---
title: Pig Health – A Balancing Act
description: Pig Health – A Balancing Act
---

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## Pig Health – A Balancing Act

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568ac85fd63b5f292875a4/1498845423093//img.jpg.com/static/595689fc9de4bbc892200518/t/59568ac85fd63b5f292875a5/1498843848192/1000w/>

Pigs are among the most intelligent animals.   Pigs are (or can be) cute. But did you know  
 that pigs can also be an integral part of our health?   They provide nourishment (if you’re like me,  
 you think pigs are delicious) and have the potential to save our lives, but  
 they also have the potential of harming us.    
From the “saving our lives” perspective, r esearchers  
 have been trying for decades to make animal-to-human transplants work, a  
 process known as xenotransplantation.   
 There are thousands of people on organ transplant waiting lists as there  
 are not nearly enough donors, and having such a breakthrough would save  
 lives.  In an article I came across, a [research  
 team has used CRISPR](http://www.wsj.com/articles/potent-fix-for-transplant-shortage-genetically-modified-pigs-1480604400)  (a new gene editing  
 technology) to create pig embryos designed to keep human immune systems from  
 rejecting them with the hopes to move forward with animal trials in the near  
 future.  Such a breakthrough would be  
 enormous.

Conversely, a second article I  
 read this week on pigs that was [published  
 in the journal of Antimicrobial Agents and Chemotherapy](http://aac.asm.org/content/early/2016/11/15/AAC.01298-16.abstract?sid=92720d2f-420b-435c-8e3e-eebf483f2bad%20) uncovered the fact that Carbapenem resistance has been  
 found on at least one swine production facility in the US.  The researchers collected 1500 fecal samples  
 and tested the pig’s environment four times over a 5-month period.  The gene that allows for Carbapenem  
 resistance was found in several of the samples taken.  According to the researchers, none of the  
 pigs on the farm were sick, but there could be a potential for human handlers  
 to be colonized which could lead to person to person transmission.

2017 will mark the beginning of  
 more stringent use of antibiotics in the farmed animal market. We are all  
 responsible for the judicious use of antibiotics so that these lifesaving tools  
 remain effective for treating people and animals.  As part of this antimicrobial stewardship  
 initiative, changes are coming to how antibiotics are allowed to be used in the  
 farmed animal market.  From a human  
 perspective, CRE ([Carbapenem  
 resistant *Enterobacteriaceae*](http://www.cdc.gov/HAI/organisms/cre/)) are considered [nightmare  
 bacteria](http://www.upi.com/Health_News/2016/12/05/Superbug-drug-resistance-gene-found-on-US-pig-farm/2701480964948/).   
 Half of the patients infected with CRE in their bloodstream have died as  
 a result of it. One reason why CRE bacteria are so scary is that they can  
 transfer their resistance to other bacteria within the same family. While  
 currently almost all CRE infections occur in people receiving significant  
 medical care in hospitals, long-term acute care facilities, and nursing homes,  
 the fact that we have found CRE on at least one farm poses a concern for possible  
 transmission and/or colonization outside of our healthcare facilities. This could  
 leave us in a dire situation if even the strongest antibiotics we have in our  
 treatment arsenal do not work in treating infections which could leave patients  
 with potentially untreatable infections.

Before  
 we start to panic, consider the positive. We are aware.  We can now make positive changes.  We know that CRE is spread from person to  
 person through contact with an infected or colonised person.  This generally occurs directly from the hands  
 of another person or indirectly from environmental surfaces or medical equipment  
 that have become contaminated.  We know  
 CRE is not spread through the air or by coughing or sneezing.  CRE is a vegetative bacteria.  While it carries [antibiotic  
 resistance, this does not make it more resistant to disinfectants](http://talkcleantome.blogspot.ca/2015/04/cre-deadly-but-not-strongest-survivor.html).  As the environment is a key area of concern  
 with respect to transmission, being vigilant and increasing or improving our  
 cleaning and disinfection practices be it at a farm, in animal transport  
 trailers, slaughter houses, food packaging facilities, hospitals, long term  
 care facilities or our homes will help control this “nightmare bacteria”.  

This  
 is a perfect example of the [One Health  
 initiative](http://www.onehealthinitiative.com/) -  
 Animals, People and the Environment.  We  
 are all connected.  Pointing fingers or  
 laying blame will not help.  We need to  
 all work together towards the common goal of a world where people, animals and  
 the environment can be happy and healthy.

Bugging  
 Off!

Nicole

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