Pandora Report 1.6.2017

Welcome to 2017 and a whole new year of biodefense news! While you’re heading back to work, make sure to wash your hands and stay safe – the CDC has reported increasing flu activity.

The Best of Bio and Chem Weapons Coverage in 2016
The Bulletin of the Atomic Scientists has put together their “five best articles” for bio-chem weapons in 2016 and we were happy to see two familiar faces – GMU PhD alum Daniel M. Gerstein and GMU Biodefense professor, Sonia Ben Ouagrham-Gormley. Daniel Gerstein’s article, How genetic editing became a national security threat, discusses the threatening components of gene drive, like low cost and growing availability. “Armed with the proper genetic sequences, states or bioterrorists could employ genome editing to create highly virulent pathogens for use in such attacks. They could, for example, change a less dangerous, non-pathogenic strain of anthrax into a highly virulent form by altering the genome, or recreate pathogens such as the deadly smallpox virus, which was eradicated in the wild in 1980.” Sonia Ben Ouagrham-Gormley teamed up with Kathleen Vogel to discuss the good, bad, and the hype of gene drive. They emphasize the importance of understanding gene drive to really discern the benefits and risks of the technological process. Looking at all angles, their article gives a wholistic approach to better appreciate the complexities of gene drive for biodefense. “Without a clear and detailed understanding of the range of social and technical factors that cause scientists to succeed or fail in their gene-drive endeavors, threat estimates can only rely on speculation and fantasy rather than fact.”

GMU Biodefense Students – Win Registration for 2017 ASM Biothreats Conference!
Calling all GMU Biodefense students – the program will be offering free registration to four lucky students to attend this premier biodefense event at the Marriott Wardman Park in Washington, DC on February 6-8th. This year, the meeting incorporates three major tracks, “Research, Response, and Policy” to cover relevant topics in basic and applied research; public health, emergency response and preparedness; and biosecurity, government, and policy responses. The exchange between these multidisciplinary communities will shape the future of this very important field. The keynote session on February 6 will be given by Thomas M. Countryman, Acting Under Secretary for Arms Control and International Security and Assistant Secretary to the Bureau of International Security and Nonproliferation at the Department of State.  Anthony S. Fauci, M.D., Director of NIAID Director at the National Institutes of Health, will be presenting at a special session on February 7. You can find the rest of the agenda here. As an attendant for the 2016 conference, I can tell you that it’s a great experience for not only learning, but also networking. Please check your GMU email for the information Dr. Koblentz sent out. To apply: students are required to submit a 250-word essay about how attending the conference will benefit your education/professional aspirations by 5pm today (Friday, January 6th) to Dr. Koblentz. Winners will be announced the following Monday and those selected will be asked to write up summaries of at least two panels for publication in the Pandora Report.

USGS Disease Maps
screen-shot-2017-01-03-at-6-04-01-amLove maps and diseases? Or do you simply like knowing what kinds of vectored diseases are transmitted around you? Check out the USGS disease maps that also allow you to interact with them. Utilizing data from CDC’s ArboNET, you can look at transmission among humans, mosquitoes, birds, sentinel animals, and veterinary transmission. The observable diseases include West Nile Virus, St. Louis Encephalitis, Eastern Equine Encephalitis, Western Equine Encephalitis,  La Crosse Encephalitis, Powassan Virus, Dengue fever (locally acquired and imported), and Chikungunya (locally acquired and imported). The USGS disease maps allow us to not only have a better understanding of vectored disease transmission, but also landscape epidemiology.

CRISPR Off-Switch
CRISPR is going to be a hot story in 2017 and here are the seven things to look for. The burgeoning concerns regarding CRISPR technology involve the rapid pace of development and lagging DURC policies, not to mention the inability to predict future outcomes. The interest and unease over this new form of genome editing has left many searching for an “off button”, but thankfully, researchers are believed to have found one.  While the new “off switch” isn’t capable of reversing changes that were already made, it can stop the system from making additional edits. “The switch is a series of ‘anti-CRISPR’ proteins that were discovered inside viruses that attack bacteria, where they’re used to disable the gene editing tool and sneak into the bacterial DNA. ‘Just as CRISPR technology was developed from the natural anti-viral defence systems in bacteria, we can also take advantage of the anti-CRISPR proteins that viruses have sculpted to get around those bacterial defences,’ said lead researcher Benjamin Rauch. The team isolated these anti-CRISPR proteins from Listeria bacteria that had been infected by viruses. The team isolated the proteins that appeared to be involved and tested whether any of them could stop CRISPR editing from taking place in human cells. They found that two of these proteins, AcrIIA2 and AcrIIA4, worked together to inhibit the CRISPR systems commonly used by scientists.”

CDC Concludes CDP Ricin Exposure Inspection
The CDC just finished their inspection of the lab that sold the ricin toxin that was used by the Centers for Domestic Preparedness (CDP) training facility. The ongoing debate between the CDP and lab regarding the mishandling or misunderstanding points to bigger, systemic issues in regards to select agents. CDP states that the lab is to blame, noting that they ordered a less toxic version of ricin, while the lab rebutted by pointing out that the ricin was always properly labeled as the toxic version and they, in fact, never offered the less toxic version. The site visit and inspection findings are under review as the CDC determines if the lab is responsible and violated federal regulations. The conclusion of the inspection also comes at a challenging time for the CDC as the agency is taking heat for blacking out many details in reports recently released via the Freedom of Information Act. The released laboratory reports were requested by USA TODAY and only fuel the attention to lab incidents and poor biosafety practices.

NAS DURC Committee Meeting 
This week the National Academies held the Committee on Dual Use Research of Concern (DURC): Option For Future Management. You can get not only the webcast recording (check out 2:42:00 in and you’ll see GMU Biodefense director and professor, Gregory Koblentz, talk about the zero sum game in terms of regulating DURC research – to regulate or not to regulate, that is the question!), but also the full presentations. Since the 2011 H5N1 controversies, “it remains unclear as to whether there are practical mechanisms or approaches for managing such dual use research of concern (DURC) and, specifically, how to deal with situations where there is a pressing need, for public health reasons, to publish research findings while limiting, due to national security concerns, the dissemination of certain details that ordinarily would be published. This is especially true in cases where an initial assessment of proposed research does not anticipate results that would warrant such consideration.”

Zika Outbreak Updates
Scientists are currently unveiling the key proteins in the virus that made it so deadly. The first comprehensive description of the Zika genome has identified seven key proteins that are helping researchers understand the devastation the virus does to the human body. “To test the virus, Dr. Zhao used fission yeast, a species that in recent years has become a relatively common way to test how pathogens affect cells. Fission yeast was originally used to make beer, particularly in Africa, where it originated. (Its species name is Schizosaccharomyces pombe; pombe means beer in Swahili.) Over decades, fission yeast has been used by many scientists to find out mechanisms and behavior of cells. For the experiment, Dr. Zhao and his colleagues separated each of the virus’s 14 proteins and small peptides from the overall virus. He then exposed yeast cells to each of the 14 proteins, to see how the cells responded. Seven of the 14 proteins harmed or damaged the yeast cells in some way, inhibiting their growth, damaging them or killing them.” The Entomological Society of America has noted that socioeconomic factors provide protection against a large scale Zika outbreak in the U.S., but that small outbreaks are an ongoing concern. As of January 4th, the CDC reported 4,618 cases of Zika in the U.S., of which 216 were locally-acquired.

Does the CDC’s New Quarantine Rule Violate Civil Liberties?
With a new vaccine and hopeful approach to emerging infectious diseases, have we buried Ebola? Back in August, the CDC proposed a new rule regarding its powers to respond to potential outbreaks via screening, testing, and quarantining people traveling into or within the U.S. You can read the new rule here, but it focuses on “non-invasive public health prevention measures” and reporting requirements for commercial passenger flights of death or illness to CDC, etc. While this may seem pretty reasonable given health emergencies like Ebola and SARS, many ” epidemiologists, lawyers, and health organizations say that the rule, in its current form poses a serious threat to civil liberties, allowing authorities to detain and examine people with little heed to due process and informed consent.” Attempted in 2005, this rule was initially met with criticism, however the recent Ebola outbreak has changed the way we approach travel during times of infectious disease outbreaks. Public health emergencies are defined as ‘communicable disease events’ that the director believes could be high risk for death or serious illness. “It is already authorized to detain people suspected of carrying diseases like plague, Ebola, and (somewhat improbably) smallpox. But the new rule does away with a formal list. It extends the same powers to any “quarantinable communicable disease,” and uses wider range of symptoms (from a list that federal agents can update as the need arises) for defining ‘ill’ people.” While the CDC can detain travelers prior to decision to quarantine, it notes that this shouldn’t last longer than 72 hours and fails to make provisions for a lawyer if the person can’t afford one. “The rule also gives the CDC ultimate authority to carry out medical tests and treatments, stating that ‘the individual’s consent shall not be considered as a prerequisite to the exercise of any authority’.” What are your thoughts? We’d love to hear from our readership – please email or tweet @PandoraReport to give us your thoughts!

USDA ARS 4th International Biosafety & Biocontainment Symposium Registration Deadline
Don’t miss the January 13th registration deadline for this event in Baltimore, Maryland! From February 6-9, the focus of the symposium will be Global Biorisk Challenges-Agriculture and Beyond. Seven presymposium courses will address topics including unique biocontainment challenges, decontamination and inactivation, and institutional governance. Topics include biorisk management challenges in a One Health World, arthropods, HPAI, risk assessments, and more!

Stories You May Have Missed:

  • 85 People Suspected to Have Contracted Rabies– Like something out of a zombie movie, 85 people are suspected of having contracted wild rabies after being bitten by bats in Peru. “Regional director of Health of Cusco, Julio César Espinosa La Torre said that among the group of victims with a bat bite are the 15 soldiers transferred to Lima, of this group, two cases were confirmed, of which one is deceased. Espinoza la Torre said that to date, more than 912 civilians and 680 soldiers have been vaccinated in Alto and Bajo Urubamba, in the district of Megantoni, who must receive up to four doses, every 7 and 14 days.”
  • Anticipating Epidemics Using Computational Models – the White House recently released a report to strengthen the capacity for outbreak prediction. Spearheaded by the National Science and Technology Council, Toward Epidemic Prediction: Federal Efforts and Opportunities in Outbreak Modeling, looks to predictive modeling and data utilization to better understand the “processes that drive disease emergence and transmission could help to predict and prevent large-scale outbreaks. These programs range from foundational research into disease emergence and spillover, to predictive modeling contests, to the development of decision-support technologies for public health responders.”
  • Pandemic Chats – Struggling to chat to a younger generation about diseases? Check out how the Bill & Melinda Gates Foundation is talking to the next generation about the next pandemic.

Pandora Report 10.21.2016

TGIF! It looks like biodefense and genetic engineering are the new hot topics in Hollywood. Inferno will be opening in theaters next week, but it was also reported that Jennifer Lopez will be starring in a new bioterror TV drama, “C.R.I.S.P.R.“, that takes on topics like genetic assassination. That’s right, JLo will be a CDC scientist exploring “the next generation of terror”. You can get an epidemiological update on the cholera situation in the Americas here. A new Ebola vaccine will be tested by researchers in Canada next month.

Biological Threats in the 21st Century Book Launchimg_0359
Last Friday we celebrated the book launch of Biological Threats in the 21st Century. For those who attended, thank you and we hope you enjoyed it as much as we did! For those unable to attend, don’t fret – we’ll have the recording up ASAP, but in the meant time, here’s a brief recap… We were fortunate to have Dr. Koblentz MC’ing the event, with Andrew C. Weber discussing the threats we face in the 21st century and that the topic is really the orphan of the bunch as nuclear weapons tend to get all the bandwidth. Weber noted that we learned the wrong lesson from Amerithrax and need to remember that one person did it all by himself and despite a very primitive delivery mechanism, it took us eight years to find him. He emphasized the lessons learned from 9/11 and the use of imagination in regards to potential attacks, specifically that we should all challenge ourselves to think about these things and be imaginative. Filippa Lentzos, the editor of the book, took us through her journey to bring together the politics, people, and science of biological warfare. Her goal was to create a one-stop shop for issues regarding bioweapons and socio-politics. Incorporating narratives from people that are both advocates and negotiators of biological disarmament, she highlighted the importance of scientists in building the agenda and biological risk management. Perhaps one of the highlights of the event was the expert panel comprised of Jo Husbands, GMU’s Sonia Ben Ougrham-Gormley, GiGi Gronvall, and Nancy Connell. The panel took questions from the audience and each expert discussed a range of topics – the role of scientists in DURC, GoF experiments and governance efforts, talking to US and Soviet bioweapons specialists from the days of offensive programs, and the efforts to engage scientists and make them part of the solution. Overall, the event was a wonderful mixture of experts, students, and industry people who are all passionate about the world of biodefense.

How Do You Know Your Flu Shot is Working?
GMU Biodefense MS student Greg Mercer is tackling the topic of flu shot performance. Despite the challenges of antigenic drift and forecasting, there has to be a way to check how well the vaccine is performing..right? “The Centers for Disease Control and Prevention (CDC) offers a guide to how they assess flu vaccine effectiveness and efficacy in the United States. These are two slightly different measurements. Efficacy is measured with randomized controlled trials. This is a classic, high rigorous scientific setup designed to eliminate research biases. Effectiveness is measured with observational studies. These are more reflective of real world conditions, since they rely on self-identifying subjects seeking care.”

On Patrol with a Bioterror Cop
For biodefense students, Edward You is pretty much our crime-fighting role model. Supervisory special agent in the WMD directorate in the FBI’s DC headquarters, You monitors the growth of lab tech to help prevent bioterrorism. Trying to find the gaps within the detection chain is no easy feat, but You helps to improve FBI and interagency efforts to identify, assess, and respond to biological threats. What makes his approach so unique is that prior to the FBI, he worked for six years in graduate research focusing on retrovirology and human gene therapy at USC. Simply put, You knows the science, tech, and culture that make biocrimes and emerging biotechnologies worrisome. You’s background and perspective has helped shift FBI credibility within the science community after incidents like the detainment of Buffalo bio-artist, Steve Kurtz. The FBI is now helping to sponsor events like the International Genetically Engineered Machine Competition, and is helping build a network where scientists share concerns. “You is often the first to hear about scientists’ darkest worries. Lately some of these have been connected to the gene-editing method CRISPR, which can be used to create self-spreading gene alterations in insects or DNA-slashing viruses.” You notes that “a threat implies intent, and we haven’t seen that yet,” he says. “But as things become more widely available, more widely distributed, the bar gets lower, and the possibility of an incident gets higher.”

Infection Prevention & Control Week  screen-shot-2016-10-18-at-10-32-54-am
Hand hygiene, PPE, and vaccines, oh my! Infection prevention doesn’t take breaks, so this week we’re celebrating the importance of reducing the spread of infections, specifically in healthcare. The Ebola outbreak lifted back the curtain as to just how impacting minor breaches in infection control can be, but as the threat of antibiotic resistance grows, we need to invest more into this field. Here are a few things you can do to help fight the battle of the bug in healthcare – need to wear PPE? Make sure you’re donning and doffing correctly. Wash your hands! Know about infection preventionists, follow rules of isolation if visiting a sick friend (or you’re sick!), get your annual flu shot and stay up to date on vaccines, make sure to follow directions and finish antibiotics appropriately if you’re taking them, and keep your work environment clean.

Public Health: Biosecurity and the GHSA Distance Learning Opportunity 
Don’t miss out on this great opportunity for a 2-hour webinar session on Wednesday, December 7th, 2016 at 11am CST. The U.S. has taken the lead on a global campaign to fortify both public health and international security. The Public Health: Biosecurity and the Global Health Security Agenda webinar will review the nexus between public health and biosecurity, through the context of the developing Global Health Security Agenda (GHSA). We will learn how modern threat management concepts can be efficiently employed by the GHSA to augment both public health response and preparedness in the event of a natural outbreak, or from the perspective of an intentional attack. The webinar will be presented by Ryan N. Burnette, PhD, Director, International Biosecurity & Biosafety Programs, At Risk International. Upon completion of this webinar, participants will be able to:

  • Define the methods and goals of the GHSA
  • Paraphrase how threat management techniques can be applied at a macro level to augment global security in the context of epidemics and bioterrorism
  • Describe how biosecurity plays a vital role in public and global health

Gene Drives – the Good, the Bad, and the Hype
GMU Biodefense professor, Sonia Ben Ouagrham-Gormley, and Kathleen Vogel are discussing the advances in life sciences and what these new gene-editing techniques could mean for biodefense. “The absence of clear safety guidelines, coupled with ambiguous government regulations, has nurtured fears of an accidental or voluntary release of a gene drive in nature that could cause irreparable damage. On the security front, the presumed simplicity and accessibility of Crispr raise the possibility that states, terrorists, or rogue scientists might use the technology to modify genomes to develop malicious gene drives and create novel bioweapons that could spread more quickly, cheaply, and globally than traditional bioweapons agents.” Caution is always a good strategy, but Ouagrham-Gormley and Vogel emphasize the importance of approaching these new technologies with a realistic approach grounded in empirical findings, rather than the hype of a shiny new toy. Understanding gene drive and the capabilities of CRISPR are necessary to not only proceed with advancements, but also fully assess the risks versus rewards. Gene drive does have some potential benefits, especially in terms of vectors and pest-control, in trying to impact the population of disease-transmitting mosquitoes and invasive mouse species that wreak agricultural havoc. There is also potential for gene drives to aid in endangered species and environmental conservation work as “gene-drive rodent control on islands can mitigate the environmental impact of invasive species, which disrupt island ecosystems by bringing in invasive plants, or eating plants and insects essential for other species’ survival.” Like anything, there is a potential for mis-use or neglect. In the wake of any new exciting innovation, the spread of CRISPR and gene drive technology has amplified concerns over lab safety and establishing a fundamentally better understanding of the technology before such rapid innovative leaps. Concerns over adverse effects on target species and damage to non-target species is crucial and regulators are racing to keep up with this constantly evolving technology. “These two cases show that Crispr-induced alterations have outpaced and continue to defy current regulations, leaving governments around the world to play catch-up. In this context, fears that an altered organism might escape the laboratory to potentially eradicate a whole species, or unexpectedly jump into another population and cause unpredictable economic and environmental damage, do not seem far-fetched.” Lastly, from the viewpoint of a bioweapons threat, the authors note that the perceived low cost, easy availability, and self-propagating nature of gene drives make it appealing to would-be bioterrorists. There are significant technical challenges that do form substantial roadblocks, not to mention that gene drives only work with organisms that produce sexually (in other words, they’re unable to alter a virus or bacteria). “However, to accurately evaluate their potential misuse, one needs to rigorously assess the state of the technology and consider its limitations. Current fears (and hopes) related to gene drives are based on projections of what gene drives could in theory do if they spread in nature. At the moment, these are still anecdotal, speculative claims and are not based on in-depth empirical research and analysis. One needs to keep in mind that the techniques under debate are still in their infancy, and in spite of their apparent progress, they may not prove to be as dangerous or promising as expected.” In the end, it is important to identify the risks when it comes to a lack of Cas enzyme control, capabilities of potentially a state-level gene-editing technology based bioweapons program, and slow regulatory catch-up. Threat estimates are speculative and the authors point to problematic historical security assessments of emerging biotech. Overall, it’s important to have a better understating of the complex and unique factors that push state and non-state actors to develop biological weapons and in the wake of this uncertainty, the authors “are engaged in a project that aims to understand the social and technical factors for how Crispr scientists around the world actually work in the lab.”

A Threat to the U.S. Food System
Food safety is often a forgotten component of biodefense when Anthrax and Ebola tend to steal the spotlight. Sadly, this is America’s soft underbelly as a threat to U.S. food production and security could have devastating economic ramifications. While the Blue Ribbon Study Panel on Biodefense report in 2015 did mention the vulnerability of the agriculture system, it’s easy to forget just how damaging such an event could be. “The agriculture sector in the U.S. is a $1 trillion business and employs approximately 9.2 percent of American workers. In 2012, domestic animal agriculture – livestock and poultry production – generated approximately 1.8 million jobs, $346 billion in total economic output and $60 billion in household income.” Consider even a disease that impacts crops – wheat and rice account for 39% of the world’s total calorie consumption. It’s important to consider the devastation that crop or livestock attacks could have on not only the U.S. system, but also on an international level.

Zika Virus Weekly Updates
Venezuela is struggling to respond to and support cases of Zika-related microcephaly as the government refuses to acknowledge a single case. “Some doctors accuse Venezuela’s unpopular government of hiding the Zika problem amid a deep recession that has everything from flour and rice to antibiotics and chemotherapy medicines running short and spurred fierce criticism of Maduro. They also say government inaction means kids are missing out on targeted state-sponsored therapy programs that would help to stimulate them”. HHS recently announced how the Zika funds will be allocated among players.  “According to Caitlyn Miller, director of the division of discretionary programs for HHS, $394 million will go to the Centers for Disease Control and Prevention (CDC), $152 million to the National Institutes of Health (NIH), and $387 million toward the public health and social services emergency fund. Within that $387 million, $75 million will be used to reimburse healthcare providers who treat uninsured Zika patients, $40 million will be used to expand Zika resources in US territories, and $20 million will go to regional and national projects, such as creating microcephaly registries.” Public health officials have created a color-coded map of Zika zones in Florida. As of October 19th, the CDC has reported 5,016 cases of Zika in the U.S.

Stories You May Have Missed

  • EU Reports Animal Antibiotic Use Is Up– Despite a drop in overall sales, a recent report from the European Medicines Agency (EMA) has revealed the worrisome reality that there has been an increase in the use of medically important antibiotics. While there was a 2.4% drop from 2011-2014 in sales of veterinary antibiotics, there was a sharp increase in “critically important” antibiotic usage. The usage of “fluoroquinolones, macrolides, and polymyxins sold for use in food-producing animals rose significantly—14%, 13%, and 19%, respectively.” The report does note that responsible-use campaigns in some countries could be effective in countering antibiotic resistance, however the increase in usage is raising many red flags.
  • Global Civil Society Coalition for the Biological Weapons Convention – last week Kathryn Millet, on behalf of the Global Civil Society Coalition for Biological Weapons, delivered a statement to the UN General Assembly First Committee. The statement points to the importance of the BWC but also the challenges and necessity of avoiding complacency. The coalition statement emphasizes the importance of recognizing the evolving threat posed by malign use of the life sciences since the last Review Conference and the need for more systematic advice for BWC State Parties on S&T. Further recommendations include the need for States to ensure that the interval between Review Conferences is used more effectively, reexamination and improvement on dealing with compliance with the BWC, and the application of more resources to support work that is necessary to fulfill the BWC’s objectives.

Pandora Report 9.16.2016

Is it time to outsource key tasks out of the WHO and into more capable agencies? On Monday, the U.S. carried out a massive airstrike on a suspected ISIS chemical weapons facility in Mosul, Iraq. Sri Lanka has made history by being declared malaria-free after three years since its last case. Sri Lanka had previously tried to eradicate malaria over fifty years ago, but the effort was met with failure and is frequently cited by malaria experts. Do you subscribe to the “five-second rule” when it comes to your food? You may want to give it a second thought as Rutgers researchers have recently disproven the notion – sadly, cross-contamination can’t be avoided in most cases. The CDC has added Bacillus cereus Biovar anthraces to the list of Tier 1 Select Agents.

GMU Biodefense Graduate Info Sessions
In case you missed last night’s MS Open House in Arlington, we’ve got plenty more graduate program information sessions. GMU will be hosting several more events this Fall, so make sure not to miss one! The next MS information session (for both in-person and online programs) is on Wednesday October 19th, 6:30pm in Founders Hall, room 126. If you’re looking at a PhD in biodefense, come to our information session on Wednesday, October 12th, from 7-8:30pm, at the Johnson Center in the Fairfax Campus, room 334. From Anthrax to Zika, we cover all the biodefense topics and applications in our information sessions.

Biological Threats in the 21st Century Book Launch!  
On October 14th, join us in celebrating the book launch of Biological Threats in the 21st Century! Biological Threats in the 21st Century introduces readers to the politics, people, science and historical roots of contemporary biological threats through rigorous and accessible chapters written by leading scholars and supplemented by expert point-of-view contributions and interviews. The book launch will feature a panel discussion on the threat of biological weapons and the role of scientists in bioweapons non-proliferation and disarmament. The event is free and open to the public. Lunch will be available beginning at 11:45 AM so please RSVP. Attendants will also be able to pick up the book at a 15% discount.

Identifying Future Disease Hot Spots
Check out the latest RAND report in which researchers are asking which countries might be particularly vulnerable to infectious disease outbreaks and how the U.S. can help support these countries to better prepare and respond to public health events. Pulling from a wide variety of literature and data, “authors created an index for identifying potentially vulnerable countries and then ranked countries by overall vulnerability score.” Researchers looked at the 25 most-vulnerable countries, which include the “disease belt” in the Sahel region of Africa. Of the 25 noted countries, 22 are in Africa, and the remaining are Afghanistan, Yemen, and Haiti. “Conflict or recent conflict is present among more-vulnerable countries. Seven of the ten most-vulnerable countries are current conflict zones. Of the 30 most-vulnerable countries, 24 form a solid, near-contiguous belt from the edge of West Africa to the Horn of Africa in Somalia — a disease hot spot belt. Were a communicable disease to emerge within this chain of countries, it could easily spread across borders in all directions.” The 25 least-vulnerable countries were found to be in Europe, North America, and Asia-Pacific. The least-vulnerable countries were found to have larger medical systems and expenditures, better health indicators, less corrupt and more stable governments, better human rights, and often technological sophistication.

Presidential Advisory Council on Combating Antibiotic-Resistant Bacteria (PACCARB) 
You can join (in listen-only) this teleconference and webcast on Monday, September 19th, to gain further insight into the battle of microbial stewardship. “With participation of Member States, non-governmental organizations, civil society, the private sector and academic institutions, the primary objective of this pubic meeting is to summon and maintain strong national, regional and international political commitment in addressing antimicrobial resistance comprehensively and multi-sectorally, and to increase and improve awareness of antimicrobial resistance.”

Ebola & Zika: Cautionary Tales 20988_lores
In the latest issue of Science, Michael T. Osterholm discusses the challenges of combating infectious disease outbreaks and the struggles to respond with vaccine development. Osterholm points to the need to drive development and funding mechanisms in coordination with surveillance of emerging infectious diseases (EID). Upon the indication that an EID is bubbling up, it would be prudent to have vaccines (even if they’re not licensed yet), ready for large trials. Moreover, the looming threat of EID’s should be the best motivator for developing candidate vaccines. “The handwriting is on the wall regarding the current Zika outbreak in the Americas. High human infection rates in the major impact regions, caused by virus-carrying mosquitoes and human sexual transmission, will continue for several more years. Eventually, the number of cases will drop as more of the community develops immunity. Zika vaccine trials in the Americas may be too late to be tested on the current high number of cases.” Pointing to the Coalition for Epidemic Preparedness Innovations (CEPI), he emphasizes the need to fill the vaccine preparedness hole. Current practices are slow and on an “as-needed” basis, but the truth is that we already have the incentives and EID presence to make the push towards correcting the insufficient process.

Weapons of Mass Destruction: A Dialogue with Students
The UN Security Council 1540 Committee and the UN Office of Disarmament Affairs collaborated with the Stimson Center to create an international essay contest for students. On September 30th, from 10:30am-4pm, they will be hosting an on-the-record discussion regarding the proliferation of WMD’s and honoring the winners of the essay contest.  The winners will be announced and some will even be presenting their ideas at this event. “The goals of the competition were to involve the younger generation in understanding and addressing the important issue of proliferation of Weapons of Mass Destruction (WMDs), i.e., chemical, biological and nuclear weapons, and to solicit innovative student approaches to implementing U.N. Security Council Resolution 1540 (2004) to support the Council’s Comprehensive Review of the resolution this year.” Panel discussions will include speakers such as Dana Perkins (Senior Science Advisor, U.S. Department of Health and Human Services, former 1540 Expert), Will Tobey (Senior Fellow, Belfer Center for Science and International Affairs, Harvard University), Craig Finkelstein (Coordinator for the Working Group of the 1540 Committee on Transparency and Outreach), and more! The event will be at Harvard University’s Tubman Building in Cambridge, MA. You can RSVP for all or part of the event here.

Latest Zika News
As more outbreaks occur, the question is quickly becoming – should government officials “allocate resources to support the advancement of traditional drugs and vaccines or emerging broad-spectrum therapies?” If you’re a Miami Beach resident, free Zika testing is now being offered at the Miami Beach Police Department. Utah is keeping public health investigators on their toes with a mystery Zika case.  CDC officials are investigating a man who contracted Zika but was not exposed via a mosquito or sexual contact. Recently published in the CDC’s MMWR, “Patient A was known to have had close contact (i.e., kissing and hugging) with the index patient while the index patient’s viral load was found to be very high,” CDC researchers said in the report. “Although it is not certain that these types of close contact were the source of transmission, family contacts should be aware that blood and body fluids of severely ill patients might be infectious.” If you need a laugh, the Daily Show’s Trevor Noah addressed Zika in a recent episode. Singapore is quickly becoming a Zika hot spot, leaving many researchers stumped about the strain. Experts are suspecting a significant mutation that ramped up the virus’s capability to spread. “What is most intriguing is the question as to whether some mutation has occurred in the Zika virus to make it more transmissible by the Aedes albopictus mosquito—this would be analogous to what happened with chikungunya,” said Paul Anantharajah Tambyah, the secretary-general of the Asia Pacific Society of Clinical Microbiology and Infection. The CDC has reported, as of September 14th, 3,176 cases of Zika virus in the U.S.

Stories You May Have Missed:

  • Biodefense in the Age of Synthetic Biology – the National Academy of Sciences (NAS) has a new contract with the U.S. DoD’s Office of the Deputy Assistant Security of Defense, Chemical, and Biological Defense (NCB/CBD) to assess the nature of biothreats given the innovations within synthetic biology. “NAS will appoint an ad hoc committee to study the manipulation of biological functions, systems, or microorganisms resulting in the production of a disease-causing agents or toxins. The study will start with development of a strategic framework to guide an assessment of the potential security vulnerabilities related to advances in biology and biotechnology, with a particular emphasis on synthetic biology.”
  • Evidence of Airborne H5N2 Found in Distant Barns – a recent study found H5N2 highly pathogenic avian influenza in air samples collected “inside, immediately outside, and up to 70 meters from affected barns during the 2015 outbreak in the Midwest”. The researchers also found H5N2 RNA in air samples collected 1 kilometer from the infected barns. “A total of 26 of 37 (67%) sampling events collected inside and 18 of 40 (45%) collected at 5 meters were positive for H5N2. Sampling at distances from 70 meters to 1 kilometer resulted in about 2% positives and 58% suspected findings. The researchers found HPAI H5N2 viruses in particles up to 2.1 micrometer in diameter.”
  • History of the War on Superbugs – The war on antibiotic resistance may seem new, but it’s actually been waging on for over 60 years. Even Alexander Flemming knew the potential for antibiotic misuse and resistance, noting that “There is the danger that the ignorant man may easily undergoes himself and by exposing his microbes to non-lethal quantities of the drug make them resistant.” Sadly, even the identification of penicillin-resistant germs didn’t scare people, simply because it was a time of antibiotic renaissance – developments were happening all around us and that calmed the fear that should have been brewing.

Delving Deeper: Synthetic Biology and National Security Policy

By Yong-Bee Lim

Synthetic Biology and National Security Policy: Balancing Risk and Innovation to Address the Dual-use Dilemma

Mankind’s knowledge of technology, and the building blocks of life, has rushed forward in leaps and bounds over the past 50 years. Using various techniques and databases stored with genome data, analyses are now available to health practitioners and researchers to, among other things:

  1. Spot differences between virulent (capable of causing a disease) and avirulent (incapable of causing disease) strains of a pathogen
  2. Apply epidemiological information to estimate mortality/morbidity rates of pathogens
  3. Help create innovative new preventative and prophylactic measures to deal with pathogens ranging from naturally-occurring diseases to potential biological weapons

One new biological technology that has roused interest in the science and security fields is called synthetic biology (synbio). This multi-disciplinary science (which combines elements of scientific and engineering fields) seeks to create new biological systems, or recreate older systems with novel/ enhanced characteristics by using chemically-synthesized DNA as building blocks; in essence, this is a field that seeks to build living things (biology) from the ground up (engineering).

Although synbio has only been around for a decade, it potentially offers tremendous benefits for the world, including:

  1. Diminishing World Hunger: Scientists are looking to develop plants that produce more food per harvest by findings ways to increase photosynthesis (the ability of plants to convert sunlight and nutrients into energy).
  2. Producing Energy without Fossil Fuels: Synbio scientists are researching ways to use types of algae to secrete biodiesel and other fuels.
  3. Cleaning Environmental Damage: While microbes are already used at oil spill sites to clean up petroleum, synbio scientists are looking for ways to help these microbes do a faster job.
  4. Promoting Health: Synbio scientists are finding novel ways to approach issues with drug and treatment development. Synbio has actually been used to artificially engineer the rare chemical precursor to the antimalarial drug artemisinin, which has allowed larger quantities of artemisinin to be produced than ever before.

While synthetic biology comes with many potential benefits, it also comes with a number of risks. Like many technologies, synbio suffers from the “dual use dilemma” – a phrase that refers to how scientific procedures, materials, and knowledge may be used for both beneficial and harmful purposes. The same synbio technology that produces better medicines and environmental cleaning mechanisms may also contribute to the intentional modification of an existing disease or the creation of a novel, highly pathogenic biological agent by states or terrorist organizations.

Gaps and concerns in policies have already been highlighted in regards to synbio. In 2006, journalists from The Guardian were able to order a segment of the smallpox genome from a DNA synthesis company without offering any legitimate reason for the purchase. In 2010, the National Science Advisory Board for Biosecurity (NSABB) noted that the interdisciplinary nature of synbio may mean that practitioners are not biologists that are aligned with a university or institutional setting; therefore, individual practitioners of synbio such as engineering, materials sciences, or chemistry may not follow commonly accepted principles and practices of biological risk assessment and biocontainment. The fact that synbio has been used to recreate the Spanish Flu of 1918, as well as the SARS virus for research purposes highlights the potential danger of this technology in the wrong hands.

So what should be done about synthetic biology? It is clear that the potentials for misuse of synthetic biology constitute both a national threat. However, the potentials for positive good to come from synbio highlights a need to balance security with innovation in policy. While this is not a comprehensive list, U.S. policymakers should focus on addressing the following issues related to synbio:

  1. Dealing with access to genomic data: Synbio is a field that is primarily driven by genomic knowledge and information. The first step in recreating/producing a particular pathogen involves knowing the genomic code of a particular pathogen. Crafting policies that balance the restriction of this information while providing access to researchers is a key to foster both security and innovation.
  2. Dealing with regulatory policies related to the ordering of synthetic biology materials and products: Currently, places that receive federal funding must follow certain reporting requirements to the type and purpose of their research (including why they would purchase particular materials and products). Furthermore, HHS adopted codes of conduct that issued some customer and screening guidelines for the sale of synthetic genes in 2010. While this has proven successful so far, future policies that are crafted must continue to balance the restriction of the materials and products while providing access to researchers to foster both security and innovation.
  3. Enhancing and expanding good laboratory practices (including ethical training) for all practitioners of synbio: Raising awareness and good practices for practitioners of synbio would help contribute to a culture of responsible conduct of research that mitigates the risks of synbio misuse.
  4. Increasing funding and resources for biosurveillance and response capabilities: While preventative measures would be all that is necessary in an ideal world, mitigating the effects of the misuse of synbio is a necessity in modern times. Resources should be poured into state and federal entities (such as the CDC and the USDA) to both enhance epidemiological surveillance capabilities, as well as enhance response capabilities in the event of a biological incident.

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Yong-Bee Lim is a PhD student in Biodefense at George Mason University. He holds a B.S. in Psychology and an M.S. in Biodefense from George Mason University as well. Contact him at ylim3@masonlive.gmu.edu or on Twitter @yblim3.

(image: Martin Hieslmair/Ars Electronica/Flickr)

Image of the Week: Bacteria and Lightbulbs

Three enterprising students from the University of Wisconsin, Madison are trying to create a light bulb powered entirely by E.coli. “But, wait!” You might say. “E.coli doesn’t bioluminesce!” In order to overcome this slight hurdle, the students plan on inserting a strip of DNA into the bacteria’s genome which will enable the bug to glow in the dark. The light bulb itself will contain the modified bacteria, the necessary growth medium, and a set of specific microbes capable of recycling light to provide nutrients and eliminate waste – all of which together would produce a bulb which glows without electricity, aptly dubbed Biobulb (pictured below).

biobulb

Read more and fund the upstart project here!

(image courtesy of Cohn/Zaikan/Beckman, University of Wisconsin, Madison)

 

The Pandora Report

Highlights include patenting the NCoV, swine flu’s preference for the young, H7N9 and ferrets (always ferrets), getting closer to a universal flu vaccine, synthetic biology and a H7N9 vaccine, and ricin. Happy Friday!

SARS-like virus patent complicating diagnosis: Saudi

If you’re shaking your head at recent news detailing the spread of the novel coronavirus, and wondering why officials in these countries can’t seem to keep the virus contained, wait a second. One of the reasons health officials in the Middle East are struggling with quick diagnosis is that Saudi Arabia already entered into bilateral agreements with certain drug companies, resulting in the patenting of the virus. This means that every time a new lab (say in a new country or region) wants to work with the virus (due to its emergence locally), they need to get permission. Now, the virus was patented for reasons of vaccine and anti-viral drug development. However, instances like this get to the heart of the ongoing difficulties in the relationship between big pharma and government in relation to vaccines and drug development.

AFP – “WHO chief Margaret Chan expressed outrage at the information. ‘Why would your scientists send specimens out to other laboratories on a bilateral manner and allow other people to take intellectual property right on new disease?’ she asked. ‘Any new disease is full of uncertainty,’ she said…’I will follow it up. I will look at the legal implications together with the Kingdom of Saudi Arabia. No IP (intellectual property) should stand in the way of you, the countries of the world, to protect your people,’ she told the [WHO] delegates to thundering applause.”

Swine Flu Pandemic of 2009 More Deadly for Younger Adults

It’s good to be young, unless a swine flu pandemic happens to be raging. According to new study, the 2009 H1N1 virus was especially virulent in the population under 65. Why? Those over 65 years had some degree of prior immunity, due to exposure to similar strains in their past – a phenomena known as “antigenic recycling”.

Science Daily – “The bulk of pneumonia and influenza deaths typically occur in people older than 65, but when H1N1 became the dominant flu strain in 2009, the accompanying rise in pneumonia and flu deaths took place within age groups that usually have low mortality rates. Overall, there were 53,692 pneumonia and influenza deaths in 2009, of which 2,438 were considered “excess,” or above the number expected. In 2010, there were about 50,000 deaths from pneumonia and flu, of which 196 were considered excess.”

H7n9 Bird Flu Virus Is Capable of Human Spread, Ferret Studies Show

Life is hard for ferrets (image credit: B. Lilly/Flickr)

In case you were wondering, H7N9 is in fact entirely capable of spread between humans. In a study which will no doubt launch another round of polemic debate, researchers in China infected ferrets with the virus strain, and recorded transmission of the virus to other ferrets located four inches away. The research is expected to help Chinese containment and response efforts, should the virus become more virulent. The last new case of H7N9 occurred on May 8th.

Bloomberg – “The findings support the need to reconsider management of live poultry markets, especially in urban areas, in case H7N9 becomes endemic in poultry, increasing the opportunities for the virus to evolve ‘to acquire human-to-human transmissibility,’ the authors said. ‘If this virus acquires the ability to efficiently transmit from human-to-human, extensive spread of this virus may be inevitable, as quarantine measures will lag behind its spread,’ the Chinese researchers said.”

Universal flu jab ‘edges closer’

The pharmaceutical company Sanofi has developed a virus/protein hybrid that may protect against multiple strains of flu. The vaccine fuses the highly conserved H1 glycoproteins to a “transporter protein”, which then (for some reason) form spontaneous spheres. In ferret trials, the vaccine offered protection to numerous different H1 strains. Still, flu viruses are notoriously good at mutating – no word yet on if the virus would remain viable in instances of antigenic drift.

BBC News– “Prof Sarah Gilbert, who works on universal vaccines at Oxford University, told BBC News: ‘It is an improvement on the current vaccine. It’s not a ‘universal vaccine’ but it’s definitely a step in the right direction.’ She said it might be able to get over the problems of ‘mis-match’ when there are differences between the seasonal vaccine and the flu being targeted. However, the vaccine has not yet been tested in people. Clinical grade vaccine has not yet been developed so even safety trials are thought to be a year away.”

Synthetic Biologists Engineer A Custom Flu Vaccine In A Week

Within a week of receiving a strain of H7N9 close to the one circulating in China, researchers at Novartis and the J. Craig Venter Institute had synthesized a vaccine. Yes, there are still hurdles to effective mass production, and no the FDA has not yet approved the new strategy, but a week turnaround time is phenomenal. It is significantly easier to send a virus’ genetic code around the world, and have scientists build their own vaccine than to it is to carefully package and send the virus itself.

Popular Science – “That turnaround time is weeks faster than the current best vaccine-making methods…The new method uses synthetic biology, or the creation of biological materials, such as viruses, without using nature’s usual reproductive methods…’I think it does have great potential for more rapidly preparing vaccines for new strains as they evolve,’ Robert Finberg, chair of the University of Massachusetts Medical School and a flu researcher, told the Boston Globe.”

 In case you missed it:

Man arrested in Spokane ricin letter scare