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PANDEMIC ALERT LEVEL
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Tracking the next pandemic: Avian Flu Talk

Avian research "Startling"

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    Posted: February 14 2006 at 4:40am
Pandemic influenza: lessons from the 1918 virus

XagenaMedicine2005

An article by Robert Belshe, of Saint Louis University School of Medicine,
in the New England Journal of Medicine, reviewed “ spectacular
achievements of contemporary molecular biology ” that hold great
importance as the world prepares for a possible flu pandemic.

These achievements, including a recent genetic sequencing and
recreation of the virus from the 1918 flu pandemic, “may enable us to
track viruses years before they develop the capacity to replicate with high
efficiency in humans,” Belshe writes.

The new knowledge of the genetic sequences of influenza viruses that
predate the 1918 epidemic will be “extremely helpful in determining the
events that may lead to the adaptation of avian viruses to humans before
the occurrence of pandemic influenza.”

And as the virus continues to adapt, scientists now know what to look for.
Belshe said scientists should conduct worldwide surveillance to monitor
this adaptation process.

Belshe reviewed recent articles in Science and Nature as part of his
perspective article “ The Origins of Pandemic Influenza – Lessons from the
1918 Virus.”

The lead author of the research in Nature was Jeffery Taubenberger, of
the U.S. Armed Forces Institute of Pathology, and the research in Science
was led by Terrence Tumpey, of the Centers for Disease Control and
Prevention ( CDC ).

“ These recent research findings involving avian flu are startling, and they
tell us that there are at least two mechanisms by which a pandemic
influenza epidemic could emerge,” Belshe says. “ This research provides
critically important insight into the origin of pandemic influenza.”

Both mechanisms described in the articles were observed during
worldwide pandemics of the 20th century.

Scientists now conclude that the prospect of a new worldwide pandemic
during the 21st century could involve either of two possibilities:

- A direct spread of an entirely avian virus from birds to humans.
This is what happened during the 1918 Spanish flu, the deadliest of last
century’s three pandemics.

- A “reassortment” virus that mixes bird flu with already circulating
human influenza strains to create a new strain. This was the case during
the 1968 Hong Kong flu pandemic and the 1957 Asia flu pandemic.
Most of the flu strains of today are genetically related to the 1968
outbreak, which as a reassortment virus is genetically related to both the
1957 and 1918 viruses.

Belshe said the question of the moment involves which mechanism a
future pandemic could involve. “Are we going to see an event like 1918,
an avian virus adapting to man, or will it be an event like 1957 or 1968,
where an avian virus contributes some genetic material by mixing in with
a current strain of the human virus ? ” Belshe says. “ We don’t know what
will happen or when it will happen, but we know it will happen.”

And although it can’t be said for sure whether the current avian flu virus
can adapt readily to the point where human-to-human transmission is
possible, the recent research findings do provide some clues as to what
genetic changes are necessary for such an event to occur. In fact, several
additional genetic changes must occur in the currently circulating bird flu
viruses before these viruses will begin to spread efficiently from person to
person and this can be monitored closely by scientists.

“ Taubenberger estimated that based upon the rate of evolution, the 1918
epidemic had circulated in man since 1900,” Belshe says. “ So it took a
while to become highly efficient as a pandemic virus.”

Source: Saint Louis University School of Medicine, 2005


http://www.xagena.it/news/medicinenews_net_news/b9b37cdd198e 940b73969ea6ba7aaf72.htm">http://www.xagena.it/news/medicine news_net_news/b9b37cdd198e940b73969ea6ba7aaf72.html">http:// www.xagena.it/news/medicinenews_net_news/b9b37cdd198e940b739 69ea6ba7aaf72.htm
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In bird viruses, the gene produces a protein that allows
the virus to bind to ``scaffolding'' proteins inside human cells.
``It's like a large number of policemen being held hostage. Society falls
apart,'' says McGeer.

In human viruses, the protein doesn't bind to certain cells, which may
explain why they're not as virulent.
It hasn't been proven yet. ``But, we think that if you interfere with that
many proteins in cells, you're going to have a deleterious consequences,''
said author Dr. Clayton Naeve, of St. Jude.

The finding fits with what doctors on the ground in Asia have seen: the
H5N1 virus can attack not just the airways, like regular flu, but multiple
organs and systems, including the kidney, liver, spleen and brain.
Infection has been fatal in more than half the reported cases, and most
cases are occurring in previously healthy children and young adults.

The H5N1 avian flu sweeping across Asia has this ``bird'' form of the
protein. The milder pandemics of 1957 and 1968 had the ``human'' one.
The 1918 Spanish flu virus, which scientists now believe came from birds,
had a very similar ``bird'' protein that the researchers believe behaves
the same way.

http://www.canada.com/saskatoonstarphoenix/story.html?id=af1 4b9be-c2c2-47bd-8507-d53bab43f3b9&k=33801

Edited by Rick
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Corn Quote  Post ReplyReply Direct Link To This Post Posted: February 14 2006 at 4:52am
I love it when they say how they are watching or can watch. That's all we can do is WATCH.
Speculation is the only tool we have with a threat that can circle the globe in 30 days. Test results&news is slow.Factor in human conditions,politics, money&bingo!The truth!Facts come after the fact.
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