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Policy: Adaptations of avian flu virus are a cause for concern - Nature.com
 RedOrbit
Policy: Adaptations of avian flu virus are a cause for concern Nature.com Pathogenic H5N1 avian influenza has led to the culling of hundreds of millions of birds. A human-transmissible form could have much worse consequences. Highly pathogenic avian influenza A/H5N1 infection of humans has been a serious public-health ... Bird flu data should be kept under wraps, science panel saysCNN Panel Speaks Out on Flu Censorship ControversyMedPage Today Ronald Bailey on Scientific Censorship and Avian FluReason Online (blog) Watching the Watchers.org -RedOrbit -Los Angeles Times all 166 news articles »
Bird-Flu Virus Engineered in Wisconsin Lab Isn’t Fatal, Scientist Says An airborne strain of avian flu engineered in Wisconsin isn’t lethal and can be blocked with existing medicines, the study’s lead scientist said.
Tracking the Deadly Bird Flu - Washington Post
Tracking the Deadly Bird Flu Washington Post June 6, 2006: USDA wildlife biologist Corey Rossi holds a King Eider duck before testing it for avian flu in Browerville, Alaska. June 5, 2006: USDA worker Gail Keirn (L) assists USDA wildlife biologist Corey Rossi in collecting samples of fecal matter ...
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Bird Flu: Diagnosis
Central to the problem of dealing with bird flu is diagnosis. A number of upper respiratory infections have similar symptoms--at least at the onset of the illness, including the common cold, seasonal influenza, and bird flu. Seasonal flu and bird flu have almost identical symptoms--including fever, cough, malaise (feeling unwell), nausea, vomiting, and diarrhea. This is, needless to say, a gigantic problem in accurately diagnosing bird flu--which is critical to beginning appropriate treatment as well as initiating infection control procedures and public health measures.
Currently, accurate testing for bird flu and other vial infections that can cause similar symptoms is difficult and requires specialized testing. This testing is time consuming and only available in specialized reference laboratories, which are few and far between. Fortunately, this may change in the near future.
According to Richard Janeczko, Ph.D., executive vice-president and chief scientific officer, Tm Bioscience, located In Toronto, Canada, is feverishly working to complete the final stage of development of an amazing test--not only for bird flu, but for more than 15 other viral infections (including severe acute respiratory syndrome or SARS), many of which can mimic the symptoms of bird flu (personal communication). (Tm Bioscience is a DNA-based diagnostics company developing a suite of genetic tests. Tm Bioscience's product pipeline includes tests for genetic disorders, drug metabolism, and infectious diseases. Additional information about Tm Bioscience can be found at http://www.tmbioscience.com.)
The test, called the Multiplexed Respiratory Test, discriminates influenza A from influenza B and identifies the H5-subtype of influenza A (bird flu is "H5N1") from all other H subtypes. In addition, it can identify almost all the other common--and some uncommon--viruses that cause influenza-like illnesses. This is extremely important in managing patients, communities and economic issues. Other tests have lower clinical sensitivities and specificities which can lead to both false positives and false negatives. By incorrectly identifying an outbreak as due to H5N1, patients could be treated with anti-virals unnecessarily (thus raising the chances of selecting for drug-resistant strains), unneeded vaccination programs in asymptomatic individuals could be initiated, and damage to local and national economies--through such measures as culling of commercial poultry operations--could occur. Conversely a false-negative test result could lead to catastrophic outcomes, including a pandemic. The assay utilizes swab specimens taken from the nose and takes less than 5 hours to perform. It was developed for use as a diagnostic tool and for infection control in hospitals. The assay has been slated for expedited review by the Food and Drug Administration (FDA), and TM Bioscience is hoping to have an FDA-cleared test available by the end of January 2006. If this assay delivers what it claims, it will have huge applicability on a global basis and save many lives.
Bradford Frank, M.D., M.P.H., M.B.A. The Frank Group P.O. Box 138 Lakewood, NY 14750 http://www.AvoidBirdFlu.com
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