The state of knowledge about antibiotic resistance gets a powerful update today with a new report from the think tank known as CDDEP—the Center for Disease Dynamics, Economics and Policy—and what it has to say, about the rise in resistance around the world, is disturbing.

The report, called The State of The World’s Antibiotics 2015, brings together data from sources that have never been aggregated before: public surveillance programs and private laboratory networks from most regions of the world. The data paints a dismaying picture of antibiotic use and resistance rising in areas where international attention and policy haven’t yet focused: the developing economies where the drugs are easily available but national strategies to contain their use don’t exist