The head of the NIH National Institute of Allergy and Infectious Diseases (NIAID), which funded “two projects that created a highly pathogenic [H5N1] flu virus mutation, has welcomed a two-month moratorium on further research while defending the value and safety of the experiments,” the Financial Times reports. NIAID Director Anthony Fauci “told the FT it was ‘right to get off the unnecessary fast track’ of a debate ‘played out in sound bites,’ and instead hold a serious international debate to determine future publication and practice in the field,” according to the newspaper (Jack, 1/22). “In a letter published in the journals Nature and Science on Friday, 39 scientists defended the research as crucial to public health efforts, including surveillance programs to detect when the H5N1 influenza virus might mutate and spark a pandemic,” Reuters writes, adding, “But they are bowing to fear that has become widespread since media reports discussed the studies in December that the engineered viruses ‘may escape from the laboratories’ … or possibly be used to create a bioterror weapon” (Begley, 1/20).
Pneumonia & Flu
The WHO is expected to hold a meeting in February to discuss controversy over recent research on the H5N1 bird flu virus, after the U.S. National Scientific Advisory Board for Biosecurity (NSABB) in December advised the journals Science and Nature to withhold publishing two teams’ research on the virus for fear the information could “fall into the wrong hands,” a commentary in the Economist’s “Babbage” blog states. “In a statement sent to Science, the WHO says that research” into bird flu genetics is “an important tool for global surveillance efforts,” the commentary says.
The WHO on Thursday “announced the deaths of two men from H5N1 avian influenza, one from Egypt and another from China whose death was reported earlier in the media,” CIDRAP News reports. Both men are suspected to have contracted the virus from avian sources, although an investigation into the man from China’s exposure to the virus is ongoing, according to news service. “The two infections and deaths push the WHO global H5N1 count to 576 cases and 339 deaths. According to WHO records, the number of H5N1 cases and deaths reported in 2011 so far are modestly higher than 2010 (60 cases versus 48, and 33 deaths versus 24),” CIDRAP writes (Schnirring, 1/5).
Author Laurie Garrett, senior fellow for global health at the Council on Foreign Relations, writes in this Foreign Policy opinion piece that the announcement that researchers from Norway and the U.S. have developed a supercontagious variety of bird flu “has highlighted a dilemma: How do you balance the universal mandate for scientific openness against the fear that terrorists or rogue states might follow the researchers’ work — using it as catastrophic cookbooks for global influenza contagion?” She continues, “Along with several older studies that are now garnering fresh attention, [the research] has revealed that the political world is completely unprepared for the synthetic-biology revolution” and notes “there are no consistent, internationally agreed-upon regulations governing synthetic biology, the extraordinarily popular and fruitful 21st-century field of genetic manipulation of microorganisms.”
Research into transmissible bird flu strains remains “urgent” despite flu investigators’ recent declaration of a “60-day moratorium on avian flu transmission because of the current controversy,” Yoshihiro Kawaoka of Tokyo University and the University of Wisconsin-Madison, “a lead researcher on one of two recent studies showing how H5N1 can be transmitted through airborne droplets” among ferrets, writes in a commentary published Wednesday in the journal Nature, Reuters reports. In December, the U.S. National Science Advisory Board for Biosecurity “asked two leading journals, Nature and Science, to withhold details of both studies for fear it could be used by bioterrorists,” the news agency notes.
NIH Official Discusses Reaction To Bird Flu Studies, Development Of Publishing Mechanism In Nature Interview
Nature interviews Amy Patterson, director of the National Institutes of Health (NIH) Office of Science Policy, which administers the National Science Advisory Board for Biosecurity (NSABB), about the board’s decision in December to advise against full publication of “two papers on avian flu (H5N1) [that] could pose a biosecurity risk if published in their entirety.” Patterson discusses the efforts of the board and the “international flu community” to “develop a mechanism by which important details from the papers could be withheld from the general public while remaining accessible to public health officials and researchers studying the virus,” Nature writes (Ledford, 1/11).
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).
In this Journal Sentinel Online opinion piece, Thomas Inglesby, chief executive officer and director of the Center for Biosecurity of UPMC in Baltimore; Anita Cicero, chief operating officer and deputy director of the center; and D.A. Henderson, a distinguished scholar at the center, comment on a recent announcement by scientists that they have genetically modified a strain of H5N1 bird flu that is “capable of spreading through the air between ferrets that were physically separated from each other,” indicating “it would be readily transmissible by air between humans.” They write, “We believe the benefits of [purposefully engineer(ing) avian flu strains to become highly transmissible in humans] do not outweigh the risks.”
“As researchers from both sides of the debate over two controversial H5N1 studies weighed in [Tuesday] on full publication versus a more cautionary approach, two U.S. journals” — the Journal of Infectious Diseases (JID) and its sister publication, Clinical Infectious Diseases — “said they are developing policies to address any future such instances,” CIDRAP News writes. “We are developing policies that address these issues on a case-by-case basis, so that freedom of scientific expression can be maintained without sacrificing individual safety or national security,” JID Editor Martin Hirsch wrote in an editorial, the news service notes, adding, “He also introduced three new JID perspective pieces that discuss the difficult issues” (Schnirring, 3/28).
The debate about two studies showing that, with few genetic mutations, H5N1 bird flu strains could become more easily transmissible among ferrets, a laboratory model for humans, “has become a debate about the role of science in society. Two questions should be addressed here: should this type of research be conducted at all; and if so, should all data generated by this research be published?” Ab Osterhaus, head of the Institute of Virology, at Erasmus Medical Centre in Rotterdam, writes in a Guardian opinion piece. A team from Erasmus conducted one of the two studies, he notes.