The Pandora Report 9.13.13

Highlights this week include further evidence linking camels to MERS, a big innovator turning his eye to biodefense, tracking influenza A in Norwegian birds, the “eradicated” measles in the US,  tripling Tamiflu to help us all survive a serious H1N1 pandemic, and this week’s weird piece. Happy Friday!

Blame the Camel

It looks like dromedary camels are indeed the vector transmitting MERS from its proposed bat reservoir to humans. Antibodies against the deadly respiratory virus have been found in blood samples collected from camels across the Middle East, including Egypt, Sudan, Oman, and the Canary Island. However, before everyone starts shunning the desert beast of burden, it should be noted that the vast majority or MERS cases have had no contact with the animals, further suggesting person-to-person spread. Officials are calling for greater surveillance, which to date has been spotty in most states.

New York Times – “…it appears that the first confirmed or suspected cases in three separate clusters may have [had contact with camels], and in two cases, the camels were observed to be ill. According to the Saudi newspaper Asharq, a 38-year-old man from Batin, Saudi Arabia, who died of what was diagnosed as bacterial pneumonia was a camel dealer with at least one obviously sick camel. Later, other members of his family, including a mother, daughter and cousin, fell ill with what was diagnosed as MERS, and two died. They were part of a cluster of cases reported Sept. 7 by the World Health Organization.”

Tech Visionary Focuses Now On Biological Weapons Threat

An interesting interview with a tech mogul formerly associated with Microsoft. Like so many of us in the biodefense field, he’s worried about a domestic terror threat operating out of a small lab. It’s refreshing to see someone outside of the industry, with potential means, getting involved with biodefense in a way that doesn’t just involve anthrax.

NPR – “Biological terror is interesting because it is so damn cheap and yet can be even more lethal than nuclear…In this case, the adversary is going to be hidden. It’s going to be a small lab of people who could be cooking up a bio-terror weapon. They’re very unlikely to announce themselves until after the attack.”

Influenza virus in wild birds in Norway

A group of researchers in Norway have determined that ducks and gulls are a natural host of influenza A. Dabbling ducks in particular are the most prevalent host of the virus. Researchers were interested in determining the primary host in order to better understand patterns of seasonal infection.

Phys.org – “The complete genetic material from a total of five influenza viruses from mallard and common gull were sequenced and characterized. The results showed that the genes of the Norwegian viruses resembled the genes found in influenza viruses from other wild birds in Europe…Due to limited overlap between the routes used by migratory birds in Eurasia and America, influenza viruses with different genetic material have developed between these two continents. However, in some areas, it has been observed that genes can be exchanged between influenza viruses from Eurasia and America.”

Measles still poses threat to US, health officials warn

Measles is making a comeback in the US, thanks to the groups of people who think that vaccinating for measles is a bad idea. Of the 159 cases last year, 82 percent involved those who had not been vaccinated. Technically the disease has been eradicated in the US.

FOX – “Of the patients who had not received measles immunizations, 79 percent had philosophical objections to vaccination, federal health officials said. Results of a National Immunization Survey released today show that 90.8 percent of U.S. toddlers between the ages of 19 and 35 months have received at least one dose of the measles, mumps and rubella vaccine (MMR) – just above the federal government’s target of 90 percent. However, federal health officials warned that measles imported from other countries can still cause large outbreaks in the U.S., especially if introduced into areas with clusters of unvaccinated persons.”

Triple Dose Tamiflu Beats Back H1N1

If at first you don’t succeed, try, try again. A study from the University of Manitoba in Winnipeg revealed that patients critically ill with H1N1 were able to clear the virus within five days if given triple the normal dose of Tamiflu. According to study researcher Dr. Anand Kumar, amongst those patients administered the triple dose of the flu drug, 79%  cleared the virus within the 5-day timeframe, compared with just 11% of patients given the normal dose. It should be noted that past studies involving the doubling  of Tamiflu doses did not yield significant clearance times.

MedPage Today – “‘What we found was that the treatment was well-tolerated, and there were many more patients achieving viral clearance at day 5, which was our study endpoint,’ Kumar said during a session at the Interscience Conference on Antimicrobial Agents and Chemotherapy. Kumar noted that the 5-day endpoint was important because of increased survival benefits from the shortened clearance time and the reduced amount of time a patient has to endure in continued isolation, “which is a source of significant manpower demand for an intensive care unit.”

This week’s weird piece: ‘US provided chemical and biological weapons to Saddam Hussein’ – retired military officer

Disclaimer: This is from Voice of Russia, which is  the Russian government’s broadcast network and therefore not exactly a pillar of journalistic integrity.

(image Adam Foster/Flickr)

The Pandora Report 9.6.13

Highlights: The Syrian BW “threat”, MERS vaccine, Nipah, biological weapons in the Philippines, and al Shabaab contributing to polio. Happy Friday!

On Not Falling Prey to Syrian Biological Weapons Alarmism

There have been a lot of articles (starting with the WaPo, and snowballing to the Telegraph, VoR, etc) discussing the “emerging threat” of Syrian biological weapons. Before the rumors grow and plant seeds, we strongly recommend you take a moment to check out Dr. Ben Ouagrham-Gormely’s excellent rebuttal. Here’s an excerpt from her piece:

“A September 5 Washington Post article raises concern that Syria might resort to biological weapons in retaliation for a Western military strike. The article states that intelligence reports indicate that Syria engaged in bioweapons development in the 1970s and 80s and since then has maintained a “dormant capability,” which some experts interviewed by the Post believe can easily be reactivated to produce biological weapons. it is important to inject a little bit of reality in regard to the question of whether or not Syria might be able to successfully reactivate a “dormant program” and effectively develop and use biological weapons.”

Read the full post here.

MERS Vaccine Passes First Test

The confirmation of another two cases of the Middle Eastern Respiratory Virus in the last week, bringing the global total to 110 cases and 52 fatalities, has the scientific community scrambling to develop a viable vaccine. Now researchers at Loyola Marymount University, working in conjunction with the Erasmus lab in Rotterdam (the same lab who refused to play nice in sharing the MERS genome), have developed a candidate vaccine which can be used in case of a pandemic. However, while the candidate has passed the first pre-clinical trials, if proven efficacious in humans  it would still be at least a year before the vaccine would be ready for production.

Medical Xpress – “The starting point for the new vaccine was a related virus known as Modified Vaccinia virus Ankara (MVA). MVA is an attenuated strain of the virus that causes smallpox, and has been used for more than 30 years for the manufacture of smallpox vaccine. Indeed, MVA is at the heart of a worldwide effort to design and generate vaccines not only against viral pathogens but also against cancers. In this context, MVA serves as the carrier for specific antigens that elicit the production of protective antibodies in the immunized host. MERS-CoV is known to bind to human cells via its so-called spike (S) protein, which is exposed on the surface of its membrane envelope. Sutter and his team therefore used molecular biological methods to introduce the gene for the MERS S protein into the MVA genome.”

Bats spreading deadly virus, Stanford scientist warns

If there’s one thing we’ve learned here at GMU Biodefense, it’s stay good and far away from bats. Whether it’s rabies or MERS, the creatures of the night are bastions for all sorts of nasty diseases.  Now it looks like Pteropus bats in Bangladesh are in the “villain of the week” spotlight. A researcher at Stanford University is voicing concerns over the bats, which range across South East Asia, spreading the deadly virus Nipah.

Stanford News – “Among Nipah’s worrisome traits: Many strains are capable of limited person-to-person transmission, and it is a ribonucleic acid (RNA) virus, which has the highest known rate of mutation among biological agents. If a more efficient human-adapted strain developed, it could spread rapidly in highly populous South Asia before spilling into other regions. The global community must do a better job of estimating and managing the risk, Luby said. That will require stepped-up study of how the virus is transmitted, closer observation of infected people and consideration of vaccinations for at-risk communities.”

Military claims NPA has ‘biological weapons’; Reds laugh off claim

Moving away from the existence, or lack thereof, of Syrian BW, a rebel leader in the Philippines has been accused by the government of using biological weapons. According the Filipino government,  the device in question tested positive for both Enterobacter cloacae and Streptococcus agalacteiae. The government claims the rebels smeared the unexploded landmines with feces. The rebels deny the claims outright. We’ll leave it there.

Inquirer Mindanao – “The military insisted Thursday that the New People’s Army now uses ‘biological weapons’ to further its goal of toppling the government. In a press statement, the Eastern Mindanao Command based here said laboratory examination of unexploded land mines seized from NPA camps in Southern Mindanao showed the presence of ‘deadly toxin’ and bacteria ‘not usually found in steel rebars and nails used as shrapnel.’ The NPA unit operating in the region laughed off this claim, calling it ‘malicious and wildly concocted military propaganda.'”

Somalia: Polio Widespread in Regions Under Al-Shabaab Control

Polio eradication is a bit of a soapbox around here, maybe because as a planet we’ve been so close for so long and because it’s often security issues which hamper efforts. For those of you who have managed to miss our various rants, all but three states – Nigeria, Afghanistan, and Pakistan – have eradicated the virus. Somalia, despite its numerous failings, worked extremely hard to become polio-free in 2007. The news that the terrorist organization al-Shabaab, which controls large swathes of Southern Somalia, is refusing to allow supplies into territory it controls, while also telling local populations that the vaccine causes AIDS and sterility, is infuriating.

All Africa – “Al-Shabaab’s refusal to allow the supply of the polio vaccine in areas under its control is causing panic among residents at a time when aid workers are struggling to contain an outbreak of the crippling virus.’The polio outbreak plaguing Somalia has spread despite significant efforts to curb the disease,’ the United Nations Office for the Co-ordination of Humanitarian Affairs (OCHA) said in a statement August 15th, adding that insecurity is hampering efforts to contain the virus. Six years after Somalia was declared free of the virus, at least 105 cases have been confirmed in the country, the ‘worst outbreak in the world in a non-endemic country’, according to OCHA.

(image: Hakan Dahlstrom/Flickr)

The Pandora Report 8.30.13

Highlights include MERS case updates, dengue raging through Central America, Syria’s CW (obviously), eastern equine encephalitis, and the cetacean morbillivirus. Happy Friday, and a very happy Labor Day Weekend to everyone! Stay away from the dolphins!

WHO: MERS global case count 108, 50 deaths 

MERS continues to spread throughout Saudi Arabia, with an additional four cases confirmed today. The total global case count is now 108, with a fatality rate of just below 50%. Two of Saudi Arabia’s four most recent cases involved immunocompromised patients, while the other two are children aged 16 and seven respectively. Interestingly, both children are currently asymptomatic, despite testing positive for the virus. The World Health Organization (WHO) has not recommended travel restrictions to Saudi Arabia, promoting instead strong surveillance and testing measures.

World Health Organization – “Globally, from September 2012 to date, WHO has been informed of a total of 108 laboratory-confirmed cases of infection with MERS-CoV, including 50 deaths.Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns. Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations”.

Dengue fever epidemic sparks public health emergency in Central America

Central America is currently experiencing a serious Dengue outbreak, with over 120,000 cases in three states across the region. If not effectively contained, a number of external factors will likely result in the outbreak “exploding”. The rainy season in the area is set to last another three months, with high heat resulting in ideal breeding grounds for dengue’s mosquito vector. Containment of the outbreak in Honduras particularly has proven challenging, prompting the state to turn to the Red Cross for help. The 2010 outbreak of dengue in the area lead to 1.6 million cases, of which 49,000 were severe. Dengue eradication efforts are hampered by its infection through four, distinct serotypes, no one of which offers cross-protection against the other three.

The Guardian – “The poor suburbs of Central American capitals are the main targets for campaigns to raise public awareness. Poor housing, the lack of a mains water supply and the accumulation of household waste make such neighbourhoods an ideal breeding ground for mosquitoes. The authorities have dispatched paramedics, police and the military to remote villages in order to stamp out the epidemic in the areas most at risk. Latin America is particularly exposed to dengue epidemics, which recur on a three- to five-year cycle. In 2010 the fever caused 132 deaths. ‘Aedes aegypti was eradicated in the subcontinent in the mid-20th century, but with increasing global trade it returned in the 1970s, from Asia,’ says Philippe Brémond, an epidemiologist at France’s Institute of Research for Development (IRD).”

Syria’s Red Line

We know everyone’s talking about chemical weapons in Syria (ourselves included), and with President Obama now apparently set on unilateral (ugh) military action in the area, we wager everyone will continue to talk about Syria for a good while longer. We’re including Jeanne Guillemin’s review article because it’s a thorough overview of the storied history and political maneuverings of chemical weapons use. Read it and be an expert.

The Boston Review – “When the present crisis in Syria is resolved, as inevitably it will be, the CWC [Chemical Weapons Convention] must be made universal. It almost is: 188 states adhere to it; 7 are holdouts (Israel, Syria, Egypt, Myanmar, Angola, North Korea, and South Sudan). Syria must allow its chemical weapons to be identified, contained, and destroyed. It should have been done years ago. Israel and Egypt must also be persuaded to join the treaty and comply with it, before more chaos erupts. ‘Almost universal’ is simply not good enough.”

Eastern equine encephalitis threat level raised to ‘high’ in four communities

Ongoing detection of eastern equine encephalitis (EEE) in four communities in Massachusetts has prompted local health authorities to raise threat levels to “high”, encouraging residents to avoid outdoor evening activities until the end of the mosquito season. Although most cases of EEE are aysmptomatic, in severe cases the virus can cause permanent brain damage and death. We can’t remember if we already posted this, but here is an excellent Nature article explaining why it would actually be totally fine if we exterminated all mosquitoes.

Boston – “The EEE threat is high in Easton, Raynham, Taunton, and West Bridgewater. Residents in high-risk areas are urged to avoid evening outdoor events for the remainder of the mosquito season, said the statement from the Massachusetts Department of Public Health…There has been one human case of EEE this year, in a Norfolk County woman in her 80s, who died earlier this month. There were seven cases of EEE in 2012, including three deaths.Symptoms of EEE show up about 3 to 10 days after a person is bit by an infected mosquito and they include high fever, a stiff neck, headache, and lack of energy.”

Because People Will Ask: Measles-like virus may be cause of dolphin deaths on U.S. coast

Included so you can assure concerned friends and families that the virus, which is killing bottlenose dolphins up and down the East Coast, cannot be transmitted to humans. Since July, 333 dolphins – 10 times the normal number for the same period – have died from cetacean morbillivirus, a measles-like virus which is thought to cause immunosuppression.  Virginia’s beaches have seen the highest number of strandings, at 174 n the last couple months. While the virus cannot be transmitted to humans, beach goers are advised not to approach any stranded dolphins, as they may carry other bacterial or fungal infections.

National Geographic – “‘Along the Atlantic seaboard, this [outbreak] is extraordinary,’ Rowles said. The last morbillivirus outbreak in the region occurred from June 1987 to May 1988, and resulted in the deaths of at least 900 bottlenose dolphins. Officials are unsure of how long the current outbreak will last. ‘Typically, outbreaks will last as long as there are susceptible animals,’ Rowles said. But if it plays out like the 1987-1988 outbreak, ‘we’re looking at mortality being higher and morbillivirus traveling southwards and continuing until May 2014,’ she added. Right now, experts think this current outbreak is probably due to a dip in herd immunity.”

(image credit: Jeff Kraus/Flickr)

The Pandora Report 8.23.13

Highlights this week include MERS in tomb bats, H7N9 and its lurking cousins, Ebola of CCHF?, the history of CW and BW, and nanotech. Happy Friday!

Reservoir of MERS may be Egyptian Tomb Bat. Yes tomb bat, as in, mummies, curses, and tomb bats.

Researchers may have uncovered the reservoir of the recently emerged Middle Eastern Respiratory Syndrome virus (MERS). Scientists took DNA samples from 96 bats living at an abandoned site just 12 kilometers from the MERS index case. Once the DNA samples were sequenced, the scientists involved discovered that the fecal pellet of one bat species, the Egyptian tomb bat, shared a 182-nucleotide snippet of DNA with MERS. It’s possible that more of viral genome was present; however, when the frozen bat samples were clearing US customs, the customs officers opened and left the samples out, at room temperature, for two days (don’t even get us started on all the things wrong with that situation). Still, this latest development brings us a step closer to understanding the virus and its mechanism of action.

Science Magazine – “Sequencing the nucleic acids isolated from the samples yielded a clue: The fecal pellet of the insect-eating Egyptian tomb bat (Taphozous perforatus) contained a piece of viral RNA identical to that of the virus isolated from the patient in Bisha, the scientists reported online in Emerging Infectious Diseases yesterday…Still, the finding is another interesting piece in the MERS puzzle, says Marion Koopmans, an infectious diseases researcher at the National Institute for Public Health and the Environment in the Netherlands, who was not involved in the work. She points out that the fragment is not only short but also comes from one of the least variable parts of the viral genome, so the full genomes of bat and human virus could still differ significantly. Nonetheless, the finding ‘points at bats as a reservoir for this virus,’ Koopmans writes in an e-mail.”

China bird flu analysis finds more virus threats lurking

Scientists in China have analyzed other strains of H7 flu, and have determined that several of the strains are capable of jumping to humans. A couple strains have already been shown to successfully infect ferrets. It’s thought that H7N9, like other pandemic strains of avian influenza, began in water fowl, was transmitted to domestic poultry,  reassorted with H9N2, and then infected people. The moral of the story? Other avian pandemics may be waiting in the wings (pun only slightly intended).

Reuters – “To trace the evolution of H7N9 and its path into humans, researchers led by Maria Huachen Zhu and Yi Guan of the University of Hong Kong conducted field surveillance around the main H7N9 outbreak region and mapped out, or sequenced, genetic codes of a large number of bird flu viruses they found…They also found another previously unrecognized H7N7 virus strain had emerged and is circulating in poultry in China. In experiments testing this strain, they discovered it has the ability to infect ferrets – an animal model often used by scientists to find out more about what flu might do in humans – suggesting it could jump into people in future.”

Deadly Hemorrhagic Fever Appears in Uganda

Local health officials are scrambling to identify a small outbreak of hemorrhagic fever in Uganda, with conflicting reports seperately identifying the causative virus as Crimean-Congo Hemorrhagic Fever (CCHF) and Ebola. Four patients have been hospitalized, with a fifth already dead from the virus. In a disturbing complication, one patient has apparently “escaped from the hospital” following collection of blood samples, prompting understandable fears of exacerbation of the virus’ spread. Both CCHF and Ebola are highly pathogenic, causing body pain, severe hemorrhaging, and death.

Daily Monitor – “Efforts to verify with the Health ministry whether the disease is Ebola or the Crimean- Congo haemorrhagic fever were futile as the officials did not answer our telephone calls. ‘The four patients have been put in isolation for close monitoring,’ Dr Otto said. The district health officer said the first patient at the hospital presented symptoms similar to that of Ebola which prompted him to take blood samples to Entebbe. Dr Otto urged the public to remain calm, saying a medical team was on the ground to handle the situation.

Scientific American In-Depth Report: The Specter of Chemical and Biological Weapons

Scientific American just put up a good overview of both recent developments in and the broad history of chemical and biological warfare. The pieces included are more chem-heavy (unsurprisingly), but it’s still a good refresher, especially with Syria apparently escalating again. Take a moment to check it out.

Nano Breakthrough For Navy Lab; Tiny Sensors To Detect Explosives, Bio Weapons, Rotten Food

Researchers at the Naval Research Laboratory want to use nanowires to detect everything from biological weapons to spoilt food. For the first time, researchers were able to overcome the difficulty associated with creating the wires. Until now, nanowires have had to be grown, making mass production extremely difficult. However, researchers have found a way to etch the wires, rather than grow them, making embedding them in uniforms or refrigerators possible.

Breaking Defense – “‘The big thing with getting to this point is finding a way to produce this in a scaleable and reproducible fashion,’ principal investigator Christopher Field told me… Basically, the Navy scientists etch a cluster of nanowires and put a small amount of power pulsing through them. When a molecule from an explosive’s gas or a chemical weapon brushes against the nanowires this disrupts the charge. Then scientists analyze the disruption to discover what caused it.”

(image courtesy of Marie and Alistair Knock/Taraji Blue/Flickr)

The Pandora Report 8.16.13

Highlights this week: MERS in India, Ebola!, new swine flu, a universal flu vaccine?, and not mad cow. Happy Friday!

Middle Eastern Respiratory Syndrome (MERS) Reaches India

With a population of over 1.2 bilion people, India has understandably been on high alert for Middle Eastern Respiratory Virus. Last week a 40-year-old man who had just returned from Saudi Arabia became the country’s first case. The patient spent three day in his home in Vashi, a small town less than two hours south of Mumbai, before being admitted into the local hospital. No word yet on whether he has a family or close relatives living with him, but no new cases have been detected.

Times of India – “In the first suspected case of the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in the city, a Vashi resident has been quarantined at Kasturba Hospital in Chinchpokli. The 40-year-old man was admitted to the hospital’s ward 30, meant for infectious diseases, on Wednesday afternoon with complaints of fever and a progressing pneumonia (inflammation of lungs). The patient had returned to India on August 12 after spending 35 days in Saudi Arabia.”

Scientists Reveal How Deadly Ebola Virus Assembles

Just when you thought you knew Ebola, its proteins go and change shape on you. Scientists have discovered that the molecule responsible for the virus’ release of virions (VP40) is capable of changing shape to perform new functions.  This is a big deal, as up until now, proteins were generally believed to only be possible of forming one shape – one shape, one function. Researchers will be able to use this surprising piece of information to build antivirals tailored specifically to the VP40’s different shapes, enabling them to selectively target different points in the virus’ assembly. Which would be nice, because Ebola is scary.

Science Daily – “The results, five years in the making, revealed the Ebola VP40 protein exists as a dimer, not as a monomer as previously thought, and it rearranges its structure to assemble filaments to build the virus shell or “matrix” to release countless new viruses from infected cells. The study showed the protein also rearranges itself into rings in order to bind RNA and control the internal components of the virus copied inside infected cells. This “shape-shifting” or “transformer” behavior explains how the Ebola virus can control a multi-step viral lifecycle using only a very limited number of genes.”

New swine flu virus found by University of Hong Kong researchers

Scientists at the University of Hong Kong have unearthed a new influenza virus, nimbly dubbed porcine parainfluenza virus 1(PPIV-1), in 386 pig carcasses collected from slaughterhouses around Hong Kong. Despite the virus’ close similarity to existing human flu viruses, as long as meat is thoroughly cooked there is no immediate health threat to us. The stability of the virus’ genome suggested its primary host is pigs, in which it is also found to cause respiratory symptoms. However, study researchers have called for greater surveillance of imported animals – Hong Kong imports 3,000 pigs from mainland China daily – as well as a more thorough investigation into the virus’ source.

South China Morning Post – “But a top researcher behind the study, microbiologist Yuen Kwok-yung, warned it might mutate and jump from pigs to humans. ‘The new virus is closely related to some human influenza viruses,’ Yuen said. ‘We should watch for possible cross-species transmission from pigs to humans, just as in the case of [human] swine influenza H1N1 and the Nipah virus.'”

Universal Flu Vaccine: Pandemic Viruses May Give Clues

The best safeguard for beating the newest pandemic flu seems to be having lived through a couple already. According to new research, individuals who had been exposed to both the 1957 H2N2 and the 1977 H1NI pandemic influenza viruses had higher levels of broadly neutralizing antibodies.  These antibodies are better able to target the flu viruses’ “stalk” portion (rather than their “head”) which remains relatively conserved across strains. Before you start counting the number of times you’ve been laid up with the flu (or smartly got a flu shot), antibodies produced against seasonal flu won’t confer the same protection. For some reason, our body tends to produce antibodies against the “head” portion of regular winter flu viruses. However, researchers hope that by creating a seasonal flu shot which tricks your immune system into thinking it’s facing a pandemic virus,  a universal flu vaccine may be possible.

Live science – “Levels of broadly neutralizing antibodies increased modestly over time in the study participants, and were highest among those who’d been exposed to more than one pandemic. Levels of broadly neutralizing antibodies were 3.8-fold higher in those who had been exposed to both H2N2 and H1N1, compared with those exposed to only H1N1, the study found. The finding suggests a strategy for making a universal flu vaccine: create a vaccine that contains flu viruses with very different heads, but highly similar stalks, Miller told LiveScience.”

New virus could help rule out mad cow

We don’t spend a lot of time talking about pathogens which affect  exclusively agricultural and food security here at the Pandora Report, which isn’t to say they’re not critically important. Scientists have discovered and successfully characterized an astrovirus which produces symptoms similar to bovine spongiform encephalopathy (BSE), more commonly known as mad cow disease. Although the new virus is not zoonotic, researchers can use its sequenced genome to develop a quick an easy diagnostic test capable of ruling out BSE.  Currently, testing for BSE and other neurological diseases in cattle is very cost and labor intensive.

Futurity – “’Neurologic disease in cattle can be difficult to diagnose because there are a number of different causes, and pre-mortem sampling and analyses can be cumbersome and/or expensive,’ says corresponding author Patricia Pesavento, a veterinary pathologist in the University of California, Davis School of Veterinary Medicine…’Understanding the role of this virus is crucial for veterinarians as well as for the dairy and beef cattle industries,’ she says. ‘Additionally, finding new viruses helps us identify other, more remote viruses because it builds our knowledge of both the depth and breadth of viral family trees.'”

(image courtesy of Axel Drainville/Flickr)

The Pandora Report 8.9.13

Highlights include camels as MERS’ vectors, anti-bacterial chemicals hiding Salmonella, a new malaria vaccine, BioWatch in DC, H5N1 in Nepal, African Swine Fever in Belarus, and in case you missed it: mutating H7N9. Happy Friday!

Camels may be source of Middle East’s Sars-like virus

Can we all just take a moment to appreciate the level of epidemiological sleuthing which went in to uncovering this? Researchers attempting to determine the vector of Middle Eastern Respiratory Syndrome (MERS) ended up sampling 50 Omani racing camels, and 105 Canary Islander tourist camels. All camels sampled from Oman, and 15 of those from the Canary Island, possessed antibodies to MERS, indicating prior infection. While the presence of antibodies is compelling, the virus itself was not found in any of the dromedary (vocab word of the day, meaning an Arabian camel with one hump) camels sampled. Also, Oman has reported no human cases of MERS. However, with camels as a possible vector, follow up investigations into whether those people infected had any contact with camels, their meat, or their milk can be conducted.  MERS has infected 94 people to date, killing almost half.

The Guardian – “The scientists said the virus could be slightly different – maybe more transmissible in Oman – or the camels might have been kept in circumstances that made it less likely to spread in the Canaries. But it is also possible that the virus was brought in by one of the three oldest Canary Island camels, who arrived from Morocco more than 18 years ago. ‘We cannot rule out that the population might have once had an outbreak but that by the time of sampling, antibody titres had waned and no new introductions of the virus had occurred,’ they write. ‘The camels have contact with wild rodents, pigeons, and other doves, and possibly also bats. Seven insectivorous bat species, including three pipistrellus [species], are native to the Canary Islands, while Egyptian fruit bats (Rousettus aegyptiacus) have been introduced.'”

USDA reviews whether bacteria-killing chemicals are masking Salmonella

According to recent research, the use of stronger anti-bacterial chemicals at poultry-processing plants may be cloaking the presence of Salmonella and other foodbourne pathogens which remain on the processed meat. Apparently the more stringent chemicals are too strong for current Salmonella tests, potentially resulting in false negatives. The USDA has stepped in to further investigate the research’s claims. For those of you who (like me) didn’t know, apparently the bird is treated with four different chemicals on average.

Washington Post – “To check that most bacteria have been killed, occasional test birds are pulled off the line and tossed into plastic bags filled with a solution that collects any remaining pathogens. That solution is sent to a lab for testing, which takes place about 24 hours later. Meanwhile, the bird is placed back on the line and is ultimately packaged, shipped and sold. Scientists say in order for tests to be accurate, it is critical that the pathogen-killing chemicals are quickly neutralized by the solution — something that routinely occurred with the older, weaker antibacterial chemicals. If the chemicals continue to kill bacteria, the testing indicates that the birds are safer to eat than they actually are.”

Investigational malaria vaccine found safe and protective

A new, live-attenuated malaria vaccine has successfully completed Phase I clinical trials. The vaccine, known as PfSPZ Vaccine, has been shown in a recent NIH to be safe, immunogenic, and  effectively confer immunity. However, a significant drawback of the new vaccine is its intravenous administration – most vaccines are administered subcutaneously, intradermally, or, ideally, orally.  Nonetheless, researchers are optimistic, and a set of follow-up studies are scheduled. According the the WHO, in 2010 (most recent sampling year), malaria caused an estimated 219 million cases globally, with 660,000 deaths, predominantly amongst African children.

Medical Xpress – “The Phase I trial, which took place at the NIH Clinical Center in Bethesda, received informed consent from and enrolled 57 healthy adult volunteers ages 18 to 45 years who never had malaria. Of these, 40 participants received the vaccine and 17 did not. To evaluate the vaccine’s safety, vaccinees were split into groups receiving two to six intravenous doses of PfSPZ Vaccine at increasing dosages. After vaccination, participants were monitored closely for seven days. No severe adverse effects associated with the vaccine occurred, and no malaria infections related to vaccination were observed…Based on blood measurements, researchers found that participants who received a higher total dosage of PfSPZ Vaccine generated more antibodies against malaria and more T cells—a type of immune system cell—specific to the vaccine.”

DHS wants LRS Federal to continue collecting BioWatch air samples for another six months

BioWatch isn’t dead yet, at least if you live in the DC metro region. The Department of Homeland Security has decided to award LRS Federal a six-month contract extension for maintenance of BioWatch in the DC metro area. The $759,000 awarded in the renewal will go towards maintenance of the program, including salaries of those who collect the daily samples and upkeep. No new developments on Gen 3 writ-large.

Government Security News Magazine – “LRS Federal currently manages the teams that perform daily sample collections and routine equipment maintenance on portable air sampling units located throughout the National Capital Region’s ‘BioWatch Jurisdiction,’ in Washington, DC; Baltimore, MD; Richmond, VA; and elsewhere. The notice says that LRS is the only firm that can continue supporting the program’s immediate requirements. ‘Otherwise, the Government will be without support to detect and mitigate the threat of biological air-borne pathogens,’ it added.”

International Recap:

Nepal: H5N1 is still raging in Nepal, with the government considering an extension of the current ban on poultry-product sales. In the weeks following this most recent outbreak, the  Nepali government had come under fire for apparently pandering to poultry groups, resulting in an increase in the virus’ spread. However, it has since began a widespread campaign of restriction of poultry sales and culling. Fears of the virus spreading south to neighboring India remain.  Read more here.

Belarus: It’s not often we get to write about Belarus, Europe’s last dictatorship (no Putin jokes, please). The Eastern European country is currently experiencing an outbreak of African Swine Fever, which only affects pigs. Belarus has admitted difficulty in containing the outbreak. We’ve been unable to track down official numbers (it’s Belarus), but concerns over the disease spreading to Western Europe are mounting. Read more here.

In case you missed it:

– Researchers Mutating H7N9, increasing virulence and able to transmit person-to-person

(image courtesy of Jason Wain/Flickr)

The Pandora Report 8.2.13

Highlights include H5N1 raging in Nepal, using your phone to detect toxins,  Honduras battling dengue, mutated polio in Pakistan, West Nile rearing its ugly head early, and Ebola, gorillas, and tourism. Happy Friday!

Nepal Avian flu situation “getting out of hand” 

H5N1 is currently raging in Nepal, which is experiencing its 15th outbreak of the poultry-transmitted flu virus in the last couple weeks alone. Local health officials are calling on the government to step in and help stop the virus’ spread, following the death of nearly 25,000 chickens in three districts in the last 20 days. Meanwhile, there are disturbing rumors surrounding the government’s hesitancy to intervene, including lobbying on the part of the Nepali poultry association. With the virus spreading to another two districts in the last week, containment is critical.

eKantipur – “According to the experts, farmers selling the potentially infected chickens in the market in the absence of effective monitoring has worsened the situation. ‘There is total impunity; the authorities know who is at fault, but still they have failed to take immediate action,’ said Dr Shital Kaji Shrestha, General Secretary of the Nepal Veterinary Association. While some farmers have dumped dead birds openly in public places, others have buried them secretly without following the standard procedures. Such practices have increased the chances of the epidemic spreading, experts said. The police on Monday seized 426 chickens that were being transported to Birgunj for sale from a flu-affected farm in Bhaktapur.”

Smartphone cradle, app detect toxins, bacteria

This app/cradle combo turns your average smartphone into a mini biosensor. It was developed for people with food allergies in mind, but we think it could be tweaked for more homeland security/non proliferation purposes (not that allergies are to be taken lightly, peanuts are everywhere these days).

The Sacramento Bee – “The handheld biosensor was developed by researchers at the University of Illinois, Urbana-Champaign. A series of lenses and filters in the cradle mirror those found in larger, more expensive laboratory devices. Together, the cradle and app transform a smartphone into a tool that can detect toxins and bacteria, spot water contamination and identify allergens in food. Kenny Long, a graduate researcher at the university, says the team was able to make the smartphone even smarter with modifications to the cellphone camera.”

Honduras declares state of emergency over dengue fever

Honduras has declared a state of emergency in an effort to bolsters its attempts to contain its dengue outbreak. To date, the outbreak has caused approximately 12,000 cases, of which approximately 1,800 are serious. According the the WHO, 40% of the world’s population, or nearly 2.5 billion people, are at risk for dengue infection.

BBC – “Honduras has declared a state of emergency after an outbreak of dengue fever that has killed 16 people so far this year. The government has promised to step up its fight against the mosquitoes that spread dengue fever. Health Minister Salvador Pineda said more than half of Honduras’ municipalities have registered cases of the viral infection this year.”

Mutated virus heightens polio worries

This is depressing for a couple of reasons. First, Pakistan is one of just three countries in the world where polio is endemic. The last thing they need is a mutated strain. Second, public health officials attempting to halt the virus’ spread do so at tremendous personal risk – tribal leaders earlier this month declared their support for the Taliban’s ban on polio vaccination, as a protest against US drone strikes in the area.  Absurd, yes, but not without possible provocation – keep in mind a 2011 US vaccination campaign in Abbottabad was actually a covert CIA operation, in which the doctors, rather than administering vaccines, were collecting DNA from locals. This resulted in those administering legitimate polio vaccines being labelled as “Western spies”, and refused entry into villages.

DAWN – “Dr Alias Durray, chief of the World Health Organisation’s polio eradication programme in Pakistan, confirmed to Dawn that the strain, which has close genetic similarities with the globally eradicated P2 strain, has paralysed a baby boy in Mastung district of Balochistan…The polio virus has three types of strains termed P1, P2 or P3 strain. Immunity from any one strain does not protect a person from the other strains. The P2 virus had been eradicated globally in 1998, and only the P1 and P3 strains remain. What is sad is that a strain similar to the mutated polio virus had been stopped after it first broke out and struck 15 children in Qila Abdullah area of Balochistan in 2011.”

West Nile Virus Making Early Appearance This Summer

A big part of our job is keeping a close eye on any biodefense-related news (duh), and lately our inbox has been full of West Nile updates. Every day another US county seems to be reporting the virus appearance. With it already active in 29 states, and the worst months in terms of spread to come, it looks like West Nile is fast on the way to a very strong year. If you’re going to be outside at all, now is definitely the time, if you haven’t already, to invest in some mosquito repellent.

The Wall Street Journal –  “West Nile virus is transmitted through bites from infected mosquitoes. Although only one in five people who contract the virus develop symptoms such as fever, headache, body aches or vomiting, the virus can cause serious neurological illnesses that can be fatal, such as encephalitis or meningitis. The 2012 West Nile virus outbreak was the deadliest on record since the illness was first detected in the United States in 1999: 5,674 cases of West Nile virus were reported nationwide, including 286 deaths. Health officials expect the disease to continue to be a formidable public health issue. Because no human vaccine exists, preventing mosquito bites is the most effective way to avoid contracting West Nile virus…”

Saving the Gorillas—and Launching a Nation’s Tourism Economy

There was a very interesting piece in the Atlantic yesterday looking at Ebola in Congolese gorilla populations, and the disease’s impact on preservation efforts. Understanding local populations interaction with potentially infected animals helps create a more complete picture of the virus’ potential spread during an outbreak. Check it out if you have a spare minute and are need to read a news piece with a happy(ish) ending.

The Atlantic – “In November 2002, gorilla trackers outside the village of Mbomo, in the Republic of the Congo, came upon a group of apes that were stressed. One of the trackers described the females as crying. Then the men began finding carcasses in the forest: heaps of matted hair and liquefied organs oozing blood. In a period of four months, 130 of the 143 gorillas the trackers were following died. Later that same year, another 91 of 95 gorillas they were studying were gone. Few words cause a greater chill in any language than ‘Ebola,’ the hemorrhagic fever and lethal virus first detected in equatorial Africa in 1976. Most initial human cases come from contact with infected animals, including consuming them as bush meat–often the most-accessible source of protein in places where there aren’t cattle.”

(A Nepali woman sells chickens in Kathmandu – image via Flickr/oliphant)

The Pandora Report 7.26.13

Highlights include Saudi Arabia’s hajj travel restrictions, zoonotic adenoviruses, PEDv, studying the 1918 pandemic, and plague in people you know. Happy Friday!

Virus fears, Mecca work downsizes hajj pilgrimage

Saudi Arabian officials, responding to fears over hajj contributing to MERS potential spread, have significantly cut the number of pilgrims allowed to perform the annual pilgrimage to Mecca. Numbers of pilgrims from within Saudi Arabia have been cut by half, and those travelling to Mecca from other countries by one fifth. Officials were quick to stress that the decision was based on “exceptional” circumstances, and may be revised as MERS’ spread is tracked. The decision is an interesting one, given that the WHO’s specially convened MERS committee just last week decided against travel restrictions.

Economic Times – “Fears of an outbreak of the deadly MERS virus in Saudi Arabia and construction in the holy city of Mecca have forced cuts in the numbers of pilgrims permitted to perform this year’s hajj. Millions of Muslims during the annual pilgrimage head to Mecca and Medina, Islam’s two holiest sites, providing a possible means for MERS to spread around the globe as pilgrims who may become infected return to their home countries.”

Adenoviruses May Pose Risk for Monkey-to-Human Leap

Most of the world’s deadliest viruses are zoonotic (ebola, anyone?) When a new virus is determined to spread from animals to humans, it’s therefore not surprising, but it’s often troubling, as humans often have little to no immunity to such bugs. The ongoing outbreaks of H7N9 and MERS are both recent examples. Now, researchers at the University of San Francisco have determined that a novel adenovirus – identified just four years ago – may be able to cause disease in humans. In a study involving adenovirus C, the researchers were able to trace the virus’ spread from an enclosed Californian baboon colony to the human staff members caring for them.

UCSF – “‘This study raises more concerns about the potential of unknown viruses to spread from animals to humans,’ said Chiu, who is an assistant professor of medicine at UCSF. ‘We still don’t understand the full extent of viruses that exist in the world and their potential to cause outbreaks in human populations.’ Last year, Chiu and colleagues also identified another new adenovirus, named simian adenovirus C, which sickened four of nine captive baboons and killed two of them at a primate facility in 1997. Several staff members at the facility also complained of upper respiratory symptoms at the time of the outbreak. Re-examining the samples many years later, Chiu and his colleagues found antibodies targeted to simian adenovirus C in the human samples.”

Deadly Pig Virus Slips through U.S. Borders

The porcine epidemic diarrhea virus (PEDv) continues to rage in the United States, having now spread to 14 states, including outliers like North Carolina. With the virus’s fatality rates occasionally approaching 100% in piglets, its spread has USDA and the US pork industry both (understandably) very nervous. The virus’ source in the United States remain unknown, and efforts to sequence it have been hampered by a couple things. First, it is notoriously difficult to culture – unsurprisingly, pig viruses tend to grow best in pigs. Second, the restrictions the US had in place to prevent the virus entering the US in the first place are making acquisition of the right lab materials to culture it difficult. With the virus’ apparent preference for cooler temperatures, and Autumn approaching, scientists are racing to determine the source before the outbreak spreads further.

Scientific American –  “‘How this virus got here, that’s the million-dollar question,’ says James Collins, director of the Veterinary Diagnostic Laboratory at the University of Minnesota in St Paul. The pathogen, a type of coronavirus called porcine epidemic diarrhea virus (PEDV), was first identified in the United Kingdom in 1971, and it caused mass epidemics in Europe in the 1970s and 1980s…The virus can spread quickly by a fecal–oral route and infect entire herds. And although adult pigs typically recover, PEDV can kill 80–100% of the piglets it infects. The virus poses no health threat to humans. The US Department of Agriculture (USDA) had tried to keep PEDV and other diseases out of the country by restricting imports of pigs and pork products from certain nations, such as China. But on 10 May, the Veterinary Diagnostic Laboratory at Iowa State University in Ames confirmed that PEDV had infected pigs in Iowa, the leading producer of US pork.”

New Light Shed On Cause of Pandemic Influenza

After using mathematical models to analyze the 20th century’s worst pandemics, the 1918 Spanish flu pandemic.  Researchers have developed three key factors which exacerbated the pandemic’s impact – school openings and closing, temperature fluctuations, and human behavioral changes.

Science Daily – “Dr He and the researchers further applied this model to the reported influenza mortality during the 1918 pandemic in 334 British administrative units and estimate the epidemiological parameters. They have used information criteria to evaluate how well these three factors explain the observed patterns of mortality. The results indicate that all three factors are important, but behavioural responses had the largest effect.”

My Friends Got the Plague, and This New Test Could Have Helped Them

It’s easy to believe that the bacteria and viruses we write about exist only in distance countries or highly secure labs. As the above blog piece illustrates, sometimes all it takes is a vacation to New Mexico. The piece also discusses the importance of science’s ugly stepchild – basic research.

Motherboard (VICE) – “Despite very low incidence and the availability of treatment with modern antibiotics, the plague is still a very deadly illness whose prognosis becomes worse by the minute when it strikes. This technique is useful because it provides a quick way of, at the very least, ruling out the illness, which is so often overlooked. Importantly, the researchers note that their technique would not have been possible without previous basic research, which many consider a lesser priority than corporate-sponsored applied research.”

(image courtesy of Al-Hijr)

The Pandora Report 7.19.13

Highlights this week include MERS in the UAE, H5N1 and dual-use research, giant Pandoravirus, implications of giant Pandoravirus, and pandemics and national security. Happy Friday!

United Arab Emirates identifies 4 new cases of SARS-like respiratory virus

The Middle Eastern Respiratory Syndrome (MERS) virus, first appearing in Saudi Araia has spread to the neighboring United Arab Emirates, with four new cases identified in Abu Dhabi. It is thought that one patient contracted the virus earlier subsequently infected these four new cases.

Washington Post –  “The new cases also could offer investigators fresh leads on the transmission of the virus, which has claimed more than 40 lives since September. Most of the deaths have been in Saudi Arabia…The virus is related to SARS, which killed some 800 people in a global outbreak in 2003. It belongs to a family of viruses that most often cause the common cold.”

H5N1: A Case Study for Dual-Use Research

The Council on Foreign Relations has a new working paper out, by Dr. Gigi Kwik Gronvall, examining the furious debate around gain-of-function, potentially dual-use H5N1 research.

CFR – “Biological research is inherently dual-use, in that a great deal of the scientific knowledge, materials, and techniques required for legitimate research could also be used for harm. The potential for a bioterrorist to misuse legitimate research is particularly acute for scientific studies of contagious pathogens. In order to find out how pathogens function—how they are able to get around the human body’s immunological defenses, replicate in great numbers, and go on to infect other people in a continuous chain of infection—scientists necessarily learn what conditions make pathogens more deadly or difficult to treat. This research is widely shared. But the fear that this openness could be exploited has sparked concerns about specific scientific publications, prompting media storms and even congressional disapproval, as in the 2002 case when poliovirus was synthesized from scratch in a laboratory.”

World’s Biggest Virus May Have Ancient Roots

Breaking news everyone, the world’s largest virus has the world’s coolest name – the Pandoravirus. However, unless you live primarily underwater, it shouldn’t pose a big threat to you. The virus is, however, raising big questions about the origins of viruses – the Pandoravirus‘ are thought to originate in a prehistoric cell type now extinct. For an interesting examination of what larger viruses may mean for virology, check out the New York Times piece “Changing View on Viruses: Not So Small After All“.

NPR – ” ‘We believe that those new Pandoraviruses have emerged from a new ancestral cellular type that no longer exists,’ [discoverer, Jean-Michel Claverie] says. That life could have even come from another planet, like Mars. ‘At this point we cannot actually disprove or disregard this type of extreme scenario,’ he says. But how did this odd cellular form turn into a virus? Abergel says it may have evolved as a survival strategy as modern cells took over. ‘On Earth it was winners and it was losers, and the losers could have escaped death by going through parasitism and then infect the winner,’ she says.”

National Security and Pandemics

An interesting argument for the correlation between national security and pandemics. Whether international health events should be classified as issues of national security is a very interesting and nuanced question, and this piece presents one side (“yes, they should”) well.

UN Chronicle – “”Pandemics are for the most part disease outbreaks that become widespread as a result of the spread of human-to-human infection. Beyond the debilitating, sometimes fatal, consequences for those directly affected, pandemics have a range of negative social, economic and political consequences. These tend to be greater where the pandemic is a novel pathogen, has a high mortality and/or hospitalization rate and is easily spread. According to Lee Jong-wook, former Director-General of the World Health Organization (WHO), pandemics do not respect international borders.2 Therefore, they have the potential to weaken many societies, political systems and economies simultaneously.”

(image courtesy of Jeff Black)

The Pandora Report 7.12.13

Highlights: the Science, Safety, and Security newsletter, wild polio in Israel, proliferation concerns in Syria, H7N9 – the pandemic?, and H1N1 in Chile. Happy Friday!

S3 Newsletter June 2013

For those of you who may have missed it, the Science, Safety, and Security Quarterly June newsletter is out, and features articles on dual use research of concern, HHS’ recent international participation in BWC activities, and the International Biological Threat Reduction program. It’s an excellent resource for anyone working in fields related to biodefense, biosecurity, or non-proliferation.

WHO Sends Mission to Israel Following Detection of Wild Poliovirus in Sewage

The World Health Organization last week completed a five-day mission in Israel, following detection of wild polio virus in the sewage of the country’s Southern District. Despite detection of the virus, no new polio cases have emerged. In response to the virus’ detection, Israel is starting a supplemental oral vaccination campaign, in addition to existing vaccination matters.  This isn’t an overreaction. For those of you who may not know, polio eradication remains a top priority of the international health community, with the eradication efforts rendering the virus’ endemic in just 3 countries. Therefore any time it pops up naturally, people get understandably nervous.

WHO – “Israel has systematically conducted environmental sampling for many years, and the poliovirus was detected thanks to this vigilance. Public health authorities continue to monitor the situation carefully, and measures have been taken to increase surveillance and reporting for possible human cases, regardless of age. The aim of the supplementary immunization campaign is to protect any children in the country who may have missed routine vaccinations for any reason. In southern areas, adults are also being assessed and those thought to be susceptible are being immunized.”

Proliferation concerns mount in Syria

As the civil war in Syria continues, the United Kingdom is considering supplying the rebels with protective equipment against  biological and chemical agents. UK intelligence reports have listed ricin, VX, mustard gas, and sarin as all possible chemical and biological agents in Assad’s armory. Concerns over proliferation of the agents and weapons to terrorist organizations were fueled by last month’s report that al Qaeda had attempted to access chemical weapons stockpiles in support of the Syrian rebels. Does anyone else feel like that “red line” is looking pretty darn thin?

Irish Times – “The danger was underlined by MI6 chief Sir John Sawers who told the committee there was the risk of ‘a highly worrying proliferation around the time of the regime fall’. The committee said: ‘There has to be a significant risk that some of the country’s chemical weapons stockpile could fall into the hands of those with links to terrorism, in Syria or elsewhere in the region – if this happens, the consequences could be catastrophic.’ British prime minister David Cameron disclosed last month that al-Qaeda-linked elements fighting the regime had already attempted to acquire chemical weapons for probable use in Syria.”

Scientists: H7N9 Avian Flu Has Pandemic Potential

Just when you thought it was gone! In a piece published in Nature on Wednesday,  an international team of scientists determined that H7N9 could be just a couple amino acid mutations away from effective person-to-person transmission pandemic potential. The two teams, from  the University of Wisconsin-Madison and the University of Tokyo, determined that H7N9 replicates effectively in several mammamlian hosts with immune systems similar to humans, among them monkeys and ferrets. The good news? Most of the strains tested are susceptible to standard antivirals.

Rianovosti – “They also established that approximately one third of ferrets became infected by droplet spread.’H7N9 viruses combine several features of pandemic influenza viruses, that is their ability to bind to and replicate in human cells and the ability to transmit via respiratory droplets,’ [flu expert Yoshihiro Kawaoka] said. These two features are necessary, although not sufficient, to cause a pandemic.’ In monkeys, the virus could efficiently infect cells in both the upper and lower respiratory tract. Conventional human flu viruses are typically restricted to the upper airway of infected nonhuman primates.”

Chile confirms 33 deaths from H1N1

The Chilean health ministry confirmed Wednesday that of the 33 H1N1 deaths this year, nearly half had occurred in the last few weeks. The South American nation is currently experiencing a small  outbreak, with a large and effective vaccination campaign halting the virus’ spread.

APA – “‘Today it appears to be under control, I say this with extreme caution. In epidemiologic week number 27, we do not have serious new cases,’  [Health Minister] Manalich said at a press conference. ‘We just have three patients with the flu in the intensive care unit of the hospital of the town of Iquique,’ said Manalich, adding ‘walk-in consultations due to the flu have fallen 25 percent from what we had before.'”

(image courtesy of the Polio Eradication Initiative)