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Hundreds of thousands of lives lost from infections that have been treatable for the last century. Fewer organ transplants and joint replacements because they’re just too risky to perform. Stigma against “carriers” or “the infected.” A shrinking economy.

A new report is raising the stark possibility of Canada returning to an almost pre-antibiotic era — the prospect of a future where antibiotics against common infections no longer work.

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“There have been few health crises on this scale in Canadian history,” warns the Council of Canadian Academies expert panel report, When Antibiotics Fail.

While it’s not quite the apocalyptic world others have warned of, if the overuse of antibiotics isn’t slowed, if the number of effective drugs continues to run out, “Canada will be greatly changed within a few decades,” the report warns.

Already, 26 per cent of bacterial infections in Canada are resistant to the first-line drugs generally used to treat them, according to the panel’s estimates.