January, 24 2023, 02:44pm EDT
FDA Can Curtail Antibiotic Crisis by Ending Misuse in Livestock Animals, Say Health Advocate Groups in New Lawsuit
To protect the safety of consumers, meat processing workers and farming communities, a coalition of public health advocacy groups have filed a lawsuit against the U.S. Food & Drug Administration (FDA) and its Center for Veterinary Medicine (CVM), challenging their refusal to phase out unnecessary uses of antibiotics in animal agriculture.
Approximately two-thirds of medically important antibiotics sold in the U.S. are for use in food-producing animals, and are often administered to healthy animals en masse to compensate for the higher risk of infections typically caused by cramped, unsanitary or stressful conditions. The misuse of these medicines has contributed to the rise and spread of antibiotic-resistant bacteria–a growing public health crisis responsible for 35,000 deaths and over 2.8 million cases of illness each year in the United States.
In 2016, NRDC, Earthjustice, FACT, Public Citizen, and several other public health and consumer groups petitioned FDA to ban the use of medically important antibiotics for disease prevention in livestock and poultry in the absence of illness. Five years later, FDA denied the petition despite the agency “generally agree[ing]” that the use of antibiotics “can contribute to the development and proliferation of antimicrobial resistant bacteria.” FDA’s denial failed to address the petition’s core concern that use of medically important antibiotics for so-called disease prevention purposes in livestock and poultry poses a significant threat to human health. The lawsuit filed today explains that FDA failed to adequately consider the evidence and ignored the central problem presented in the 2016 petition.
Plaintiffs in the case include Alliance of Nurses for Healthy Environments, Food Animal Concerns Trust (FACT), NRDC (Natural Resources Defense Council), and Public Citizen; Earthjustice will serve as co-counsel.
Statements from Plaintiffs in the Case:
“Nurses are on the frontlines caring for people made sicker by antibiotic resistant infections. Antibiotic resistant infections can lead to longer hospital stays, more costly treatment, and more pain and suffering. A crucial part of reducing antibiotic resistance is to only use them when an infection is identified. Health professionals are doing our part to combat antibiotic resistance in healthcare. Yet, the non therapeutic use of antibiotics in livestock is threatening the progress being made. The FDA needs to do their job and end the use of antibiotics for disease prevention in livestock. This is critical so that we have antibiotics at our disposal for many years to come.” – Katie Huffling, Executive Director, Alliance of Nurses for Healthy Environments
“Since the 1970s, the FDA has recognized that the overuse of antibiotics in healthy livestock fuels the antibiotic resistance crisis and compromises the effectiveness of life-saving drugs for everyday people. It is shocking how little the FDA has done to safeguard public health from these risks in the last fifty years. The longer FDA waits to take action, the more people this crisis will harm.” – David Wallinga, MD, Senior Health Officer, NRDC
“Antibiotics are crucial treatments for a wide range of bacterial infections—including pneumonia, strep throat, and urinary tract infections. And effective antibiotics are life-saving for immunosuppressed patients, including those who have received organ transplants or chemotherapy for cancer. The FDA must do more to combat increased antibiotic resistance.” – Dr. Michael Carome, Director, Health Research Group, Public Citizen
“The FDA has allowed giant meat companies to habitually overuse antibiotics putting everyone’s health at risk. This is absolutely unnecessary as animals raised under healthy conditions do not need routine antibiotics. FDA needs to stop deferring to the interests of the giant drug and meat industries and fulfill its mission to protect human health.” – Steven Roach, Safe and Healthy Food Program Director, Food Animal Concerns Trust
“Hasn’t the Covid-19 pandemic taught us anything? Uncontrollable diseases wreak havoc on the world economy and kill millions of people. Wasting precious antibiotics simply to compensate for unsanitary conditions at animal factories risks the faster spread of antibiotic resistant disease that are hard or impossible to cure. It’s time the FDA followed the law and put an end to this unconscionable practice.” – Carrie Apfel, Senior Attorney, Sustainable Food and Farming Program, Earthjustice
Additional Resources:
- FDA’s Antibiotic Stewardship Plan Is Failing (December ‘22)
- U.S. Livestock Industries Persist in High-Intensity Antibiotic Use (December ‘22)
- Legal Arguments Begin in Case Challenging EPA’s Decision to Authorize Medically Important Antibiotic as Citrus Pesticide (January ‘23)
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The Alliance of Nurses for Healthy Environments is the only national nursing organization focused solely on the intersection of health and the environment. The mission of the Alliance is to promote healthy people and healthy environments by educating and leading the nursing profession, advancing research, incorporating evidence-based practice, and influencing policy.
NRDC (Natural Resources Defense Council) is an international nonprofit environmental organization with more than 3 million members and online activists. Since 1970, our lawyers, scientists, and other environmental specialists have worked to protect the world’s natural resources, public health, and the environment. NRDC has offices in New York City, Washington, D.C., Los Angeles, San Francisco, Chicago, Bozeman, and Beijing. Visit us at www.nrdc.organd follow us on Twitter @NRDC.
Food Animal Concerns Trust (FACT) believes that all food-producing animals should be raised in a humane and healthy manner, and that everyone should have access to safe and humanely produced food. Since 1982, FACT has been leading the charge to make that vision a reality. We provide critical resources to help farmers adopt humane practices, advocate for food safety, and guide consumers in making healthy food choices.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
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Democrat Eva Burch Shares With Arizona Senate Her Plans to Get an Abortion
"I stand with those who have had to grapple with and navigate Arizona's restrictive laws surrounding abortion," the state senator said. "I'm with them. I appreciate them. I am them."
Mar 18, 2024
As Arizonans prepare for a potential vote on an abortion rights ballot measure, Democratic state Sen. Eva Burch on Monday took to the chamber's floor to announce that she plans to terminate her current pregnancy, explain why, and condemn harmful restrictions.
"A few weeks ago, I learned that against all odds, I am pregnant," said Burch (D-9). "Many of you know that I've had kind of a rough journey with fertility. I had my first miscarriage more than 13 years ago, and I have been pregnant many times. Since then, twice, I was lucky enough to successfully carry to term and I have two beautiful healthy little boys."
"But two years ago, while I was campaigning for this Senate seat, I became pregnant with what we later determined was a nonviable pregnancy. It was a pregnancy that we had been trying for, and we were heartbroken over it," she continued, referencing an abortion she has previously discussed publicly. "After numerous ultrasounds and blood draws, we have determined that my pregnancy is once again not progressing and is not viable And once again, I have scheduled an appointment to terminate my pregnancy."
"My experiences in this space, both as a provider and as a patient, have led me to believe that this Legislature has failed the people of Arizona."
Burch, who has worked as an emergency nurse and a nurse practitioner in a women's health clinic, stressed that "I don't think people should have to justify their abortions but I'm choosing to talk about why I made this decision because I want us to be able to have meaningful conversations about the reality of how the work that we do in this body impacts people in the real world."
After acknowledging some of the risks of pregnancy and that she accepted them to carry her two sons, she said: "I don't know how many of you have been unfortunate enough to experience a miscarriage before but I am not interested in going through it unnecessarily. And right now, the safest and most appropriate treatment for me and the treatment that I choose is abortion."
The Democrat then took aim at the Arizona Legislature for passing laws that restrict access to care for people like her. The state bans most abortions after 15 weeks, imposes a 24-hour waiting period between in-person counseling containing misinformation and the procedure, and forces patients to get medically unnecessary ultrasounds.
Detailing her trip to an abortion clinic on Friday, Burch said:
I didn't have an ultrasound because my doctor thought I needed one. I had one because legislation has forced me to do that, an invasive transvaginal ultrasound that I didn't want or need to have, performed by someone who didn't want to have to do it. I am safe and loved and protected in my marriage. But I cannot imagine how inappropriate that would be for a victim of sexual assault or for someone who has an abusive or coercive relationship with their partner—another unwanted vaginal penetration, but this time by the state, by the people who are commissioned to protect us.
Then I got to sit through an exhaustive list of absolute disinformation that was read off to me. I was told that there were alternatives to abortion, parenting or adoption among them, as if delivering a healthy baby is an option for me. It is not. My medical provider was forced to tell me multiple things that don't apply to my situation, and some that are just transparently factually false. And they do this because of laws passed by this Legislature in opposition to medical expert testimony and advice. From where I sat, the only reason I had to hear those things was in a cruel and really uninformed attempt by outside forces to shame and coerce and frighten me into making a different decision other than the one that I knew was right for me.
Burch explained that "the last time that I had an abortion, I started to miscarry that night before it was scheduled to take place. And I was denied a procedure in the hospital because I was deemed not critical enough, in spite of the fact that my embryo had died, and that my miscarriage had stalled."
"The clauses for emergencies aren't good enough. These laws can serve to intimidate doctors and it muddies the waters when they're trying to make complex decisions in situations that are really volatile," she argued. "I had been bleeding and passing huge clots for hours, but I wasn't bleeding out. And I was still pregnant. So I was offered medication to make me start bleeding again and told that I could have a procedure when I had bled enough. A waiting period is often totally inappropriate and potentially dangerous."
The lawmaker got an abortion at the clinic the following day—just two weeks before the right-wing majority of the U.S. Supreme Court reversedRoe v. Wade in June 2022, setting off a new wave of efforts by state legislators to pass forced-pregnancy legislation.
Burch highlighted some negative impacts of being denied an abortion—from heightened risks of domestic violence and eviction to long-term health consequences. She also noted the "sensitive feelings surrounding pregnancy" and "philosophical questions that people cannot agree on," while stressing that decisions should be made by patients and providers.
"My experiences in this space, both as a provider and as a patient, have led me to believe that this Legislature has failed the people of Arizona, in the laws that restrict and dictate abortion and in the resources that it cuts and strangles and denies at every opportunity," she said of her time in the state Senate. "Our decision-making should be grounded in expert testimony and in consensus from both the medical community and from constituents, and free from political posturing and partisan bias, but that's not what I see happening."
"So I truly hope that Arizonans have the opportunity to weigh in on abortion on the ballot in November. We know that the majority of Arizonans support the right to abortion and if we can't operate in that reality in this chamber, then it is critical that everyone have the opportunity for their voices to be heard elsewhere," she concluded. "I stand with those who have had to grapple with and navigate Arizona's restrictive laws surrounding abortion at a time when the decisions being made were complicated enough. I'm with them. I appreciate them. I am them."
Among those who praised her 10-minute speech was Sam Paisley, national press secretary of the Democratic Legislative Campaign Committee (DLCC), which works to elect state lawmakers in the party.
"Arizona Sen. Eva Burch sharing her decision to get an abortion is the epitome of courage," said Paisley. "No woman should have to go through the emotional and physical hurdles she described—Arizona Republicans have passed unnecessary burdens on abortion care that put women in danger. Sen. Burch's story is powerful, but it is sadly not unique—patients across Arizona have to jump through hoops to get the care they need."
"There are very real, and sometimes even deadly, consequences to the attacks on reproductive freedom that Republicans across the country have launched," Paisley added. "The DLCC commends Sen. Burch for her advocacy and stands ready to defeat alarming GOP extremism in state legislatures in Arizona and across the country."
Jodi Liggett, founder of the Arizona Center for Women's Advancement, similarly said on social media: "Today, Sen. Eva Burch shared her heart-wrenching story of nonviable pregnancy. AZ laws... have complicated her access to care. Her situation is one of thousands; personal and complicated. Conservatives, butt out and let patients and doctors handle these decisions. Privately."
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Labor and environmental advocates on Monday applauded the Environmental Protection Agency for finalizing a ban on the last remaining type of asbestos used in the United States eight years after Congress amended the nation's chemical safety law to accelerate the phaseout of the carcinogenic substance.
The EPA announced a final rule to prohibit ongoing uses of chrysotile asbestos, which is found in a wide range of products including asbestos diaphragms, sheet gaskets, brake blocks, and aftermarket automotive brakes and linings. In a rare display of election-year bipartisanship, Congress voted nearly unanimously in 2016 to amend the Toxic Substances Control Act to update and strengthen the nation's chemical safety laws.
"Today's rule is a positive first step to give all Americans a future free of exposure to asbestos—a carcinogen that has killed far too many."
Asbestos exposure can cause mesothelioma as well as laryngeal, lung, and ovarian cancer. Banned in more than 50 countries, the substance is linked to more than 40,000 U.S. deaths each year.
"The science is clear—asbestos is a known carcinogen that has severe impacts on public health," said EPA Administrator Michael Regan. "President [Joe] Biden understands that this concern has spanned generations and impacted the lives of countless people. That's why EPA is so proud to finalize this long-needed ban on ongoing uses of asbestos."
The Congressional Progressive Caucus said on social media that "this new asbestos ban is long-overdue and will save thousands of lives."
U.S. Sen. Jeff Merkley (D-Ore.) said in a statement that "today's rule is a positive first step to give all Americans a future free of exposure to asbestos—a carcinogen that has killed far too many."
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Liz Shuler, president of the AFL-CIO union, hailed the EPA's "groundbreaking, landmark protection," adding that "unions have been sounding the alarm on this dangerous substance for decades."
Green groups echoed labor unions in welcoming the EPA move. Environmental Working Group senior vice president Scott Faber said that "it's been more than 50 years since EPA first sought to ban some uses of asbestos and we're closer than ever to finishing the job."
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A Biden administration spokesperson on Monday attempted to avoid addressing allegations by employees of the United Nations agency for Palestinian refugees that they were tortured while in Israeli detention by claiming the U.S. State Department has not seen any media reporting on the accusations.
Ryan Grim, The Intercept's Washington, D.C. bureau chief, asked deputy State Department spokesperson Vedant Patel if he believes the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) staff members who say they were tortured by Israeli interrogators into making false confessions about involvement with the Palestinian militant group Hamas, which led the October 7 attacks on Israel. Israeli officials claimed that at least 12 out of UNRWA's 13,000 staff in Gaza had ties to Hamas and October 7.
"The U.S. cut funding to a vital aid agency during a crisis, but isn't up to speed on reports that directly impact that funding?"
"When you originally talked about the allegations against the 12 staff, you have said that UNRWA itself was the one who forwarded those allegations alone. You said you found them credible, but since then UNRWA itself has said that its staff were tortured by Israel in order to get some of those confessions extracted," said Grim. "Does that change your view of the evidence that was presented by Israel, and if UNRWA was credible enough for you believe the allegations the first time, is UNRWA credible enough when they make an allegation of torture against its staff?"
Patel replied, "I've not seen that reporting, Ryan," adding that "we continue to find the allegations that were laid out a number of months ago to be credible."
The U.S. and more than a dozen other nations suspended funding for UNRWA in the wake of the Israeli allegations. In what UNRWA Commissioner-General Philippe Lazzarini later called an act of "reverse due process," the agency terminated nine employees in response to Israel's claims, despite admitting to having no evidence to support their firing.
The European Union and nations including Canada, Sweden, and Australia subsequently reinstated funding for UNRWA, which Lazzarini said "is facing a deliberate and concerted campaign to undermine its operations."
The controversy over UNRWA has unfolded as the agency struggles to provide shelter and humanitarian aid to Gazans, who are suffering not only Israeli bombs and bullets but also a genocidal siege and blockade that are exacerbating growing famine in the embattled enclave.
U.S. Sen. Chris Van Hollen (D-Md.) this week called Israeli claims that UNRWA is a Hamas proxy a "flat-out lie."
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