actually behave in an egalitarian manner and put our resources together we can make a big difference, he said.
This story is published courtesy of the The Conversation (under Creative Commons-Attribution/No derivatives).
Source: The Conversation
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Nov 22, 2011
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Nov 22, 2011
Rank: 5 / 5 (1)
How about the government create a US Department of Medical Research. Supply the building, hire the scientists at comparable wages and develop what industry won't. Profits could be shared between the scientists and the Treasury.
Nov 23, 2011
Rank: 1.6 / 5 (7)
Quite the opposite, in point of fact.
You're talking about one of the most heavily regulated industries in existence. So, it's difficult to say what capitalism could or could not do, on its own.
Eli Lilly, for example, was where I first became familiar with the ins and outs of this industry (as a consultant). Inside it's spectacular headquarters in Indianapolis, IN, there are whole sections of offices set aside for the government agencies that essentially manage many aspects of Lilly's operation.
This is a type of intrusive government action that is unheard of in other industries.
In any case, the truth of this whole thing is much simpler. It's extraordinarily expensive, time-consuming and legally challenging to develop antibiotics. And the payback is very minimal. Not a good business model.
Nov 25, 2011
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Um...this is why Capitalism fails here dude....
Nov 25, 2011
Rank: 4.4 / 5 (7)
American style Capitalism is such a spectacular failure at producing improvements in the quality of life of most people.
"In any case, the truth of this whole thing is much simpler. It's extraordinarily expensive, time-consuming and legally challenging to develop antibiotics. And the payback is very minimal. Not a good business model." - NerdGuy
Nov 25, 2011
Rank: 1.6 / 5 (7)
Why isn't the EU or Canadian drug industry picking up the slack?
Nov 26, 2011
Rank: 4.4 / 5 (7)
Because Intellectual Property rules agreed to to provide vast wealth to the pharmaceutics industry prevent it.
Having said that....
Global Drug Discovery: Europe Is Ahead
http://content.he...abstract
Nov 26, 2011
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Nov 27, 2011
Rank: 1 / 5 (7)
How so? There is little capitalism involved...
Nov 27, 2011
Rank: 1 / 5 (7)
I believe one might argue -- despite the communist tendencies on this whacked-out forum -- quite the opposite case.
Capitalism is a system independent of time or place. It is a solution for ultimate stability, where it is allowed to thrive.
Do you really believe that the greatest period of enlightenment, as well as phenomenal social, economic, technical and medical growth has come about due to anything other than capitalism?
The U.S., Europe, and large parts of Asia have embraced capitalism, and the world has never looked back. Socialism has died a horrible death around the globe, and the world hasn't looked back. China and Russia have converted to capitalism, and things have never been better. Indeed, though the world economy is slightly depressed at this moment, capitalism has proven its worth and its ability to create stability.
Nov 27, 2011
Rank: 1 / 5 (7)
If they are able to do so, are they or are they not?
Nov 27, 2011
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http://upload.wik...1960.gif
Nov 27, 2011
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Nov 27, 2011
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Nov 27, 2011
Rank: 1 / 5 (7)
You have this backwards.
It was socialism that led to WWI and WWII.
FDR was a socialist and an admirer of Mussolini, a national socialist.
Nov 27, 2011
Rank: 1 / 5 (7)
Perhaps in your fantasies this might be the case Callipo, but clearly nowhere else. With the sole exception of the ludicrous healthcare act that was shoved down our throats, Americans have made no move whatsoever towards socialism. And, in point of fact, a majority of Americans are against the lunatic healthcare law. EU? Nowhere I've seen. Did England suddenly go Marxist while I was sleeping?
You need to fact check. The VAST majority of formerly socialist/communist/marxist/bolshevik/etc. individuals throughout the world have renounced it as lunacy.
Nov 27, 2011
Rank: 2.7 / 5 (14)
Wait, capitalism hasn't failed but pharma companies don't make antibiotics because they aren't profitable. How is that not a failure of capitalism? Are you redefining words again?
Nov 27, 2011
Rank: 1 / 5 (7)
Where is the free market for anti-biotics?
Every step in the process is controlled by some govt agency, even the sales price.
Anyway, I hear anti-biotics have been so over prescribed that they are becoming ineffective.
Nov 28, 2011
Rank: 1 / 5 (7)
I don't ever redefine words. If anything, I'm far too anal about them.
The problem is, you are purposely trolling or just not bright enough to get the point. Either way, you should move on before you stub your intellect or something.
Nov 28, 2011
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Also Capitalism does not maintain stability. It is a system based on growth, profit and competition. I actually disagree with the article regarding the fact that it is a quest for monopoly (agree with the greed part) as we have laws in place to prevent monopoly, but it is the competiton aspect that has guided us in the direction of mass consumerism. The shoppers mentality of having the latest and greatest and mfg's feeding on this by timed releases of products (MS had the P4 processor when they were marketing the P1 for example)has resulted in the massive upward spiral in everything we produce and throw away.You really believe the entire world living as we have for the last 30 years is sustainable?
Nov 28, 2011
Rank: 1 / 5 (7)
I didn't quote anything from the article. Osiris did. As I said, there's no way to know if capitalism failed, as the drug industry doesn't work in a capitalistic environment.
100 plus years of intellectual thought from the greatest minds in U.S. history in research, the military and government would disagree with you. Capitalism is THE single greatest contributor to global stability, and every U.S. administration since the latter 19th century has made this claim. It's well documented.
This is vague. Define "...living as we have..."
Nov 29, 2011
Rank: 5 / 5 (1)
Until the fall of the soviet union, 100 years of intellectual thought from their greatest minds beleived communism was the best way of life (it's also well documented)....at some point for them, it was. Same with China. The greatest contributor to global stability has been the constant existence of more than one "super power" since the dawn of the industrial age. There has always been someone to keep the other guy in check.
Nov 29, 2011
Rank: 1 / 5 (1)
http://www.expert...tor.html
The whole trick is therefore to balance the centralistic and decentralistic approach to the economy control. It can be checked with the position of day of tax freedom, which converges to the middle of year.
http://en.wikiped...edom_Day
Nov 29, 2011
Rank: 1 / 5 (7)
You forget the most important part of capitalism, PERSUASION.
Only the govt is allowed to coerce, to use force.
Nov 29, 2011
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Nov 29, 2011
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Nov 29, 2011
Rank: 1 / 5 (8)
What are you talking about? He is arguing that due to heavy regulation you can't consider the current state of the pharmaceuticals industry to be a result of capitalism...
You do realize that capitalism does not include government regulation right? Maybe you should look up capitalism on wikipedia or re-read what he said because you don't understand the argument being made.
Nov 29, 2011
Rank: 1 / 5 (8)
If you need an antibiotic to save your life you will pay well for it, making it profitable, driving further research... that doesn't happen because the government steps in and tinkers with the industry...
The irony is that you guys are blaming capitalism when the problem is that our economy is not strictly capitalist, and if it were this problem wouldn't exist.
Nov 29, 2011
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Nov 29, 2011
Rank: 1 / 5 (8)
Only because people want everything despite many of these wants being contradictory. For example, people want all kinds of government welfare but don't want to pay taxes... this is irrational and childish and only illustrates their lack of understanding of reality. People want the benefits of a capitalist economy but not some of the necessary side effects.
The real (simple) problem is that different people want different things and you can't please everyone all the time. That pretty much sums up all of economics and politics.
Nov 30, 2011
Rank: 2.8 / 5 (13)
That is not what Smith said. Maybe you should read the Wealth of Nations?
(Also, I'm not pretentious enough to type out the entire title so please don't try to deride me on that.)
How can you say this when you have no idea what Capitalism is?
Nov 30, 2011
Rank: 2.8 / 5 (13)
The first paragraph of the Wikipedia article (your suggested source). I will repeat the most relevant sentence.
"There is no consensus on the precise definition nor on how the term should be used as a historical category."
Why are you so certain about things that are obviously wrong? You need to work on that. Just because you are intelligent doesn't mean you get to define reality. You might mature out of that someday.
Nov 30, 2011
Rank: 4.5 / 5 (8)
"You do realize that capitalism does not include government regulation right?" - CHollman82
How kind of you to define for us what capitalism is. The problem of course is that your comment is YOUR VISION of what Capitalism is.
Capitalism has Always included government regulation, and always will. Capitalism couldn't even exist without government regulation.
You Free Market ConservaTards don't have a clue as to how the world works and yet you demand that if only the world were to accept more of your Free Market Poison it would be cured from the economic cancer caused by your Free Market Poison.
Morons and lowlifes.
Nov 30, 2011
Rank: 4.5 / 5 (8)
"The fact is modern medicine wouldn't exist in the first place if it wasn't for capitalism." - CHollman82
Care to offer any "proof" of your claimed fact? Do you own some kind of space/time machine that allows you to set up alternate universes and then travel to them to see how things turned out?
No you don't do you. So your Claimed Fact is just your belief isn't it?
Well excuse me for ignoring the belief of a ConservaTard who's own idology has destroyed his own nation.
"The problem is government regulation." - CHollman82
To a dullard hammer, every problem appears to be a nail.
Nov 30, 2011
Rank: 2.8 / 5 (13)
Well said. Even in its theoretical infancy Smith included regulations on banking, something republicans oppose today as anti-capitalist.
Also, Smith himself was not an ideologue. He comes right out and says that his system is laid out in a way affecting the most good for the most people, and that he would be the first person to scrap it if it didn't meet that goal.
I'm fairly certain if Smith were alive today he would support some form of universal healthcare as medicine could not really be considered "healthcare" in his time. He is a smart enough individual to take into account the last 220 years, unlike many conservatives.
Nov 30, 2011
Rank: 4.5 / 5 (8)
"Work brings freedom."
Perpetual promise of the Capitalist.
"Work brings freedom."
"You forget the most important part of capitalism, PERSUASION.
Only the govt is allowed to coerce, to use force." - RyggTard
Nov 30, 2011
Rank: 4.5 / 5 (8)
"As I said, there's no way to know if capitalism failed, as the drug industry doesn't work in a capitalistic environment." - NerdTard
The drug industry doesn't exchange drugs for money?
Good Christ you ConservaTards are such pathetic morons.
Nov 30, 2011
Rank: 5 / 5 (1)
Or do we have a better ideas?
Nov 30, 2011
Rank: 1 / 5 (8)
As always, Vendicar spreads hate, misery, pain and....misinformation. Sad to be him and sad for those who are forced to witness his painful breakdown.
When your only good argument is to rant like the 3rd-grade bully I expect you never outgrew, you do tend to miss a few things.
To the issue at hand, my point was and is valid. The fact that your preferred solution to EVERY global problem is to socialize it does not automatically make your point valid. Believe it or not, both conservatives AND liberals have valid points. And, in my experience, most people are not firmly in any one camp.
Those, like you, who are - we refer to as ideologues.
Nov 30, 2011
Rank: 1 / 5 (7)
1) Incentives aren't socialistic or ugly. In the old "carrot and stick" analogy, the carrot is the only way to incentivize any adult.
2) Viagra, like virtually all products in the U.S., is already taxed. Not that I know from having looked at the label when I picked mine up *cough*.
Nov 30, 2011
Rank: 1.4 / 5 (9)
Govt regulation is setting a cap on prices of drugs, requiring inefficient tests, ....
The proper role of govt is to prosecute violations of property rights. If a company markets a drug that kills people, the right and proper role of the state is to prosecute. (Now, a bad drug can be approved by the FDA and kill people, but the FDA is not prosecuted. They are rewarded with more power to create more onerous regulations.)
Nov 30, 2011
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Nov 30, 2011
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Nov 30, 2011
Rank: 1 / 5 (8)
http://medicalxpr...firstCmt
Nov 30, 2011
Rank: 2.7 / 5 (14)
You have no idea what capitalism is, as has been shown. You define socialism in opposition to capitalism, so how would you know what socialism is either?
So no, your point isn't valid. You are talking in buzzwords you don't even understand. Just say we should all be "proactive", it'd be about as meaningless.
You can really cut the irony with a knife here.
Nov 30, 2011
Rank: 1 / 5 (8)
The govts of the world effectively control the prescription drug markets with regulations and price controls.
This is an example of socialism.
Nov 30, 2011
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The other problem is that the patient under this "cure" would remain susceptible to the same strain if re-exposed after the nanoparticles had cleared the patients system.
Nov 30, 2011
Rank: 1 / 5 (8)
"Canadians pay almost twice as much as Americans for generic medicines because government drug plans distort retail prices and prevent manufacturer discounts from being passed on to consumers, claims a new report.
Canadian prices for 64 generics available in both Canada and the US were, on average, 90% higher than in the US in 2008 - the most recent year for which data is available, says the study, which is produced by free-market think tank the Fraser Institute. In 2007, generics prices in Canada were an average 112% higher than in the US, while in 2006 they averaged 115% more, it adds."
http://www.pharma...%9D.aspx
Nov 30, 2011
Rank: 1 / 5 (7)
Honestly, I've rarely seen such idiocy here. And that's saying something.
So, your entire rebuttal to my comments is to essentially tell me I'm stupid, without bothering to mention any specifics, without actually stating any details, with no effort to point out any flaws in my logic.
And we should take your opinion on what, then, faith?
Nov 30, 2011
Rank: 2.7 / 5 (14)
Marjon is also very good at plugging his ears and chanting talking points.
Just to quote you again:
And to quote Wikipedia again:
I also didn't call you stupid. I said you were wrong. I also SPECIFICALLY said you were intelligent. SPECIFICALLY.
Just lighten your tone.
Nov 30, 2011
Rank: not rated yet
Nov 30, 2011
Rank: 1 / 5 (7)
How do FDA regulations support this especially when FDA regulations cause people to die?
Nov 30, 2011
Rank: 1 / 5 (7)
Wait time for a knee replacement:
http://www.health...dfc63996
Nov 30, 2011
Rank: 1 / 5 (7)
Just an FYI: I think you got confused because you have so many aliases going you got your wires crossed. It's understandable. Anyone working so hard to be so deceptive and so downright nasty will occasionally slip up.
Anyway, here's the actual FYI:
You mixed up several posts above from different authors, and seemed to think you were talking to one person. For example, I asked you a question, and you responded with someone else's post claiming it as mine. Who knows, maybe you're off the normal meds today?
Nov 30, 2011
Rank: 1 / 5 (7)
Rubberman, judging from your post, it's possible to assume you are unaware that Canada's healthcare system is widely criticized by people as diverse as politicians, economists, healthcare industry analysts, medical professionals, and plenty of regular citizens. Both inside Canada and internationally. So, just thought I'd let you know.
I recall when the U.S. was debating healthcare reform, both in the Clinton era and more recently, many concerns that we would end up "like Canada".
So, don't make it out to be a utopia. Many Canadians would rip you for that one, eh.
In the U.S., btw, we have Medicaid and Medicare already, covering young, old, unemployed, and poor.
Nov 30, 2011
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Nov 30, 2011
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Nov 30, 2011
Rank: 1 / 5 (7)
I didn't criticize the Canadian plan.
I also didn't say what I thought about the American system.
I was just pointing out that the Canadian system has been highly criticized. For decades.
I agree with you that the anyone can find fault. There's no perfect system out there.
Nov 30, 2011
Rank: 1 / 5 (7)
Last I looked BC is in Canada.
Dec 01, 2011
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