Influenza Virus Mashup

Influenza Virus Mashup

Archive for February, 2010

Via Australia’s ABC News, a frustratingly short good-news story: Discovery aids treatment of severe swine flu cases. The whole report:

Doctors in Melbourne believe they have found a new and effective way to treat people with severe swine flu. 

The doctors at the Austin Hospital have found that patients with low levels of a particular blood protein, are more susceptible to catching swine flu and becoming severely ill with the virus. 

The discovery was made during last year’s swine flu season, when a critically ill pregnant woman was found to have low levels of the protein. 

Austin Health Director of Infectious Diseases, Lindsay Grayson, says it is an exciting development. 

“There’s nothing more heartbreaking when you’re in intensive care and you’ve got a 22-year-old and they’re going down the plug,” he said. 

“You give them something like this and then the next day, for first time in three weeks they’re starting to look a bit better.”

So what blood protein is it, and how did they remedy the problem? Beats me. Even Austin Hospital doesn’t mention this breakthrough.

[Crof's H5N1] India: H1N1 may return to Delhi

Posted by Automator On February - 3 - 2010

Via The HinduDreaded swine flu may be set for a comeback in Delhi. Excerpt:

Still enjoying a breather from the slew of swine flu cases reported until a few weeks ago, doctors in the Capital now warn that with the season changing the relief might not last long. 

“While the number of swine flu cases has gone down substantially in recent weeks, we know that the year will see several ups and downs. The changing season and humid environment encourages virus growth so we might see a surge. But we are not sure how the swine flu virus will behave. Research is on to understand and offer a treatment for the flu. However, the good news is that people will eventually develop resistance to the virus and it will become like any other flu,” says a senior health official. 

“The Capital has reported a total of 9,632 cases so far besides 94 deaths,” adds State nodal officer for swine flu Dr. Anjan Prakash. 

Meanwhile, a recent study on the behaviour and attitude of college students and adults to swine flu in the city reveals that all the respondents knew about swine flu. The survey found a fairly high level of stress and fear among the respondents. 

The study was carried out by second year B.A. (Programme) psychology students of Lady Shri Ram College for Women under the supervision of Dr. Kanika Aggarwal Khandelwal. 

“For the study, a total sample size of 460 people was taken comprising 240 college students and 220 adults and the questionnaires were given to them in the months of October-November 2009 when swine flu was almost at its peak,” said Dr. Khandelwal. 

“The idea was to understand the social psychological processes behind people’s panic reactions, bordering on mass hysteria during the peak of swine flu. We also wanted to understand if people’s anxieties and fears regarding swine flu would translate into some behaviour changes and taking preventive action,” said Dr. Khandelwal.

[Crof's H5N1] Colombia: 205 H1N1 deaths

Posted by Automator On February - 3 - 2010

Via Google News, a report from EFE: Asciende a 205 la cifra de muertos por la gripe A en Colombia. [Colombia's H1N1 deaths rise to 205] Excerpt, with my translation:

La cifra de víctimas mortales por la gripe A en Colombia ascendió a 205, desde el primer fallecimiento en junio del año pasado, informó hoy en Bogotá el Instituto Nacional de Salud (INS). 

The total of deaths from H1N1 in Colombia has risen to 205 since the first death last June, the National Health Institute said today in Bogotá.

En Colombia se han confirmado casos en 31 de los 32 departamentos y en 218 de los 1.100 municipios del país.

Colombia has confirmed cases in 31 of its 32 departments and in 218 of the country’s 1,100 municipalities.

El INS destacó en un reporte que “no se ha evidenciado circulación del virus en el departamento de Guainía (este)”. 

The NHI rejected a report that “there is no evidence of the circulation of the virus of the department of Guainía East.”

Bogotá y los departamentos de Antioquia (noroeste), Cundinamarca (centro) y Valle del Cauca (suroeste) registran la incidencia más alta. 

Bogotá and the departments of Antioquía Northeast, Cundinamarca Centre, and Cauca Valley Southeast have registered the highest incidence.

En los 205 casos fatales asociados a la infección del virus pandémico, el promedio de edad se encuentra en 33 años, con un rango entre 4 días y 91 años y una media de 24 años, señaló el INS.

In the 205 fatal cases associated with the pandemic virus, the average age was 33, with a range between 4 days and 91 years, and a median age of 24, according to the NHI.

[Crof's H5N1] Indonesia: A mutated H5N1 virus?

Posted by Automator On February - 3 - 2010

A must-read from the Jakarta Globe, written Emmy Fitri and Dessy Sagita. Fitri is the best flu reporter in southeast Asia, and I’m delighted to see her back on the beat. And Dr. Mahardika, the virologist she cites, always deserves serious attention: Mutated Bird Flu Virus Raises Doubts About the Effectiveness of Flu Vaccines. Excerpt:

A genetically mutated avian flu virus is believed to be behind a string of deadly outbreaks in bird populations over the past two years, a scientist said on Tuesday, warning that the new virus had the potential to be more lethal than its ancestor should it infect humans. 

Virologist I Gusti Ngurah Mahardhika said the government’s vaccination program with a large number of poultry farms in the past few years may backfire because the mutation was partly suspected to have been caused by an outdated vaccine. 

“I have strong evidence that the old vaccine seed [already developed by the country’s vaccine makers] cannot stop the new virus,” said Mahardhika, who is also head of the Biomedical and Molecular Biology Laboratory at the Udayana University’s Veterinary Medicine School. 

He said isolated virus samples taken from already vaccinated farms in Java, Sumatra, Bali and Sulawesi from 2008 to 2009 were compared with samples from their ancestor H5N1 virus taken from Legok, Banten, in 2003. 

“From the study, we found genetic differences of up to 8.7 percent from the ancestor virus,” he said. 

The Legok virus is still being used by most vaccine producers here as the vaccine seed and the recent mutations may mean the seed virus is outdated. 

The genetic differences in the virus samples are mostly represented by changes in the acid composition, or RNA [ribonucleic acid], which “have never been found before [in the 2003 virus samples].” 

Genetic mutations, according to Mahardhika, could be triggered by either natural causes or vaccine resistance. 

In the case of samples he studied, Mahardhika said the changes pointed more to the possibility of vaccine resistance rather than natural causes.

Monday, February 1, 2010 13:06 pm
Denpasar (ANTARA News) – Udayana University Professor I Gusti Ngurah Kade Mahardika confirmed, the bird flu circulating her ranch for a prolonged period raises a new group of viruses that are genetically very different.

“That is the result of research conducted during the last two years,” said a well Mahardika Biomedics and Head of the Laboratory of Molecular Biology at the Faculty of Veterinary Medicine (FKH) Udayana University in Denpasar, Monday.

He said the difference is genetically far enough to reach 8.7 percent compared with the original virus.

“Isolates, isolates were found in a large chicken farm which generally has been vaccinated,” said the alumnus of a higher education institution in Germany.

Origin itru viruses identified since 2003, while previous studies concluded, all of Indonesia bird flu evolved from a single introduction.

The virus originated from a single predicted domestic poultry in southern China, which last reached endemic conditions and developed into a group.

Mahardika added, genertik groups A, B and C are typical in each island, all at the Pulai bersikulasi Java.

But the final findings show that recent isolates, isolates vary significantly with group A, B and C, although still clearly evolved from a virus group A.

In addition to mutation, a new virus that also has a deletion of codons that have not been revealed before.

Incidence of mutations and deletions are signyal appearance of the virus with the potential capacity to jump the species barrier and can be transmitted easily between humans, said Mahardika.

google translated
orginal source

http://www.antara.co.id/berita/1265004403/pakar-virus-muncul-kelompok-virus-baru

English version of this story

Mutated Bird Flu Virus Raises Doubts About Flu Vaccines

February 2, 2010, http://www.thejakartaglobe.com…
A genetically mutated avian flu virus is believed to be behind a string of deadly outbreaks in bird populations over the past two years, a scientist said on Tuesday, warning that the new virus had the potential to be more lethal than its ancestor should it infect humans.
Virologist I Gusti Ngurah Mahardhika said the government’s vaccination program with a large number of poultry farms in the past few years may backfire because the mutation was partly suspected to have been caused by an outdated vaccine.

“I have strong evidence that the old vaccine seed [already developed by the country's vaccine makers] cannot stop the new virus,” said Mahardhika, who is also head of the Biomedical and Molecular Biology Laboratory at the Udayana University’s Veterinary Medicine School.

He said isolated virus samples taken from already vaccinated farms in Java, Sumatra, Bali and Sulawesi from 2008 to 2009 were compared with samples from their ancestor H5N1 virus taken from Legok, Banten, in 2003.

“From the study, we found genetic differences of up to 8.7 percent from the ancestor virus,” he said.

The Legok virus is still being used by most vaccine producers here as the vaccine seed and the recent mutations may mean the seed virus is outdated. The genetic differences in the virus samples are mostly represented by changes in the acid composition, or RNA [ribonucleic acid], which “have never been found before [in the 2003 virus samples].” Genetic mutations, according to Mahardhika, could be triggered by either natural causes or vaccine resistance. In the case of samples he studied, Mahardhika said the changes pointed more to the possibility of vaccine resistance rather than natural causes.

“Flu viruses are highly mutagenic and their RNA structure can quite easily undergo changes, or a deletion. The vaccine also has a masking effect whereby it only provokes immunity in the birds’ respiratory systems although the virus can still be found in the bird’s saliva. So now we can see a seemingly healthy chicken but its droppings and saliva are full of this virus,” he said.
(snip)

Microbiology clinic professor with the University of Indonesia, Amin Soebandrio, concurred with Mahardhika’s findings, saying he had suspected that such changes would come.

“Research has also been carried out by my students on a similar issue using only 2004 virus samples. And genetic changes are apparent.”

Amin said further study must be done to check whether the changes directly affect the resistance of the virus to the vaccine being used by the government.

“We need to see whether the changes increase the capacity of the virus to infect the human respiratory system,” he said. “If that’s the case, it’s more than likely the virus will also be resistant to the antiviral we are now using to treat patients with avian influenza.”

Tjandra Yoga Aditama, the director general of disease monitoring at the Ministry of Health said the public should not worry too much about these findings because it did not mean a new virus had been created.

“Viruses always have the potential to mutate, that’s common in nature, but these studies don’t meant we’ve found a new strain of virus,” he said.

Memed Zoelkarnain, spokesman for the National Commission for Avian Influenza and Pandemic Prevention, said the findings must be studied further in a bid not to scare people and called on the media to be sensible when reporting on this issue given the findings are preliminary.

“We don’t want to frighten the public,” he said.

Memed, also a veterinary doctor, said Mahardhika should double check with “all vaccine makers” because there was more than one vaccine maker in the country but only a few of them used the 2003 vaccine seed.

http://www.thejakartaglobe.com/home/mutated-bird-flu-virus-raises-doubts-about-the-effectiveness-of-flu-vaccines/356376

India
• Swine Flu deaths in India rises to 1229: Report (Link)

Japan
• Daiichi Sankyo Seeks to Sell Long-Acting Flu Drug (Link)

Saudi Arabia
• Four pilgrims die of swine flu (Link)

Serbia
• Vaccination most efficient prevention from virus A (H1N1)(Link)

United States
• FDA Licenses New Influenza Vaccine Specifically For People 65 Years & older (Link)
• IL: 6 flu deaths last week (Link)

General
• New swine flu in eyes fear (Link)

[Crof's H5N1] UK: How many die from seasonal flu?

Posted by Automator On February - 2 - 2010

Via BMJ, a letter from contributing editor John Stone: Discrepancies in published data. Excerpt:

A BBC report with which Sir Liam Donaldson1 was associated in September 2007 stated: “According to Department of Health figures, flu contributes to over 25 000 excess winter deaths every year and thousands of people are hospitalised due to serious complications.”2 

In 2006 I downloaded from the Department of Health website other statements about flu mortality that were not only mutually contradictory but also out of line with the present disclosure1 or, indeed, the BBC report.3 

Another of Sir Donaldson’s publications stated, “Ordinary flu occurs every year during the winter months in the UK. It affects 10-15% of the UK population, causing around 12 000 deaths every year.”4 

An information page reported, “Even during a winter where the incidence of flu is low, 3-4000 deaths may be attributed to flu; this can rise much higher in epidemic years, for example there were an estimated 13 000 deaths in 1993 which were attributable to flu and 29 000 in 1989/90.”4 

How can Donaldson et al explain the apparent distortion of policy based on claims of thousands of deaths from flu every year when their records show an average of no more than 33 deaths a year for the past four years?

This appears to be a response to another BMJ letter published today by Sir Liam Donaldson.

[Avian Flu Diary] Indonesia: Changes In The H5N1 Virus

Posted by Automator On February - 2 - 2010

(Tue, 02 Feb 2010 15:49:00 +0000)

 

 

# 4316

 

 

Poultry vaccination against the H5N1 bird flu virus has been the subject of considerable debate over the years, with many scientists warning that the the overuse of vaccines could backfire.

 

Vaccination, it is feared, could hide the infection and allow it to silently spread, and may actually drive the evolution of the virus. 

 

For developing countries with poverty and food insecurity issues, however, vaccination is often considered preferable to wholesale culling.

 

Today Emmy Fitri and Dessy Sagita, writing for the Jakarta Globe, bring us the first English language coverage of a story that has been showing up on the flu forums for a couple of days now.   

 

The declaration by a researcher in Indonesia that the H5N1 virus is changing, and vaccines are losing their effectiveness.  Until now, we’ve only had machine translations from Bahasan, so this version posted by Shiloh on FluTrackers is  particularly welcomed.

 

This, of course, isn’t the first time we’ve heard this.

 

Leading scientists such as Zhong Nanshan of China, have stated,”The existing vaccines can only reduce the amount of virus, rather than totally inactivating it.”

 

Dr. C.A. Nidom, whose name has appeared often in this blog, was quoted in Poultry Indonesia as saying:

 

Poultry Indonesia Printing Edition, March 2009

(excerpts)

Chairul Anwar Nidom, a virologist with the Tropical Disease Centre at Airlangga University in Surabaya, said a common policy on bird flu was lacking among government agencies, making controlling the disease more difficult.

 

Nidom criticized the government’s policy of vaccinating poultry rather than culling, believing that it masks the virus, and ultimately contributes to its mutation.

 

The OIE (World Organization For Animal Health) reaffirmed their long-standing position that vaccination of poultry cannot be considered a long-term solution to combating the avian flu virus.

 

In Avian influenza and vaccination: what is the scientific recommendation?, the OIE reiterates their strong recommendation that humane culling be employed to control avian influenza, and advising that vaccines should only be used as a temporary measure.

 

While the OIE concedes that some nations may require the use of vaccines for `several years’, they strongly urge that countries move away from that program and towards the more conventional culling policy. 

 

 

I’ll not attempt to post more than the opening paragraphs.   So follow the link to read it in its entirety.  

 

 

Emmy Fitri & Dessy Sagita

A researcher inspecting samples in the lab. Recent studies are seeing genetic changes between H5N1 virus samples taken in 2003 and samples taken in the last two years. The virus of 2003, from Banten, is still be used as vaccine seed in most current vaccination products and fears have been raised they may no longer be effective against the mutated virus. (AP Photo)

A researcher inspecting samples in the lab. Recent studies are seeing genetic changes between H5N1 virus samples taken in 2003 and samples taken in the last two years. The virus of 2003, from Banten, is still be used as vaccine seed in most current vaccination products and fears have been raised they may no longer be effective against the mutated virus. (AP Photo)

Mutated H5N1 Virus Raises Doubts About the Effectiveness of Flu Vaccines

A genetically mutated avian flu virus is believed to be behind a string of deadly outbreaks in bird populations over the past two years, a scientist said on Tuesday, warning that the new virus had the potential to be more lethal than its ancestor should it infect humans.

 
Virologist I Gusti Ngurah Mahardhika said the government’s vaccination program with a large number of poultry farms in the past few years may backfire because the mutation was partly suspected to have been caused by an outdated vaccine.

 

“I have strong evidence that the old vaccine seed [already developed by the country’s vaccine makers] cannot stop the new virus,” said Mahardhika, who is also head of the Biomedical and Molecular Biology Laboratory at the Udayana University’s Veterinary Medicine School.

 

He said isolated virus samples taken from already vaccinated farms in Java, Sumatra, Bali and Sulawesi from 2008 to 2009 were compared with samples from their ancestor H5N1 virus taken from Legok, Banten, in 2003.

 

“From the study, we found genetic differences of up to 8.7 percent from the ancestor virus,” he said.

 

(Continue . . . )

[Crof's H5N1] India: 1,238 deaths

Posted by Automator On February - 2 - 2010

Via the Indian government’s Press Information Bureau: Consolidated status of influenza A H1N1 as on 2nd February 2010. It reports 28,901 confirmed cases and 1,238 deaths.

[Crof's H5N1] Ukraine: 387 H1N1 cases in Kyiv

Posted by Automator On February - 2 - 2010

Via the Kyiv Post387 cases of A/H1N1 flu confirmed in Kyiv, including 54 deaths from swine flu.

A total of 387 cases of infection by A/H1N1 swine flu have been confirmed in Kyiv, leading to 54 deaths since Nov. 2, 2009 through Jan. 31, 2010, the press service of Kyiv State Administration reported on Monday, with reference to First Deputy Head of Kyiv City State Administration Irena Kylchytska.

At the same time, a decline in the infection rate for influenza and acute respiratory diseases has been seen in Kyiv since Dec. 28, 2009. 

According to official data, the infection rate for flu and acute respiratory diseases declined during the first three weeks of this year, to a level lower than the epidemic threshold. 

However, on January 25-31 this year a slight rise in the infection rate was observed (of 5%) linked to the end of the school holidays and pupils’ return to schools. 

A total of 20,860 people fell ill with flu and acute respiratory diseases during this period, which was 1.5 times lower than the epidemic threshold.

[Avian Flu Diary] Canada Probes Adverse Vaccine Reactions

Posted by Automator On February - 2 - 2010

(Tue, 02 Feb 2010 14:34:00 +0000)

 

# 4315

 

 

 

While influenza vaccines are generally quite safe, that isn’t to say they are 100% benign.   Rare side effects do occur.  And sometimes those side effects can be serious.

 

Of course, there are thousands of deaths and serious side effects each year attributed to the use of over-the-counter medicines like aspirin and Tylenol as well.  

 

There is no such thing as a completely safe drug.

 

We must balance the risks of taking any drug with the benefits they can provide.  And with tens of thousands of deaths each year from influenza, the miniscule risks posed by the influenza vaccine are generally well worth taking.

 

The article below delves into the investigation of 17 possible cases of severe vaccine reactions in Canada.  The anaphylactic responses are probably reasonably linked to the vaccine while the GBS (Guillain Barre Syndrome) cases are less certain.  

 

It should be noted that Canada could reasonably expect several hundred cases of GBS in any given year, even without the use of a vaccine.  Most cases of GBS in the past have been linked to bacterial and viral infections, and not to vaccines. 

 

 

H1N1 flu shot illness probed

Province looking into 17 cases

By SHARON LEM, QMI Agency

TORONTO — The Ontario health ministry is investigating 17 cases in which people fell seriously ill after the receipt of the H1N1 flu vaccine.

 

Andrew Morrison, spokeman for the Ministry of Health and Long Term Care, said the cases include four vaccine recipients who came down with Guillain-Barre Syndrome (GBS) — a rare neurological condition characterized by sudden weakness or parlysis. Another 13 people came down with anaphylaxis, a serious allergic reaction which can include symptoms of anaphylactic shock, rapid heartbeat, itchiness in the skin and difficulty breathing.

(Continue . . . )

 

 

The CDC maintains a fact sheet on GBS on their website.

 

Fact Sheet: Guillain-Barré Syndrome (GBS)

December 15, 2009, 3:30 PM ET

 

Guillain-Barré syndrome is rare

Guillain-Barré syndrome (GBS) is a rare disorder in which a person’s own immune system damages the nerves, causing muscle weakness and sometimes paralysis. GBS can cause symptoms that last for as little as a few weeks, or go on for several months. Most people recover fully from GBS, but some people have nerve damage that does not go away. In rare cases, people have died of GBS, usually from not being able to breathe due to weakness of their breathing muscles.

GBS may have several causes

While it is not fully known what causes GBS, it is known that about two-thirds of people who get GBS do so several days or weeks after they have been sick with diarrhea or a lung or sinus illness. An infection with the bacteria Campylobacter jejuni, which can cause diarrhea, is one of the most common illnesses linked to GBS. Although rare, people can also get GBS after having the flu or other infections such as Epstein Barr virus. Except for the swine flu vaccine used in 1976, no other flu vaccines have been clearly linked to GBS.

GBS is more common in older adults

Anyone can get GBS, but it is far more common in adults than children. Adults over 50 years of age are 2-3 times more likely to get GBS than younger people. Each year, between 6,000 and 9,100 people in the United States get GBS. This means that about 140 people get GBS every week.

Getting GBS from a vaccination is very rare

In very rare cases, someone may develop GBS in the days or weeks after getting a vaccination. In 1976, there was a small increased chance of GBS after getting a flu (swine flu) vaccination. This means about 1 more case per 100,000 people who got the swine flu vaccine.

Many studies have looked at seasonal flu vaccines and GBS

Since 1976, many studies have been done to see if other flu vaccines may cause GBS. In most studies no link was found between the flu vaccine and GBS. However, two studies did suggest that about 1 more person out of 1 million people vaccinated with seasonal flu vaccine may develop GBS. This continues to be studied.  For the most part, the chance of getting very ill from flu is far higher than the chance of getting GBS after getting the flu vaccine.

(Continue . . .)