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The All-New BMW 3 Series.: Reintroducing The Love of Driving
The All-New BMW 3 Series.: Reintroducing The Love of Driving
BMW 3 SERIES.
REINTRODUCING THE
LOVE OF DRIVING.
firmer wrinkles
skin fade
97% 88%
PATENTED
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18
DIVIDE AND CONQUER 24 ‘I Never Thought It
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‘We Should Disease Specialist
All Be Scared’ Talks Solutions
COVER CREDIT Antibiotics have saved countless lives, 32 Mystery of ‘Chronic
$UWZRUNE\Ben FearnleyIRUNewsweek Lyme Disease’
but as deadly bacteria grow immune,
those miracle drugs stop working. Why Antibiotics
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EDITORIAL
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Editor’s Letter
The Road
Ahead
drones, driverless cars, pilotless planes and trains. an automation
revolution is about to sweep transportation—one that will transform
societies around the world, the global economy and the environment. This
disruption has already begun. And while there’s no debate the change will
be dramatic, it is not clear how this revolution will reshape the world.
Will there be better jobs for people or simply fewer jobs? Will cities be
hollowed out or become more livable than the suburbs? Will automated
transportation increase congestion and pollution? Or will new fuels,
regulations and energy storage technologies reduce the carbon footprint
of transportation? Will social, racial and economic disparities created by
existing transportation systems widen or narrow? And will the countries
that dominated transportation in the 19th and 20th centuries lead this
revolution, or will the center of gravity shift to developing nations?
Across the world, academics, activists, environmentalists, engineers,
scientists and urban planners are wrestling with these questions and
coming up with ways to shape the answers. And the conversation about
these issues needs to reach—and include—a wide audience: for example,
the almost 40 million unique readers who come to Newsweek each month.
We are partnering Newsweek has spent the better part of nine decades on a mission to give
with Georgia Tech its readers carefully curated, nuanced views of important and complicated
to celebrate the
stories just like these. This endeavor—essentially, understanding the future
of our civilization—requires strong reporting and deep expertise on each
people and cities story about the future of cities, transportation and technological disruptions.
propelling the We also need a sophisticated view of the whole picture to help our
world toward an readers and others make sense of the world that is emerging. That’s why we
environmentally are partnering with Georgia Tech to announce the Newsweek Momentum
sustainable, Awards, an annual celebration of the people and cities propelling the world
socially equitable
toward an environmentally sustainable, socially equitable, economically
viable future of autonomous mobility and smart urban environments.
and economically Newsweek editors will work with the world-class experts at Georgia Tech
viable future. to convene an awards council over the summer and chose the honorees. The
Newsweek Momentum Awards will recognize five individuals around the globe,
as well as one city, which will be chosen as the “smartest city in the world.”
Nominations will open in the summer, and the winners will be announced
in a special issue of Newsweek magazine in September. They will be honored
at an event in Atlanta in the fall.
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The Archives
“We are definitely in a recession or a depression,” the owner of a
1970 Los Angeles TV sales and repair shop told Newsweek. “Whatever it
is, it’s here.” In the wake of years of heavy spending on social programs at
home and the war in Vietnam abroad, U.S. stock prices were down, interest
rates were up, and a growing number of Americans were out of work.
Newsweek profiled several people struggling to adjust. “I guess I don’t want a
depression,” one college student said. “I wouldn’t have time to be active against
the war if I had to worry about eating.”
1986
As Wall Street dealmakers prospered
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Perhaps even more troubling was
another trend: “Where fortunes can be
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2001
“Only a quarter of America’s households
VWLOOɿWWKHROGLeave It to Beaver PRGHOŤ
reported Newsweek, noting that a
growing number of mothers were going it
alone. With higher rates of divorce and
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families headed by single mothers had
increased to over 7.5 percent of
households nationwide.
6 NEWSWEEK.COM M A Y 31 , 2 019
Violence is an epidemic.
What if there was a cure?
As a critical response to violence and
injustice, a worldwide campaign is
introducing the reality of nonviolence to
billions of people. Real stories. Real change.
nonviolence n w
In Focus THE NEWS IN PICTURES
8 NEWSWEEK.COM
WINDSOR, ENGLAND
Seventh
Heaven
Britain’s Prince Harry and Meghan
Markle, the Duke and Duchess of
Sussex, present their newborn son
at Windsor Castle on May 8. Archie
Harrison Mountbatten-Windsor is
seventh in line to the throne, yet he
KDVQRUR\DOWLWOHUHʀHFWLYHRIKLV
parents’ wish that he grow up as
a private citizen. For now, he will
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M A Y 31 , 2 019
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NEWSWEEK.COM 11
12
NEWSWEEK.COM
Periscope
NEWS, OPINION + ANALYSIS
M A Y 31 , 2 019
& + 5 , 6 & /25 ʔ*( 7 7 < 72 3 5 , * + 7 5 2 % , 1 2 / , 0 % ʔ* ( 7 7 <
“First of all...I do not
resort to witchcraft!” » P.17
D I G I TA L AC TI V IS M
How
Conservatives
Mastered
Social Media
Conventional wisdom says it is liberals who use the internet best
to enhance activist causes. That’s not the whole story.
about a five-minute drive from downtown “Sounds like D.C.,” Verne quipped.
Morehead City, North Carolina, three retirees “In a bubble,” added Bob.
sat down for lunch at their favorite spot, Bojangles’ “You always hear on the news that Congress is out
Famous Chicken ’n Biscuits. While visitors to More- of touch,” Ken continued. “They never go home and
head City, on the southeast coast of the state, might talk to their people.”
feel they had tumbled into a world far removed Ken had worked for the federal government for
from the rest of the state, one of the men, a retired 30 years in both the military and the Department
nuclear chemist, said he knew of a place that was of Energy. “As a scientist, I believe you got to look
much more out of touch. at both sides to make an intelligent decision. If
“One of the most isolated places in the world, you want to make stupid decisions, that’s easy,” he
and I’ve been there, is a university,” said Ken. “All added. “But if you want to make informed deci-
you do is talk to your friends, and your friends are sions, you have to read ‘what this side says and
the same ones who think the same way you do…. what this other side says.’ You have to also seek
They only talk to people who make themselves what the facts are and not what the feelings are.”
feel comfortable.” This viewpoint, the three men
Ken was sitting with Verne and agreed, drove their digital work.
Bob. The three retirees and friends BY
As the person responsible for
also happened to be leaders of the promoting the group’s lively Face-
Crystal Coast Tea Party Patriots JEN SCHRADIE book page and Twitter feed, Ken
(CCTPP). @schradie worked tirelessly to distribute
NEWSWEEK.COM 13
Periscope D I G I T A L A C T IV I SM
information. While he wrote posts by fake news or Russian hackers. shaped online activism. Both of these
himself, many were retweets or A few years earlier, though, I was capacity factors had challenged the
links to stories from news outlets finding a broad spectrum of active pluralist view of the internet—not
such as the Carolina Journal, a right-wing online activity. Some was every type of social movement group
statewide conservative newspaper sensationalized, but much was mea- is online at equal rates. But were right-
run by North Carolina’s John Locke sured and analytical. I was curious wing and left-wing groups using digi-
Foundation, or Breitbart News, a how the CCTPP’s political ideology tal technology equally?
national right-wing news outlet. might factor into what its members Ken’s statement about academia
I was interested in learning more did online. I had already found that so- and left-leaning politics was right
from activists like Ken, Verne and cial class and organizational structure in some ways. Scholars tend to lean
Bob since I had noticed their active further left. Most research on social
online presence. They seemed to movements generally focuses on pro-
defy the prototype of the digital ac- gressive causes. Some had researched
tivist. Most of the early hype around Eighty-two percent underground far-right groups’ in-
digital activism focused on protest of right-wing ternet activity, especially online
movements of the left. Right-leaning
movements’ digital activity was organizations had discussion forums, and since then,
a handful of studies have emerged
given little attention in the media, Twitter accounts, comparing left and right populist
even dubbed “astroturf.” And even compared with movements online. But the vast ma-
after the election of Donald Trump
in 2016, a common assumption was 65 percent of jority of digital activist research has
focused on left-wing movements.
that conservatives had been duped left-wing groups. As a result, the exact role of polit-
ical ideology within digital activism
has been a puzzle that has produced
three general arguments. First, many
have connected digital activity with
left-wing protest movements, such as
Occupy Wall Street, both because of
egalitarian associations with internet
use and because, simply, these types of
movements are usually the object of
study. The second line of thinking is
that ideology is less relevant with dig-
14 NEWSWEEK.COM M A Y 31 , 2 019
6,1*/(ʝ3$57<58/(
During his term as governor, the North
Carolina state legislature moved so far
right that Pat McCrory would eventually
veto six bills passed by his own party.
NEWSWEEK.COM 15
Periscope D I G I T A L A C T IV I SM
activists themselves were not always linked network would evolve into
aware of the extent of their con- the fertile terrain that would stim-
servative digital ecosystem. A well- ulate the spreading of the informa-
organized and resourced digital move- tion, “the Truth,” the messages that
ment on the right had been growing would all propel Trump’s campaign.
in North Carolina. Grass-roots con- But while many saw this as a phe-
servative groups had received some nomenon that seemed to come out
attention because of the elections of nowhere in 2016, in reality it was
in 2010, but they were generally not under construction for years. One
on the digital activism radar of most could see it forming close to the
pundits or the liberal public. While ground in North Carolina a few years
tea parties were the focus of the far- earlier. And so rather than being an
right grass-roots conservative move- anomaly, the state was a bellwether I NT E RN ET
ment, that was not the whole story in for the tidal shifts what would shock
North Carolina. Tea parties were just the nation a few years later. Extremists Get
the tip of a vast conservative iceberg.
The depth and breadth of this digital
For those finding themselves on
the wrong side of the digital activism
Booted From
juggernaut would not become pop- gap, it’s critical to fully understand 2QOLQH3ODWIRUPV
ularly acknowledged until well after the factors that created it. Not only BY BENJAMIN FEARNOW
statewide elections in 2012 that sent did conservatives dominate in the dig-
As social media has risen in importance as a
the state careening even further to the ital domain thanks to a focused mes-
news source, so too have extremists gained
right than it had been in decades. sage of freedom rather than a frac- prominence by using the platforms, especially
Those North Carolina elections tured one of fairness, but reformist during and since the 2016 presidential elec-
delivered a devastating blow not just right-leaning groups working within tion. However, the spread of radical and often
to Democrats but to anyone who had the legislative system also had much conspiratorial rhetoric online has also led to a
new push by the tech industry to ban extrem-
been fighting in some corner of the higher digital participation than their
ists from social media.
state for public workers. Republi- radical left counterparts did. In early May, Facebook trained its sights on
cans won a stunning, historic victory, extremists who peddle fake news and white
gaining complete control over state nationalism. The social network, along with
government for the first time in the Instagram, banned Infowars’ conspiracy the-
orists Alex Jones and Joseph Watson, former
post–Civil War era.
Breitbart News editor Milo Yiannopoulos, far-
Nationally, North Carolina’s leg- right activist Laura Loomer and white suprem-
islature would gain attention in the acist Paul Nehlen, deeming them “dangerous.”
coming years for bills such as the Nation of Islam leader Louis Farrakhan, who
one to ban transgender bathrooms is known for his anti-Semitic remarks, was
and attempts to declare a state reli- also removed. Facebook said in a statement,
“We’ve always banned individuals or organiza-
gion. But these were just highlights tions that promote or engage in violence and
among an endless rightward march hate, regardless of ideology.”
to curtail abortion, pass rules to lim- Twitter had previously kicked off may of
it ballot access and gerrymander vot- WKHVHFRQWURYHUVLDOɿJXUHVRUUHYRNHGWKHLU
ţYHULɿHGŤVWDWXV,WDOVRUHFHQWO\ORFNHGWKH
ing districts to maintain power. The
account of actor James Woods, who wrote
gerrymandering was so radical that “#HangThemAll” in a tweet attacking the
the U.S. Supreme Court would later Excerpt adapted from the revolution Mueller report, reigniting complaints from
declare it illegal. The state’s agenda that wasn’t: how digital activism President Donald Trump and others about
moved so far to the right that even favors conservatives by Jen Schradie, ţXQIDLUŤWDUJHWLQJRIFRQVHUYDWLYHɿJXUHV
: , / ' 3 , ; ( / ʔ* ( 7 7 <
16 NEWSWEEK.COM M A Y 31 , 2 019
N EW SM A KE RS
Talking Points
“I’M VERY PLEASED AND
“First of all, I GLAD TO WELCOME
MY OWN BROTHER
would like to say ,1727+(6/((3ʝ
I do not resort DEPRIVATION SOCIETY
THAT IS PARENTING.”
to witchcraft!” Ŝ3ULQFH:LOOLDP
“I’ve battled.
—POPE FRANCIS, ANSWERING
A REPORTER'S QUESTION ON
I’ve tried to
WHERE HE GETS HIS ENERGY
hang in there,
“I THINK PEOPLE SHOULD and I’ve tried
BE ALLOWED TO SMOKE,
DRINK AND EAT AS MUCH to come back Prince William
great game of
new minister for the elderly
and public he alth
Sylvi Listhaug
Tiger Woods
NEWSWEEK.COM 17
SPECIAL REPORT
18 NEWSWEEK.COM M A Y 31 , 2 019
Antibiotics have saved countless lives
over the years, but as DEADLY BACTERIA
grow immune, those miracle drugs stop working.
Medicine is racing to replace them
by dav id h. fr eedm a n
20 NEWSWEEK.COM
next ANTIBIOTIC , and there’s nothing there.
We’re facing the specter of patients with INFECTIONS we can’t treat.”
Penicillin, the “miracle drug,” and other antibiotics changed all “And we may not be able to perform organ transplants, and even
3$ 58 / $ 1 - 5 ʔ* ( 7 7 < 3 ( 7 ( 5 3 8 5 '<ʔ % , 3 6 ʔ* ( 7 7 < 3 5 ( 9 , 2 86 ( 6 3 5 ( $ '
that, saving countless lives over the years. But the age of the miracle routine surgeries like joint replacements. We should all be scared.”
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drug seems to be ending. Medical experts are pinning their hopes on entirely new strat-
Doctors are learning how to identify and isolate the bugs that egies for dealing with infection. To find novel ways of killing bugs,
are already resistant in the hopes of avoiding large outbreaks. They they’re looking in exotic places—in viruses and fish slime and
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are scrambling to tighten up on the use of antibiotics in an effort even on other planets. They’re using insights gained in genomics
to slow the development of resistant strains. It’s too little, too late: and other fields to come up with new technologies to kill bugs
The strategy will only buy us some and keep them from spreading. And they are re-examining prac-
BATTLE OF THE BUGS time. At the moment, the oldest tices in hospitals and other spreading-grounds for bacteria, put-
This page: Fleming, the
discoverer of penicillin. and weakest patients in hospitals ting in place more holistic strategies for managing the bacteria
Opposite page from top: are most affected, but the risks are in our bodies and in our hospitals and doctors’ offices.
A colony of drug-resistant spreading. “We’re seeing healthy The alternatives sound promising, but they are far off. It’s not
staph; an artist’s rendering
of the fungus C. auris; young people with urinary tract clear that we can invent new weapons before the superbugs, like
Rosslyn Maybank and Patrick and skin infections that we don’t a zombie army at the gates, overwhelm our defenses.
McGann at the Walter Reed have a pill for,” says Helen Bouch- “We need to make a huge investment in other approaches,” says
Army Institute of Research
work to maintain the er, an infectious disease specialist Margaret Riley, a drug-resistance researcher at the University of
effectiveness of antibiotics. at Tufts Medical Center in Boston. Massachusetts. “And we need to make it 15 years ago.”
NEWSWEEK.COM 21
To find novel ways of KILLING BUGS, scientists are looking
in viruses and fish slime and
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22 NEWSWEEK.COM M A Y 31 , 2 019
SPECIAL REPORT
NEWSWEEK.COM 23
SPECIAL REPORT
ɿQGLQJZD\VRILQYHVWLQJLQQHZWUHDWPHQWV6KHVSRNHZLWK
Newsweekk about the drug-resistance problem and how we
might dig our way out of it. _ B Y D AV I D H . F RE E DMA N
24 NEWSWEEK.COM M A Y 31 , 2 019
Q _ In terms of the scope of the drug- wasteland. We need something fast, but it’s
resistance problem, do you believe we are a hard sell in this environment.
approaching a crisis?
A _ The crisis has already arrived. We are Q _ How can we get past this bottleneck
in an era now when doctors like me have no and lack of funding?
effective antibiotics for some of their patients. A _ We need a better way to value new anti-
biotics and treatments. The expectation now
Q _ Is there anything in the wings that is that they should be cheap and widely avail-
gives you hope a potential solution is able. We pay many thousands of dollars for
on the way? cancer drugs that may prolong life only for
A _ There is a lot of research going on that months or even weeks, but antibiotics can
could give us good solutions. The pipeline isn’t cure someone who’s critically ill and give
quite as empty as it was 10 years ago. Phages them their full life back. There’s a real value
[bacteria-killing viruses], vaccines against infec- disconnect.
tions, new diagnostic methods and monoclonal Many of us are working on “pull incentives”
antibodies [immune-system boosters] are all for antibiotic drug developers, which involves
innovative and promising lines of research. ɿQGLQJZD\VWRUHDVVXUHWKHPWKDWWKH\ŠGJHW
Some of the technical and scientific some return on their investment when the drug
hurdles are high, especially with vaccines. But gets to market. That might involve “delinkage,”
we could target a vaccine at people we know which means that remuneration wouldn’t en-
IDFHDVSHFLɿFNLQGRILQIHFWLRQULVNVXFKDV tirely depend on sales. There would be other
people who are getting open-heart surgery, a mechanisms for making money. Separating
common operation with a high risk of infec- sales from profits would also help avoid in-
tion. We’d vaccinate you a week or two before centivizing antibiotic overuse.
surgery. Even if we only had vaccines for one One short-term solution would be for Medi-
or two types of infections, it would save thou- care to reimburse hospitals for the high cost
sands of lives. RIQHZDQWLELRWLFVVHSDUDWHO\IURPWKHʀDWIHH
Medicare pays for treating someone with a
Q _ But is the research moving quickly given medical condition. Right now, hospitals
enough? are incentivized to use cheap drugs that may
A _ The research isn’t the problem. We be less effective, because the cost comes out
are seeing innovative research in the pre- RIWKHʀDWIHH$ORQJHUWHUPVROXWLRQZRXOGEH
human-trial phase from small biotech com- offering “market-entry rewards.” If a company
panies that are fully ready to pursue human develops a drug that treats resistant infection,
trials. But nobody’s lining up to pay for it. it would be promised a return of $500 million
Sales wouldn’t bring in enough to justify the to $1 billion.
cost. We’re seeing existing antibiotics man- We’re still debating how to pay for some of
ufacturers at or near bankruptcy, and small this. One idea is to do what we do now with
biotech companies are struggling. We can vaccines—where every time a vaccine is giv-
foster innovation, but if there’s no market en, a small amount of money goes to a fund to
waiting to nurture the results, it will just be a cover some of industry’s costs. We could do
that for antibiotics and use the fund to provide
market-entry rewards.
NEWSWEEK.COM 25
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“These non-antibiotic treatments are still in the EARLY STAGES of
“An antibiotic is like throwing an H-bomb at an infection,” Riley patient in California in 2017 under Food and Drug Administra-
says. “You kill 50 percent or more of all the bacteria in the body, tion emergency rules has more researchers in the U.S. looking
and a lack of healthy bacteria has been linked to obesity, depres- to develop phage treatments. One or more of these could move
sion, allergies and other problems.” Phages and bacteriocins, on the toward trials in the next few years, says Riley, including one for
other hand, can in theory be tuned to take out a colony of infec- multi-resistant tuberculosis and another for pulmonary infections
tion-causing bacteria in a patient, all without harming the normal in cystic fibrosis patients. Bacteriocins are further behind. The U.S.
flora or creating a fertile breeding ground for resistant bugs. government has promised to provide $2 billion for the effort to
ImmuCell, a biotech company in Portland, Maine, has devel- develop these alternatives, “but that’s not nearly enough,” she says.
oped a bacteriocin that treats dairy cows for mastitis, a disease Cancer researchers are widely investigating drugs that can
that costs the dairy industry $2 billion a year. Riley says labs like boost immune systems, and these immunotherapies could be
hers can adapt phages and bacteriocins to target virtually any sort promising in helping weakened patients fight off resistant bugs
of human microbial infection too, with little risk of nurturing that try to take hold. Researchers have produced human antibod-
new resistance. “These are stable, hardy killing mechanisms that ies in cows and other animals that can be injected into patients.
evolved 2 billion years ago,” she says. Boston’s Harvard-affiliated Brigham and Women’s Hospital, in an
Several clinical trials of phage therapy have already been suc- emergency effort, reported injecting a combination of antibodies
cessfully conducted in Poland, the nation of Georgia and Bangla- and antibiotics to save a patient with a drug-resistant infection,
desh. In the West, there have been successful phage trials for foot but the results weren’t disclosed. Otherwise, little has been done
ulcers. No trials are underway for more serious infections, but a to bring the approach to trials in infected patients. Researchers
successful phage treatment of a critically multiresistant-infected are also working on vaccines against resistant staph infections
26 NEWSWEEK.COM M A Y 31 , 2 019
SPECIAL REPORT
NEWSWEEK.COM 27
The U.S. promised $2 BILLION to develop alternatives
to antibiotics, “but that’s not nearly enough.”
28 NEWSWEEK.COM M A Y 31 , 2 019
TO THE RESCUE
Viruses that attack
bacteria, called
phages, have a big
head that contains
genetic material and
WDLOɿEHUVWKDWDIɿ[
WRDVSHFLɿFVWUDLQ
of bacteria. Genetic
material, injected into
the bacterium, hijacks
its cellular machinery
to produce more
copies of the virus.
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“Research shows that, on average, HOSPITALS aren’t following
the right precautions about half the
we can take appropriate actions.” It would certainly be an im- average, hospitals aren’t following the right precautions about
provement over the standard techniques for identifying bacterial half the time,” says the Association for Professionals in Infection
outbreaks, developed 150 years ago. Control and Epidemiology’s Hoffman. “It’s our biggest struggle.”
Infection specialists are also focusing on getting hospitals to Hospitals are beginning to change their ways. Many now use
do a better job at containing resistant bugs when they pop up, trash can–shaped robots to disinfect walls with ultraviolet light
instead of spreading them among patient populations. About 5 (the rooms have to be empty because the light is harmful to hu-
percent of all patients in U.S. hospitals end up with a “nosocomial” mans too). At Riverside Medical Center, south of Chicago, two
infection—that is, an infection acquired at the hospital. It’s not robots from a company called Xenex disinfect more than 30
hard to see how. Hospitals are dense gatherings of sick people rooms a day.
with weakened immune systems and various wounds and punc- Keeping hospitals clean would
KEEPING IT CLEAN
tures, constantly poked and prodded by fingers and tools that be easier if bacteria couldn’t stick Hospitals, breeding grounds
move around the hospital to poke and prod others. to surfaces such as tabletops and for microbes, use best
An aging population and new procedures have left patients all clothes. Melissa Reynolds, a Colo- practices and technology to
prevent infection. Above:
the more vulnerable. Johns Hopkins’ Zenilman found in an infor- rado State University biomedical Disinfecting hallways.
mal survey he conducted that more than half of all the patients engineer, is developing new bac- Opposite page, from top:
he asked had some sort of implant, a common source of infec- teria-resistant materials. Health Washing hands; germ-
ɿJKWLQJURERWV3XUGXH
tion. “The patients in hospitals today as a group are much sicker care workers’ clothing and other University’s Seleem is
than any we’ve seen in history,” he says. “Research shows that, on hospital materials and surfaces developing a bug-killing laser.
30 NEWSWEEK.COM M A Y 31 , 2 019
SPECIAL REPORT
NEWSWEEK.COM 31
SPECIAL REPORT
F
Thousands of people or Borrelia burgdorferi, the bacterium
that causes Lyme disease, these
patients treated for Lyme disease continue to
have symptoms for months and even years.
each year continue to are the good old days. Because of These patients fall into a gray area called
a proliferation of white-tailed deer SRVWWUHDWPHQW/\PHGLVHDVH37/'V\Q-
have SY MPTO M S after and other mammals that harbor the drome, which is characterized by cognitive
treatment. Doctors microbe and a seemingly endless supply dysfunction, incapacitating fatigue and chronic
of ticks to transfer it from deer to human pain, according to a study published in April in
don’t know why bloodstreams, an estimated 300,000 people the journal BMC Public Health. The cost to the
_
) 5 2 0 72 3 . ( 1 7 : 2 2 'ʔ* ( 7 7 < - 2 ( / 6 $ 572 5 ( ʔ* ( 7 7 <
BY KASHMIRA GANDER DUHLQIHFWHGHDFK\HDULQWKH8QLWHG6WDWHV medical system is estimated at up to $1 billion
Left untreated, Lyme disease does a lot of D\HDULQWKH86
damage: It can attack the heart and nervous 'RFWRUVKDYHVSDUUHGRYHUZKDWPLJKWFDXVH
system and trigger arthritis. 37/'V\QGURPH6RPHWKRXJKWDIHZUHQHJDGH
Fortunately, B. burgdorferi has not yet cells of B. burgdorferi, which is notoriously clev-
developed a resistance to antibiotics. That’s er about evading the body’s immune system,
good news for most bite victims who are somehow survived the antibiotic treatment,
lucky enough to notice the early symptoms— settling in for the long haul and causing “chronic
fever, headache, chills, fatigue, joint and Lyme disease.” Recent research has cast doubt
muscle aches and swollen lymph nodes, plus on that view, but researchers still have no good
a rash up to 12 inches from the bite site—and working hypothesis.
seek treatment with a three- to four-week Whatever the cause, the number of people
course of antibiotics. ZKRVXIIHUIURP37/'V\QGURPHVHHPVWREHRQ
But not all patients walk away scot-free. the rise. In the BMC Public Health study, scien-
For reasons that are obscure, one in 10 tists estimated how many people currently have
Slowing the Superbugs
although the pharmaceutical industry has all but aban-
doned antibiotics, researchers haven’t given up hope of finding
new ones. The antibiotic revolution was kicked off in 1928, when
Alexander Fleming returned from vacation to his London lab
only to find a weird-looking mold growing in a dish he had left
by an open window. Ever since, researchers have tried to peek
into every corner of nature for the next great bacteria-killer. Ac-
cording to recent studies, among the new sources of substances
that appear lethal to even resistant bacteria—yet may be safe
for human consumption—are insects, seaweed, the mucus on
young fish, arsenic-rich dirt in Ireland and even Martian soil. One
team at Leiden University in the Netherlands is trying to build
an artificial bacterium from scratch in hopes it can be tweaked
to manufacture a new antibiotic.
Doctors are also trying to make the best use of antibiotics we
have now by slowing the development of new resistant strains.
That calls for cutting back on rampant overuse of antibiotics,
which encourages superbugs to evolve. Doing so has to become
an international effort, because the resistant bugs in one part of
the world often made their way from elsewhere.
Developing countries are becoming a particularly frequent
source for emergent bacterial threats that end up in the U.S.,
notes UConn’s Banach. Studies have found that in most of the
world antibiotics are readily dispensed from community phar-
macies without prescriptions, contributing to a 65 percent
climb in global antibiotic use between 2000 and 2015. The
resulting resistant bugs skip frictionlessly around the world in
the guts of millions of international travelers. “The impact of
antibiotic overuse in these countries, as well as living and en-
37/'DQGKRZIDVWWKHQXPEHURIFDVHVPD\
vironmental conditions, are facilitating the worldwide spread
be increasing. They drew on data collected
E\WKH86&HQWHUVIRU'LVHDVH&RQWURODQG
of resistant organisms,” he says.
3UHYHQWLRQDVZHOODVSDVWHVWLPDWHVRI/\PH Patients have a role to play too. Pressuring doctors to prescribe
disease rates, survival rates and examples of antibiotics for mild congestion, urinary tract infections or slow-
treatments failing. to-heal wounds contributes to antibiotic overuse and the resulting
The two estimates varied widely. When they resistance. Massachusetts public health officials have been pushing
assumed a treatment failure rate of 10 percent,
new cases rose steadily between 1980 and
physicians and the public to ease up on antibiotics for more than
EHIRUHVORZLQJE\WKHQXPEHURI a decade, and the state was rewarded with a 16 percent drop in
37/'FDVHVURVHIURPDERXWLQ prescriptions over a four-year period. A small victory, perhaps, in
to more than 80,000 in 2020. When they a large war that we have so far been mostly losing.
assumed a treatment failure rate of 20 percent,
The cost of our failure to act a decade or more ago to this easi-
they found that the number of cases would
reach 1.9 million by 2020. ly foreseeable crisis will most likely be a spreading tide of severe
ţ1HYHUWKHOHVVRXUɿQGLQJVVXJJHVWWKDW illness and death. It won’t rise to the level of deadly mass out-
there are large numbers of patients living break the way a killer virus like Ebola could. But resistant infec-
ZLWK/'UHODWHGFKURQLFLOOQHVVŤWKHVFLHQWLVWV tions will begin to affect more and more of us. Even if medicine,
wrote. Further research is now needed to
government and industry embarked today on a massive effort
create tests to accurately diagnose and treat
the condition, raise public awareness and
to find new approaches to combat resistant infections like the
DUULYHDWDFRQFOXVLYHɿJXUHRQWKHQXPEHU Columbia E. coli—which they aren’t close to doing—the payoff
of sufferers. wouldn’t come for a decade or more.
M A Y 31 , 2 019 NEWSWEEK.COM 33
SPECIAL REPORT
154 MILLION
3UHVFULSWLRQVIRU
Portion of
BY T H E N U MB ERS
antibiotics written in
all hospital
WKH86HDFK\HDU
SUPERBUGS patients
One day in 1928, Alexander who receive
Fleming noticed that antibiotics.
Staphylococcus failed to
thrive near a fungus that had 1 IN 3
contaminated his bacteria Outpatient
cultures. He isolated the active $85 million+ oral antibiotic
substance, leading to the first Amount invested in combating the spread of prescriptions in
WKH86WKDWDUH
antibiotic drug, penicillin, and superbugs worldwide. This research stretches unnecessary—
heralding a new age of miracle across seven countries and has developed a major reason for
drugs. Since then, scientists 10 new antibiotic classes in the pipeline. antibiotic resistance.
$100,00
so antibiotics, saving millions
of lives. But these days the
drugs are less miraculous than
they once were. Bacteria are
evolving resistance, leaving
doctors with no treatment
options for many infections.
39%
Superbug cases
4 out of 5 that involved
infections
Adults in with bacteria
the U.S. who resistant
have taken to last-line
antibiotics at antibiotics—
some point in rendering them
their life. effectively
untreatable.
34 NEWSWEEK.COM
$2 billion+
Cost of infection treatments
last year. Since 2002, this
number has more than
doubled, and it could rise
further due to drug resistance.
The total
cost of
superbugs
worldwide
by 2050.
2 MILLION Twenty-Seven
The number Number of states with
of people reported cases of
LQWKH86 carbapenem-resistant
infected each
Enterobacteriaceae 11
& ' , ) ) , & , / ( . $7 ( 5< 1 $ .2 1 ʔ 6 & , ( 1 & ( 3 + 272 / , % 5 $ 5<ʔ* ( 7 7 <
year with
3 , / / 6 6 + 8 7 7 ( 5 : 2 5 ; ʔ* ( 7 7 < & 8 7 2 8 7 * 5 ( * % $ - 2 5 ʔ* ( 7 7 <
NEWSWEEK.COM 35
M O ON SHO T S
36 NEWSWEEK.COM M A Y 31 , 2 019
(&2ʝ)5,(1'/<
1285,6+0(17
3URWHLQIURPɿVK
OLNHWKHVHVDUGLQHV
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NEWSWEEK.COM 37
Horizons MOONSHOTS
in anticipation of the 50th an extraction technology where we grade through companies and fish-
anniversary of NASA astronauts can have the flexibility to find the eries that are [Marine Stewardship
landing on the moon, Newsweek is most sustainable raw material, ex- Council] certified, and we put it
spotlighting pioneers in science and tract the protein out of it and make through a fully automated, propri-
technology, highlighting their very an odorless, tasteless, very desirable etary mechanical extraction system.
own moonshots and how they hope to finished product. The technology has a very small foot-
change the world. Mazi Ghorbani is print, and from the time that the fish
an entrepreneur and inventor whose +RZGRHVLWZRUN" arrives in our facility, it is handled
latest venture involves creating a sus- We wanted to develop a technology in a food-grade manner, where it
tainable protein derived from fish in that is extremely sustainable, unlike goes through a closed-loop system
an effort to combat childhood hunger. enzymatic hydrolysis, which is how and nobody touches anything until
99 percent of the proteins in the a powder, oil and water come out.
:KDWLV\RXUPRRQVKRW" world are produced. We succeeded We use absolutely zero water for
My dream is to have our technology in our goal to develop an extraction processing. In fact, we actually make
deployed all around the globe and lit- technology that doesn’t use any water—we extract it from the fish.
erally save lives by delivering the most water or any land for cultivating And the protein that comes out is a
sustainable, healthy protein to the our raw material. And our carbon super-protein powder: It has all the
over 5 million children that die every footprint is extreme- nutrients and no additives, it’s got a
year of malnutrition, along with all ly small. We can take long shelf life, and it has virtually no
of the adults and young children in more than 200 species odor or taste.
BY
the developing world that are either of truly sustainable,
stunted or undernourished. abundant and bounti- JULIANA
+RZLVWKHSURWHLQLQJHVWHG"
ful FDA-approved fish. PIGNATARO Its characteristics enable it to be
:KHUHŠV\RXULQVSLUDWLRQIURP" We buy them fo o d @julie_pignataro added to many foods that traditional
When my wife and I started an orga- proteins cannot be, such as ramen or
nization called PledgeToHumanity pasta, or even baked goods. In India,
.org, helping underprivileged chil- we’re doing a human study where
dren and orphans, we were devastat- the children eat potato patties. We
ed by the millions of children who ţ:HXVHDEVROXWHO\ can put our protein into the pasta,
die every year from malnutrition. So
we said, Let’s come up with a food
]HURZDWHU,Q and then they can eat whatever they
like, but they’re actually getting a
package unlike what the U.N. and IDFWZHPDNH lot of very valuable and nutritional
UNICEF at the time were delivering,
which was just carbohydrates and
ZDWHUŜZHH[WUDFW fish protein in it, without changing
the taste of the product. We can put
just fills up their stomach but doesn’t LWIURPWKH˽VKŤ it in tortillas; you can’t put tradi-
really alleviate the root cause of the tional protein into tortillas or tor-
problem. The children die because tilla chips, but ours can go in there
they lack highly digestible protein. because it acts differently than
I read a U.N. report that said fish traditional protein.
protein was the savior of the world
hunger problem, and it is the most :KDWKDYH\RXOHDUQHGIURP
sustainable raw material, abundant RWKHUVZKRKDYHWULHGWRWDFNOH
on Earth. To my surprise, I could VLPLODUSUREOHPV"
not find any large-scale manufac- We searched the globe to perfect the
turer that makes it. I said, We need
to find out how to develop a truly
sustainable and environmentally 6($9,256$9,25*KRUEDQLŠVGUHDP
LVWRKDYHDʀHHWRIKLVVKLSVGHSOR\HG
friendly technology, unlike anything DURXQGWKHJOREHVDYLQJOLYHVLQ
else that has been done, and create GLVDVWHUDUHDVDQGIHHGLQJWKHKXQJU\
38 NEWSWEEK.COM M A Y 31 , 2 019
),6+)22')URPWRS&KLOGUHQ
UHFHLYHOLIHVDYLQJSDFNDJHVRISURWHLQ
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Coming up with the fully automat-
ed technology that no one has done
before was a big obstacle. Removing
the odor and the taste from the fin-
ished product. And, mind you, we
have three products, and we have
zero waste. That means the fish goes
in, and everything that comes out
is usable. We add nothing—it’s all
from the fish.
:KRDUH\RXUPHQWRUV"
My number one mentor is the
c arp enter from Galile e, Je sus
Christ. He’s the one that multiplied
the fishes in the Sea of Galilee. I
know that’s a cliché, but it’s the
truth. Besides God, my wife has
really been the one to inspire me.
system, and some of the things that She’s dedicated her life to helping
we found were that the same old others without expecting anything
technology was used in the protein in return.
manufacturing industry. We tried
to stay away from enzymatic hydro- :KDWGR\RXVHHWKHZRUOGEHLQJ
lysis and microfilters because they OLNHLQ\HDUVLI\RXVXFFHHG"
require a lot of water. Also, we avoid In my wildest dreams, I would like
the heavy use of synthetic enzymes to see our factories all around the
and genetic modification, because globe, producing products and de-
some of the synthetic enzymes and livering it to all the population, so
acids remain in the food and affect that we do not have stunted children
its overall quality. We also learned to launching our full-scale plans. We in Asia, we don’t have starving chil-
avoid oxidation through the design have several tons of protein samples dren in Africa, and we don’t have
& 28 57( 6< 2) $ '9$ 1&( , 17 (5 1$7 , 21$ / ʦ ʧ
of the Seavior System, which is basi- that have been tested successfully. We millions of children die around the
cally a closed-loop system that does have wholesale customers that are world from malnutrition. We can
not allow daylight or oxygen into waiting to receive the product. But feed people in disaster times or in
the system so that the finished our original and ongoing passion good times. My dream is to have a
product is not oxidized while it is is taking care of the children. We fleet of our patented Seavior ships
being processed. have a program called Kilos for Kids, all around the globe, going to every
so for every kilo of protein that we disaster area and really saving lives
'R\RXIHHOFORVHWRVXFFHVV" sell, we’re going to give away enough and enriching our food supply in a
Thanks to God, after a few years protein for a life-saving package for a totally sustainable and environmen-
of very hard work, we are close to child around the world. tally friendly fashion.
NEWSWEEK.COM 39
Horizons
M O VI E S
Bringing Pocket
Monsters to Life
Detective Pikachu is not just another Pokémon movie
40 NEWSWEEK.COM M A Y 31 , 2 019
LEVEL UP TO THE BIG SCREEN
Left: Scenes from Detective Pikachu,
featuring actors Smith and Kathryn
Newton, as well as Letterman di-
recting Smith. Bottom: Reynolds, at
the premiere, quotes Pikachu.
NEWSWEEK.COM 41
Culture HIGH, LOW + EVERYTHING IN BETWEEN
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M O V IE S
Godzilla’s World
How the creature designer for Godzilla: King of the Monsters built an entire
ecosystem of beasts, rewriting human history along the way
42 NEWSWEEK.COM M A Y 31 , 2 019
THROUGH THE GRAPEVINE
The world’s best wine regions » P.46
NEWSWEEK.COM 43
Culture
44 NEWSWEEK.COM M A Y 31 , 2 019
MO VI E S
NEWSWEEK.COM 45
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46 NEWSWEEK.COM M A Y 31 , 2 019
06 Croatia 07 China
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NEWSWEEK.COM 47
Culture Illustration by B R I T T S P E N C E R
PA R T I NG S HO T
Lauren Morelli
“it’s very important to have trans voices contributing to the How critical was it to have trans
stories,” Orange Is the New Black alum Lauren Morelli says of her latest talent involved?
project, a remake of the cult classic Tales of the City, premiering on Netflix June It was paramount. There’s no question
7. Morelli, who serves as executive producer and showrunner for the series, that we would’ve cast Anna as a trans
hopes to bring the Emmy-nominated original, which was based on Armistead actress today. We were very lucky
Maupin’s groundbreaking books and debuted in 1993, to a new generation with to get the amazing Jen Richards to
some modern updates. Laura Linney reprises her role as Mary Ann Singleton, SRUWUD\KHULQDʀDVKEDFNHSLVRGH
who returns to San Francisco to reunite with her chosen family, including Anna
Madrigal, a trans woman once again played by Olympia Dukakis, but they are Are inclusion riders important?
joined by trans talent including directors Silas Howard and Sydney Freeland, Very important. Often the excuse is
writer Thomas McBee and actress Jen Richards, who is best known for the web how hard it is to make sure that you’re
series Her Story and portrays a young Anna. “Because the show is so queer,” EHLQJLQFOXVLYH<HVLWUHTXLUHVVRPH
Morelli explains, it felt crucial “to be as diverse and as inclusive as possible.” effort. It’s the very least we can do
when we’re handed a lot of power.
48 M A Y 31 , 2 019
The green tide is rising.
Are you ready?
Jim Belushi and his team pose for a
WEED photo after loading a pickup truck with
plants and flowers. The skies surrounding
Belushi’s Farm are often host to mating
bald eagles, which gives the stretch of
Oregon the name Eagle Point.
HE’S ON A
MISSION
FROM GOD
How beloved character actor
Jim Belushi found a new career
and a new purpose.
32 WEED 2.0
RECONSIDERING
CANNABIS?
As more and more people accept cannabis into the
mainstream, some still question its health risks.
T third of Americans
favored legalizing
marijuana. Now,
investigation into the risks of
widespread marijuana use. He
spoke with Newsweek about
10 years for the tobacco industry
to finally stop arguing about it.
62 percent do, according to a what he considers the pitfalls WHAT DOES THE NEW
Pew Research Center poll last of legalization. RESEARCH REVEAL ABOUT
fall, including nearly three- MARIJUANA’S EFFECTS ON
quarters of millennials. Ten WHAT WAS YOUR REACTION THE BODY AND THE MIND?
states allow recreational use of TO HEARING THAT RESEARCH You can’t say, “As a result of
weed, and 33 permit doctors to CONNECTED SCHIZOPHRENIA smoking, this set of biological
prescribe it for chronic pain, AND MARIJUANA? changes happens that causes
anxiety and other ills. A growing How could no one know? you to have these thoughts
marijuana legalization industry, And it turns out that scientists that you can’t control.” I
which includes many for-profit do know! In 2017, there was doubt we will ever get to that
companies, is heavily promoting a report from the National point. But you can still prove
the drug. Academy of Medicine that it epidemiologically [with
But what do we know about definitively said this, and nobody association studies], and by
its health effects? Not enough, really paid attention. looking at other biological weekend and have a good time, and increases the perception minors. You want messaging
says author Alex Berenson. That mechanisms. Is there a that’s reasonable. But we don’t that the drug is safe. Those are campaigns about the dangers
fact occurred to him during 2017? WHY DID IT TAKE SO plausible case here? What pretend that alcohol is medicine. all problematic. of cannabis. And you want to
a conversation with his wife, LONG FOR THE REPORT TO happens to people who we Why should we pretend that But the most important thing start collecting hard data on the
a forensic psychologist who COME OUT? know suffer from schizophrenia cannabis is? is not whether it’s legal or not, harmful effects. There should be
works with the criminally ill. Cannabis wasn’t very widely when they use marijuana? but that people know the risks studies about violence associated
She mentioned that many of used until about 1970. The new, There are ways to get to part of AS MORE STATES MOVE in using it. And we need to with marijuana, about psychosis,
the people she saw were either stronger stuff, the more potent a scientific understanding. TOWARD LEGALIZATION, spend money advertising those about suicide and about driving.
high on cannabis when they versions of it, have only come WHAT WILL PLAY OUT IN risks the way we spend money There should also be restrictions
committed their crime or were into being in the last 20 years WHAT ABOUT PEOPLE TERMS OF REGULATION? advertising the risks of tobacco. on marketing and advertising.
habitual users. or so. The evidence has been WHO USE MARIJUANA TO The U.S. is probably going to Even though tobacco is legal and Let’s get some data if we’re
A former reporter at The mounting, but the [marijuana] TREAT THE SYMPTOMS OF legalize, and something big cannabis isn’t, fewer teens use going to do this, so we can stop
New York Times, Berenson did advocacy community has done DEPRESSION AND ANXIETY? would have to change for that tobacco than cannabis. arguing about what the numbers
some research and found, to a good job throwing smoke You probably shouldn’t be using to not happen. Certainly, if a really are.
his surprise, that scientists had around this. any kind of intoxicant to handle Democrat is elected president WHAT REGULATION
hard data to support his wife’s Even with tobacco and lung depression or anxiety. This goes in 2020, there’ll be a big push IS NECESSARY? HAS CRIME INCREASED
anecdotal evidence. A 2017 cancer, it took about 40 years for alcohol too. Cannabis and for federal legalization. I’m not Obviously, you want to make IN STATES THAT HAVE
report, in particular, linked for scientists to prove beyond alcohol are recreational drugs. in favor of that because I think sure that stores are selling to LEGALIZED MARIJUANA?
marijuana use to schizophrenia. a reasonable doubt that this If you want to use them on the it lowers prices, drives up use people 21 and over and not to Violent crime has increased in
16 WEED 2.0