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  • Experts call for close monitoring of H1N1 changes

    15 Jun 2009 00:01:41 GMT
    Source: Reuters
    By Tan Ee Lyn

    HONG KONG, June 15 (Reuters) - Experts have called for close monitoring of how the new H1N1 flu virus evolves in coming months in the southern hemisphere as that may help answer questions that have eluded scientists for decades.

    In an article published in Nature, the scientists from Japan and the United States reviewed literature on the three most recent pandemics -- Spanish flu of 1918-1919, Asian flu of 1957 and Hong Kong flu of 1968 -- as well as skirmishes against the H5N1 bird flu virus in the past 10 years.

    "Although much has been learned about influenza viruses, key questions still remain unanswered: for example, what factors determine interspecies transmission, reassortment and human-to-human transmission -- factors that have accounted for past pandemics and will be critical in the emergence of new pandemic viruses," they wrote.

    Led by Yoshihiro Kawaoka at the University of Tokyo's International Research Center for Infectious Diseases, the team recalled how the first mild wave in the Spanish flu pandemic was followed by two deadly waves.

    Therefore, watching how this new H1N1 virus evolves in coming months may shed light on what accompanying genetic changes need to take place for it to become more virulent or even more efficient in transmitting between humans, if these adaptations occur.

    "Careful monitoring of the (H1N1) during the upcoming winter season in the southern hemisphere is of critical importance to detect more virulent variants, should they arise," they wrote.

    "From a scientific perspective, the opportunity to watch virus evolution in real time may provide us with invaluable information on the factors that determine pathogenicity and/or transmissibility."

    "These factors accounted for past pandemics and will be critical in the emergence of new pandemic viruses," they added.

    This new H1N1 virus contains genetic material from bird, swine and human flu viruses and appears to have a mortality rate of 0.2 percent, according to an earlier research report. This figure is slightly higher than the fatality rate for seasonal influenza viruses.

    The experts also warned that the global community was not well prepared for a pandemic, with insufficient antiviral drug stockpiles and slow production of vaccines.
    (Reporting by Tan Ee Lyn; Editing by Jerry Norton)

    ______________________________
    SN1987A

  • #2
    Re: Experts call for close monitoring of H1N1 changes

    Yomiuri Shinbun went beyond the above article to write:

    New virus may have acquired higher transmissibility Excerpt
    Source: http://www.yomiuri.co.jp/iryou/news/...OYT8T00405.htm

    A team of scientists led by Dr. Yoshihiro Kawaoka announced in today?s web-published Nature magazine that some of the new viruses A(H1N1) had made genetic changes that possibly allow them to transmit between people more easily.

    According to Dr. Kawaoka, similar genetic changes in hemaglutinine were also found in highly-pathogenic avian influenza virus (H5N1) and there was a possibility that the genetic changes had already given the new virus an ability to attach themselves to human cells easily.
    ******************************************
    I think, however, we need to be cautious because Yomiuri probably went too far, judging from other articles and the fact that H5N1 is not easily transmissible between humans.
    Please, somebody, check Nature magazine to see what they really say.

    _________________________________________
    SN1987A

    Comment


    • #3
      Re: Experts call for close monitoring of H1N1 changes

      See

      Comment


      • #4
        Re: Experts call for close monitoring of H1N1 changes

        Thank you Dr. Niman.
        Your posts are really interesting.


        ___________________
        SN1987A

        Comment


        • #5
          Re: Experts call for close monitoring of H1N1 changes

          Originally posted by SuperNova1987A View Post
          Experts have called for close monitoring of how the new H1N1 flu virus evolves in coming months in the southern hemisphere as that may help answer questions that have eluded scientists for decades.
          As we begin to see more and more reports of massive organ failure in cases, one form of "monitoring" that seems prudent - is to begin performing autopsies. It is the only way to get an exact idea of what is happening internally in the most severe cases. I have seen no autopsy statements to date.


          SEE POST #13 at above link for specific discussion of Autopsy Suggestions.
          Entire thread in general discussed the increased Organ Failures.

          Comment


          • #6
            Re: Experts call for close monitoring of H1N1 changes

            Originally posted by SuperNova1987A View Post
            15 Jun 2009 00:01:41 GMT
            Source: Reuters
            By Tan Ee Lyn


            Therefore, watching how this new H1N1 virus evolves in coming months may shed light on what accompanying genetic changes need to take place for it to become more virulent or even more efficient in transmitting between humans, if these adaptations occur.

            "Careful monitoring of the (H1N1) during the upcoming winter season in the southern hemisphere is of critical importance to detect more virulent variants, should they arise," they wrote.

            "From a scientific perspective, the opportunity to watch virus evolution in real time may provide us with invaluable information on the factors that determine pathogenicity and/or transmissibility."
            I like the words of advice, but without access to genetic sequences, monitoring an evolving virus is problematic. Australia has not released any new sequences to the public in a couple of weeks, despite the fact that Swine Flu has taken off like a rocket in that country.

            Comment


            • #7
              Re: Experts call for close monitoring of H1N1 changes

              Originally posted by Mamabird View Post
              I like the words of advice, but without access to genetic sequences, monitoring an evolving virus is problematic. Australia has not released any new sequences to the public in a couple of weeks, despite the fact that Swine Flu has taken off like a rocket in that country.
              A search on the NCBI shows these are the A/H1N1 human cases after 3/30/09:

              ACS34667 566 Human HA H1N1 Australia 2009/05 Influenza A virus (A/South Australia/2001/2009(H1N1))
              ACR08498 562 Human HA H1N1 Australia 2009/05/07 Influenza A virus (A/Brisbane/17/2009(H1N1))
              ACR78156 562 Human HA H1N1 Australia 2009/05/19 Influenza A virus (A/Victoria/2001/2009(H1N1))
              ACR78166 562 Human HA H1N1 Australia 2009/05/21 Influenza A virus (A/Victoria/2004/2009(H1N1))
              ACR78160 562 Human HA H1N1 Australia 2009/05/26 Influenza A virus (A/Perth/29/2009(H1N1))
              Are the above all seasonal H1N1?

              Can we assume their labs are overwhelmed with testing and they may be taking the time to process a release only for samples that show significant changes?

              .
              "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

              Comment


              • #8
                Re: Experts call for close monitoring of H1N1 changes

                Mamabird:

                When looking at these databases where seasonal H1N1 is also circulating, what notation in strain identification will be made to denote novel A/H1N1 as opposed to seasonal?

                The samples identification in the above list look exactly like prior year seasonal IDs.

                .
                "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                Comment


                • #9
                  Re: Experts call for close monitoring of H1N1 changes

                  Originally posted by AlaskaDenise View Post
                  A search on the NCBI shows these are the A/H1N1 human cases after 3/30/09:



                  Are the above all seasonal H1N1?

                  Can we assume their labs are overwhelmed with testing and they may be taking the time to process a release only for samples that show significant changes?

                  .
                  Hi AlaskaDenise

                  Those sequences are from the current swine outbreak.

                  It is fair to assume that the virus sequences from this latest spread in Australia have not been processed yet.

                  There are few labs that have the facilities and experience to handle live virus. Those people are, without a doubt, overwhelmed.

                  Comment


                  • #10
                    Re: Experts call for close monitoring of H1N1 changes

                    Originally posted by AlaskaDenise View Post
                    Mamabird:

                    When looking at these databases where seasonal H1N1 is also circulating, what notation in strain identification will be made to denote novel A/H1N1 as opposed to seasonal?

                    The samples identification in the above list look exactly like prior year seasonal IDs.

                    .
                    Gisaid denotes the swine-like influenza virus isolates with A/H1N1 swl

                    Comment


                    • #11
                      Re: Experts call for close monitoring of H1N1 changes

                      Thanks for taking your time to clarify these facts.

                      "swl" is a perfect notation. It looks like I need to use a more suitable database.

                      .
                      "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                      Comment


                      • #12
                        Re: Experts call for close monitoring of H1N1 changes

                        Originally posted by AlaskaDenise View Post
                        Mamabird:

                        When looking at these databases where seasonal H1N1 is also circulating, what notation in strain identification will be made to denote novel A/H1N1 as opposed to seasonal?

                        The samples identification in the above list look exactly like prior year seasonal IDs.

                        .

                        All of the sequences that you listed are the novel, swine origin H1N1. There are almost no 2009 sequences in Gen Bank that are seasonal H1N1. It is really easy to tell one from the other when you look at the sequence itself. Virtually no commonality in any of the gene segments.

                        And I know that everyone in the labs in Australia are now a bit busy, but that is not much of an excuse for not posting the full genome of those earlier isolates. There was plenty of time back then, I suspect.

                        Comment


                        • #13
                          Re: Experts call for close monitoring of H1N1 changes

                          Just saw this... sorry haven't found more information yet (do not have time to do it now, will try to do it at night)

                          16/06/2009 - 11:30
                          Instituto Adolfo Lutz detects changes in swine influenza virus in SP

                          CLAYTON FREITAS
                          from Folha Online

                          The Adolfo Lutz Institute, linked to the government of S?o Paulo State, has isolated the swine influenza virus - as is called influenza A (H1N1) - and found a new "strain" of the disease in Brazil. The Brazilian technicians noticed a different pattern for the virus that has been recorded by the CDC (Centers for Disease Control United States) based on samples taken from patients of California.

                          According to researchers of the Adolfo Lutz, was detected by means of genetic sequencing, which was changing in the hemagglutinin protein (the "H" of the acronym), responsible for the ability of the virus infection. The variation is revealed to be called Influenza A / Paulo/H1N1.

                          According to the Secretary of State for Health, the swine flu virus was photographed by the area of electron microscopy of the institute - the image of the virus was amplified in 200 thousand times, by means of equipment that has the ability to increase such image up to 1 million times.

                          The technicians of the Adolfo Lutz stated that the isolation of swine influenza virus will contribute to the production of the vaccine and to detect the response to antiviral drugs.


                          Source: http://www1.folha.uol.com.br/folha/c...6u581714.shtml

                          ________
                          Original post (in portuguese):

                          16/06/2009 - 11h30
                          Instituto Adolfo Lutz detecta muta??o no v?rus da gripe su?na em SP
                          Publicidade

                          CLAYTON FREITAS
                          da Folha Online

                          O Instituto Adolfo Lutz, ligado ao governo do Estado de S?o Paulo, conseguiu isolar o v?rus da gripe su?na --como ? chamada a gripe A (H1N1)-- e detectou uma nova "estirpe" da doen?a no Brasil. Os t?cnicos brasileiros perceberam um padr?o diferente para o v?rus daquele que foi registrado pelo CDC (Centros de Controle de Doen?as dos Estados Unidos) com base em amostras retiradas de pacientes da Calif?rnia.

                          * Veja mapa de casos da gripe su?na no Brasil
                          * Saiba quais hospitais procurar no Brasil
                          * Saiba mais sobre a gripe su?na
                          * Saiba o que o mundo faz para se prevenir
                          * Vai viajar? Conhe?a as recomenda??es

                          Segundo pesquisadores do Adolfo Lutz, foi detectado, por interm?dio de sequenciamento gen?tico, que houve muta??o na prote?na hemaglutinina (o "H" da sigla), respons?vel pela capacidade de infec??o do v?rus. A varia??o revelada passa a ser chamada de Influenza A/S?o Paulo/H1N1.

                          De acordo com a Secretaria do Estado da Sa?de, o v?rus da gripe su?na foi fotografado pelo setor de microscopia eletr?nica do instituto --a imagem do v?rus foi ampliada em 200 mil vezes, por meio de um equipamento que possui a capacidade de aumentar esse tipo de imagem em at? 1 milh?o de vezes.

                          Os t?cnicos do Adolfo Lutz afirmam que o isolamento do v?rus da gripe su?na ir? contribuir para a produ??o da vacina e detectar a resposta aos medicamentos antivirais.



                          Fonte: http://www1.folha.uol.com.br/folha/c...6u581714.shtml

                          Comment


                          • #14
                            Re: Experts call for close monitoring of H1N1 changes

                            Originally posted by Mamabird View Post
                            All of the sequences that you listed are the novel, swine origin H1N1. There are almost no 2009 sequences in Gen Bank that are seasonal H1N1. It is really easy to tell one from the other when you look at the sequence itself. Virtually no commonality in any of the gene segments.

                            And I know that everyone in the labs in Australia are now a bit busy, but that is not much of an excuse for not posting the full genome of those earlier isolates. There was plenty of time back then, I suspect.
                            Thanks for the tip.

                            I looked at A/H1N1/PB2 from Nicaragua from 2008/08/07 and A/H1N1/PB2 from California from 2009/04/16 - there were clearly significant differences including the one at position 627.

                            I was surprised that Australia wasn't able to post even one earlier sequence. Perhaps they can do one from an "otherwise-healthy" severe case (when that occurs). As you say, identifying changes is just too critical.

                            .
                            "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                            Comment


                            • #15
                              Re: Experts call for close monitoring of H1N1 changes

                              Looking at 2 sequences from Nicaragua (August and November 2008) and comparing them with the California (April 16), there were only 2 PB2 differences in the 2008 cases, while the California (novel) had 46 differences (out of 759 positions).

                              46:2 clearly spells novel.

                              .
                              "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                              Comment

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