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Tracking the next pandemic: Avian Flu Talk

Branswell- H7N9 inches closer to human-to-human tr

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    Posted: May 23 2013 at 8:36pm

H7N9 bird flu virus spreads among mammals, inches closer to human-to-human transmission, experts warn

Helen Branswell, Canadian Press | 13/05/23 | Last Updated: 13/05/23 5:51 PM ET

TORONTO — The H7N9 bird flu virus responsible for this spring’s explosive outbreak in China transmits well among ferrets and even sometimes spreads among them by the airborne route thought to be the way seasonal flu viruses transmit among people, a new study suggests.

While the airborne spread wasn’t highly efficient, the work suggests this virus is more closely adapted to person-to-person spread than other bird flu viruses, the authors said.
“Under appropriate conditions human-to-human transmission of the H7N9 virus may be possible,” the scientists — from China, Hong Kong, the United States and Toronto — say in a paper published Thursday in the journal Science.

They suggest China may need to rethink the management of live poultry markets, especially in urban areas, to prevent the virus from fully adapting to spread among people.

The outbreak, which appears to have come under control — albeit perhaps temporarily — has so far resulted in 131 confirmed human infections and 36 deaths.

There hasn’t been a new case reported since May 8. Still, flu experts warn that it is too soon to say that the virus is gone. Warming temperatures in China and the closure of live bird markets may have temporarily stopped human infections, but they could resume in the fall.

Malik Peiris, one of the authors of the study, said the research is part of the process of assessing the risk posed by this virus, which first came to the attention of the international community at the beginning of April.

The researchers experimentally infected ferrets, which are frequently used as a stand-in for people in flu studies. They then placed uninfected ferrets into cages with the infected animals. The virus easily passed from the sick to the healthy animals.

They also put healthy animals in cages near infected ferrets, to see if the virus could spread the way it does between people — by viruses transmitted through coughing and sneezing. Only one of three ferrets in adjacent cages got sick.

The results essentially reflect what has been seen in humans. The virus clearly can transmit to people, but doesn’t appear to spread easily from one person to the next at this point. There have been small clusters of cases, though, and they may suggest that when people are in close contact with an infected person they can contract the virus.

Flu experts don’t take any comfort from the fact that the airborne spread appeared to be inefficient in this study. That’s because with other bird flu viruses, it wouldn’t have been seen at all.

“You do this [experiment] with H5N1 with a virus that comes out of humans or poultry, it won’t transmit. And you do this with any other avian virus, it won’t transmit. But this one does,” said Ron Fouchier, a Dutch virologist who specializes in studying the mutations bird flu viruses need to be able to spread by the airborne route among mammals.

“This virus is already well on its way. … It is poorly transmissible, but it can transmit. So there are reasons to date to take this virus seriously.”

The work suggests H7N9 needs to be considered as a serious risk

Fouchier, who is with Erasmus Medical Centre in Rotterdam, the Netherlands, said science doesn’t currently know what other mutations the H7N9 virus would need to become full humanized.

Peiris concurred that this virus needs to be considered a real risk.

He also noted, though, that the infection in ferrets was not severe, which supports the possibility that there may be mild human cases that aren’t being detected. Modelling work by one of Peiris’s colleagues has suggested that for every serious infection being seen there may be between two and five milder cases being missed, probably in younger people.

“The fact that the [illness in] ferrets is relatively mild then raises the question as to what the total denomination of these infections are,” said Peiris, who chairs the microbiology department at the University of Hong Kong.

In another interesting aspect of the study, the researchers experimentally infected pigs. Pigs are susceptible to flu viruses. And because they can be infected with both bird and human flu strains, they are thought to play a key role in the formation of new hybrid strains.

The researchers found pigs became infected with H7N9, but didn’t pass the virus from infected animal to healthy animal.

Peiris said that means pigs probably are not currently part of the interplay between this virus and people.

“So I think what these data would suggest is that it is pretty unlikely that this virus came from pigs. And by implication the dead pigs in Shanghai were probably not related to this story,” said Peiris.

Around the time H7N9 was first spotted, there were alarming reports of thousands of dead pigs found floating down a river near Shanghai. People were concerned the events were linked, but testing on some of the pigs came back negative.

http://life.nationalpost.com/2013/05/23/h7n9-bird-flu-virus-spreads-among-mammals-inches-closer-to-human-to-human-transmission-experts-warn/


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Post Options Post Options   Thanks (0) Thanks(0)   Quote debbiencusa Quote  Post ReplyReply Direct Link To This Post Posted: May 23 2013 at 8:48pm
the world should be making vaccines for both of these virus, the odds are too high that one if not both are going to cause death and meyhem.
God Bless
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: May 23 2013 at 8:51pm
We can make vaccines but the virus will keep changing until it hits us like a ton of bricks. We will never outsmart the virus it will eventually kill most of us just a matter of when not if.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nijack Quote  Post ReplyReply Direct Link To This Post Posted: May 23 2013 at 10:48pm
Things may appear to be a little quiet now but there seems to be a LOT of concern about where H7N9 is headed.  Given its displayed ability to transmit  H2H and now through airborne exposure (at least in ferrets), the speed with which this virus has adapted and mutated is obviously frightening "those in the know".  I'm guessing that we'll have a relatively uneventful summmer but things may "tick up" when cooler temps arrive this fall. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2013 at 10:09am
Scientists wouldn't be resigned to studying ferrets in human transmission of h7 if Chinese officials would simply let them study their own cases.  Since Chinese officials are still denying that human-to-human transmission has occurred, at least researchers are finding another way to determine the extent of the problem in China. Studying ferrets when you can study human cases first hand?  Good grief. 

When you have to study ferrets, instead of the human cases themselves, still a little confusing why the WHO is praising China for transparency.  Although the WHO praises China and suggests otherwise for the Middle East with the coronavirus, you don't seem them having to resort to studying ferrets for the Middle East outbreak.  Quite frankly, I wouldn't believe anything that the WHO has to say at this point regarding China.  Margaret Chan needs to resign.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote waterboy Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2013 at 11:38am

N. Korea making efforts to contain bird flu

Duration: 0:54 Views: 2k Reuters

"We've already seen maybe a few limited instances of human-to-human transmission within close family range, within close contacts, so this is another piece of the puzzle," he said.

The findings come just days after the WHO said the H7N9 virus appeared to have been brought under control in China thanks to restrictions at bird markets.

Related: Yum beats expectations, warns of bird flu impact

H7N9 has relatively mild clinical signs in ferrets, according to the study. All the animals infected with the virus in the experiments presented symptoms for no more than seven days, and all recovered from the disease.

The researchers said all cases where humans had died or become extremely ill had involved additional factors.

The team also found that some infected animals did not develop fever or other clinical signs, suggesting that asymptomatic infections among humans may also be possible.

"The potential public health implication of this ... is that a person infected by H7N9 avian influenza virus who does not show symptoms could nevertheless spread the virus to others," the researchers wrote in their study.

Related: Genetic mutations in bird flu increase chances of human pandemic

United Nations experts said this week the bird flu outbreak in China had caused some $6.5 billion in losses to the economy.

The H7N9 virus is known to have infected 131 people in mainland China and one in Taiwan since February, but no new cases have been detected since early May.

Additional reporting by Kate Kelland in London, Sui-Lee Wee in Beijing and Tom Miles in Geneva.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2013 at 12:15pm
China basically caught in yet a another lie.  They reported approximately 30 days ago that they only found 1 asymptomatic case in China, with no symptoms.  There's obviously a lot more than that.  Just more research and information China is withholding.  Lucky for ferrets when researching an outbreak in China I suppose. 

At this point, considering the transparency (ongoing lies) by China, we probably shouldn't rule out sustained transmission that is only being slowed down by the warm temps. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2013 at 3:05pm

from New Scientist

 Evolving H7N9 bird flu could close poultry markets

Flu: there's good news and bad news. On the one hand, there have been no new human cases of H7N9 bird flu in China since 8 May. But we can't celebrate yet. Virologists report today that H7N9 spreads through the air between ferrets, just like the experimental H5N1 bird flu that caused an outcry in 2012. The outcry came after the virus was shown to be able to mutate to spread easily among us while remaining deadly. It now appears that H7N9 bird flu in China can already do that.

Meanwhile, New Scientist can reveal that China is considering closing live poultry markets permanently in an attempt to stop spread of the virus.

H7N9 flu has caused 131 known cases in humans, 32 of whom died, since it emerged in February this year. Tests by continue to show that while the virus is a very rare infection of birds in live poultry markets, it is circulating and evolving. But the infection is so rare that those birds can't be passing the virus to enough other birds to keep it circulating. This means it must also be carried, less rarely, by some other animal – so far unknown.

Worryingly, the virus already possesses several of the mutations that Dutch researchers found would make another bird flu, H5N1, transmit readily in ferrets, the best test animal for human flu. It was not certain that the mutations had the same effect in H7N9, but now researchers have shown ferrets do transmit the virus.

Spread before symptoms

Yi Guan and colleagues at the University of Hong Kong in Pokfulam and colleagues found that H7N9 gives ferrets classic flu symptoms – but they spread the virus before symptoms develop. This means, as with most flu, that it would be impossible to control the spread of H7N9 by isolating people as soon as they show symptoms.

Moreover, healthy ferrets housed in cages with infected ferrets all came down with flu. Three ferrets in a nearby cage also caught the virus, showing it was airborne – though only one became ill. This could be, says co-author Richard Webby of St Jude Children's Research Hospital in Memphis, Tennessee, because the virus does not transmit efficiently this way, possibly giving the animals only a small dose. This may be why transmission between humans has so far been limited.

The key now, the team says, is to stop H7N9 becoming more common in poultry, as this would "greatly increase" its opportunities to evolve more transmissibility in mammals. "It is essential to stop the virus spreading at this phase as we do not know when the viruses will acquire [greater] human-to-human transmission," says Guan. "We need to know where the viruses are hiding; which is the major host species that replicates the virus."

The Chinese government has slaughtered birds and closed poultry markets in major cities throughout the nine eastern provinces affected by the virus. That, and the onset of warmer weather that inhibits survival of the virus in the environment, are probably behind the slowdown in human cases, said Keiji Fukuda, head of flu at the World Health Organization, at the World Health Assembly in Geneva, Switzerland, this week. But, he warns, "it is unlikely that the virus has simply disappeared".

"We have to continue to work hard to stop this outbreak", especially by finding the virus's hosts, says Ron Fouchier at the Erasmus Medical Centre in Rotterdam, the Netherlands, who discovered the mutations that make bird flu transmit in ferrets.

Markets crucial

Hua Wang of the Jiangsu Provincial Center for Disease Control and Prevention in Nanjing, China, confirmed this week that markets are a crucial piece of the puzzle, reporting that a human case of the virus in Nanjing was virtually identical to a sample from a cage in the poultry market where she worked (New England Journal of Medicine, DOI: 10.1056/NEJMc1306100).

"The Chinese government is thinking about shutting live markets permanently as a pilot project" in cities like Nanjing and Suzhou, Wang says. Then, if human infections stay low, this could be extended.

But the country's poultry industry is already down $6.5 billion in lost sales due to H7N9, according to an official estimate. So "there is great pressure to open the markets again", says Wang.


Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.🖖

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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2013 at 3:08pm
$$$$$$$$

$6.5 billion lost in sales , no wonder they want it kept under wraps
Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.🖖

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