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MAY 24 - 31, 2019 _ VOL.172 _ NO.16

SPECIAL REPORT

18
DIVIDE AND CONQUER 24 ‘I Never Thought It
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34 By the Numbers
NEWSWEEK.COM BY DAVID H. FREEDMAN Superbugs

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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.
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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.”
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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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I hope you’ll join us on the road ahead.


 ƠNancy Cooper, Global Editor-in-Chief

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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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VKXIʀLQJŤNewsweek DVNHGţ,V$PHULFD
GHDOLQJLWVHOILQWRDQRWKHUGHFOLQH"Ť
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
RXWRIZHGORFNEDELHVWKHQXPEHURI
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
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Discover more at nonviolencenow.org

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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
D O M I NI C L I P I N SK , ʔ$ ) 3ʔ* ( 7 7 <

be known simply as Master Archie.


“We’re just so thrilled to have our own
little bundle of joy,” Harry said.
Ơ D O M I N I C L I P I N S K I
10
In Focus

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AMSTERDAM BANGKOK PURI, INDIA

Flag Football Royal Treatment After the Storm


An Ajax Amsterdam fan is enveloped in Thailand’s King Maha Vajiralongkorn is A woman sits with her child next to
KLVWHDPVRFFHUŠVʀDJVLQ-RKDQ&UX\II transported atop a golden palanquin storm-ravaged buildings on May 4
Arena on May 8. The Dutch team’s unlikely during his coronation procession in after Cyclone Fani swept through
ascent to the UEFA Champions League Bangkok on May 5. The $31 million, the eastern state of Odisha. The
VHPLɿQDOVHQGHGZLWKDQLQMXU\WLPHORVV three-day celebration came nearly cyclone killed at least 34 people in
to Tottenham Hotspur. Such underdog three years after Vajiralongkorn India and 15 in Bangladesh. Reports
stories may become a thing of the past ascended to the throne, following credited the vastly improved disaster
in the annual tournament, however, as the death of his father, and at a time readiness efforts of the countries,
Union of European Football Associations of political instability in country, which evacuated millions of people
RIɿFLDOVDUHUHSRUWHGO\FRQVLGHULQJOLPLWLQJ which is still deliberating the results from the powerful storm’s path, with
participation mainly to elite clubs. of March’s national election. preventing a much larger death toll.
Ơ ADRIAN DENNIS Ơ MANAN VATSYAYANA Ơ DIBYANGSHU SARKAR

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-

) 5 2 0  / ( ) 7  6 ( $ 1  5 $< ) 2 5 'ʔ* ( 7 7 <  $ /  ' 5 $* 2ʔ& 4  5 2 / /  & $ / / ʔ* ( 7 7 <


ital activism because online participa-
tion comes from individual experienc-
es rather than organizational dogma.
The third argument is that, well,
it depends. Political ideology’s role
in digital activism hinges on the
broader context—when a group is
the “out-party,” it uses it more. A pos-
sible fourth argument—that conser-
vatives dominate digital spaces—was
not yet on the radar. Trump and the

MAKE AMERICA GREAT AGAIN


Trump supporters at a March 2016
campaign rally in North Carolina cheer for
the Republican presidential candidate.

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.

likely to set up online platforms and


update them regularly.
Conservatives dominate the dig-
ital activism score even more when
we throw in the additional factor of
a group’s political strategy—whether
a group is reformist or radical. The
gap widens considerably between
reformist right-wing groups at high
digital levels over radical left-wing
groups’ low levels.
It’s clear that most right-wing
groups in my study were using the
internet more than left-wing groups.
Can this be explained by only one
of the three factors I examine: class,
organization or ideology? The
answer, of course, is no. Instead, what
I began to see is that several of these
factors, when combined, would am-
plify the effect of the others. These
debate about the influence of even conservatives. The top five groups in factors build on each other and fur-
more sophisticated tools like bots the digital activist index were right ther widen the digital activism gap.
and clickbait would come later. wing. Conservatives had more com- I also found that the common
So where do right-wing groups plex and updated websites, as well as view of left-wing horizontal groups
fit into these arguments? Studying a higher number of Facebook com- as being associated with internet use
the relationship between digital ac- ments and tweets per day, than pro- did not fit the mold. It was the oppo-
tivism and the politics surrounding gressive groups did. Eighty-two per- site. Right-wing groups that were hi-
collective bargaining rights for pub- cent of right-wing organizations had erarchical in their decision-making
lic employees in North Carolina was Twitter accounts, compared with 65 structure were the top users of the
a way to cast a wide net to include, percent of left-wing groups, boasting internet. This embrace of digital
hopefully, a wide range of groups on a greater number of tweets, Twitter media by right-wing groups seemed
all sides of the debate. Indeed, these mentions and a higher overall Twit- to go almost wholly unnoticed out-
components in the South generated ter score. In general, they were more side of their immediate circles at the
a broad political spectrum of groups time. The popular perception of in-
organizing around this issue, from ternet use, fed by the media’s focus
the far left to the far right and those A common on the use of technology by left-wing
in between. But it was this very ideo-
logical divide that helped explain assumption was protest movements, had people look-
ing in one direction while a wave
why Ken and his friends with the that conservatives was cresting from just outside this
CCTPP were some of the most pro- had been duped field of vision.
lific users of digital technology.
The CCTPP ’s high level use of by fake news or Interestingly, it was not just out-
siders who were mesmerized by the
the inter net was common among Russian hackers. left’s digital media use. Right-wing

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 <

These moves by Big Tech also raise ques-


then–Governor McCrory would veto published by Harvard University Press.
tions about free speech, regulation of hate
six bills passed by his own party. At Copyright © 2019 by the President and speech and whether private companies have
least four vetoes were overridden. Fellows of Harvard College. Used by per- the wisdom to make these decisions, even if
Years later, this robust, tightly mission. All rights reserved. they hold the legal authority to do so.

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

and play the


RED MEAT AS THEY LIKE.”
—sylvi listhaug, norway's
)520/()7(00$18(/'81$1'ʔ$)3ʔ*(77<.(<85.+$0$5ʔ3*$7285ʔ*(77<5,&+$5'6721(+286(ʔ*(77<

great game of
new minister for the elderly
and public he alth

“My wife and I


golf again.” are in a haze. He was
everything to us. ”
ŜǰǦǤǢǮdzǬǬǡǯ  —john ca stillo on the de ath of
ǮǢǠǢǦDzǦǫǤǰǥǢǝǮǢǯǦǡǢǫǰǦǞǩ his 18-ye ar- old son, kendrick, one
of the nine pe ople shot at stem
ǪǢǡǞǩǬǣǣǮǢǢǡǬǪ scho ol highland s ranch

Sylvi Listhaug

“THE PATH WE HAVE


CHOSEN TODAY IS NOT
“My interviewing technique
was like bashing someone THE PATH OF WAR; IT IS
in the face with a THE PATH OF DIPLOMACY.
sledgehammer. I was like BUT DIPLOMACY WITH
the Joker, and all I wanted A NEW LANGUAGE AND
to do was cause chaos.” A NEW LOGIC”
—radio host howard stern
—Iranian President Hassan Rouhani

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

Photog raph b y N A M E G O E S H E R E NEWSWEEK.COM 19


SPECIAL REPORT

january, columbia university


revealed that four patients at its Ir-
ving Medical Center in New York
had been sick with an unusual version of E. coli, a common gut
bacterium. Although the news largely escaped attention in the me-
dia, it ricocheted through the world of infectious disease experts.
E. coli is a relatively common bacterium and benign when it’s in
the gut, where it usually lives, but in the wrong places—such as in
lettuce or ground beef, or our bloodstream—it can turn deadly.
When antibiotics prove ineffective against an E. coli infection, as
many as half the patients with it die within two weeks.
That’s exactly why the Columbia E. coli was so worrying. Over
the past decade or two, E. coli has developed resistance to one an-
tibiotic after another. For some infected patients, their last hope is
the antibiotic colistin, a toxic substance with potential side effects
that include kidney and brain damage. The Columbia E. coli had
a mutation in a gene, MCR-1, that confers a terrifying attribute:
imperviousness to colistin.
“We’re looking to the shelf for the next antibiotic, and there’s
nothing there,” says Erica Shenoy, associate chief of the infection
control unit at Massachusetts General Hospital. “We’re facing the
specter of patients with infections we can’t treat.”
Ever since an experimental miracle drug called penicillin was
rushed to a Boston hospital in 1942 to save the lives of 13 victims
of a nightclub fire, medical researchers have discovered more
than 100 new antibiotics. We’ve needed each and every one of
them—and they’re not enough. It’s not just E. coli. Drug-resistant
strains of Staphylococcus, Enterobacteriaceae and Clostridium dif- “We’re looking to the shelf for the
ficile have been steadily overcoming antibiotics; one study found
that the number of deaths due to resistant infections quintupled
between 2007 and 2015. Recently, treatment-resistant versions
of the fungus Candida auris have shown up in hospitals in New
York City and Chicago, killing half of infected patients.
The U.S. Centers for Disease Control and Prevention reports
that 2 million people a year are sickened in the U.S. by bacteria
or fungi resistant to major antibiotics, and that 23,000 die from
them. “It’s probably a vast underestimate,” says Karen Hoffman,
who heads the Association for Professionals in Infection Control
and Epidemiology. “We don’t have a good reporting system for
multiresistant organisms, so we don’t really know.” Studies sug-
gest the cost to the U.S. health care system of treating patients
with these hardy bugs tops $3 billion a year.
This grim trend is expected to accelerate. The World Health
Organization predicts that worldwide death rates from drug-re-
sistant microbes will climb from the current 700,000 per year to
10 million by 2050. At that point, they will have surpassed cancer,
heart disease and diabetes to become the main cause of death
in the human race. Before antibiotics, a small cut, tooth decay or
routine surgery could lead to a life-threatening bacterial infection.

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.”
* ( 7 7 <  . $7 ( 5< 1 $  .2 1 ʔ 6 & , ( 1 & (  3 + 272  / , % 5 $ 5<ʔ* ( 7 7 <  5 2 ' 2 / ) 2
&/2 &.:,6()520%27 720%,//2Š/($5<ʔ7+(:$6+,1*7213267ʔ

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
6 & , ( 1 & (  $ 57 : 2 5 . ʔ 6 & , ( 1 & (  3 + 272  / , % 5 $ 5<ʔ* ( 7 7 <

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

5 2 0 $ , 1  / $ )$ % 5 ( * 8 ( ʔ$ ) 3ʔ* ( 7 7 <

22 NEWSWEEK.COM M A Y 31 , 2 019
SPECIAL REPORT

in exotic places— The New Bug-Hunters


part of the problem with drug resistance is that
even on OTHER PLANETS. microbes evolve with alarming speed into new species. Whereas
a human needs 15 or more years to mature enough to have off-
spring, microbes like E. coli reproduce every 20 minutes. In a
few years, they can go through evolutionary change that would
have taken humankind millions of years to accomplish—change
that can include acquiring genetic attributes that allow them to
withstand drugs. A human on antibiotics is the perfect lab for
developing resistant microbes. “Research shows that whenever
a new antibiotic comes into use, we start to see the first resistant
microbes emerge about a year later,” says Mass General’s Shenoy.
There’s little in the pharmaceutical pipeline to replace the an-
tibiotics to which bugs are becoming resistant. That’s because
development of a new antibiotic runs about $2 billion and takes
about 10 years—with little hope of ending up with the sort of
blockbuster drug that justifies such an investment. “The point
of having a new antibiotic would be to use it as infrequently as
possible, for as short a time as possible,” says Jonathan Zenilman,
chief of the division of infectious diseases at Johns Hopkins Bay-
view Medical Center in Baltimore. “Why would a pharma com-
pany want to develop a drug for a market like that?”
Medical researchers are now searching for other approaches.
One involves recruiting biologists with a flair for evolutionary the-
ory into the war on bugs. In the 1990s, Riley started out at Harvard
and Yale studying the ways viruses kill bacteria and bacteria kill
one another. In 2000, a colleague casually asked her if the work
had any application to human health. “I had never thought about
that,” she says. “But suddenly everything clicked for me, and I be-
came consumed by that question.”
Riley has since spent the past two decades looking into applying
the warfare strategy of viruses to the problem of resistant infections
in humans. Viruses called “phages,” which are basically chunks of
genetic material wrapped in a protective protein, will pierce the cell
wall of a bacterium and hijack its genetic machinery, turning the
bacterium into a factory for making more viruses. Riley also studies
how bacteria sometimes also kill other bacteria in the competition
for food. A colony of bacteria will sometimes elbow out a competi-
VIRAL CURE
One promising alternative tor by producing poisonous proteins called “bacteriocins.”
to antibiotics is the use of Riley’s goal isn’t just to kill dangerous bacteria—it’s also to
viruses, called phages, to protect the beneficial ones. Of the roughly 400 trillion bacteria
attack bacteria. Doctors
have successfully treated living in or on each of our bodies, the vast majority are helpful or
infections with phages, but benign—only one 10-thousandth of a percent of them are poten-
more work is needed. Here, tially harmful, she says. Commonly prescribed “broad spectrum”
Dr. Gilles Leboucher, at
the Croix-Rousse hospital antibiotics like penicillin, ciprofloxacin and tetracycline don’t
in Lyon, France, prepares discriminate between good and bad bacteria—they wipe out
a solution of phages. them all. That not only helps lead to the emergence of resistant
bacteria but also causes problems for patients.
Continued on page 26

NEWSWEEK.COM 23
SPECIAL REPORT

Doctors are running out of EFFECTIVE DRUGS


because of poor economic incentives to develop them

edical researchers have known for decades that the


pipeline for new drugs to stave of bacterial infec-
tions would one day run dry. That day is now at
hand. In some cases, doctors have no drugs to give
their patients for what once were treatable infections but are
now life-threatening. Although researchers have many good
OHDGVWKHELJJHUSUREOHPLVDODFNRIɿQDQFLDOLQFHQWLYHVWR
bring new treatments through the drug-development gantlet.
“When I signed up to be an infectious disease specialist 25
years ago, I never thought it would come to this,” says Helen
Boucher, a physician at Tufts Medical Center in Boston and
director of its infectious disease fellowship and heart trans-
plant programs. Boucher has been a leading advocate for
3 ( 7 0 $ / ʔ* ( 7 7 <

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.

Q _ Shouldn’t the government be covering


the cost of some of this?
“We’re seeing existing _
A The government has been investing in an-
tibiotic drug development for some time. We’re
antibiotics manufacturers WKUHH\HDUVLQWRWKHɿYH\HDU&$5%;HIIRUWD
public-private international partnership that’s
at or near bankruptcy, investing more than $500 million in the indus-
try for early drug discovery and development.
and small biotech companies 7KHUHŠVDOVREHHQPRQH\IURPWKH*$,1>*HQ-
HUDWLQJ$QWLELRWLF,QFHQWLYHV1RZ@DFWDQGWKH
are struggling.” VW&HQWXU\&XUHV$FW
$OOWKLVKHOSVEXWLWŠVJRLQJWREHDWR
15-year process to reinvigorate the pipeline.
Where we are right now is scary.

NEWSWEEK.COM 25
&/2&.:,6()520/()73(23/(,0$*(6ʔ*(77<<9$1&2+(1ʔ/,*+752&.(7ʔ*(77<                         60 , 7 + &2 / / ( & 7 , 2 1 ʔ* $ ' 2ʔ* ( 7 7 <  '$ 1 $  1 ( ( /<ʔ* ( 7 7 <
“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

investigation. But we have to KEEP THINKING of new approaches.”


and other resistant bacteria, but these too are just research Managing the Bugs
efforts. “These non-antibiotic treatments are still in the early although antibiotics are truly miracle drugs when they
stages of investigation,” says David Banach, who heads infection work, our current problems have arisen in part because medicine
prevention at the UConn Health medical center in Farmington, has relied too heavily on them. Doctors prescribe them for ear
Connecticut. “But we have to keep thinking of new approaches.” infections, sore throats and urinary tract infections. Surgeons
Given the enormous urgency of the problem, why is it taking use them to prevent postoperative infections. Because bacteria
so long to move promising solutions toward trials and availabili- can develop resistance, antibiotics make the most sense as part
ty? Because there’s little money in it, says Tufts’ Boucher. The gov- of a holistic approach to managing the spread of bacteria and
ernment is sinking billions into research, but the private invest- dealing with infections. As antibiotics begin to lose their useful-
ment to turn that research into ness, medical experts are now coming around to emphasizing
manufactured drugs and devic- many-pronged strategies for keeping the bugs at bay.
DRUG PUSHERS
The easy availability of antibiotics es has not materialized. Drug Being quicker off the mark to identify and respond to potential
encourages microbes to develop companies, says Boucher, have outbreaks with extra precautions and targeted antibiotics could
resistance. Opposite page: A little prospect of profiting off a slow or prevent outbreaks. New tests under development would
pharmacist makes notes on
medications on the shelves. drug that isn’t likely to be taken allow health workers to rapidly and cheaply identify the genes of
This page, clockwise from top: by millions of people or fetch any bacteria found on or near patients. “We can’t do molecular
Over-the-counter drugs in prices of tens of thousands of screening on every patient who walks through the door for every
Bangkok; the U.S. Centers for
Disease Control and Prevention dollars per dose. “The economic organism. That would be looking for a needle in a haystack,” says
in Atlanta; a surgical waiting area. model is broken,” she says. Shenoy. “But if we can screen high-risk patients quickly enough,

NEWSWEEK.COM 27
The U.S. promised $2 BILLION to develop alternatives
to antibiotics, “but that’s not nearly enough.”

. $7 ( 5< 1 $  .2 1 ʔ 6 & , ( 1 & (  3 + 272  / , % 5 $ 5<ʔ* ( 7 7 <

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.
&/2&.:,6()520/()7$1',$ʔ8,*ʔ*(77<&$0,//(9$19225(1ʔ(<((0ʔ*(77<                             ( 6 6' 5 $6  0 6 8$5 ( =ʔ7 + (  %2 672 1 */2 %( ʔ* ( 7 7< 5( %( && $ :,/&2;ʔ 3 85'8 (8 1 , 9 ( 5 6 , 7 <
“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

wouldn’t need as much disinfection if they didn’t pick up bugs


in the first place. Fighting bacteria accidental mission for Reyn-
olds. She had been investigating ways of avoiding clots in the
meshes that surgeons use to keep patients’ arteries open. Apply-
ing a coating of copper nanocrystals to the meshes seemed to
keep blood cells from sticking to the surfaces. She noticed that
bacteria didn’t stick to the nanocrystal coatings either. Then a
student in her lab had a eureka moment: Why not dip cotton
fabric in a solution of the nanocrystals to keep bacteria from
sticking to the fabric? “We were discovering new materials with
strong antibiotic properties,” says Reynolds. “That led us in a
new direction.”
The idea of bacteria-proof clothing has so far survived a bat-
tery of tests. “We’ve exposed the treated fabric to all kinds of bac-
teria over and over again, and we can’t find any sticking to it,” she
says. “We’re still trying to figure out the mechanism, but we know
it works with all different types of bacteria.” She has already col-
laborated with a major medical-supply company to prove that the
nanocrystals can be cheaply incorporated into manufacturing
processes. Now, she’s investigating ways to get the crystals into a
variety of other materials used in hospitals, including stainless
steel, paint and plastics. These treated materials would stay bac-
teria-free much longer than conventional hospital surfaces that
are wiped with common disinfectants, she says.
Lasers are another potential weapon against bacteria. Mo-
hamed Seleem, a Purdue University biologist, and his colleagues
were trying to come up with a way to quickly identify infectious

time. It’s our BIGGEST STRUGGLE .”


bacteria in blood samples by hitting the samples with laser
light of different colors. Along the way, they noticed that cer-
tain drug-resistant bacteria changed color from gold to white
just seconds after being hit with a mild beam of blue laser light.
Some of these “photobleached” bugs died, and others became so
weakened that they lost their resistance to ordinary antibiotics.
The blue light, it turned out, damages the pigment in the bacte-
ria’s outer membrane. “It only affects a particular pigment,” says
Seleem. “So it doesn’t harm any other cells.”
Seleem and his collaborators are now working to find ways
to tune the color of the laser light to target other resistant bugs.
If he succeeds, health care workers would be able to use a la-
ser the size of a flashlight to safely kill dangerous bacteria on
patients’ skin or disinfect a hospital or doctor’s office. It could
also be shined on the skin and clothing of health care workers
themselves in order to keep them from spreading infections. His
collaborators are working to set up clinical trials.
Seleem also thinks the light could be used on severe, dan-
gerously resistant blood infections, by hooking up a patient to
a blood-circulating machine and shining it on the blood as it
passes through. “You’re basically taking out the patient’s blood,
sterilizing it and returning it to the patient,” he says.

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/\PHGLVHDVH 37/' 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.

have brought out a hundred or

$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 <

drug-resistant (CRE), including


bacteria. New York, Connecticut, The amount
Florida, Texas, of days it
California, Wash- took E. coli
C R E CAS E S
ington and Alabama. bacteria
1 2 1( 5 (3 2 57('
to evolve
and develop
total
resistance
23,000 Ơ U.S. deaths due to drug-resistant infections per year, to an
according to the Centers for Disease Control and Prevention. antibiotic,
according
Estimates suggest that by 2050, the bacteria could claim to a Harvard
10 million lives every year around the globe, more than cancer. study.

NEWSWEEK.COM 35
M O ON SHO T S

Entrepreneur and inventor


Mazi Ghorbani believes he’s found
, 0 $* ( 1 $9 , ʔ* ( 7 7 <

a way to feed millions of kids:


VXSHUSURWHLQH[WUDFWHGIURP˽VK

36 NEWSWEEK.COM M A Y 31 , 2 019
(&2ʝ)5,(1'/<
1285,6+0(17
3URWHLQIURPɿVK
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QXWULWLRXVSRZGHU

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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SRZGHUFDQEHPL[HGLQWROLTXLGV

:KDWREVWDFOHVKDYH\RXIDFHG
ZKLOHWU\LQJWRPDNHWKLVDUHDOLW\"
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

since pokémon debuted in out into the wilderness and can


1996, the franchise’s “pocket collect something that can empower
monsters” have dominated the you, that brings you joy. You can
hearts, minds and wallets of gen- go out with your friends and with
erations of kids. It’s now a global no adults around go on these great
empire worth $90 billion, making adventures.”
it the world’s most valuable media The Detective Pikachu game is
property, bigger than Star Wars. And unusual for Pokémon. It is a story-
it has its first live-action, big-screen driven mystery adventure rather than
movie, Detective Pikachu (based a wide-open role-playing game, and it
on an adventure game of the features a titular ball of fur who says
same name), which opened in a lot more than his trademark phrase,
theaters May 10. “Pika! Pika!” He partners
Pokémon began as a with a boy named Tim
pair of Japanese-only BY Goodman to investigate
video games for Nin- the disappearance of
tendo’s Game Boy. Play- MO MOZUCH Tim’s father, Harry, him-
ers were tasked with @momozuch self a detective who went
catching Pokémon and missing on a case about
training them to battle one another. a series of unusual Pokémon attacks.
A trading card game, comic book and In the game, as well as the movie, Tim
cartoon series launched soon after, and Pikachu have a special relation-
and the whole phenomenon was ship because Tim is the only human creative team took an audio clip from
exported to the U.S. in 1998. Since who can understand Pikachu’s speech. one of Reynolds’ previous movies, The
then, there have been 78 video games, It’s an Odd Couple dynamic that lends Change-Up, and used it to animate a
18 animated movies and thousands itself to moments of humor and per- scene with Pikachu. “The second we
of trading cards, not to mention sonal discovery for the characters.
millions of toys, hats, T-shirts and “The idea baked into the Detective

“We were gonna make


backpacks. Pikachu game was a big personality
What is the secret of its success? coming out of a small, yellow furry
Rob Letterman, the director of character,” Letterman says. That
a movie for hardcore
fans and get it right
Detective Pikachu, tells Newsweek, someone turned out to be Ryan Reyn-
“There’s a real wish fulfillment to olds, best known for his portrayal of
it, especially for a younger gen- foul-mouthed superhero Deadpool.
for them.... They’re so
passionate about it.”
eration. A s ens e of emp ower- Before even approaching Reynolds
ment, the notion that you can go about the part, Letterman and his

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.

the performance because it’s blended


so beautifully.”
Letterman says he began think-
ing about how to make a live-action
movie with cartoon characters years
before filming—shuttling back and
forth between Tokyo and California
to meet with original artists and cre-
ators, like the Pokémon Co. founder
Tsunekazu Ishihara and Ken Sugi-
mori, who created all 151 original
Pokémon. “I didn’t want to break
what people recognize as Pokémon,”
Letterman says. “They are very car-
toonish shapes. They’re not animals
that exist in our world that we just
copied. They are otherworldly car-
toons that we wanted to make pho-
$%29(&2857(6<2):$51(5%5263,&785(6ʦʧ5(<12/'60,&+ $ ( /  67 ( :$ 5 7ʔ ) , / 0 0 $* , & ʔ* ( 7 7 <

torealistic. Part of that process was


Put down shooting on location, shooting with
the stapler, or I vintage lenses.”

will electrocute Detective Pikachu is a film noir at


heart, says Letterman, so he shot it
you! on film and relied on the skills of
cinematographer John Mathieson to
give it what he calls a gritty “daytime
Blade Runner vibe.” Leaving in sub-
tle imperfections prevents the film
saw that clip, it was a done deal. It was from looking sterile, Letterman says,
a perfect fit,” says Letterman. something he feels audiences are
But while Reynolds appears in the becoming more aware of after years
film only as the voice of a digitally of highly digitized blockbusters.
animated Pikachu, co-star Justice Throughout the making of the
Smith had to act in front of the cam- movie, Letterman says he and his
eras. Letterman used puppeteers to team tried to keep one thought in
give the actor a Pikachu to react to mind. “It’s hard to make a movie for
in rehearsal. But once the scene was everyone; you end up making a movie
ready for filming, Smith needed to for no one,” he says. So “we said we
do it alone. “Justice’s muscle memory were gonna make a movie for hard-
and eyeline and performance were core fans. Start there and go to our
incredible,” Letterman said, “He’s so base and figure out how to get it right
skilled. No one will really appreciate for them. They’re so passionate.”

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

scott chambliss has built environments


across the universe as production designer
for movies such as Star Trek and Guardians of the
Galaxy Vol. 2. But Godzilla: King of the Monsters
presented a new challenge: create an entire eco-
system robust enough to shape a fictional human
past and populate its monster-filled future.
“What is their story, what are their qualities, and
how do we most accurately or meticulously convey
this about them?” Chambliss says, describing his
design approach. As the ringleader on more than a
dozen creature designs for King of the Monsters—“17
and counting,” Dr. Ishiro Serizawa (Ken Watanabe)
says in the latest trailer—Chambliss and director
Michael Dougherty had to build a world on a scale
appropriate for the movie’s rampaging iconic mon-
sters, or Titans, competing for dominance.
“We had this biodynamic relationship with
nature that we visualized with these creatures,
including Godzilla,” Chambliss says, using a term
often applied to organic farming and wine labels.
“Everything about them is a part of nature.”
This could mean Godzil-
la’s body lighting up with
BY
bioluminescence as he
roars radioactivity, or
ANDREW WHALEN Rodan’s fiery nature going
@AnAndrewWhalen far beyond his volcanic lair.
“There’s some visual man-
ifestation that happens within their very beings
before they let anything rip,” Chambliss explains.
Unlike Hollywood’s first attempt, in 1998, at a
Godzilla movie, which over-explained Godzilla’s
dietary habits and mutations, King of the Monsters
understands that realistic isn’t the same as believ-
able. “In creating our new silhouettes, we gave
them characteristics that make them a bit more
accessible to modern audiences,” Chambliss says.
“We call it making them more believable, but it’s
CLASH OF THE TITANS
not really more believable. It’s just a visual lan-
1DWXUDOGLVDVWHUVRIɿUH guage we can believe now.”
OLJKWQLQJDQGʀRRGVUHVXOW The movie obsessively re-creates some of
from battles between the
PRQVWHUVVHHQKHUHLQ
the effects found in movies like Toho studio’s
FRQFHSWDUWIURPWKHɿOP Ghidorah, the Three-Headed Monster, including the
zig-zagging, lightning-like “gravity beams” fired by
Godzilla’s nemesis. But King of the Monsters also

NEWSWEEK.COM 43
Culture

introduces new Titans all its own,


expanding the world of monsters
beyond the series’ Japanese roots.
“A lot of it is starting from the crea-
tures themselves,” Chambliss says.
“We made very sure we could contrib-
ute to the origins of these creatures.”
King of the Monsters depicts nature
unbalanced, with the old gods of the
Earth returning, either to set it right
or feast upon the chaos. Just as its
monsters represent a natural world
run amok, the scale of destruction
in King of the Monsters goes beyond
city-stomping, taking on the propor-
tions of a natural disaster.
“We employ references from the
most melodramatic visualizations
of catastrophic happenings on the
planet,” Chambliss says. “Massive
storms and earthquakes happen,
and all of that is part of the chaos the
monsters are creating.”
On one side is Mothra, “a crea-
ture innately tied with nature,”
Chambliss explains, “a conductor
of metaphorical and visual light.”
Then there’s King Ghidorah, a three-
headed monstrosity who sees the
potential to “dominate everything
and everyone, including the mon-
sters.” “Nature is out of balance,
and he sees that as an opportunity,”
Chambliss says. “He’s basically there
to ravage and own.”
Godzilla, appearing with his com-
pact wrestling stance and ursine
snout, as introduced in the Gareth
Edwards–directed reboot in 2014,
will play the bruiser, bringing bal-
ance back to the people who once TAKE COVER
The monsters primarily take aim at
worshiped him. King of the Mon- each other in this all-out monster
sters not only builds a complex web EUDZOZKLOHWKHKXPDQVGRWKHLU
of city-scale organisms but also best to avoid their own species
becoming collateral damage.
delves into humanity’s long and Clockwise from above: Concept art
complicated history with the mon- IURPWKHPDNLQJRIɿOP&KDPEOLVV
sters. Godzilla has experienced many the three-headed King Ghidorah.
redesigns — from the rubber-and-
fiberglass suits donned by the late

44 NEWSWEEK.COM M A Y 31 , 2 019
MO VI E S

Haruo Nakajima (an autographed


photo of the actor watched over the
King of the Monsters set) in 1954’s
original Gojira to the fleshy, knotted
scar tissue of the constantly mutat-
ing Shin Godzilla in 2016. Audiences
have never, however, seen into his
past or his home.
“Michael had a construct, based on
his views of the place of these mon-
sters in ancient history,” Chambliss
says. “We got to look way back into
the actual representation of mon-
sters in the iconography of different
cultures. From that, we created our
own anthropological history.”
Godzilla: King of the Monsters
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visits an ancient city built to house


King of the Godzilla, once populated by wor-
Monsters shippers, subjects and caretakers.

introduces It was later lost to a mythological


disaster. Only Monarch, a secret sci-
new Titans ence organization, has the resources
all its own, to launch a submarine expedition

expanding from its own underwater fortress.


While Godzilla: King of the Monsters’
the world of rewrite of natural and human his-
monsters tory sets up a sprawling world for its

beyond 2020 sequel, Godzilla vs. Kong, don’t


count out humans just yet: Plans
the series’ include a new take on the colossal
Japanese robot Mechagodzilla, humanity’s

roots. answer to the Titan threat.


But during much of King of the
Monsters, the human cast, includ-
ing Vera Farmiga, Sally Hawkins,
O’Shea Jackson Jr., Kyle Chandler,
Charles Dance and Millie Bobby
Brown, will simply be struggling to
survive. “Our movie is very much
about the monsters battling each
other,” Chambliss says. “In some
cases, human beings aren’t a big
part of that story. The best they
can do is stand by and try not to
be obliterated.”

Ơ Godzilla: King of the Monsters is in


theaters May 31.

NEWSWEEK.COM 45
Culture

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Wine Regions 5

05 Chile

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46 NEWSWEEK.COM M A Y 31 , 2 019
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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.

“It also felt How does the 1993 version


compare with the remake?
important to (VSHFLDOO\LQWKHERRNVWKHUHŠVVR
update it and much kindness and empathy. As long

portray the as that was at the core of what we were


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authentic queer the original spirit of Armistead’s
experience as words. It also felt important to update

we understand it and portray the authentic queer


experience as we understand it today—
it today.” EHLQJTXHHUQRZYHUVXVZKDWLWIHOW
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How has Orange Is the New Black


changed your career?
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KDGDFDUHHUEHFDXVH-HQML.RKDQ
hired me. Being on that set taught me
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That cast taught me how expansive
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people we’re portraying on TV.
It really shaped the kind of stories
I wanted to tell. —Maria Vultaggio

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.

HEN JIM Belushi introduces himself,


the first words come with a rush of

W recognition. Preparing for the mental


torrent instigated by the familiarity of
the voice would’ve been impossible.
The sheer number of times one has heard it is
staggering, and its in-person presence makes
thinking about all those times inevitable. After
following in his brother John’s footsteps as a cast
member on SNL, Belushi built an impressive
résumé, the highlights of which necessarily twitch
through one’s memory at the sound of his voice:
the sitcoms like the still-syndicated According to
Jim, the cartoon voice-overs from Hey Arnold! to
Doc McStuffins to The Adventures of Jimmy
Neutron: Boy Genius, the dramatic parts in critical
darlings like Twin Peaks and The Ghost Writer.
Being interviewed by Newsweek, though, there’s
one role in particular he wants to talk about, on
the Amazon Original Series Good Girls Revolt,
which dramatized the struggle for equality among
female journalists in the late-1960s at the aptly
named News of the Week. In a coincidence fit for
the big—well, at least the small—screen, Belushi
played the magazine’s editor in chief: in other
words, a fictional version of this correspondent’s
boss’s boss’s boss’s boss. “[For the show,] they had
old photographs of Reagan, LBJ and the pope and
they put my body in,” he remembers, laughing.
“When the show got canceled I put them up in
my own office and people would come over and

32 WEED 2.0

Outdoor cannabis thrives before


flowering. According to Politico,
296 members of the House
(68 percent) represent districts
in the 33 states with some form
of cannabis legalization.

WEED Health Update

RECONSIDERING
CANNABIS?
As more and more people accept cannabis into the
mainstream, some still question its health risks.

WENTY YEARS Berenson went on to [cancer] connection was really


AGO, less than a write Tell Your Children, an there. And it took another five or

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

Find it on newsstands nationwide


or at OnNewsstandsNow.com

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