Tag: lassa fever

Pandora Report 11.1.2024

by dkellogg97, posted in Pandora Report

This week’s Pandora Report discusses the WHO’s activation of the Global Health Emergency Corps, updates on H5N1 in the United States, a reported Lassa fever death in Iowa, and USAID’s recently-launched Strengthening Infectious Disease Detection Systems project.

WHO, Partners Activate Global Health Emergency Corps in Response to Mpox Outbreaks

The WHO and partners, in collaboration with Member States, announced this week the activation of the Global Health Emergency Corps (GHEC) for the first time in response to mpox outbreaks in several countries. The GHEC is a group of professionals whose goal is to strengthen response to health emergencies. It also functions as a collaboration platform for countries and emergency health networks. The WHO explained in a press release that, “In collaboration with the International Association of National Public Health Institutes, GHEC is assessing the emergency workforce capacities in 8 countries affected by the mpox outbreak, including the Democratic Republic of the Congo and Burundi, the two most affected countries. The assessment has so far identified 22 areas that need strengthening, including epidemiology and surveillance, laboratory capacities, infection prevention and control, risk communication and community engagement. In the Democratic Republic of the Congo, the Health Cluster partners have joined in strengthening the coordination set up by the Ministry of Health under the leadership of the public health emergency operations centre.”

H5N1 Updates

US Detects H5N1 in Backyard Swine

H5N1 infection in a pig on an Oregon backyard farm was confirmed this week, the US Department of Agriculture announced on Wednesday. The farm does have a mix of poultry and livestock, so the infected pig did share an environment with poultry, including water sources, housing, and equipment. Because the detection was found on a small farm, the USDA says risk to the nation’s pork supply and to the general public is low.

In addition to concerns about impact on farming and the food supply, this is concerning because pigs can be a mixing vessel for zoonotic and human influenza viruses as they are susceptible to avian, swine, and human influenza A viruses (IAV). Notably, the novel IAV that caused the 2009 H1N1 pandemic included two separate segments from the H1N1 swine virus lineage. However, it is unknown whether the animal had a systemic infection or if contamination caused positive nasal swab results.

NIAID: “Bovine H5N1 Influenza from Infected Worker Transmissible and Lethal in Animal Models”

“A highly pathogenic avian influenza (HPAI) H5N1 virus, isolated from the eye of a farm worker who became infected through contact with dairy cows, was lethal in mice and ferrets infected in a high-containment laboratory environment, according to a new study in Nature. The study investigators also found that the virus isolated from the worker, who experienced mild inflammation of the cornea (conjunctivitis), could be transmitted through the air between separated ferrets and might be capable of binding to and replicating in human respiratory tract cells.”

Read more here.

Further Reading:

Lassa Fever Death Reported in Iowa

This week, the Iowa Department of Health and Human Services announced a fatal imported case of Lassa fever. The deceased woman, a middle-aged resident of eastern Iowa, had recently returned from a trip to West Africa, where she is thought to have contracted the disease. There have been just eight travel-associated cases of Lassa fever in the United States in the last 55 years, and about 80% of those that contract this illness will have mild or no symptoms. Cases most often are reported in Nigeria, Liberia, Sierra Leone, Guinea, and Ghana, where there are up to 500,000 cases and 5,000 deaths annually.

USAID Announces Strengthening Infectious Disease Detection Systems Project

The United States Agency for International Development announced this week a new project aimed at strengthening the capacity of the United States’ and partner countries to “prevent, detect, and respond to the increasing occurrence and severity of epidemics, pandemics, and novel infectious disease threats.” The new project, Strengthening Infectious Disease Detection Systems (STRIDES), will allow USAID to work with partner countries to build more reliable, safe, and secure laboratory and disease surveillance systems. It will also help provide more effective data management and reporting platforms. Read more about STRIDES here.

Responding to Radiological Threats

The risks to nuclear power plants in Ukraine posed by Russia’s military actions has raised the salience of radiological threats. In the most recent issue of CBNW, Mary Sproull (Biodefense PhD ’22), a research scientist in the Radiation Oncology Branch of the National Cancer Institute at the National Institutes of Health. explores the potential of biodosimetry as an essential medical countermeasure in the management of radiation injuries. As the initial step in medical management of any exposure is to determine whether radiation exposure has occurred and subsequently differentiate the degree of exposure, particular attention has been focused on research and development of biodosimetry diagnostics, to firstly alleviate the logistical problem of the worried well, and secondly to enable more efficient radiation-specific medical triage.  Her article, “MCMs for Radiation Exposure: The Importance of Biodosimetry Diagnostics,” can be accessed here.

“Schar School’s Mahmut Cengiz: On the Frontlines of Global Security and Terrorism”

“Mahmut Cengiz’s first exposure to the brutal realities of transnational organized crime, terrorism, and illicit economies was in films he saw as a young man growing up in Türkiye. But these were not abstract horrors: They were living nightmares, unfolding in real time. The images of suffering and devastation seared themselves into his mind, igniting a fire in him to fight back.”

Read more in The George.

“100 Days to Save Eight Million Lives”

In this piece, CEPI discusses the implications of modelling research recently published in The Lancet Global Health which found that “…a successful 100 Days Mission in response to COVID-19’s emergence would have had by far its greatest impact on the lives and livelihoods of people in the Global South – preventing 800 million COVID-19 infections, averting 15.7 million COVID-19 hospitalisations and saving 4.8 million lives in lower middle-income countries.”

The researchers estimate that the 8.3 million lives saved would represent monetary savings as high as $14.3 trillion. They further estimate that productivity losses due to illness totaling nearly $1.4 trillion and $63 billion in hospitalization costs could have been averted globally. CEPI CEO Dr. Richard Hatchett says the findings should supercharge global commitments to the 100 Days Mission of his organization.

“Animal-to-Human Viral Leap Sparked Deadly Marburg Outbreak”

Max Kozlov breaks down yet-to-be-published research on Rwanda’s Marburg outbreak that indicates it was caused by a single jump of the virus from an animal to humans in this Nature News article, explaining it part “To help inform outbreak control, researchers at the Rwanda Biomedical Centre in Kigali sequenced the Marburg virus genome of several infected people. They found that all samples closely resembled one another, suggesting that the virus spread rapidly in a short period of time and that they shared a common origin. They also found that the virus strain is closely related to one detected in Uganda in 2014 and to one found in bats in 2009, Yvan Butera, Rwanda’s minister of state for health, who co-led the research, tells Nature.”

“Optimizing Federal, State, and Local Responses to Public Health Emergencies: Lessons from COVID, Proceedings of a Workshop–in Brief”

From NASEM: “The COVID-19 pandemic raised challenging legal and policy issues – as reflected in numerous, often inconsistent, health-related decisions made in the United States at the national, state, and local level and in COVID-related judicial opinions issued after the onset of the pandemic. The response to the pandemic provides an opportunity to consider whether federal, state, and local governments had the necessary authority to deal with the crisis, how authority was applied, whether there was sufficient clarity as to responsibility, and what should be changed for the future.”

“On May 30-31, 2024, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine’s Committee on Science, Technology, and Law convened a virtual workshop to examine the allocation of responsibility among levels of government when dealing with a public health crisis; the extent to which federal, state, and local governments have the necessary authority to act; whether there is sufficient clarity as to which levels of government are responsible for particular actions; and lessons that can be learned from the pandemic to inform government responses to pandemics in the future.”

Read the proceedings here.

“Global Catastrophic Risk Assessment”

From the RAND Corporation: “Global catastrophic and existential risks hold the potential to threaten human civilization. Addressing these risks is crucial for ensuring humans’ long-term survival and flourishing. Motivated by the gravity of these risks, Congress passed the Global Catastrophic Risk Management Act in 2022, which requires that the Secretary of Homeland Security and the administrator of the Federal Emergency Management Agency coordinate an assessment of global catastrophic risk related to a set of threats and hazards. The U.S. Department of Homeland Security Science and Technology Directorate and the Federal Emergency Management Agency requested the Homeland Security Operational Analysis Center’s support in meeting this requirement. The authors of this report document findings from the resulting analysis.”

“This report summarizes what is known about the risks associated with six threats and hazards: artificial intelligence; asteroid and comet impacts; sudden and severe changes to Earth’s climate; nuclear war; severe pandemics, whether resulting from naturally occurring events or from synthetic biology; and supervolcanoes.”

“The risk summaries cover the following aspects: where feasible, estimates of the likelihood and potential consequences of each risk; factors causing the risk and associated uncertainties; and whether the risk is likely to change in the next decade.”

“Because the broader goal of the Global Catastrophic Risk Management Act is to reduce risk to human civilization, the authors also identified known and potential mitigation strategies for the six threats and hazards and drew insights from the assessment relevant to managing the risks they pose to society.”

“Global Health Security Lessons from the U.S. Biodefense Response”

Sunny Jha and Robert Carter III discuss USAMRIID’s response to the COVID-19 pandemic and how it demonstrates the important of collaboration between the military, public health, and private-sector during such situations in this Think Global Health piece. They write in part, “One of the most striking aspects of the U.S. Department of Defense’s (DOD) response to COVID-19 was the rapid mobilization of scientific expertise and infrastructure across various military research institutions, including USAMRIID. In early 2020, as the SARS-CoV-2 virus spread globally, DOD laboratories, including USAMRIID, quickly adapted their existing facilities and research protocols to focus on understanding the novel coronavirus. High-containment laboratories, such as Biosafety Level 3 (BSL-3) and Biosafety Level 4 (BSL-4) facilities, were repurposed across the DOD to analyze the structure and behavior of SARS-CoV-2. This rapid pivot was made possible by the combined readiness of military and defense assets, ensuring a coordinated and efficient response to the emerging crisis.”

“Assessing the DoD’s Chemical and Biological Defense Program”

Al Mauroni discusses DOD’s CBD program’s evolution and challenges in this post on his Substack, Nuclear Weapons (and other WMD). He writes in part, “Things have changed radically over the past four years, and the rhetoric about COVID as a “biological threat” was a big factor in that change. The ASD office has increasingly used the claim of “other national security priorities” and “global health security” to move funds from service-validated programs to pet projects that they feel are justified as addressing “chemical and biological threats.” You can see this outlined in the OSD comptroller budget materials. They’re not hiding it at all.”

“Russia’s Upgraded Military Biological Research Facility and the Link to Bioweapons Disinformation in Ukraine”

This policy brief from GP WMD Counter Disinfo discusses recent reporting on Sergiev Posad-6: “Using satellite images from 2022 to the present day, Washington Post journalists recently documented evidence of what appears to be significant upgrades to Russia’s military biological facility at Sergiev Posad-6 near Moscow, with enhancements and enlargements to its high-containment facility, used to work on dangerous pathogens, and the expansion of the linked civilian site where scientists are housed.”

“The construction of this facility appeared to begin in May 2022 and coincided with an increase in biological weapons-related disinformation from Russia focused on Ukraine and its Western Allies, including false narratives around legitimate public health and biological research facilities. This briefing note explores this connection in more detail.”

“That 800-Year-Old Corpse in the Well? Early Biological Warfare”

Franz Lidz discusses the Well Man and how recent research has shed light on how he wound up in the well at Norway’s Sverresborg Castle: “In the dying days of the 12th century, with Norway in the grip of civil wars, the Baglers, a faction aligned with the archbishop, laid siege to Sverresborg, the castle stronghold of King Sverre Sigurdsson. The monarch was away, so the besiegers pillaged the castle, burned down houses and poisoned the water supply by heaving the corpse of one of the king’s men headfirst down the well and filling the shaft with stones.”

“This early biological warfare is recorded in “Sverris Saga,” a contemporaneous biography of the king, who reigned over much of Norway from 1184 to 1202. Scholars have long debated the chronicle’s reliability as a historical document, but a study published Friday in the journal iScience recounts how researchers unearthed the body of the “Well Man” and, with the help of ancient DNA, have provided fresh details about who he was.”

Read more here.

“Was Stone Age Scandinavia Struck by Plague?”

In this New York Times article, Franz Lidz discusses recent genetics research that points to a plague outbreak in Scandinavia more than 5,000 years ago, driving the Neolithic decline. Lidz explains in part, “A new genomic study published in July in the journal Nature makes the case for another candidate, which had been found in people living at the time but was never thought to have been widespread: the plague…Until now, it was unclear how virulent the Neolithic plague was within a human population. “There is a hypothesis that the oldest plague bacterium lacked epidemic potential,” said Dr. Seersholm, the lead author of the paper. “That hypothesis no longer holds.”’

ICYMI-“Lessons from History: A Conversation with Author John M. Barry”

“On Monday, October 28, a public seminar at the Brown University School of Public Health explored the history of pandemics and the lessons that apply to us today. The event featured a discussion with Brown alumnus John M. Barry ’68, author of The Great Influenza: The Story of the Deadliest Pandemic in History, which received the Outstanding Book on Science and Medicine for 2004 by the National Academies of Sciences.”

Read more about this seminar here.

NEW: “Preparing for the Next Outbreak: Designing Closer Collaboration between Healthcare and Public Health to Deploy Pathogen-Agnostic Testing as an Early Warning System”

From PNNL: “Please join us in welcoming Dr. Adi V. Gundlapalli, Senior Advisor for Data Readiness and Response in the Office of Public Health Data, Surveillance, and Technology at the CDC for his talk titled “Preparing for the Next Outbreak: Designing Closer Collaboration between Healthcare and Public Health to Deploy Pathogen-Agnostic Testing as an Early Warning System”. This webinar will take place Wednesday, November 13th, at noon PT.”

Learn more and register here.

NEW: Developing Guardrails for AI Biodesign Tools

From NTI: “Join us for a virtual webinar releasing the findings of NTI | bio’s new report, Developing Guardrails for AI Biodesign Tools, followed by a moderated discussion and Q+A with distinguished guest Claire Quereshi.”

“Artificial intelligence (AI) promises to revolutionize not only aspects of daily life but cutting-edge scientific research and development. Within the life sciences, AI biodesign tools (BDTs) have improved significantly in their ability to design biological molecules and make predictions about living systems, displaying potential for beneficial applications and posing significant potential risks if misused.”

This virtual event will take place on November 14 at 11 am EST. Learn more and register here.

NEW: Health Security Intelligence: Managing Threats Risks and Hazards Post-Covid 19
“As  the acute impact of the COVID-19 pandemic recedes, many unaddressed questions remain for Australia about how to better prepare for the next likely health threat, risk or hazard.”

“In addition to how we enhance national public health capacity, what are the important lessons we can learn from the pandemic from national security and biosecurity perspectives?”

“Given the likelihood of another pandemic at some point, an increasingly uncertain geo-political order and the potential exploitation of biotechnology by bad actors how does Australia and its allies better prepare for a future of increasingly complex health security and biological security threats, risks and hazards?”

“This event is for all health security intelligence stakeholders (policy-makers, national security staff, scientists, researchers and clinicians) who work across the one health continuum and national security agencies.”

“It will introduce participants to Charles Sturt’s extensive research agenda across the one health biosecurity, health and biological security and discuss both their national security and scientific implications.  You will hear briefings from key researchers across both STEM and social sciences disciplines working on assessing key health security threats, risks and hazards relevant to your work.”

This event will take place in-person and over livestream on December 4 from 2-4 pm AEDT. Learn more and register here.

Vision for Health Forum

From Johns Hopkins: We hope you can join us in November for the Vision for Health Forum with collaboration between Johns Hopkins Howard County Medical Center and Johns Hopkins Applied Physics Laboratory. 

Panel Discussion 
Moderator:  
M. Shafeeq Ahmed, M.D., MBA, F.A.C.O.G
President, Johns Hopkins Howard County Medical Center

Topic: Partnership between JHHCMC and APL
Jeanette Nazarian, M.D., Vice President, Medical Affairs and Chief Medical Officer- Johns Hopkins Howard County Medical Center 

Topic: Revolutionizing Health through Science and Engineering
Sheri Lewis, MPH, Deputy Mission Area Executive, Global Health -Johns Hopkins Applied Physics Lab 

Topic: APL-HCMC Partnership for Project Firstline: Safeguarding Our Nation’s Frontline Healthcare Workers
Lucy Carruth, Ph.D, Assistant Program Manager- Johns Hopkins Applied Physics Lab 
Brian Damit, Ph.D, Project Manager- Johns Hopkins Applied Physic Lab 

This event will take place at the Johns Hopkins Applied Physics Laboratory on November 4 at 4:30 pm EST. Learn more here.

13th Annual Jonathan Tucker Symposium

“The James Martin Center for Nonproliferation Studies cordially invites you to the 13th annual Jonathan Tucker Symposium on chemical and biological weapons issues on November 13th and 14th, 2024.”

Among this year’s speakers are Dr. Yong-Bee Lim, an alumnus of the Biodefense PhD Program and Deputy Director of the Converging Risks Lab and Biosecurity Projects Manager at the Council on Strategic Risks, who will give a talk titled “Technology Democratization and its Implications for CBW Safety and Security: Lessons Learned from Engagement with Non-Traditional Communities.”

Learn more and register here.

One Health and the Politics of COVID-19 Book Launch

The Writer’s Center is hosting a book launch for Dr. Laura Kahn’s new book, One Health and the Politics of COVID-19 (blurb below) on November 23 at 2 pm EST in Bethesda, MD. Learn more and RSVP here.

“One Health and the Politics of COVID-19 unpacks the mysteries of COVID-19’s origins to impart important lessons for future outbreaks. The One Health concept recognizes the interconnected links among the health of humans, animals, plants, and the environment. By comparing the history, science, and clinical presentations of three different coronaviruses—SARS-CoV-1, MERS, and SARS-CoV-2 (COVID-19)—Kahn uncovers insights with important repercussions for how to prepare and avoid future pandemics. The One Health approach provides a useful framework for examining the COVID-19 pandemic. Understanding the origins of this zoonotic disease requires investigating the environmental and molecular biological factors that allowed the virus to spread to humans. The book explores the many ways in which the wild animal trade, wet markets, and the camel industry contributed to the spread of the earlier SARS-CoV-1 and MERS coronaviruses. For SARS-CoV-2 (COVID-19), Kahn examines the biosafety, biosecurity, and bioethics implications of gain-of-function research on pandemic potential pathogens. This book is a must read to understand the geopolitics of the COVID-19 pandemic.”

2024 CBD S&T Conference

From DTRA: “The CBD S&T Conference brings together the most innovative and influential chemical and biological defense community members from around the globe to share insights and collaborate on the emerging chem-bio threats of tomorrow.”

“Join the Defense Threat Reduction Agency’s (DTRA) Chemical and Biological Technologies Department in its role as the Joint Science and Technology Office (JSTO) for Chemical and Biological Defense, an integral component of the Chemical and Biological Defense Program, as we Focus Forward to uncover novel concepts and examine groundbreaking discoveries within the chem-bio defense landscape.”

“The 2024 CBD S&T Conference will be held at the Broward County Convention Center, December 2–5, 2024.”

Learn more and register here.

US AI Safety Institute Issues RFI on Responsible Development of Chem-Bio Models

From AISI: “The U.S. Artificial Intelligence Safety Institute (U.S. AISI), housed within the U.S. Department of Commerce’s National Institute of Standards and Technology (NIST), released a Request for Information seeking insight from stakeholders regarding the responsible development and use of chemical and biological (chem-bio) AI models.”

“Input from a broad range of experts in this field will help the U.S. AISI to develop well-informed approaches to assess and mitigate the potential risks of chem-bio AI models, while enabling safe and responsible innovation.”

“Respondents are encouraged to provide concrete examples, best practices, case studies, and actionable recommendations where possible. The full RFI can be found here.”

“The comment period is now open and will close on December 3, 2024, at 11:59PM Eastern Time. Comments can be submitted online at www.regulations.gov, under docket no. 240920-0247.”

Pandora Report: 3.25.2016

by spopescu, posted in Pandora Report

Happy Friday! Ready for some global health security news? Down the rabbit hole we go….the FDA has just approved ANTHIM injection, a new treatment for inhalation anthrax in adults and children. Researchers are considering the possibility that the highly virulent E. coli O104:H4 strain that hit Germany in 2011 may have been an intentional act. “The sudden and unexplainable emerging of a fast increasing number of cases and deaths from bloody diarrhea and HUS might have been caused naturally, accidentally, or intentionally,” a Serbian-German research team writes in the European Journal of Public Health Advance Access for April 15.

The Finances of A Pandemic
From SARS to Ebola and now Zika, the growing threat of emerging infectious diseases doesn’t seem to be slowing down. Has this become our new normal? Will we learn from these outbreaks and start putting the resources and support into prevention? “Ebola has infected almost 30,000 people, killed more than 11,000 and cost more than $2 billion in lost output in the three hardest-hit countries. SARS infected 8,000 and killed 800; because it hit richer places, it cost more than $40 billion. Predicting these losses is hard, but a recent report on global health risks puts the expected economic losses from potential pandemics at around $60 billion a year.” So how do we defend against these international security threats? America’s National Academy of Medicine recently made the suggestion that $4.5 billion a year solely dedicated to pandemic preparedness and defense could halt this impending reality. Even more interesting? This estimate accounts to roughly 3% of what “rich countries spend on development aid”, while the world spends about $2 trillion annually on defense.

U.S. Biothreat Defense Inadequate
American response to Ebola and now Zika reveals a startling trend of slow response, inadequate supplies, and poor cooperation and coordination between agencies. Director of National Intelligence, James Clapper states that “Gaps in disease surveillance and reporting, limited health care resources, and other factors contributed to the outpacing of the international community’s response in West Africa,”. The National Biosurveillance Integration Center (NBIC) is one such agency that was developed in 2007 in attempts to “be a hub of information and coordination for federal agencies tracking disease and biological threats”, however it has been frustrated by poor relationships and sharing from other agencies like the CDC. In essence, agencies that are developed for global health security, like NBIC, suffer from poor cooperation that then trickles into their reputation and capabilities in the eyes of their federal partners. “Congress has put forth a potential legislative fix. The CBRNE Defense Act of 2015 would create a new office within DHS, the Chemical, Biological, Radiological, Nuclear, and Explosives Office, which would place both NBIC and BioWatch under integrated new management.” Just as we reported from the Blue Ribbon Study Panel, federal biodefense efforts and resources need to be better organized and developed.

Rare Blood Infection Outbreak
Elizabethkingiam is currently causing dozens of cases in Wisconsin and now a Michigan resident is suffering from the bloodstream infection. The bacteria that causes the infection, Elizabethkingia meningoseptica, is commonly found in soil but has also caused infections in hospitals. Typical infections have resulted in bacteremia and neonatal meningitis related to the gram-negative bacillus, although it is naturally found in soil, fresh water, and salt water. Most of the 54 cases in Wisconsin have been in patients 65 years and older, of which 17 have died. Public health officials are working to identify the source of the outbreak and the links between the Michigan case and those in Wisconsin. The concerning aspects of this rising outbreak is also the difficulty in treating the organism and prevalence of multi-drug resistant organisms in seniors.

Complex Engineering by Violent Non-State Actors
Check out this special issue on complex engineering by violent non-state actors (VSNAs). “Why and how different VNSAs remain low-level and localized or undertake and achieve complex engineering tasks in pursuit of their objectives are at the heart of understanding the threat environment faced by states.” The authors address several terrorist groups like Aum Shinrikyo (the chapter was actually co-authored by GMU Biodefense Alum Benjamin Ash!), Hamas (also co-authored by GMU Biodefense Alum Alena James!), the Provisional Irish Republican Army (PIRA), etc.  “The approach of this collection moves beyond weapons and embraces facilitating or logistical aspects that support the operations and objectives of the various actors”. This special edition, with an introduction by Jez Littlewood, reviews these organizations and their resources and strategies. The authors also consider the attitudes of leadership regarding innovation in detail to assess the role of complex engineering by VSNAs. Through this close look into the VSNA use of complex engineering, further research and preparedness can occur to understand the threats posed by these actors.

All Roads Lead to Zika 
Now that Spring has officially begun, the impending summer rains are right around the corner, and with those – mosquitoes. Many worry about the potential for local transmission in countries where imported cases have already been identified. The US isn’t immune to these concerns as the CDC reports 273 travel-related cases. Dr. Nabel mirrors the sentiments of Sanofi’s global R&D head, Dr. Elias Zherouni, who emphasizes the need for changes in global public health outbreak response. He notes that “we just run from one crisis to another. It’s not an optimal way to respond. Not when the stakes are so high and when so many people can either lose their lives or have their whole lives changed because of one five-day infection. That’s no way to protect the world’s population. We have to step back and we have to say, ‘Is there a more systematic way to gather the intelligence that we have about these viruses, recognize where they stand in terms of the threat level, and then develop a systematic program where, when the next Ebola outbreak occurs, it’s not that we haven’t done anything since the last outbreak, that we’ve actually moved things forward?’ That’s all possible. It’s just that we have not had the collective will to do it.” Panama has also announced their first case of microcephaly linked to Zika virus outside of Brazil. Chris Mooney from The Washington Post discusses why Zika virus, among other diseases, could disproportionally impact America’s poorer populations.  He notes that scientists have found that more mosquitoes are found in lower-income neighborhoods due to persistent trash and abandoned buildings, which creates a ripe environment for standing water and thus mosquito breeding. Researchers found that when compared to wealthier neighborhoods in New Jersey, “poverty was positively correlated with number of [Asian tiger mosquitoes] captured and accounted for over half the variation”. Many are saying that the “U.S. is botching the Zika fight” due to the problems within the FDA and the Agriculture Department regarding turf. “A genetically tweaked mosquito could stop the illness, but regulators won’t test it. Why would that be?” The combination of worrying reasons, like “budgetary concerns and antagonism to genetic engineering among some senior USDA officials”, leave many feeling that instead of getting ahead of the outbreak, “the U.S. is falling behind, solely because of bureaucratic muddle.” On the other hand, on Friday, the WHO rallied for pilot projects on two projects that would involve genetically modified mosquitoes to help stop the spread of Zika virus. In the meantime, the FDA gave emergency approval for a 3-in-1 test for Zika, Chikungunya, and Dengue.

Syria and the Future of the Chemical Weapons Taboo 

Courtesy of E-International Relations
Courtesy of E-International Relations

Brett Edwards and Mattia Cacciatori tackle the responses that the international security community has taken regarding the use of chemical weapons in Syria and the resulting reinforcement of “a long standing prohibition norm.” The authors discuss the characteristics of chemical weapons taboo and and the significance that the international community gives to these weapons. “This alone does not support the claim episode has strengthened the global norm against chemical weapons. In this piece we have highlighted how this is not immediately apparent due to the fact that problem cases tend to be externalized from dominant institutional discourses, often justified in terms of the need to protect the sanctity of the chemical weapon norm, as well as those institution’s which embody the norm – especially the OPCW.” Overall, the more problematic cases, like those of incapacitating chemical agents, will grow to alter the existing foundation of chemical weapons norms if left ignored or unchecked.

New Ebola Flare Up
The west African Ebola outbreak is like a campfire that wasn’t put out properly – everyone thinks the flames are extinguished, but those hidden embers lurking in the ash end up causing a spark that leads to a massive forest fire. A fifth person has died from the recent flare in Guinea. The most recent death occurred in a man 200k from the initial four cases. Prior to this death, a young girl died from the village of Korokpara following her hospitalization in an Ebola treatment facility in Nzerekore. It’s still not clear how this specific surge began, but many worry about the lingering traces of the virus in the eyes, CNS, and bodily fluids. In response to the fifth death, Liberia has partially shut its borders. Emergency meetings are now underway and the WHO is sending specialist teams in to try and stop the outbreak before it grows beyond the 11,300 mortality count. On a positive note, Sierra Leone has gone two incubations periods (42 days) without a case, which means they’re Ebola-free since their last flare up.

GMU SPGIA Gettysburg Trip
GMU students interested in learning more about the battle of Gettysburg- the Center for Security Policy Studies (CSPS) will be hosting an informational session on April 6th from 4:30-6pm in Merten Hall 1203 regarding the April 9th trip! GMU students and staff will walk the battlefield, discussing the factors that caused the battle to unfold as it did. They will also link the battle into larger discussions about the causes of war and grand strategy.  The cost for the trip will be $35.  Bus transportation will be provided, and will pick up participants from both the Fairfax and Arlington campuses.

Stories You May Have Missed:

  • U.N. Sued Over Haiti Cholera Outbreak– starting in October of 2014, Haiti was hit with an intense wave of cholera that is believed to have started with U.N. peacekeepers. “Poor sanitation at a U.N. camp for peacekeepers allowed cholera-contaminated sewage to enter a tributary of Haiti’s largest river, the Artibonite. Within days, hundreds of people downstream, like Jean-Clair Desir and his mother, were falling ill. The disease subsequently spread to the entire country.” The case is currently being reviewed in US courts and the lawsuit was brought forth by the Institute for Justice in Democracy, asking that the U.N. “end cholera by installing a national water and sanitation system; pay reparations to cholera victims and their families; and publicly apologize for bringing cholera to Haiti.”
  • Exploiting the Challenges to Bioweapons Development – Janne E. Nolan discusses GMU Biodefense Professor, Dr. Sonia Ben Ouagrham-Gormley’s book, Barriers to Bioweapons, in regards to the misleading and often exaggerated notion of easy WMD development. Nolan discusses that understanding both the internal and external factors that impact BW program success would allow the international community to “devise better ways to realistically stem BW proliferation”. He notes that “Ben Ouagrham-Gormley’ s book is a fascinating study of the phenomenology of scientific knowledge, providing a compelling analysis of how knowledge is acquired, developed, transmitted, and, at the same time, diluted or lost as a result of organizational, social, economic, political, and ultimately very human factors that vary widely within countries and over time.” You can also access it here: Nolan final
  • Five Outbreaks That Stump Epidemiologists– As much as I’d love to say that all outbreaks are investigated and solved, the truth is that epidemiologists are often left with the nagging of an unresolved case. Outbreaks are squirrelly at best, often challenging even the best teams with confounders and biases. Here are some that have stumped public health teams over the years.
  • Lassa Fever Outbreak– Three people are suspected of having the viral infection after coming into contact with an infected American. The initial case was a medical director of a missionary hospital in Togo, who died last month. While there are conflicting reports of disease confirmation, several sources are saying the three contacts of this initial case have been diagnosed and are under observation. The outbreak in Nigeria and Benin has continued to grow, resulting in CDC travel warnings. In Nigeria there have been 254 cases and Benin has seen 71.

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Pandora Report 1.22.2016

by spopescu, posted in Pandora Report

In anticipation of the impending snow apocalypse (that may be a tad dramatic, but coming from this Arizona import, this snow business is quite harrowing), we’re serving up a warm cup of global health security news. While you’re staying inside, check out the upcoming book from Sonia Shaw, Pandemic: Tracking Contagions from Cholera to Ebola and Beyond, which travels through time to investigate the impact of emerging diseases. Dreaming of warmer temperatures? You may want to avoid some tropic locations as imported cases of Zika virus are cropping up in the US, and the CDC issued warnings for pregnant women to postpone travel to Mexico, Puerto Rico, and other affected countries. Fun History Fact Friday: as we learned last week, on January 19, 1900 the bubonic plague reached Australia’s shores and on January 20, 1981, the Iran hostage crisis ended.

Dugway Insights Raise New(-ish?) Biosafety Concerns
Dugway Proving Ground is one of the largest Army biodefense labs and while lab biosafety issues are becoming a more prevalent headline, new findings point to the severity of these failures. GMU Biodefense professor and graduate program director (and all around biodefense-guru), Dr. Gregory Koblentz, noted that “the systemic disregard for biosafety at Dugway as revealed by the investigative report is appalling and alarming. Without strong leadership, an organizational culture that prizes safety and security, a well-trained staff, and a robust oversight mechanism, we can expect more such accidents to occur in the future.” Lacking accountability and oversight, Dugway is another in the laundry list of labs that became complacent (or as Dr. Richard Ebright stated, their actions are that of “criminal negligence”). It seems that the time of calling these biosafety failures, “serious mistakes”, has passed and we’re sadly moving more into an era of habitual practice. Dugway is a hotspot (pun intended) for chemical and biological defense work however, findings within the report note improper qualification of certain employees, erroneous environmental sampling of labs, etc. Brigadier General William E. King IV oversaw Dugway from 2009-2011 and was directly called out in the report – “Colonel King repeatedly deflected blame and minimized the severity of incidents – even now, Brigadier General King lacks introspection and fails to recognize the scope and severity of the incidents that occurred during his command at (Dugway).” If you have around 26 minutes to spare, you can also watch the Army media brief on the investigations here.

food-production-chain-650pxFarmers Markets and Food Safety
Farmers markets are often a great place to find local, organic vegetables and fruits. Growing in popularity, it’s not surprising that concerns over food-borne illness and safety issues would be raised. Researchers (applied economists in this case) are reporting preliminary data regarding the potential association between farmers markets and food-borne illness. Reviewing data from 2004-2011, they found “a positive relationship between the number of farmers markets per capita on the one hand, and on the other hand, the number of reported outbreaks of food borne-illness, cases of food borne-illness, outbreaks and cases of Campylobacter jejuni. Our estimates indicate that a 1% increase in the number of farmers is associated with a 0.7% (3.9%) increase in the total number of reported outbreaks of food-borne illness (Campylobacter jejuni), and a 3.9% (2.1%) increase in the total number of reported cases of food-borne illness (Campylobacter jejuni) in the average state-year.” While these correlations were found, there wasn’t a statistically significant relationship between farmers markets and reported outbreaks or cases of salmonella, E. coli, or staph. Given the recent Chipotle outbreaks, there has been increasing attention to the concerns over farm-to-table food safety. While some illness can be related to farm safety practices, a lot of food-borne illness is related to improper handling or cooking of food.

Retaking Ramadi and the “Afghan Model”
GMU Biodefense student, Greg Mercer, has mined through the internet to provide some commentary on the recapturing of Ramadi from ISIS control. In his recap, Greg points to works in the New York Times, via authors Phil Ewing and Stephen Biddle, and several other security studies gurus. Greg notes, “many questions remain about the conflict- where it will go, how it will resolve, the political effort it will require from intervening forces, and ultimately what kind of conflict this is.”

Ebola Updates- Quarantines After Sierra Leone Death 
The day after the WHO declared the three hardest-hit countries Ebola free, a death in Sierra Leone hit the panic button for public health officials. As of January 21, 2016, a second case was reported in an individual that cared for this initial case. Over 100 people archive been quarantined after coming into contact with the woman who died of Ebola last week. During the course of her illness, she is reported to have stayed in a house with 22 other people. Five people later helped to wash and prepare her body for burial. Many homes of those high-risk patients under quarantine were attacked, pointing to increasing frustration. Close observation is being maintained on the 100+ people involved in this exposure.

Stories You May Have Missed:

  • The Neglected Dimension of Global Security – The National Academies Press will soon be releasing this hard-copy publication as a Framework to Counter Infectious Disease Crises, but the good news is that you can download it today for free! Authored by the Commission on a Global Health Risk Framework for the Future; National Academy of Medicine, Secretariat, it discusses the Ebola outbreak’s far-reaching consequences that range from human rights to transportation and commerce disruption.
  • CBRN Crimes & The Sordid History of Litvinenko – GMU Biodefense PhD alum, Dr. Daniel Gerstein, discusses the recently released Owen Report and the details surrounding the finding of radioactive polonium-210 in Russian agent, Alexander Litvinenko’s body following his death. The troubling details surrounding the report “highlights the links between Litvinenko and the Russian government, even pointing the finger at President Vladimir Putin himself as likely having approved the alleged murder.” While CBRN weapons are not a new concept, these new details may shine light on the realistic applications and threats they pose.
  • ISIS Tularemia Plans – Recent Turkish intelligence reports revealed that that the group had plans to use biological weapons. Aimed at Turkish water supplies, the report noted that the main bioweapon discussed was Francisella tularensis, which causes tularemia.
  • Lassa Fever Hits Nigeria – 30 confirmed, 140 suspected, and 53 deaths have been reported in the outbreak of Lassa viral hemorrhagic fever hitting 14 states within Nigeria. The case fatality rate is being reported at 37.9%.
  • Online Drama in the CRISPR Universe – a recent perspective article by Eric Lander (president of the Broad Institute) in Cell noted the heroes in CRISPR but failed to account for a potential conflict of interest. Needless to say, the Twitterverse erupted in a scientific outcry with many also calling out Lander’s failure to include several key contributors to the biotechnology.

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