THE BURNED OVER DISTRICT

Taken as a whole, humanity presents a picture of a species hellbent on exterminating itself while it tries to exterminate all but its favorites. And one of those favorite groups is creating the mutant species that will cleanse the earth of the plague of ourselves.

With more and more common medications losing their ability to fight dangerous infections, and few new drugs in the pipeline, the world is facing an imminent crisis that could lead to millions of deaths, a surge in global poverty and an even wider gap between rich and poor countries, the United Nations warned in a report on Monday.

Drug-resistant infections already claim 700,000 lives a year, including 230,000 deaths from drug-resistant tuberculosis, the report said. The rampant overuse of antibiotics and antifungal medicines in humans, livestock and agriculture is accelerating a crisis that is poorly understood by the public and largely ignored by world leaders. Without concerted action, a United Nations panel said, resistant infections could kill 10 million people annually by 2050 and trigger an economic slowdown to rival the global financial crisis of 2008.

The problem threatens people around the world. During the next 30 years, the United Nations experts said, 2.4 million people in Europe, North America and Australia could die from drug-resistant infections, making routine hospital procedures like knee-replacement surgery and child birth far riskier than they are today.

“This is a silent tsunami,” said Dr. Haileyesus Getahun, director of the U.N. Interagency Coordination Group on Antimicrobial Resistance, which spent two years working on the report. “We are not seeing the political momentum we’ve seen in other public health emergencies, but if we don’t act now, antimicrobial resistance will have a disastrous impact within a generation.”

The report’s dire predictions seek to raise public awareness and shake political leaders into action. It proposes a series of measures that health officials say could help stem the rise of drug-resistant pathogens. The recommendations include a worldwide ban on the use of medically important antibiotics for promoting growth in farm animals; financial incentives for drug companies to develop new antimicrobial compounds; and more stringent rules to limit the sale of antibiotics in countries where drugs can often be bought at convenience stores without a prescription.

The report also highlights underappreciated factors in the spread of drug-resistant germs: the lack of clean water and inadequate sewage systems that sicken millions of people in the developing world. Many of them are too poor to see a doctor and instead buy cheap antibiotics from street vendors with little medical expertise. Sometimes they unknowingly purchase counterfeit drugs, a problem that leads to millions of deaths, most of them in Africa.

The rampant use of antibiotics for uses other than what they were created for combined with the difficulty in finding new ones for previously controlled diseases essentially means we will lose what defenses we have and our new bacteria overlords will do with us what evere they will.