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Indonesia increases risk by failing to share bird flu samples: WHO

Re: Indonesia increases risk by failing to share bird flu samples: WHO

Linking the WHO database (which is a problem for OTHER H5N1 sequences like those from Europe) to the Indonesian SEQUENCES really makes no sense and simply creates confusion (although such comments do also show who is confused).

I don't undestand why, doctor Niman
I don't understand the protocol of "sharing data "

last indonesian strains in LA data base , are 24/01/2007.. it s exact ?
This thread is VERY confused because of the introduction of multiple and VERY distinct issues.

The subject of the thread is the (human) Indonesian samples and the history of these samples is pretty well known and it is as follows.

The initial human samples were collected by NAMRU-2 who distributed the samples to Hong Kong and CDC (both are WHO reference labs). Thus, between August 2005 (first human sample) and September? 2006, WHO had both samples and sequences.

The sequences were at the WHO secret database and were not public. The labs blamed the Indonesian government and the government position was largely confused (because bird sequences were public, and WHO had both samples and sequences, so the rationale for withhold the sequence data really made no sense - and in all likelihood, the blaming of the Indonesian government was just cover for the hoarding of sequences by the sequencing labs, which was due to publication issues).

The cover was blown, when the Indonesian government publicly said they had nothing to hide and the sequences should be released. Within minutes the sequences were public, because Los Alamos simply removed the password protection from the Indonesian sequences in the WHO private database. Thus, in the fall of 2006, the WHO private database was no longer an issue with regard to Indonesian sequences (human or bird).

Indonesia stopped sending samples to Hong Kong, but did send samples to CDC, who published the human sequences.

A new issue arose on the use of the samples for vaccine targets. The Indonesian government was concerned that expensive vaccines would be made against the Indonesian isolates (from the human samples), so they wanted to limit others from using the samples as vaccine targets. As a result, Indonesia stopped sending out samples, leaving everyone in the dark about the H5N1 evolution in humans in Indonesia.

Consequently, WHO has been trying to get an agreement and release of samples. So far the agreement is iffy, and only three samples were sent (to another WHO reference lab in Japan). The three samples did not have live H5N1, so WHO still has no targets and the three samples were from 2 patients and there have been MANY more than 2 cases since mid January, so WHO is still in the dark on recent H5N1 evolution, and they still have no samples more recent than early January, 2007.

Thus, there is no indication that WHO has much of anything, anywhere representing 2007 human sequences (although they have some bird samples sequenced in Australia, but made public) and there is no indication that Indonesia is giving human samples to anyone, other than possibly Baxter, with whom they have a commercial agreement to develop vaccines.

Thus, bringing in other databases (secret or public) or petitions or who knows what really just creates confusion on an issue between the Indonesian government and vaccine makers, with WHO acting as an intermediate.
 
Last edited:
'RI will only share bird flu virus sample under new mechanism'

[FONT=Arial, Helvetica]JAKARTA (JP): A health ministry official says Indonesia will only resume sending live virus sample of the avian influenza to the World Health Organization (WHO) once a new mechanism on virus sharing approved.
"We will stick to the resolution and wait until new mechanism is approved after an inter-governmental meeting in Geneva in November," health ministry's spokesperson Lily Sulistyowati told The Jakarta Post Tuesday.
"However, anyone who needs the virus can file a special request to us officially," she said.
The Associated Press reported Tuesday that David Heymann, assistant director-general for communicable diseases at WHO, said WHO had received three specimens from Jakarta in May, but none contained any live virus.
Indonesia, the hardest hit nation which recorded 82 casualties out of 101 infected people, stopped sharing its samples of H5N1 strains with WHO early this year following the finding that an Australian pharmaceutical company had used the virus without Jakarta's permission.
It ended its boycott in May, however, after receiving assurances from WHO that the virus samples would be used only for risk assessment and not passed on to private pharmaceutical companies without Jakarta's permission.
Lily confirmed that the ministry had sent its virus in May, but could not understand why the health organization did not make any complaint earlier.
WHO has called Indonesia could jeopardizing not only the Asian nation but the entire planet by not sharing its samples from human bird flu victims.
"By not sharing the viruses, Indonesia is ... putting in danger its own populations, because if those viruses are not freely shared with industry, vaccines will not contain the elements of the Indonesia infections. The second thing that Indonesia is doing is therefore putting the whole world at risk,"Heymann said.
Heymann said that China - which had not shared H5N1 specimens with WHO for almost a yearsent bird flu samples in June. Vietnam has sent samples but has encountered shipping road blocks. He said he was optimistic Indonesia would come around as "They understand these issues." (Agustina Wayansari)
[/FONT]

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070807170918&irec=8<!--<hr noshade size="1" color="#333333">-->
 
Last edited by a moderator:
Re: Indonesia increases risk by failing to share bird flu samples: WHO

"Vietnam has sent samples but has encountered shipping road blocks."


From first article, post #1:

Vietnam has been trying to send samples, but the shipment has not been cleared yet because of problems with ensuring the consignment complies with strict biosafety rules, he added.

I do hope they can resolve this issue. We just had another death from Vietnam reported today. Thanks for the posts Dr. Niman.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

reminds me to China last year. Finally they figured out that the reason China
hadn't submitted sequences was mere technical with shipping.

Seems that they just hadn't asked, what the problem was...
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

thank you doctor Niman.. :)
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

sorry, you lost me. My confusement ever increases...
You said (in post #10):
gsgs said:
so, did WHO receive Indonesian sequences in May,
but no live virus and but kept the sequences secret ?
And neither GISAID nor OFFLU nor niman nor Branswell
nor... said anything about it ?
The way I read that (and your subsequent posts) is that you're saying that the WHO received some partial sequences and not live viruses from Indonesia last May and kept those sequences and the fact that they were not live viruses secret.

You seem to go on to implicate GISAID, OFFLU, Dr. Niman and Branswell in the keeping of that secret.

I don't understand how, if as you are saying, the WHO kept these partial sequences and the fact that they were not live viruses a SECRET ... how Dr. Niman or Helen Branswell or anyone else for that matter could know about it (and then not say anything about it)?

Please, correct me if I'm reading you wrongly. Thanks.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

Indonesia won't share bird flu samples with WHO until system is fair - ministry
08.09.07, 7:12 AM ET
JAKARTA (Thomson Financial) - Indonesia will not share bird flu samples with the UN's health body until it is guaranteed access to affordable medicines to treat victims of the deadly virus, a government official said Thursday.
The World Health Organization this week accused Indonesia, which has suffered the highest number of human deaths from the H5N1 virus, of putting the world at risk by failing to share its samples.
Passing on laboratory samples would allow the WHO to keep track of any mutations that might spark development of an even deadlier pandemic strain of influenza, according to the body.
But Lily Sulistyowati, a spokeswoman from Indonesia's health ministry, said authorities here were awaiting a new mechanism that would put new guidelines on sample sharing in place.
Indonesia wants a system that is transparent and allows developing countries affordable access to medicine supplies to treat bird flu, she said.
This is because 'we had difficulties when we wanted to buy Tamiflu,' she told Agence France-Presse, referring to the main drug used to treat victims of the virus.
Tamiflu is manufactured by Switzerland-based Roche Holdings AG.
'We could not get it directly. The WHO told us that we had to queue up with other countries, developed countries, where they don't really have any cases.'
Indonesia stopped sharing virus samples with foreign laboratories in December 2006, saying it feared multinational drug companies could use them to develop vaccines that were not affordable for poor countries.
Jakarta said in May it had resumed sending H5N1 specimens to a WHO laboratory in Tokyo, but a senior WHO official this week said three specimens sent did not contain live flu viruses, and two were from the same person.
Sulistyowati said she could not understand why the WHO had not complained earlier.
Negotiations are under way to reach an agreement on detailed international virus sharing guidelines at a special meeting of the WHO's member states in November. The spokeswoman said the previous mechanism had effectively been abolished by the WHO in May.
Indonesia confirmed its first human bird flu case in July 2005 and has since confirmed 81 deaths.
Scientists worry the bird flu virus could mutate into a form easily spread among humans, leading to a global pandemic with the potential to kill millions.
afp/zr

zr/zr

http://www.forbes.com/business/feeds/afx/2007/08/09/afx4002773.html
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

theresa, I just suspect this, (I asked it) of course I can't know.

GISAID,OFFLU,niman,Branswell should have become interested IMO
and at least have asked, what's going on. Strange they didn't. IMO.

Now, with Triono's statement it's clear that WHO or Tokyo had received something.
Was this reported earlier ?
No one asked what especially they received ?
No one asked whether it will be public ?

What has changed since last year when we were more eager to know
about any new sequences from Indonesia ?
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

theresa, I just suspect this, (I asked it) of course I can't know.

GISAID,OFFLU,niman,Branswell should have become interested IMO
and at least have asked, what's going on. Strange they didn't. IMO.

Now, with Triono's statement it's clear that WHO or Tokyo had received something.
Was this reported earlier ?
No one asked what especially they received ?
No one asked whether it will be public ?

What has changed since last year when we were more eager to know
about any new sequences from Indonesia ?
Please stop posting nonsense.

The situation in Indonesia has been VERY clear for the past 6 months. There really is nothing new, other than suggestions for a petition (on multiple message boards by the same anonymous poster), which makes absoultely no sense (and made by the same anonymous poster, who posts personal attacks on a VERY regular basis, such as the post above, and has been doing so for WELL over a year).
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

A game is being played here, and the goalposts would appear to have been shifted again.

This sentence in particular sticks out.

Indonesia wants a system that is transparent and allows developing countries affordable access to medicine supplies to treat bird flu, she said.
This is because 'we had difficulties when we wanted to buy Tamiflu,' she told Agence France-Presse, referring to the main drug used to treat victims of the virus.

Up until now it has been all about vaccines. This is the first time that medicines have been thrown into the equation, and Tamiflu in particular. This is particularly puzzling, as Roche have licenced local production, so that it could be both available and affordable. Indeed, I thoguht that an Indonesian production plant was under construction, or possibly even now producing - I will need to hunt among the archives when there is more time to do so.

Bottom line is that it looks increasingly to me that Indonesia does not intend to provide or share samples, for any reason. Why is another matter again, and we can only speculate.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

do you have a referrence ? who is "she" ?

apparantly they did send 3 samples in May, but WHO
was not content with them while Indonesia claims
they were useful.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

theresa, I just suspect this, (I asked it) of course I can't know.

GISAID,OFFLU,niman,Branswell should have become interested IMO
and at least have asked, what's going on. Strange they didn't. IMO....
Well, it's an illogical suspicion on your part, in my opinion.

The first we've heard of this was this past Monday, Aug 6, when this David Heymann let the cat out of the bag. So it seems that, yes, this was all kept a secret by the WHO (and Indonesia obviously) until then. In which case, I just cannot see how Dr. Niman or Helen Branswell (I don't really know who/what GISAID or OFFLU is so I can't comment on them) would have been able to be "interested" in the situation and to ask questions about it until after Monday (??). As far as anybody knew (up until Monday), Indonesia had in fact shared some samples in the past few months (but obviously not all of them).
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

do you have a referrence ? who is "she" ?
"Lily Sulistyowati, a spokeswoman from Indonesia's health ministry...."

Vibrant62 is quoting from the article in post #27.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

A game is being played here, and the goalposts would appear to have been shifted again.

This sentence in particular sticks out.
Indonesia wants a system that is transparent and allows developing countries affordable access to medicine supplies to treat bird flu, she said.

This is because 'we had difficulties when we wanted to buy Tamiflu,' she told Agence France-Presse, referring to the main drug used to treat victims of the virus.
Up until now it has been all about vaccines. This is the first time that medicines have been thrown into the equation, and Tamiflu in particular. This is particularly puzzling, as Roche have licenced local production, so that it could be both available and affordable. Indeed, I thoguht that an Indonesian production plant was under construction, or possibly even now producing....
You're right. This is from 2005. I wonder if they ever got production under way or if the project just fell by the way-side:

Avian Flu Rampant In Indonesian Capital Of Jahkarta
by Mike Baron
Nov 25, 2005

Indonesia said Friday it would begin producing the bird flu drug Tamiflu with help from Swiss-based drug manufacturer Roche Holding AG. Bird flu has been detected throughout the Indonesian capital, Jakarta, with the country's Agriculture Minister Anton Apriyantono admitting: "It's very serious. Based on our research, the virus has spread all over the city," according to published reports.

Indonesia can now produce the antiviral drug, according to published reports, and the country will start making it as soon as it decides whether to get the raw materials from China or Korea, said Health Minister Siti Fadilah Supari.

"This means we can produce Tamiflu in our own factories," she told The AP.

"Tamiflu does not have patent protection in Indonesia," Roche spokesman Baschi Duerr said from the company's headquarters in Switzerland. "Indonesia is therefore free to produce Tamiflu as long as the product is distributed only in the domestic market."

http://www.postchronicle.com/news/health/article_2121498.shtml
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

it was known that they had sent samples to Tokyo since May:
http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/news/may1507samples.html
just I didn't know that these were "useless" and haven't read it anywhere.
Indonesia claims they were not.
According to earlier statements Indonesian sequences should be stored
at GISAID database where they should be public, but only uploaded
to genbank after 6 months, which didn't make sense to me,
since when they are public they could immediately be uploaded
to genbank.
In the meantime it had been announced by Indonesian scientists that there were mutations
in Indonesia, but WHO denied. Did they have the May-sequences at that point ?
So interest in Indonesian sequences grew.

At least since niman's posts in this thread it was clear that something
was not right with these sequences.
Still no one except me seemed to be interested to figure out what.

Niman who posted the story tries to kill the discussion, The same niman who last year
initiated the petition that Indonesia should release sequences with lots of complaints
in his commentaries.
OFFLU (www.offlu.net) was founded last year to support free access to sequences.
We supported it here, and it may have contributed that in July 2006 Indonesia
releasing full genomes of human viruses until January 2007.
Now it had been quiet about that this year. Why ?


>Jakarta said in May it had resumed sending H5N1 specimens to a WHO laboratory in Tokyo,
>but a senior WHO official this week said three specimens sent did not contain live flu viruses,
> and two were from the same person.
> Sulistyowati said she could not understand why the WHO had not complained earlier.

what is with these samples ? Why didn't WHO complain earlier ?
Why don't they specify now ?
Why were niman and theresa not interested ?

if sequences had been submitted to WHO or GISAID, why did no one notice that
they didn't show up (did they ?) why are they not public ?
Why doesn't GISAID say clearly what's with the 6 months ?
Is the GISAID agreement still valid, or is it abandonned meanwhile,
and if yes, why hasn't it been reported ?

see also this thread:
https://www.singtomeohmuse.com/viewtopic.php?t=1438&sid=14d9e9f48c8a30c2cec725331729a149
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

do you have a referrence ? who is "she" ?

apparantly they did send 3 samples in May, but WHO
was not content with them while Indonesia claims
they were useful.
The facts on this issue are quite clear. The 3 samples were discussed when they were sent to Japan (and this was quite public). There was material for sequencing, but there was no live H5N1, which is used for vaccine targets.

However, all of these details are tangential to the fact that Indonesia is negotiating on how available they will make samples and how those samples will be used with regard to vaccine deveolpment.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

it was known that they had sent samples to Tokyo since May:
http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/news/may1507samples.html
just I didn't know that these were "useless" and haven't read it anywhere.
Indonesia claims they were not.
According to earlier statements Indonesian sequences should be stored
at GISAID database where they should be public, but only uploaded
to genbank after 6 months, which didn't make sense to me,
since when they are public they could immediately be uploaded
to genbank.
In the meantime it had been announced by Indonesian scientists that there were mutations
in Indonesia, but WHO denied. Did they have the May-sequences at that point ?
So interest in Indonesian sequences grew.

At least since niman's posts in this thread it was clear that something
was not right with these sequences.
Still no one except me seemed to be interested to figure out what.

Niman who posted the story tries to kill the discussion, The same niman who last year
initiated the petition that Indonesia should release sequences with lots of complaints
in his commentaries.
OFFLU (www.offlu.net) was founded last year to support free access to sequences.
We supported it here, and it may have contributed that in July 2006 Indonesia
releasing full genomes of human viruses until January 2007.
Now it had been quiet about that this year. Why ?


>Jakarta said in May it had resumed sending H5N1 specimens to a WHO laboratory in Tokyo,
>but a senior WHO official this week said three specimens sent did not contain live flu viruses,
> and two were from the same person.
> Sulistyowati said she could not understand why the WHO had not complained earlier.

what is with these samples ? Why didn't WHO complain earlier ?
Why don't they specify now ?
Why were niman and theresa not interested ?

if sequences had been submitted to WHO or GISAID, why did no one notice that
they didn't show up (did they ?) why are they not public ?
Why doesn't GISAID say clearly what's with the 6 months ?
Is the GISAID agreement still valid, or is it abandonned meanwhile,
and if yes, why hasn't it been reported ?

see also this thread:
https://www.singtomeohmuse.com/viewtopic.php?t=1438&sid=14d9e9f48c8a30c2cec725331729a149
As has been noted previously, there is a big difference between sequencers hoarding sequences for publication purposes, and governments withhold samples because of commercial issues.

As also noted, you continue to post nonsense on message board after messange board, creating considerable confusion for most of the board readers.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

so, did they get some sequences out of the 3 samples and where are they ?

didn't they announce to make them public via GISAID ?

And why doesn't niman want them ?
nor Theresa42 nor monotreme nor Branswell nor OFFLU nor GISAID
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

so, did they get some sequences out of the 3 samples and where are they ?

didn't they announce to make them public via GISAID ?

And why doesn't niman want them ?
nor Theresa42 nor monotreme nor Branswell nor OFFLU nor GISAID
Japan does not have a record on making sequences public in a timely manner. The release of sequences is determined by the sequencing labs, not some schedule expected by an anonymous internet poster.
 
Re: Indonesia increases risk by failing to share bird flu samples: WHO

David Heymann, said the agency had received three specimens from Jakarta in May, but none contained any live virus.

the only samples it has sent, in May, were unusable

?He?s not a scientist, he should ask the scientists,? Dr Triono said.
?The samples have been sequenced and can be used for risk assessment
and to assess whether there has been a mutation.?


is it OK now, that these sequences are withheld ?
Indonesia apparantly wants them to be public.


niman this year:
>Japan does not have a record on making sequences public in a timely manner.
>The release of sequences is determined by the sequencing labs, not some
>schedule expected by an anonymous internet poster.

niman last year:
> We, the undersigned, call on all governments, health authorities such as the World Health
> Organization (WHO), and other flu scientists who are researching H5N1 who have not yet
> released sequence data (such as the CDC, St. Jude's, Weybridge and Mt. Sinai), to deposit
> them immediately in GenBank. The future of humanity may very well be at stake here --
> there is no longer any time to waste.
 
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