Thursday, November 3, 2016

More Fatal Ebola Mutant Identified from 2014 Crisis

As time passes, it continues to shed more light on the roots of the 2014 Ebola outbreak in West Africa. We already know that factors contributing to the virus' deadly spread included a traveling population, a lack of public health measures, and dangerous burial procedures, or lack thereof. Evidence is now emerging that a second, more fatal, form of the disease appears to have emerged in the midst of the crisis.

Through genomic analyses of infected individuals, Harvard computational biologist Dr. Pardis Sabeti and her team learned that the virus had a quick mutation rate. Noticeable among these mutations was one known as GPA82V, first observed in a Guinean patient in March 2014. The researchers found that this mutation alters membrane glycoprotein function, and that the 194 humans infected with the mutant form of the virus were significantly more likely to die than those infected with the old strain.

Dr. Jeremy Luban and his team at the University of Massachusetts Medical School studied a hybrid HIV, modified with Ebola surface proteins, and found that the mutation did indeed allow the virus to infect human cells at a higher rate than the older strain. Interestingly enough though, this was only the case for primates, as tests in dogs and cats revealed no differences. Another team studied both forms of the virus within a bat species thought to be the virus’ natural host, and found that virulence actually decreased. Given the virus’ newly found potential, some think it is imminent that the virus makes a return.

Ahmed Mustafa

References:

Here’s a Cell Journal article for anyone interested on the topic:

Wednesday, November 2, 2016

Tanzania cancels HIV/AIDS prevention support for at risk groups





Tanzania recently suspended community-based HIV/AIDS prevention programs for gay men, due to reports that stated that NGOs were promoting the normalization of same-sex relationships as part of their HIV/AIDS prevention programs. The prime minister for health, Ummy Mwalimu, stated that support for other HIV/AIDS prevention groups would remain, such as those who provide education to adolescent girls and drug users, among others. 

A member of the Community Health Education Services and Advocacy NGO stated, “his is essentially denial of services to people who are at the highest risk of contracting HIV, there's going to be a lot of implications.” These implications could include a rise in the incidence of MSM with HIV/AIDS, further stigmatization of LGBT rights and homosexual relationships. 

Gay sex is illegal in Tanzania and punishable for up to 30 years of prison. In September, the government had threatened the promotion of LGBT rights, and thus came about cancelling the HIV/AIDS promotion program for MSM. At the moment there are 1.4 million people living with HIV in Tanzania, which is about 5% of the country’s population. HIV prevalence among gay men is higher with about 1 in 4 being seropositive.  

Gianna Nino-Tapias (’18) 

References:


Tuesday, November 1, 2016

New dengue strain in India or misidentified pathogen?

The Times of India recently reported that a number of people have been falling ill with what doctors have described as a likely new strain of dengue virus.

Doctors have said, of patients presenting with very similar symptoms, 1 in 10 have not been screening positive on the dengue virus Elisa test. Doctors believe that a mutation of dengue virus giving rise to a new strain may be what is causing the confusion. On the other hand, many other pathogenic infections cause systems similar to dengue fever. So, this new crop of patients may not have dengue virus to blame.

Carolyn Oliver

Sources: Times of India. http://timesofindia.indiatimes.com/city/bhopal/Not-dengue-but-vicious-virus-strain-hits-Bhopal/articleshow/54929875.cms

Epidemiological Ethics


Recent findings have lead lab scientists, epidemiologists, and historians to conclude that Gaëtan Dugas, a Canadian flight attendant, famed for being considered "patient zero" of the HIV epidemic in North America, was actually not "patient zero." For a lot of people reading the news, particularly young people who were not alive during the initial part of the HIV/AIDS epidemic, we might think "So, what?"

In a recent NYTimes article, Donald McNeil discusses a few more well known patient zeros - from our history, like Mary Mallon or Thyphoid Mary, and present day patient zeros like the toddler in Guinea who was likely the first case of Ebola in the 2014 West Africa Ebola outbreak. McNeil presents a differences in how some camps think of patient zeros. He says that the ethicists say patient zeros are, first and foremost, patients and their privacy should be respected as much as the privacy of patient 400 is respected. Epidemiologists, on the other hand, McNeil claims, want to emphasize and prioritize the identification of patient zero because understanding how patient zero became infected and spread the disease is important to saving lives. This conversation is an important one to have, especially in a world of many emerging infectious diseases where right to movement and patient privacy are being actively debated. Do quarantines violate human rights? Should patient data be kept private when that information could help save lives? How does the identity (racial, sexual orientation, gender, behavior, etc.) play into the labels that are attributed to patient zeros or potentially positive patients?

Carolyn Oliver

Sources:
McNeil Jr., Donald G. October 29 2016. NYTIMES. http://www.nytimes.com/2016/10/30/sunday-review/the-ethics-of-hunting-down-patient-zero.html
Gaëtan Dugas: https://en.wikipedia.org/wiki/Ga%C3%ABtan_Dugas
Image: http://mediad.publicbroadcasting.net/p/wmra/files/201205/patient_zero.jpg

Recent dengue vaccine associated with exacerbated zika outbreak

Tang, Xiao, Wu recently published their work on a mathematical model that predicts how dengue vaccination can exacerbate the incidence of zika during peak outbreak. It is well known that zika and dengue are both flavirviruses transmitted by mosquitos and are present in tropical and subtropical regions of the world.

Recent studies have shown that antibodies to dengue can actually facilitate zika infection. Dengue and zika co-infection has been documented in a handful of cases in South America, and there is reason to suspect that co-infection may be on the rise.

The model predicted that vaccination against dengue is associated with heightened zika infection, a greater number of people infected at the peak of the outbreak, and an earlier peak of outbreak when there are 10,000 or more infected mosquitos. Fortunately, the model emphasized decreased risk of these outcomes with shorter mosquito lifespans.

The researchers concluded that more research is warranted exploring the relationship between dengue and zika co-infection and also between dengue vaccine and zika infection. Additionally, the researchers suggest continuing mosquito control measures in the interim.

Read more here: http://www.nature.com/articles/srep35623


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~Jazzmin

¬WHO’s new Program on Health Emergencies

As we all may know, WHO is a very well known organization that works with helping during any disease outbreaks or natural disasters. It recently added a new programme that focuses on Health Emergencies and this program will focus in on full risk management, prevention and preparedness. Given that there are around 130 million people that need humanitarian assistance, WHO has decided to respond to the high need by creating a separate program that solely seeks to work with countries and different health partners to prepare for and possibly prevent health emergencies.
            Since its very recent inception, WHO Health Emergencies has already seen significant progress in risk management and coordination for its responses to health outbreaks.  For instance, with the Zika virus outbreak, WHO was able to respond within 10 days and work with 23 agencies to create a strategy to respond to this outbreak in the best way possible.  From caring for those infected to aiming at eliminating the mosquitos, WHO has been working to lower the Zika-infected individuals.
            This Health Emergencies Programme partners with different organizations in order to produce quickest and most effective response. Some of its partners include, but are not limited to: global health centers, emergency medical teams and global outbreak alert and response network. Therefore, it has partners at various levels and that in turn allows for a more effective response because working with different levels allows for the most outreach and help.
            Therefore, this programme is looked at being the start of a great branch within WHO at helping increase the knowledge and response to infectious diseases.

Learn more about WHO Health Emergencies Programme here: http://www.who.int/features/qa/health-emergencies-programme/en/


-Jeanette Rios