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More Concerns On Lethal
1918 Flu In BSL 3 Labs

From Patricia Doyle, PhD
dr_p_doyle@hotmail.com.com
10-10-4
 
Hello Jeff - I have included below some comments regarding the lack of safety by researchers who have reconstructed the 1918 pandemic strain of Influenza. The research team had been using BSL 4 but, has now dropped down to BSL 3.
 
The comments below are by scientists who have serious reservations about the BSL now used for the LETHAL flu virus research. SARS escaped the research lab by infecting researchers working on the virus.
 
The comments below also include worries about bioterrorists. The new letal 1918/contemporary hybrid is a ticking time bomb. In this modern age of technology, we were unable to safely provide contemporary flu vaccine. Can you imagine the chaos should this new reconstructed letal 1918 flu virus escape the lab?
 
According to Dr. Kawaoka, "we have tamiflu, therefore BSL 3 should be sufficient for the new hybrid 1918 flu."
 
Amazing. Seems like they just don't care about the public safety anymore.
 
Patricia Doyle
 
INFLUENZA A VIRUS, VIRULENCE, 1918 PANDEMIC STRAIN (03)
 
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
 
Date: Fri 8 Oct 2004
From: Myron Pulier
 
Further comment on the disease security issue -
 
In the press report cited in the ProMED-mail post archived as "Influenza A virus, virulence, 1918 pandemic strain 20041007.2754", Dr Kawaoka seems to indicate that the possibility of treatment of other influenza type A strains with "Tamiflu" (oseltamivir) makes biosafety level 3 containment sufficiently prudent for his new 1918 pandemic-like one.
 
However, shortening duration of symptoms once they appear and preventing development of clinical illness by initiating treatment shortly after exposure does not necessarily amount to maintaining sufficient control of person-to-person spread to prevent another pandemic, should the virus infect someone. Even in clinical research, few drugs are 100 per cent effective; and in actual clinical use, effectiveness is less than efficacy, so that some patients may not respond well to treatment. Prophylaxis against illness is not the same as prevention of infection and leaves open the potential for transmission by an asymptomatic carrier.
 
Furthermore, oseltamivir has not been tested clinically against any comparably virulent strain, and potential of the virus for rapid extension throughout the lungs might overwhelm the protection offered by the drug, however unlikely that may seem at present. Presumably Dr Kawaoka has determined through experiment that his particular strain happens not to be one that is resistant to oseltamivir at pharmacologic concentrations, and hopefully there will be no opportunity for his viruses to pick up or develop alleles that confer resistance.
 
Nonetheless, with stakes so high, it may pay to return the reconstructed virus to a level 4 facility... and to take special steps to secure that facility against bioterrorists.
 
----
Myron L Pulier, MD
Clin Assoc Prof Psychiatry
UMDNJ-NJ Medical School
pulierml@umdnj.edu
 
Archive Number 20041008.2757
Published Date 08-OCT-2004
Subject PRO Influenza A virus, virulence, 1918 pandemic strain (02)
 
Date: Fri 8 Oct 2004
From: Karl M Johnson
 
A comment on appropriate level of containment -
 
Professor Kawaoka's team is to be congratulated for successful recreation of the 1918 influenza virus with it apparent increased virulence for mice. But if that virulence transfers to humans, I am deeply concerned about his decision to take the agent from BSL-4 [biosafety level 4] containment to BSL-3 [biosafety level 3] after finding that level of pathogenicity. We have already experienced 3 breaks in technique and containment of the SARS coronavirus this year. Escape of this influenza strain could lead to a repeat of history that would be completely preventable if that virus were "put back in its box".
 
Personally, I would never permit work with this agent under conditions lower than BSL-4. The University of Wisconsin and appropriate federal agencies should convene an emergency meeting to sort this out, ensuring that Dr Kawaoka has ongoing access to BSL-4 containment so that he can continue this undeniably important work.
 
[Dr Johnson expresses valid concerns about the disease security aspects of Dr Kawaoka's research, particularly in view of the finding of the enhanced pathogenicity of the construct containing the 1918 HA subunit. His call for a reassessment of the situation should be heeded. - Mod.CP]
 
Patricia A. Doyle, PhD
Please visit my "Emerging Diseases" message board at:
http://www.clickitnews.com/ubbthreads
/postlist.php?Cat=&Board=emergingdiseases
Zhan le Devlesa tai sastimasa
Go with God and in Good Health


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