In a letter (.pdf) dated April 25, Amy Patterson, associate director for science policy in the office of the director of the National Institutes of Health, “has refuted criticism of the way a meeting held to allow a biosecurity advisory group to review controversial bird flu studies was handled,” denying “the agenda was crafted to achieve a predetermined outcome,” the Canadian Press/Winnipeg Free Press writes. Patterson was “responding to a harsh critique of the meeting from Michael Osterholm, a member of the U.S. National Science Advisory Board for Biosecurity [NSABB],” who, in a letter (.doc) to Patterson dated April 12, criticized “the agenda and speakers list” of the March 29-30 meeting, the news service writes (Branswell, 5/4).
Pneumonia & Flu
“In a long-awaited study that helped prompt a contentious debate over the wisdom of conducting research that has the potential to help as well as harm, scientists reported Wednesday that they had engineered a mutant strain of [H5N1] bird flu that can spread easily between ferrets — a laboratory animal that responds to flu viruses much as people do,” the Los Angeles Times (Brown, 5/3). Published in the journal Nature, the study is “the first of two controversial papers about laboratory-enhanced versions of the deadly bird flu virus that initially sparked fears among U.S. biosecurity experts that it could be used as a recipe for a bioterrorism weapon,” Reuters writes (Steenhuysen, 5/2). The U.S. National Security Advisory Board on Biosecurity “had asked journals to hold off publishing” the studies, but “[t]he panel later dropped its objections after it became clear the engineered viruses were less virulent than had been feared,” according to the Washington Post (Brown, 5/2).
In this post in PSI’s “Healthy Lives” blog, “PSI’s Nutrition Research Adviser Dr. Abel Irena talks with Saul Morris, senior program officer at the Bill & Melinda Gates Foundation, about progress that has been made in child health.” Morris addresses treatment for pneumonia, diarrhea, and malaria among children, delivery and access to integrated health systems, the Gates Foundation’s focus on newborn health, and the most effective steps to take to reach the fourth Millennium Development Goal to reduce child mortality by 2015 (5/24).
“The World Health Organization (WHO) hopes to hold a meeting late this fall to discuss ‘dual-use’ research issues raised in the controversy over publication of two studies involving lab-modified H5N1 viruses with increased transmissibility, a WHO official said,” CIDRAP News reports. “The WHO hosted a closed meeting of disease experts and government officials Feb 16 and 17 to discuss the two H5N1 studies,” CIDRAP notes, adding that “the WHO [on Wednesday] released a brief statement about its activities related to the H5N1 research controversy since the February meeting in Geneva.” Keiji Fukuda, the WHO’s assistant director-general for health security and environment, said, “We hope to hold a second meeting to discuss the broader concerns related to potential dual [use] research in the late fall, if resources are available,” the news service notes.
In this Scientific American opinion piece, author and former staff writer at Scientific American John Horgan examines “a bitter debate” among scientists over the publication of controversial H5N1 research, writing, “Research involving the bird-flu virus H5N1 poses an especially knotty dilemma, in which scientists’ commitment to openness — and to reducing humanity’s vulnerability to potential health threats — collides with broader security concerns.” Horgan provides some statistics on H5N1 infection, recounts a brief history of the research in question and suggests four options to resolve the dilemma.
“The controversy over research about potentially dangerous H5N1 viruses heated up [Thursday night] in a New York City debate that featured some of the leading voices exchanging blunt comments on the alleged risks and benefits of publishing or withholding the full details of the studies,” CIDRAP News reports. “The debate, sponsored by the New York Academy of Sciences, involved two members of the biosecurity advisory board that called for ‘redacting’ the two studies in question to delete details, along with scientists who want the full studies published and representatives of Science and Nature, the two journals involved,” the news service adds (Roos, 2/3).
In this post on KPLU’s “Humanosphere” blog, journalist Tom Paulson describes “five reasons why you should not panic” about the recent news that two research teams have created bird flu strains that are easily transmissible among ferrets, which are used as a lab model for humans. Fears that terrorists possibly could use the information prompted the U.S. National Science Advisory Board for Biosecurity to request the scientists redact some information prior to publishing their study results and investigators worldwide to institute a 60-day moratorium on bird flu research, he notes. Paulson writes “that the scientific research community is already well on its way to improving our knowledge of H5N1,” and concludes, “Even if these two papers are censored, the traditional approach of unfettered and open exploration appears likely to continue” (2/7).
“A new strain of a potentially deadly virus related to SARS, which has killed one man in Saudi Arabia and left a Qatari man critically ill in London, does not appear to spread easily from person to person, the World Health Organization says,” according to the New York Times (Santora, 9/29). “To ensure an appropriate and effective identification and investigation of patients who may be infected with the virus, without overburdening health care systems with unnecessary testing, WHO issued a revised interim case definition Saturday on its website,” Xinhua reports (9/30). “On Saturday, the health organization, which was rushing to develop a diagnostic test, said that doctors should test for the virus only if the patient is severely ill,” the New York Times states (9/29). “But [the agency] added anyone who has been in direct contact with a confirmed case and who has any fever or respiratory symptoms should also be tested,” Reuters notes (Kelland, 9/29).
The Centers for Disease Control and Prevention (CDC) on Monday released a 268-page annual report that “profiles a wide range of CDC influenza-related projects around the world, from flu surveillance in Indonesia to vaccine effectiveness studies in El Salvador and epidemiology training in Ghana,” CIDRAP News reports. The report also “describes the CDC’s collaborations with the World Health Organization (WHO), outlines projects it supports in about 40 countries, … describes specific studies undertaken in many of those countries,” “lists international training conferences it has sponsored, and describes the CDC program for sharing diagnostic test kits and reagents,” the news service writes. “Over the past six years the [international] program has undergone remarkable growth and has expanded to provide support to over 40 countries, all WHO regional offices and WHO headquarters,” the report notes, according to CIDRAP. “The report, covering 2011, is the third annual account of the agency’s global flu activities, which have expanded greatly in the past decade,” the news service adds (Roos, 10/30).
Global Health Frontline News (GHFN) reports on efforts to produce and provide clean cookstoves to people in Tanzania. The WHO estimates that indoor air pollution caused by smoke from cooking fires contributes to two million premature deaths annually, more than are caused by tuberculosis or malaria, according to GHFN. The piece includes comments from Radha Muthiah, executive director of the Global Alliance for Clean Cookstoves, and Everline Kihulla, who works for the Tanzanian clean cookstove manufacturer TaTedo (Striker, January 2012).