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Intensive farming in the spotlight over multi-resistant fungal infections

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February 12th, 2018


This article is more than 6 years old.

An increasing numbers of moulds, fungi and bacteria are becoming immune to commonly-used antibiotics

The Aspergillus Fumigatus fungus looks deceptively pretty but can be deadly (photo: Doc RNDr Josef Reischig CSc)

The chemical constructions of anti-fungal agents used in agriculture share a lot of similarities with medicaments used to treat fungal infections in humans that an increasing number of patients in Europe are becoming immune to.

The problem appears to lie with a compound called an azole. These are used in both medicines and outdoors for spraying crops and are now under suspicion for worsening the resistance problem that has been found in hospitals over recent years.

READ ALSO: Record number of MRSA cases in Denmark

Ought to use less
Over the last few years, Danish agriculture has used up to 90 tons of these compounds every year.

The crop spraying compound is almost identical to one used to treat patients with a fungal infection called Aspergillus Fumigatus.

Ole Hilberg, a senior doctor, lung-specialist and chair of the Danish Society for Respiratory Medicine is worried. He feels that the use of azoles should be limited.

“We need to find out whether there are alternative methods so that agriculture can cut down on the use of these compounds – precisely to ensure that we will be able to treat patients in future,” Hilberg told DR Nyheder.

Can be deadly serious
At present, it is only people whose immune system has been weakened by a serious illness who have been hit by the fungal infection but both here in Denmark and abroad, patients have been found to be resistant to medicines.

“Numbers-wise, the mortality rate connected with this infection has risen from around 40 to 90 percent, so it is far from irrelevant,” said Maiken Cavling Arendrup from the Danish State Serum Laboratory.

Denmark’s minister of health, Ellen Trane Nørby, would like to see greater co-operation between the environment and food authorities and the health authorities to see what needs to be done.

“When we’ve uncovered the scale of the problems, then it is obvious that we will have to find out whether there is a need for further action on top of the 48 million kroner that we’ve already set aside to strengthen the whole area of antibiotic resistance,” said Nørby.

More information needed
The trade organisation for farming, Landbrug og Fødevarer, emphasises that up to now, there is no definitive proof that it is farming that is creating the resistance. They advise waiting for more information to become available before making any decisions that will affect their members.

“That’s because we know that we are also surrounded by azoles in a number of different contexts,” said the vice chair of the organisation, Lars Hvidtfeldt.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”