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Archive for Tuesday, February 22, 2005

CDC chief warns of world virus outbreak

February 22, 2005

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— The Earth may be on the brink of a worldwide epidemic from a bird flu virus that may mutate to become as deadly and infectious as viruses that killed millions during three influenza pandemics of the 20th century, a federal health official said Monday.

Dr. Julie L. Gerberding, head of the Centers for Disease Control and Prevention, said scientists expected a flu virus that has swept through chickens and other poultry in Asia would genetically change into a flu that could be transmitted from person to person.

The genes of the avian flu change rapidly, she said, and experts think it is highly likely the virus will evolve into a pathogen deadly for humans.

She made the remarks in a plenary lecture at the national meeting of the American Association for the Advancement of Science.

In Asia, there already have been a number of deaths among people who caught the flu from chickens or ducks. The mortality rate is very high -- about 72 percent of identified patients, Gerberding said. There also have been documented cases of this strain of flu being transferred from person to person, but the outbreak was not sustained, she said.

"We are expecting more human cases over the next few weeks because this is high season for avian influenza in that part of the world," Gerberding said. Although cases of human-to-human transmission have been rare, "our assessment is that this is a very high threat."

This assessment, she said, is based on the known history of the flu virus.

The avian flu now spreading in Asia is part of what is called the H1 family of flu viruses. It is a pathogen that is notorious in human history.

"Each time we see a new H1 antigen emerge, we experience a pandemic of influenza," said Gerberding. In 1918, H1 appeared and millions died worldwide. In 1957, the Asian flu was an H2, and the Hong Kong flu in 1968 was a H3.

There had been small appearances of the H1-type of avian viruses in other years, but nothing like the virus now rampaging through the birds of Asia.

A Vietnamese vendor waits to sell her chickens at a market in Long
An province in the Mekong Delta in southern Vietnam. An official
with the Centers for Disease Control and Prevention says scientists
expect a flu virus that has swept through chickens and other
poultry in Asia will genetically change into a flu that could be
transmitted from person to person.

A Vietnamese vendor waits to sell her chickens at a market in Long An province in the Mekong Delta in southern Vietnam. An official with the Centers for Disease Control and Prevention says scientists expect a flu virus that has swept through chickens and other poultry in Asia will genetically change into a flu that could be transmitted from person to person.

"We are seeing a highly pathogenic strain of influenza virus emerge to an extraordinary proportion across the entire western component of Asia," she said. "The reason this is so ominous is because of the evolution of flu. ... You may see the emergence of a new strain to which the human population has no immunity."

Research already has shown the virus can infect cats who can then infect other cats, which Gerberding said was "another harbinger" of the possibility of a human pandemic.

"The science here is all alerting us that we have a great deal to be concerned about," she said.

The CDC chief said her agency was preparing for a possible pandemic next year.

A special flu team, organized last year, continues to monitor the spread of the avian flu and to analyze the strains as they appear.

The government has ordered 2 million doses of vaccine that would protect against the known strains of avian flu. Gerberding said this would give manufacturers a head start on making the shots that would be needed to combat a full-blown epidemic of an H1-type of flu in this country.

CDC is also plugged into an international communication and monitoring system that, it is hoped, will give an early warning of the emergence of a deadly new flu.

If it mutates through steady contact with people to spread easily between humans, bird flu holds the potential to rival some of the fearsome flu pandemics of the last century, which killed millions of people.

But at the same time, the agency is helping to produce the 180 million or so doses of regular flu that are needed annually. Gerberding said the timeline for producing the regular vaccine yearly was very tight, with little room for problems. To produce a new vaccine in response to the sudden emergence of an H1-flu bug would require an extraordinary new effort, she said.

"We don't now have the capacity to do both," Gerberding said.

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