Category: Pandora Report

Pandora Report 7.11.14

by juliadhomstad, posted in Pandora Report

Highlights from this week include, vaccines, plague, ISIS, and smallpox. Oh my!

The Price of Prevention: Vaccine Costs are Soaring

For all the talk around here about anti-vaxxers, there might be a larger threat to vaccine preventable diseases in the United States…lack of vaccines or vaccines that are no longer affordable. In this insightful piece, the complicated story of vaccine necessity, vaccine scarcity, and vaccine cost is told through the doctors at the front lines. States require students to be vaccinated to attend school but the vaccines are hard to find. For doctors, keeping vaccines that may not be used or may not be reimbursed has become a grave financial burden.

The New York Times—“Old vaccines have been reformulated with higher costs. New ones have entered the market at once-unthinkable prices. Together, since 1986, they have pushed up the average cost to fully vaccinate a child with private insurance to the age of 18 to $2,192 from $100, according to data from the Centers for Disease Control and Prevention.”

 

Deadliest, Rarest Form of Plague Contracted Near Denver

It’s baaaaack. In the state’s first reported case since 2004, a Colorado man has been diagnosed with pneumonic plague. Pneumonic plague is the airborne version of the disease that can be transmitted through droplets from coughing or sneezing. In this case, the man has been treated with antibiotics while investigation of the source of the outbreak continues. Authorities think the man may have contracted it from his dog that had suddenly died and had been found to carry the disease. Many cases of plague in the U.S. come from contact with mammals and small rodents such as prairie dogs.

Bloomberg—“Plague in all of its forms infects only about seven people yearly in the U.S. The disease occurs when a bacteria named Yersinia pestis infects the body, according to the U.S. Centers for Disease Control and Prevention. The difference between the pneumonic and bubonic varieties is that the bacteria takes hold in the lungs in the first case, rather than underneath the skin through insect bites. Both types are treated with antibiotics.”

 

ISIS Seizes Former Chemical Weapons Plant in Iraq

As the Islamic State of Iraq and Syria (ISIS) tears through Iraq taking over cities, they have taken over some other things, too. These include a science lab at Mosul University, where they took 88 pounds of uranium components, and a former chemical weapons facility north-west of Baghdad. According to Iraq, in a letter circulated at the United Nations, the Muthanna facility held 2,500 degraded chemical rockets that were filled with sarin nerve agent or their remnants. The U.S. government has not expressed fear that these materials could be used to create a viable chemical or dirty bomb.

The Guardian—“A U.S. State Department spokeswoman, Jen Psaki, expressed concern on 20 June about Isis seizing the complex, but played down the importance of the two bunkers with “degraded chemical remnants”, saying the material dates back to the 1980s and was stored after being dismantled by UN inspectors in the 1990s.

She said the remnants “don’t include intact chemical weapons … and would be very difficult, if not impossible, to safely use this for military purposes or, frankly, to move it”.”

 

Smallpox Virus Found in Unsecured Government Lab

On the heels of accidental anthrax exposure at the CDC, reports this week highlight a concerning trend of lack of lab precautions when it comes to dangerous biological agents. Vials of smallpox, one of the most deadly viruses known to man, were discovered in an unused storage portion of a lab in Bethesda, MD.

Time—“The vials, which date from the 1950s, were discovered by National Institutes of Health workers on July 1, CDC said in a statement. The lab […] had been neither equipped nor authorized to store the pathogen, which was eradicated in 1978. Upon discovery, the vials were secured in a containment laboratory before being transported to another lab in Atlanta on July 7, where workers confirmed they contained DNA for the smallpox virus. There is no evidence the vials were breached, CDC said, and experts have not identified any danger to the public.”

 

Image Credit: U.S. Navy

 

Pandora Report 7.4.14

by juliadhomstad, posted in Pandora Report

I have to offer my apologies and my thanks. Please let me apologize for the lack of Pandora Report and the light coverage on the blog over these past two weeks. The month of June was absolutely insane between work and summer courses. Fortunately, all that craziness is finally over, so let me thank you most sincerely for your patience and understanding. With this special July 4th edition of Pandora Report, please consider things around here back to normal.

Now, onto the news!  Highlights include Syrian chemical weapon disarmament, the arrival of Chikungunya to the U.S., an anthrax incident at the CDC, an Etihad Airlines based polio campaign, and Ebola devastation in West Africa.

Syrian Chemical Weapons Transfer Complete

Earlier this week, the Pentagon reported that the transfer of Syrian chemical weapons, from a Danish cargo ship to the U.S. vessel that will neutralize and destroy the weapons, is complete. The weapons and associated materials were transferred to the Cape Ray, which will travel from Italy into international waters where the weapons will be dismantled and neutralized. The Pentagon press secretary Rear Admiral John Kirby reported that the process should take several weeks to complete.

Al Arabiya News—“The disposal process marks the culmination of a program to rid Syria of its chemical weapons stockpile after the outcry that followed chemical attacks by the Bashar al-Assad regime in the suburbs of Damascus on August 23 last year, that may have killed as many as 1,400 people.”

Polio Awareness Videos to be Shown on Flights to Pakistan

Much of my month of June was spent at Dulles airport, so I might be more excited about this story than your average person, but get ready for the coolest news story you have likely ever read about an airline! United Arab Emirates based Etihad Airlines, in response to the polio epidemic in Pakistan, will show a short in-flight movie on all their flights to Pakistan. Etihad said that the goal of the movie, titled “Leap of Faith,” is to raise awareness about “this crippling and potentially fatal disease among thousands of Pakistani workers returning home to visit their families.”

Business Standard—“‘By showing this engaging story on board our flights, Etihad Airways is supporting the efforts of the UAE in helping to eradicate polio in Pakistan,” said James Hogan, President and Chief Executive Officer of Etihad Airways.

Asif Durrani, Pakistan Ambassador to the UAE, said, “With approximately 1.25 million expatriate Pakistanis in the UAE, this is a perfect opportunity to educate our people during their journey home and ultimately help in the overall eradication of this terrible disease in our country.’”

CDC Reassigns Director of Lab Behind Anthrax Blunder 

According to the Centers for Disease Control and Prevention, sometime between June 6 and 13, up to 84 lab employees at the headquarters in Altanta, were possibly exposed to anthrax. The possible exposure, which was caused by technicians not following laboratory protocol, resulted not only in employees taking powerful antibiotics as prophylactics but also in the reassignment of the head of the Bioterror Rapid Response and Advanced Technology Laboratory, Michael Farrell, while the incident is investigated.

Reuters—“CDC spokesman Skinner on Sunday said the bioterror lab sent the anthrax bacteria to other labs in closed tubes. The recipients agitated the tubes and then removed the lids, raising concerns that live anthrax could have been released into the air.”

Mosquitos Carry Painful Chikungunya Virus to Americas

Chikungunya, a viral disease spread by the same mosquitos that spread Dengue fever, has made its way to the Americas. Fortunately, the type of mosquito that spreads the viruse, the Aedes aegypti, is not native to the United States. However, its close breed “cousin” Aedes albo, lives as far north as Chicago and is believed to be able to spread Chikungunya.

National Geographic—“There is no vaccine or medication that can change the course of the disease, though patients are given painkillers and told to drink a lot of fluids….To avoid getting chikungunya while staying in affected areas, take the usual precautions against mosquitoes: Wear long sleeves, use repellents, and keep outside areas free of standing water where mosquitoes can breed.”

West Africa Ebola Epidemic is ‘Out of Control’

With a current death count of 467, the Ebola outbreak affecting Guinea, Sierra Leone, and Liberia has become dire. Doctors without Borders’ (MSF) Director of Operations said “the epidemic is out of control.” He continued, “we have reached our limits. Despite the human resources and equipment deployed by MSF in the three affected countries, we are no longer able to send teams to the new outbreak sites.”

The Huffington Post—“The outbreak of the deadly disease is already the largest and deadliest ever, according to the WHO, which previously put the death toll at 399 as of June 23, out of 635 cases. The 17 percent rise in deaths and 20 percent jump in cases in the space of a week will add urgency to an emergency meeting of 11 West African health ministers in Accra, Ghana on Wednesday and Thursday, which aims to coordinate a regional response.”

 

Image Credit: Wikimedia Commons

From the Pandora Report and all of us at the George Mason Biodefense program, we wish you a happy and safe Independence Day!!

Pandora Report 6.14.14

by juliadhomstad, posted in Pandora Report

Don’t forget, early registration for the Summer Program in International Security ends Sunday, June 15. 

Register today to save $200-$300!

News is a little light this week but highlights include antibiotic resistance in the grocery store and the reconstruction of the 1918 flu virus. There will be no news round up next week, so I’ll meet you back here in two weeks!

Bacteria Found in Squid Raises Concern About Spread of Antibiotic Resistance

For the first time, researchers in Canada have discovered one of the deadliest kinds of antibiotic-resistant bacteria in a food product. The organism was found in a package of imported frozen squid, which was purchased at a store in Saskatoon, Saskatchewan. The discovery of the bacteria in food is troubling because it provides an additional method of human acquisition of antibiotic resistance.

The Washington Post—“The bacterium found in the squid is a common environmental organism, present in dirt and water. But in this case, scientists found that it had a gene that made it resistant to antibiotics that are considered the last line of defense. Bacteria that have this capability are dangerous because if they are in a person’s body, they can share that gene or enzyme with other bacteria. And that makes those other bacteria also resistant to these last-resort antibiotics, known as carbapenems.”

A Flu Virus That Killed Millions in 1918 Has Now Been Recreated

Yoshihiro Kawaoka is in the news again after his research team at the University of Wisconsin-Madison, reverse engineered an influenza virus from a similar one found in birds, combining several strains to create one nearly identical to the virus that caused the 1918 outbreak. The team then mutated the genes to make it airborne in order to study how it spreads between animals. Kawaoka is not new to this sort of research—which some view as controversial and dangerous—he engineered a strain of H5N1 to pass airborne from ferret to ferret in 2011.

Vice News—“The research was funded by the National Institute of Health as a way to find out more about similar virus’ and their transmissibility from animals to humans. It was done in a lab that complied with full safety and security regulations, said Carole Heilman, director of the Division of Microbiology and Infectious Diseases, at National Institute of Allergy and Infectious Diseases (NIAD), a division of NIH. ‘It was an question of risk versus benefit,’ Heilman told VICE News. ‘We determined that the risk benefit ratio was adequate if we had this type of safety regulations.’”

 

Image Credit: Wikimedia Commons

Pandora Report 6.7.14

by juliadhomstad, posted in Pandora Report

We’re taking the bad news with the good news this week. Highlights include miscalculations in the MERS toll, rising numbers of Ebola deaths, innovations in vaccine delivery using rice, and progress with MRSA. Enjoy your weekend!

Saudi Arabia Reports Big Jump in MERS cases, Including 282 Deaths

On Tuesday, the Saudi Ministry of Health reported that 282 people have died from Middle East Respiratory Syndrome coronavirus (MERS-CoV) which is a major increase from the previously known official death toll of 190. The same day as the announcement, Deputy Health Minister Dr. Ziad Memish was “relieved” from his post according to the Saudi Health Minister. No reason was given.

CNN—“MERS is thought to have originated on the Arabian Peninsula in 2012. No one knows exactly where it came from, but evidence implicating camels is emerging. In a recently published study in mBio, researchers said they isolated live MERS virus from two single-humped camels, known as dromedaries. They found multiple substrains in the camel viruses, including one that perfectly matches a substrain isolated from a human patient.”

Resurgence of Ebola Epidemic in West Africa

Though overall the number of new cases of Ebola appears to be declining, new cases have been recently reported in Guinea and Sierra Leone. Doctors Without Borders/ Medecins San Frontieres have been supporting health authorities in both countries, treating patients, and working to put measures in place to control the epidemic. They have sent over 44 tons of equipment and supplies to assist the outbreak which has infected over 300 people and killed at least 125.

Doctors Without Borders—“The rise in cases may be due to a reluctance on the part of patients to go to hospital. The movement of infected people and cadavers is also a major issue. Families frequently transport dead bodies themselves in order to organize funerals in other towns. The multiplication of affected areas makes it difficult to treat patients and control the epidemic.”

Fighting Deadly Disease, With Grains of Rice

In an effort to fight common diarrheal illnesses including cholera and rotavirus, researchers at the University of Tokyo are working on bioenginerring rice in order to turn it into an easy and low-cost storage and delivery medium to combat these common illnesses.  According to the World Health Organization, cholera alone kills as many as 120,000 annually.  Both the cholera vaccine and rotavirus antibody versions of the rice have been tested on laboratory mice with plans to test on humans within the next few years in a country like Bangladesh where cholera is a major public health threat. The Bill and Melinda Gates Foundation as well as several pharmaceutical companies have shown interest in developing drugs based on the research.

The New York Times—“Vaccines  or antibodies for both exist but require refrigerated storage, Yoshikazu Yuki, an assistant professor of mucosal immunology, said in an interview. Bioengineering vaccines or antibodies into rice would allow them to be stockpiled easily, without the cost of cold storage, for up to three years at room temperature, he said. The rice could be ingested orally, ground into a paste and drunk, delivering the antibodies to the intestine.”

A New Weapon in the Battle Against MRSA

Among serious concern for the growing levels of antibiotic resistant superbugs, it appears there is some promising news. Durata Therapeutics have developed a new drug, Dalvance, which in clinical trials has proven as effective as vancomycin—another powerful antibiotic—against acute skin and soft tissue infections including methicillin-resistant Staphylococcus aureus (MRSA.) According to Durata, more than 4.8 million people were admitted to hospitals with skin and soft tissue infections between 2005 and 2011 and nearly 60% of these staph infections were the methicillin-resistant variety.

The Washington Post—“The drug, Dalvance, is the first approved by the FDA under the government’s Generating Antibiotic Incentives Now program, its effort to encourage pharmaceutical companies to produce new drugs to combat the growing problem of antibiotic resistant bacteria. Even asthe problem has grown around the world, the number of new drugs in the pipeline has dwindled, with drug companies focused on more profitable medications.”

 

Image Credit: Wikimedia Commons

Pandora Report 06.01.14

by juliadhomstad, posted in Pandora Report

Highlights include Ebola research at UVA, No person-to-person MERS transmission in the U.S., Syria’s inability to meet deadlines, and the continuing negative impact of Anxi-Vaxxers.  Have a great Sunday!

 

Ebola’s Fist: UVA Unlocks How Deadly Virus Smashes into Human Cells

Further proving the superiority of public universities in Virginia, researchers at the University of Virginia School of Medicine have discovered how the Ebola virus enters the cytoplasm of human cells. This discovery comes at a critical time when Ebola is still raging in West Africa.

Augusta Free Press—“UVA’s new discovery offers important insight into how the virus works its way into cells. After the virus is engulfed by the cell, it is contained within a vesicle where it can do no harm. But Ebola quickly escapes the vesicle, and now scientists understand how. UVA researcher Lukas Tamm, PhD, of the Department of Molecular Physiology and Biological Physics, and his team discovered that the pH level inside the vesicle triggers the surface glycoprotein on the virus to form a “fist” that lets the virus punch its way into the cell’s cytoplasm, where it can effectively turn the cell into a factory for virus production.”

 

Nevermind! It Turns Out the Guy Who Tested Positive for MERS Doesn’t Have it

Everyone can breathe a sigh of relief! It turns out that the Illinois man who tested positive for MERS after shaking hands with an infected man never really had it. The tests used for diagnostics registered a false positive. This means that the only cases of MERS in the United States have been imported and have not passed through person-to-person transmission.

ABC News—“‘There is good news here,” ABC News chief health and medical editor Dr. Richard Besser said. “It was concerning that this man supposedly got infected through minimal contact – a couple of meetings and a handshake. Now that it’s clear that he was not infected, we’re back to a situation where those who have been infected have either been health care workers caring for MERS patients or close contacts, often family members.’”

 

Syria Set to Miss Deadline for Chemical Weapons Destruction

During the past week not only was a chemical weapons inspection team ambushed and held captive in Syria, but reports are coming out that the Syrian government will not meet the June 30, 2014, deadline for removal and destruction of their chemical weapons arsenal.  UN Secretary General, Ban Ki-moon, also voiced concerned about allegations that chlorine gas has been used in recent fighting in Syria.

The Moscow Times—“The Syrian government has missed several deadlines, most recently its own promise to hand over the remaining chemicals by April 27. It has also failed to destroy a dozen facilities that were part of the chemical weapons program. The government has blamed those failures on security problems and rebel activities, but Western officials have voiced skepticism about those explanations.”

 

The New Measles Outbreak: Blame the Anti-Vaxxers

This week, the Centers for Disease Control and Prevention released a report that new measles cases in the United States are at a 20 year high for the first five months of 2014.  The CDC reports that 97% of measles cases have been imported by people who have travelled to other countries and brought the disease back with them and that 90% of the infections have occurred among unvaccinated individuals. In his scathing Time piece, Jeffrey Kluger highlights the worldwide struggle to eradicate polio and the capriciousness of those in the U.S. choosing to not be vaccinated against preventable, and long-dormant, diseases.

Time—“Make no mistake, the measles outbreak in the U.S. is an act of choice, of election, of a decision to get sick—or a decision by parents to put their children at risk. Fully 90% of the new cases are among people who are unvaccinated or whose vaccination status is unknown. And nearly all of those people are unvaccinated for personal, philosophical or religious reasons—as opposed to any medical condition that requires them to avoid vaccines. This is true too of recent outbreaks of mumps and whooping cough, and of the dangerously declining rate of vaccination in the U.S. overall. Nearly all of that folly can be blamed on the rumors and outright lies that continue to be spread about various conditions vaccines are said to cause—autism, ADHD, vaguely defined immune system disorders and on and on depending on which celebrity or health faddist is telling the tale.” 

 

Image Credit: Wikimedia Commons

Pandora Report 05.24.14

by juliadhomstad, posted in Pandora Report

Highlights include the CIA and their “Immunization Campaigns,” Ricin Sentencing, Dengue Warning for the World Cup, and Bacteria and E-Cigarettes. Have a safe and wonderful Memorial Day weekend!!

CIA Drops Vaccination Cover Story in the Wake of Polio Outbreak

Shakil Afridi, a Pakistani doctor, provided polio vaccinations in the city of Abbottabad as a cover for the CIA-backed effort to obtain DNA samples from children at a compound where Osama bin Laden was later found and killed in 2011. This week, however, the White House assured the deans of prominent U.S. Public Health Schools that the CIA will no longer use vaccination programs as a cover for spy operations. The agency also agreed not to use genetic materials obtained through such programs.  This announcement comes at a time when Polio cases are growing and spreading in Pakistan—in 2013 cases in Pakistan accounted for more than 20% of all new polio cases worldwide.

CBC—“The CIA’s use of a polio vaccine program to spy on bin Laden’s compound undercut Obama’s own high-profile speech to the Muslim world in 2009, in which he touted U.S. efforts to slash the growth of polio in Pakistan, Afghanistan and Nigeria. With Obama administration assurances, Muslim scholars in two international groups issued religious decrees urging parents to vaccinate their children.”

Mississippi Man Sentenced in Ricin Letter Investigation

This week, James Dutschke was sentenced to 25 years in prison for developing and possessing Ricin. Dutschke mailed the ricin-laced letters to the President, U.S. Senator Roger Wicker, and a Lee County Mississippi Judge.

FBI—“Following an investigation, Dutschke was arrested on April 27, 2013, and indicted by a federal grand jury on June 3, 2013. A superseding indictment was filed on November 20, 2013. Dutschke pled guilty on January 17, 2014, to one count of developing and possessing ricin and three subsequent counts of mailing threatening letters laced with the substance. According to the plea agreement between Dutschke and the U.S. Attorney’s Office that was filed in U.S. District Court in Oxford, Dutschke had agreed to serve a 300-month prison sentence and had waived his right to appeal.”

Scientists Warn of Dengue Fever Risk during Brazil’s World Cup

This topic has been circulating for weeks, if not months, but with the beginning of the World Cup a few weeks away, this story has been popping up in the news on a daily basis. Of the 12 World Cup host cities, the risk of Dengue fever has prompted a high alert in three—Natal, Fortaleza, and Recife—and an increased risk in four—Rio, Belo Horizonte, Salvador, and Manaus.

Dengue fever, sometimes called “breakbone fever,” is a viral infection transmitted by the Aedes aegypti mosquito. It can range from a mild, flu-like illness to a potentially deadly one, which occurs in approximately 5% of patients. There are no vaccines or effective treatments for Dengue Fever. Brazil has had more cases of the disease than anywhere in the world—more than seven million infections between 2000 and 2013.

Chicago Tribune—“Rachel Lowe, from the Catalan Institute of Climate Sciences in Barcelona, who helped develop the warning system, said the possibility of an outbreak during the World Cup large enough to infect visitors and spread back to their home countries will depend on a combination of factors. This include having large numbers of mosquitoes, a susceptible population and a high rate of mosquito-human contact, she said.”

Here’s Why Bacteria Like E-Cigs

Many, including everyone’s favorite anti-vaxxer Jenny McCarthy, claim that e-cigs are safer for their health than traditional cigarettes. However, it addition to the harm cigarettes inflict on the immune cell, it turns out that either type of cigarette may be just as bad for the body’s natural bacteria.

Time—“Dr. Laura Crotty Alexander, from the University of California at San Diego and the VA San Diego Healthcare System, found that the vapor from e-cigs prompts bacteria to become more resistant to antibiotics. In the presence of e-cig vapor, for example, methicillin resistant staphylococcus aureus (MRSA) became more resistant to the natural anti-microbial agents that the body makes. Cigarette smoke also produces the same effect, but Crotty Alexander was surprised that the e-cig vapors did as well, given that they were not supposed to contain the health-harming carcinogens that tobacco smoke does.”

 

Image Credit: Wikimedia Commons

Pandora Report 5.16.14

by juliadhomstad, posted in News, Pandora Report, The Lighter Side

There has been a lot on MERS this week as it continued to spread within the U.S. and Europe. The topic was so big that it was even covered on Buzzfeed (the web aggregator mostly known for quizzes and viral videos.) This made me think, “I wonder what sorts of biodefense topics are covered in traditional, mainstream news sources?” So, in celebration of the end of the Spring 2014 semester, this week I bring you just that!

We’ve got the U.S. Military’s defense plan for Zombies, measles and polio as a possible cancer cure, a photo essay about New York’s lost TB ward, and a doctor’s report from the Ebola fields of West Africa. Congrats to our newest graduates and have a wonderful weekend!

The Pentagon Has a Plan to Stop the Zombie Apocalypse. Seriously.

If you’re worried about the zombie apocalypse like I am (and let’s face it, you probably are since you’re here), here is one less thing to worry about. Like many other contingency plans, the Pentagon has one for dealing with the un-dead. Instead of using fictionalized versions of real countries, this scenario strings together a group of seemingly impossible scenarios that could never be mistaken for a real plan including “vegetarian zombies,” “chicken zombies,” and even (yes, this is not a joke) “evil magic zombies.”

Foreign Policy—“‘This plan fulfills fictional contingency planning guidance tasking for U.S. Strategic Command to develop a comprehensive [plan] to undertake military operations to preserve ‘non-zombie’ humans from the threats posed by a zombie horde,” CONOP 8888’s plan summary reads. “Because zombies pose a threat to all non-zombie human life, [Strategic Command] will be prepared to preserve the sanctity of human life and conduct operations in support of any human population — including traditional adversaries.’”

Can Measles or Polio be the Next Cure for Cancer?

Popular science speaks of viruses as something to be avoided, but what if injecting a person with large amounts of virus could actually cure cancer? That’s what researchers at the Mayo Clinic and Duke University Medical Center did when using measles virus to destroy cancer cells. The results? In very small patient trials the researchers saw significant successes including total remission!

Fox News—“This research is all part of a new medical field of oncolytic virotherapy.  The “proof of concept” studies stem from many years of animal research, analyzing how viruses can penetrate certain types of cancer cells.  A typical cancer cell moves very fast and replicates very rapidly.  Therefore, some viruses have an affinity to get into these cells and use them as incubators, so the viruses can multiply at a fast rate, as well.  But once these viruses are attached, the cancer cells essentially explode and release the virus into the body.”

The Mysterious New York City Island You’ve Never Heard Of

Those who have watched the History Channel’s Life After People or read Alan Weisman’s The World Without Us may find this story especially interesting. Photographer Christopher Payne, became aware of North Brother Island—which lies in the East River—and was allowed by the New York City Department of Parks and Recreation to conduct a photo survey of landscape. Used for a variety of purposes until its abandonment in the 1960s, between the 1880s and the 1930s, North Brother Island was the site of Riverside Hospital, where those suffering from infectious disease were treated in isolation.

Slate—“While Payne knew the island’s story, he often had trouble finding physical evidence of its past. “It was very hard for me to find the artifacts I expected to find. They really just didn’t exist. Most of the time you’re looking at the shell of a building, and it’s so far gone you can’t even tell what it was used for. It forced me to look closer, to see graffiti on the walls or to look on the floor,” he said. “A lot of it was detective work. It was like trying to invent a life for something, trying to find a shot or a view that suggested what it used to be.’”

Windsor Doctor Returns Home after Treating Deadly Ebola Outbreak

As the numbers of infected and deaths continue to rise in the Western Africa Ebola outbreak, one of the stories we haven’t heard often is from physicians working there. In this piece for The Windsor Star, Dr. Tim Jagatic, writes about his experience working for three weeks in Conakry, Guinea, as a member of Doctors without Borders.  He writes about the efforts of Doctors Without Borders and the WHO on stopping the spread of the virus as well as providing care for those infected. When not providing medical care, he reported that doctors would perform triage assessments or perform outreach looking for new patient cases.

The Windsor Star—“Jagatic and his fellow physicians would often encounter resistance to their efforts. “We have to work on demystifying the disease,” said Jagatic.“So many people who were infected with it, they were stigmatized. They were banished from their communities, their families, one thing I was really trying to push is that this is really just a virus, like the measles, like the flu, when you get it you treat it, you go home and you’re done. And you’re just like you were beforehand.’”

 

Image Credit: Christopher Payne

Pandora Report 5.9.14

by juliadhomstad, posted in Pandora Report

The stories this week cover topics that I am especially interested in: avian flu in Antarctica, wild poliovirus, and the Russia biological weapons program. Have a great weekend!

Avian Influenza Present in Antarctic Penguins

A team of international researchers have discovered a new strain of avian influenza among Adelie penguin populations in Antarctica which has been identified as H11N2. Presence of this strain of influenza was found in eight penguins from a sample size of 301 swabbed penguins and 270 penguins who had had blood drawn. Though the six adult penguins and two chicks only represent 2.6% of the total group, approximately 16% of the samples contained antibodies for H11N2, indicating the virus has likely been present in the population for “some length of time.”

Guardian Liberty Voice—“There has already been a theory posited which might explain how the H11N2 virus was transmitted to the Antarctic region. Due to both the relatively small incidence of the virus in the sample population, and the region from which the sample size was drawn. Hurt has posited that the introduction of the virus into the Antarctic ecosystem was conducted by migratory birds from South America, such as the yellow-billed pintail duck. This conclusion has been supported by the fact that distant similarities between the H11N2 strain of the virus and South American AIVs, primarily from Brazil and Chile, do in fact exist.”

Wild Poliovirus Making a Comeback, WHO says

In a statement made on Monday, the WHO applauded worldwide efforts to eradicate polio while cautioning that the wild poliovirus is spreading and may negate the hard fought eradication efforts. They declared this spread of wild poliovirus a Public Health Emergency of International Concern and warned that if the spread remains unchecked “this situation could result in failure to eradicate globally one of the world’s most serious vaccine preventable diseases.” The WHO declared that Pakistan, Cameroon, and Syria pose the greatest risk of wild poliovirus exportation while Afghanistan, Guinea, Ethiopia, Iraq, Israel, Somalia and Nigeria are infected with wild poliovirus but are not exporting it.

National Geographic—“The effort is to break the chains of transmission. The WHO is recommending that countries currently infected with polio ensure that their people who are traveling outside the country get vaccinated. About 72 percent of the people who are infected with the polio virus have no symptoms, but they can still spread the disease. Polio is now in just a few countries. The concern is not to re-infect the countries that have gotten rid of polio.”

Lawmakers Mull Biological Weapons Threat from Russia

Providing an opportunity for me to majorly geek out, the U.S. House of Representatives held a committee hearing this week regarding the biological weapons threat from Russia and beyond. Witnesses included Dr. Christopher Davis, a biomedical weapons expert and former member of the U.K.’s Defense Intelligence Staff; Dr. Amy E. Smithson, a senior fellow at the James Martin Center for Nonproliferation Studies; Milton Leitenberg, a senior research scholar at the University of Maryland and author of The Soviet Biological Weapons Program; and Dr. David Franz, former Commander of USAMRIID.

Time—“Leitenberg said it’s almost impossible to evaluate the extent of the Russian biological weapons stockpile because three Russian laboratories remain closed to outside inspection. “We don’t know what they’re doing,” Leitenberg said. ‘They may or may not have an active offensive program—I presume they do. I do not believe that the U.S. government thinks they are producing and stockpiling agent any more, but we don’t know that.’”

A recording of the hearing is available here.

 

Image Credit: Andrew Mandemaker/ Wikimedia Commons

Pandora Report 5.2.14

by juliadhomstad, posted in News, Pandora Report

Highlights this week include Smallpox Redux, Antibiotic Resistance, and MERS in America. Check us out @PandoraReport for additional stories about the 1918 flu, Obstacle races and their health impact, the deadliest creature on earth, and Stephen Colbert vs. Anti-Vaxxers. Have a great weekend!

A Smallpox like virus found in the Republic of Georgia

This week, doctors from the Centers for Disease Control and Prevention reported that two herdsmen in the Republic of Georgia have been infected with a new virus that is very similar to smallpox. The news comes in addition to a lot of smallpox talk this week. After unearthing a corpse in Queens, NY, the issue of the virus spreading from dead bodies was raised again. Meanwhile, this month The World Health Assembly (WHA) will meet to discuss destruction of remaining smallpox virus being held in Russia and the U.S. Though the smallpox virus has been eradicated, this new virus in the same family raises concerns about protection from bioterrorists using agents we have no immunity or vaccinations for.

NPR—“Last year the U.S. government spent about $460 million on a relatively new smallpox medicine, in case the virus was deliberately released in a bioterrorism attack. That stockpile could treat about 2 million people.”

MERS Arrives in the U.S. 

An American man returning from Saudi Arabia has been diagnosed with MERS CoV. The man was hospitalized in Indiana and authorities say he poses very little risk to the public.  At least 400 people have been diagnosed with Middle East Respiratory Syndrome and it has killed over 100. Though the disease has not transferred human to human at this point, the high lethality is a concern to health officials.

The Associated Press—“Experts said it was just a matter of time before MERS showed up in the U.S., as it has in Europe and Asia. “Given the   interconnectedness of our world, there’s no such thing as ‘it stays over there and it can’t come here,'” said Dr. W. Ian Lipkin, a Columbia University MERS expert.”

Antibiotic Resistance Threatens Everyone, Warns UN

A United Nations report, released on Wednesday, outlined that antibiotic resistance is now prevalent in all parts of the world and that for up to half of patients antibiotics may not be effective. Many doctors in Canada are encouraging their colleagues to be careful about over-prescribing antibiotics as a “cure all.” If doctors around the world cannot do that, we may be looking at a post-antibiotic future.

CBC-“‘What it means, is that all of us, our family members, all of the persons in this room, our friends, when we are most vulnerable and in need of these medicines, there is a chance that they are simply not going to be available and we are not going to be able to have access to effective medical care in a number of instances,’ Dr. Keiji Fukuda, one of the agency’s assistant directors-general, told reporters.”

 

(image courtesy of Wikimedia Commons/ Arias,F.J)

Pandora Report 4.25.14

by juliadhomstad, posted in Pandora Report

While Ebola Viral Disease still rages in West Africa and MERS continues to spread, let’s take this Friday to look at some other stories.

Highlights include Polio eradication in Southeast Asia, Manure and Antibiotic Resistance, Chemical weapons in Syria (yes, again), and the 28th anniversary of Chernobyl. Have a great weekend!

 

80% of the World Polio Free

If you’re anything like me, you hang on every word Dr. Tom Frieden, Director of the CDC and active tweeter, says. This week he lauds polio eradication in the 11 countries of Southeast Asia as a “remarkable achievement.” The countries include Bangladesh, Bhutan, South Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand, and Timor-Leste and are home to 1.8 billion people.  While he applauds the work that has already been done, he highlights Afghanistan, Pakistan, and Nigeria as countries where there is still work to be done.

Huffington Post—“The lessons of Southeast Asia are being applied in these last three countries — improving immunization activities, outreach to underserved populations, special approaches in security-compromised areas, outbreak response, improved routine immunization and disease tracking — so the world can get to the finish line in the fight against polio.”

 

Cow Manure May Lead to Antibiotic Resistance

Using five stool samples collected from four cows at a dairy farm in Connecticut, scientists at Yale University found 80 unique antibiotic resistance genes, approximately three quarters of which were unfamiliar. Genetic sequencing showed that the AR genes were only distantly related to those already known to science. When applied to a lab strain of E. coli, the genes made the bacteria resistant to certain well-known antibiotics, including penicillin and tetracycline.

The New Zealand Herald—“Further study is needed to probe whether cow manure may harbour a major reservoir of antibiotic resistance genes that could move into humans.

“This is just the first in a sequence of studies – starting in the barn, moving to the soil and food on the table and then ending up in the clinic – to find out whether these genes have the potential to move in that direction,” Jo Handelsman, senior study author and microbiologist at Yale said.”

 

As Syria Closes in on Chemical Weapons Disarmament, New Concerns Arise

Like Russia, it seems Syria cannot stay out of the news lately. While Reuters reported this week on an apparent chemical attack in the province of Idlib (which followed a chemical attack in Hama earlier in April), news outlets are cheering Syria’s commitment to meeting their deadlines for disarmament of their chemical weapons stockpiles. Reports estimate that 85-90% of the Syrian stockpile has been shipped for dismantlement and destruction.

Los Angeles Times—“Under a revised plan, Syria has promised to remove all of its chemical weapons material by April 27. In the last two weeks, Syria has shipped out six batches, “marking a significant acceleration in the pace of deliveries,” the OPCW said. Russia provided armored vehicles and other equipment to assist the chemical convoys, which sometimes traversed roads near contested zones where rebels were present.

The U.N. set June 30 as a deadline for destruction of the chemicals.”

 

28th Anniversary of Chernobyl Nuclear Disaster

What is there to say, as we approach the 28th anniversary of the Chernobyl Nuclear Disaster? This event remains one of the most catastrophic nuclear disasters in the history of mankind. The ongoing after effects have harmed the environment, people, and there are consequences still yet unknown.

As the media looks back on this event, there are many good stories that cover the effects of this meltdown that happened in the early hours of April 26. Some focus on the lasting impact on the environment.

Birds Adapt to Long-Term Radiation Exposure

What’s Wrong With Chernobyl’s Trees?

Radiological Damage Still Poses ‘Catastrophic’ Threat to Ukraine

Some focus on the risks of nuclear power and call for greater awareness.

Ban marks Chernobyl anniversary with call for greater support for recovery efforts

Some focus on the ongoing Russia-Ukraine conflict and its effect on Chernobyl.

Chernobyl Radiation Shield Under Threat Amid Ukraine Crisis

But the one of the most interesting remembrances of this event was from the 10th anniversary of the meltdown in 1996. It is the tale of the Swedish scientist who alerted the world to the uptick in radiation…since the Soviet Union did not.

Chernobyl haunts engineer who alerted world

 

(Image Credit: Wikimedia Commons Firef7y)