The Tragedy of the Antibiotics Commons

Here's an interesting - and frightening - story that opened my eyes to something:

Studies in China show a "frightening" increase in antibiotic-resistant bacteria such as staphylococcus aureus bacteria, also know as MRSA . There are warnings that new strains of antibiotic-resistant bugs will spread quickly through international air travel and internation food sourcing.

"We have a lot of data from Chinese hospitals and it shows a very frightening picture of high-level antibiotic resistance," said Dr Andreas Heddini of the Swedish Institute for Infectious Disease Control.

"Doctors are daily finding there is nothing they can do, even third and fourth-line antibiotics are not working.

"There is a real risk that globally we will return to a pre-antibiotic era of medicine, where we face a situation where a number of medical treatment options would no longer be there. What happens in China matters for the rest of the world."

What this emphasises is that antibiotics form a kind of global commons - a resource whose benefits we all share. But if one party overexploits that commons - in this case, by recklessly handing out antibiotics as the article suggests - then the commons is ruined for *all* of us.

This development is yet another reason to get commons-based thinking into wider circulation - especially amongst the people making decisions, so that they can appreciate the massive global consequences that can flow from their apparently minor local actions.

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