It’s difficult to imagine a world without antibiotics. They cure diseases that killed our ancestors in crowds, and enable any nu

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问题     It’s difficult to imagine a world without antibiotics. They cure diseases that killed our ancestors in crowds, and enable any number of medical procedures and treatments that we now take for granted. Yet in 1945, while accepting a Nobel Prize for【C1】________penicillin, Alexander Fleming【C2】________a future in which antibiotics had been used with【C3】________and bacteria had grown resistant to them. Today, this future is approaching. Speaking to reporters last fall, Tom Frieden, the director of the Centers for Disease Control and Prevention,【C4】________a similar alarm: "If we’re not【C5】________, we will soon be in a post-antibiotic era. In fact, for some patients and some bacteria, we are already there."
    The problem【C6】________overuse. Recent research by doctors at Harvard and Women’s Hospital found that the vast majority of antibiotics【C7】________for sore throats and acute bronchitis—an illness almost always caused by a【C8】________, not bacteria—are useless.
    Up to 80 percent of all antibiotics used in the U.S. each year,【C9】________, are given to animals. Antibiotics are the lifeline of the meat and poultry industries, which have used drugs to domestic animals as a means of【C10】________growth and preventing illnesses caused by overcrowding and poor conditions.
    An increasing number of bacterial【C11】________have taken the opportunity to evolve【C12】________the reach of antibiotics. The CDC’s 2013 threat report listed 17 antibiotic-resistant microorganisms that directly cause at least 23,000 deaths each year in the U.S.【C13】________Globally, drug-resistant pneumonia is an ever-increasing threat. Reported cases have【C14】________over the past nine years, killing an estimated 170,000 people last year.
    Although anti-bacterial resistance can be slowed, it is【C15】________. As a result, medicine companies have found antibiotics to be less【C16】________investments than drugs for chronic illnesses, which can be used over the long term.
    If we don’t【C17】________our use of existing antibiotics and commit to developing new ones, the risks are not just medical, but【C18】________The CDC estimates that, in the United States, antibiotic resistance already costs $20 billion in【C19】________health-care spend and $35 billion in lost productivity【C20】________.
【C15】

选项 A、desirable
B、alternative
C、essential
D、inevitable

答案D

解析 前半句说明药物抗药性发展速度,句首的although表示让步,意味着虽然细菌抗药的进程可得以放缓,但仍然会出现抗药性的问题。D项inevitable“不可避免的”正确。A项desirable“称心的,令人满意的”,它表明抗药性让人满意。这与下文提及的“医药公司更愿意投资可以长期使用的慢性病药品”相矛盾。B项alternative“供选择的”则表明抗药性并不是肯定会发生,与前文矛盾。C项essential表示因为需要或重要而“必不可少的”,逻辑不对。
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