Super Bugs
RUN! Giant bacteria just swallowed your car and are now chasing you down the street! This is the end of humanity as we know it! Buildings crumble. Planes fall from the sky. The super bugs are taking over as human blood pours through the streets. DAMN YOU! YOU SHOULD HAVE FINISHED YOUR COURSE OF ANTIBIOTICS! NOW LOOK WHAT HAPPENED! AARARRURGGGGGGG!
Hey, the above is understating the consequences of irresponsible medication. The future of the humanity will look bleak when antibiotics become too complex to produce. Patients failing to finish courses of antibiotics have lead to drug-resistant germs, exemplified by disturbing new forms of tuberculosis. If you don’t knock these microbacteria dead when they’re in your system, they mutate into X-men that grow claws and shoot laser beams out of their nuclei.
The issue comes about, I think, because people assume that when they start to ‘feel fine’ they no longer need to keep taking the prescribed meds. It’s difficult to conceptualise the affects of such actions, hence the lapse in our moral awareness. We don’t see the mutation and subsequent infectious havoc it reaps on others. This results in little intrinsic motivation for us to take moral responsibility.
So let’s try a more visual example. Say your car’s overdue for a service. There is a bit of an oil leak but you manage to sort it out yourself. You decide not to bother getting a full service, despite having the money, because the car ‘drives fine’. Then one day you are cruising down the steep side of Bourke Road and the breaks stop working. In a hideous panic you swerve onto the footpath and clean up a bunch of school kids. Horrible. Yet, just as horrible as what the tuberculosis you didn’t finish treating can do.
I’d like to say there is an easy solution to our natural inaptitude at equating the car scenario to antibiotic misuse. Doctors and pharmacists are required to be explicit in their instructions to patients taking these medications. People are told the right thing to do but many just can't easily conceive the consequences of not doing so. Our brains don’t make it easy to register the greater implications of our actions. So perhaps the answer in this case is not to rely on individuals’ morality, but to set up more practical systems for antibiotic administration. I'm all ears.
In the mean time, get your breaks checked and for goodness sake finish your full course of antibiotics.
Check back weekly for Moral Melbourne with @MrSimonTaylor (Twitter).
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I enjoy this column. Will you take suggestions for topics?
Sure Taryn, drop me a line:
finishing your antibiotics course only slows the evolution of bacteria, it doesn't halt it completely.
using any antibiotics at all to fight bacteria pushes humans slightly behind in the evolutionary race, and encourages mutations that lead to "super bugs".
so really, the only "moral" choice taking this reasoning to the extreme is to quarantine yourself and drop dead, saving the rest of the human race from contact with your filthy disease.
moral issues around evolution are really interesting, get too aggressive and you end up with Nazis, ignore it totally and you're clearly behaving irresponsibly - as this example shows.
Assuming the drop dead option isn't popular; I guess I'm just saying that the minimum responsibility of the individual is to finish your course. It's the best one can do if you taking antibiotics is a necessary action.
this is true enough. How does morality work when you're making a decision based on risk?
you could finish all your antibiotics then the next bird flu out of a poverty stricken region in China could be the thing that wipes us all out anyway.
would that retroactively absolve the immoral-ness of not finishing my antibiotics earlier?
BTW - I almost never finish my antibiotics courses :P
I know you don't, that's pretty much why I wrote this one :)
awww, you wrote an article for me :)
well, maybe we'll just recreate our DNA from scratch and become totally immune to all viruses - http://www.newscientist.com/article/mg21028181.700-evolution-machine-genetic-engineering-on-fast-forward.html?page=1
that would make all the concern over drugs a total load of FUD