Unfortunately, antibiotics are the tragedy of the commons writ large, and we’ve been wasting them for minimal gain because even minor private benefit generally outweighs long term consequences.
Modern cities are a huge disease vector. That kind of population density lets sickness run rampant. Untreated TB has something like a 25% mortality rate, and we've already seen drug-resistant (DR) and extreme drug-resistant (XDR) strains of TB. An outbreak of TB that we have no antibiotics for would be devastating.
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> I actually think this is good since it means we postpone usage of, and thereby resistance to, any new antibiotics.
This is true if you use them in isolation but I thought broad spectrum antibiotics, aka many at once, is what is typical now to slow down development of resistance? In this case you’d want to develop a few new ones and deploy them in batch.
1: https://en.m.wikipedia.org/wiki/Broad-spectrum_antibiotic
2: https://www.science.org/content/article/combining-antibiotic...
I actually think this is good since it means we postpone usage of, and thereby resistance to, any new antibiotics.