From: Millard Susman [msusman@facstaff.wisc.edu] Sent: Tuesday, January 09, 2001 5:35 PM To: EXECSEC Subject: Antibiotics TO: Jane E. Henney, M.D. Commissioner U. S. Food and Drug Administration FROM: Millard Susman Professor, Laboratory of Genetics University of Wisconsin-Madison Dear Dr. Henney: Today's article in the New York Times concerning the agricultural use of antibiotics was disturbing. I am a microbial geneticist and have known about multiple drug resistance in bacteria for most of the 40+ years that I have been in this field. There is certainly good reason to think that excessive use of antibiotics in agriculture will select for resistant bacteria and for drug-resistance plasmids. These plasmids, which travel with remarkable ease from bacterium to bacterium, often crossing species and genus boundaries, have been a serious medical problem for years. There is certainly good reason to believe that this problem could be exacerbated by the indiscriminate use of antibiotics on animal farms. The article in the New York Times revealed a terrible gap in our knowledge concerning the level of use of antibiotics in animal agriculture and in medicine. Evidently, the data are so unreliable that we do not know whether the use on farms is more or less than than the use in medicine. People who should be experts in this area offer estimates that differ by an order of magnitude! Surely this is an issue that deserves the attention of the Food and Drug Administration. We need a better system for tracking the use of antibiotics and for assessing the biological impact of that use. -- Millard Susman Professor, Laboratory of Genetics Director, Center for Biology Education 507 Genetics Building University of Wisconsin-Madison Madison, WI 53706 Campus phone number: (608) 263-5075 FAX: (608) 262-2976