Bacterial Infections the 'Second Leading Cause of Death Worldwide'

Hand washing is advised to prevent infection with the pathogens S. aureus and E. coli, which are behind a huge number of deaths every year JENS SCHLUETER AFP/File
Hand washing is advised to prevent infection with the pathogens S. aureus and E. coli, which are behind a huge number of deaths every year JENS SCHLUETER AFP/File
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Bacterial Infections the 'Second Leading Cause of Death Worldwide'

Hand washing is advised to prevent infection with the pathogens S. aureus and E. coli, which are behind a huge number of deaths every year JENS SCHLUETER AFP/File
Hand washing is advised to prevent infection with the pathogens S. aureus and E. coli, which are behind a huge number of deaths every year JENS SCHLUETER AFP/File

Bacterial infections are the second leading cause of death worldwide, accounting for one in eight of all deaths in 2019, the first global estimate of their lethality revealed on Tuesday.

The massive new study, published in the Lancet journal, looked at deaths from 33 common bacterial pathogens and 11 types of infection across 204 countries and territories, AFP said.

The pathogens were associated with 7.7 million deaths -- 13.6 percent of the global total -- in 2019, the year before the Covid-19 pandemic took off.

That made them the second-leading cause of death after ischaemic heart disease, which includes heart attacks, the study said.

Just five of the 33 bacteria were responsible for half of those deaths: Staphylococcus aureus, Escherichia coli, Streptococcus pneumoniae, Klebsiella pneumoniae and Pseudomonas aeruginosa.

S. aureus is a bacterium common in human skin and nostrils but behind a range of illnesses, while E. coli commonly causes food poisoning.

The study was conducted under the framework of the Global Burden of Disease, a vast research program funded by the Bill and Melinda Gates Foundation involving thousands of researchers across the world.

"These new data for the first time reveal the full extent of the global public health challenge posed by bacterial infections," said study co-author Christopher Murray, the director of US-based Institute for Health Metrics and Evaluation.

"It is of utmost importance to put these results on the radar of global health initiatives so that a deeper dive into these deadly pathogens can be conducted and proper investments are made to slash the number of deaths and infections."

The research points to stark differences between poor and wealthy regions.

In Sub-Saharan Africa, there were 230 deaths per 100,000 population from bacterial infections.

That number fell to 52 per 100,000 in what the study called the "high-income super-region" which included countries in Western Europe, North America and Australasia.

The authors called for increased funding, including for new vaccines, to lessen the number of deaths, also warning against "unwarranted antibiotic use".

Hand washing is among the measures advised to prevent infection.



Greece's 'Instagram Island' Santorini nears Saturation Point

Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
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Greece's 'Instagram Island' Santorini nears Saturation Point

Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP

One of the most enduring images of Greece's summer travel brand is the world-famous sunset on Santorini Island, framed by sea-blue church domes on a jagged cliff high above a volcanic caldera.
This scene has inspired millions of fridge magnets, posters, and souvenirs -- and now the queue to reach the viewing spot in the clifftop village of Oia can take more than 20 minutes, said AFP.
Santorini is a key stopover of the Greek cruise experience. But with parts of the island nearing saturation, officials are considering restrictions.
Of the record 32.7 million people who visited Greece last year, around 3.4 million, or one in 10, went to the island of just 15,500 residents.
"We need to set limits if we don't want to sink under overtourism," Santorini mayor Nikos Zorzos told AFP.
"There must not be a single extra bed... whether in the large hotels or Airbnb rentals."
As the sun set behind the horizon in Oia, thousands raised their phones to the sky to capture the moment, followed by scattered applause.
For canny entrepreneurs, the Cycladic island's famous sunset can be a cash cow.
One company advertised more than 50 "flying dresses", which have long flowing trains, for up to 370 euros ($401), on posters around Oia for anyone who wishes to "feel like a Greek goddess" or spruce up selfies.
'Respect Oia'
But elsewhere in Oia's narrow streets, residents have put up signs urging visitors to respect their home.
"RESPECT... It's your holiday... but it's our home," read a purple sign from the Save Oia group.
Shaped by a volcanic eruption 3,600 years ago, Santorini's landscape is "unique", the mayor said, and "should not be harmed by new infrastructure".
Around a fifth of the island is currently occupied by buildings.
At the edge of the cliff, a myriad of swimming pools and jacuzzis highlight Santorini is also a pricey destination.
In 2023, 800 cruise ships brought some 1.3 million passengers, according to the Hellenic Ports Association.
Cruise ships "do a lot of harm to the island", said Chantal Metakides, a Belgian resident of Santorini for 26 years.
"When there are eight or nine ships pumping out smoke, you can see the layer of pollution in the caldera," she said.
Cruise ship limits
In June, Prime Minister Kyriakos Mitsotakis floated the possibility of capping cruise ship arrivals to Greece's most popular islands.
"I think we'll do it next year," he told Bloomberg, noting that Santorini and tourist magnet Mykonos "are clearly suffering".
"There are people spending a lot of money to be on Santorini and they don’t want the island to be swamped," said the pro-business conservative leader, who was re-elected to a second four-year term last year.
In an AFP interview, Tourism Minister Olga Kefalogianni echoed this sentiment and said: "We must set quotas because it's impossible for an island such as Santorini... to have five cruise ships arriving at the same time."
Local officials have set a limit of 8,000 cruise boat passengers per day from next year.
But not all local operators agree.
Antonis Pagonis, head of Santorini's hoteliers association, believes better visitor flow management is part of the solution.
"It is not possible to have (on) a Monday, for example, 20 to 25,000 guests from the cruise ships, and the next day zero," he said.
Pagonis also argued that most of the congestion only affects parts of the island like the capital, Fira.
In the south of the island, the volcanic sand beaches are less crowded, even though it is high season in July.
'I'm in Türkiye
The modern tourism industry has also changed visitor behavior.
"I listened (to) people making a FaceTime call with the family, saying 'I'm in Türkiye," smiled tourist guide Kostas Sakavaras.
"They think that the church over there is a mosque because yesterday they were in Türkiye."
The veteran guide said the average tourist coming to the island has changed.
"Instagram has defined the way people choose the places to visit," he said, explaining everybody wants the perfect Instagram photo to confirm their expectations.