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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 05:26 PM
Original message
Repost: Explaining Avian Flu Virus and Possible Pandemic
Edited on Tue Oct-04-05 05:39 PM by sparosnare
Since avian flu is one of the topics of the day, another DUer has requested I repost this essay I wrote in April. It was originally posted in the Science forum, the link is at the bottom if you'd like to read the entire thread.

An avian flu pandemic may happen this year, but may not happen for another 50 years. Please keep that in mind in the coming months - I am not sure why there's hysteria within the government at present. I am inclined to believe they are making good use of fearmongering as a means of distraction.

Explaining Avian Flu Virus and Possible Pandemic

Here’s my unsolicited lesson in viruses and how they survive – particularly the influenza A virus causing the current outbreaks of avian flu. I’ll do my best to write an explanation without being too technical. Let me add a disclaimer here – no one can predict when a pandemic will occur but I do believe it is inevitable; either in a few years or as many as 50. As advanced as we humans are, we can’t stop mother nature - it's that pesky "E" word (evolution).

A virus is a parasite – it is comprised of genetic material enclosed in a protective coat. The genetic material may be DNA or RNA depending on the type of virus. The protective coat is called a capsid. Not only does it protect the genetic material inside, but the capsid also helps the virus infect host cells. Some viruses even have an additional outer envelope of proteins, sugars and lipids stolen from the host cell in which it has been made. The complete virus "particle" – genetic material, capsid and envelope (if it has one) - is called a virion.

We aren’t sure of the origins of viruses, but most virologists agree that each virus got started by copying a few useful genes from their host cells. Viruses are ignorant of any patent or copyright laws. They are brilliant at making copies out of whatever they find useful in the host’s genetic code and move on from there. The ‘useful’ gene that’s stolen is intimately involved in the host cell’s reproduction, food gathering, cell communication or other essential function. Viruses mutate the stolen genes and when a particularly useful mutation comes along, the virus uses it for it’s own survival, usually to the detriment of its host. Over many generations and years, viruses have the ability to switch over the other species, find new genes to copy and then continue evolving in their own selfish way.

The avian flu virus is an orthomyxovirus – its genetic material is RNA. When a virus with RNA replicates, the copies tend to have more errors than when a virus with DNA replicates. These extra errors provide mutations upon which natural selection may act. That means RNA viruses have a high mutation rate and can evolve quickly - faster than a DNA virus or any DNA cell. Over time these mutations accumulate and eventually the virus evolves into a new strain. This progressive accumulation of individual mutations is called antigenic drift. The shape of the viral protein (antigen) slowly drifts into a different shape with each generation of virus. Eventually they drift so much that the original antibody can no longer bind to it. That means a host can become infected with this newly evolved virus. All viruses show antigenic drift, but RNA viruses mutate faster so they drift faster. Antigenic drift is responsible for many of the localized outbreaks of different strains of influenza, especially influenza A and B. In practical terms, antigenic drift is the reason we need to develop a new flu vaccine every year for human influenza and why it’s never 100% effective.

Here’s where it get pretty amazing – influenza A. This virus has the ability to undergo a kind of gene swapping or genetic reassortment that other viruses do not have. If a host cell is simultaneously infected by two different strains of influenza A, the copies of the virion may contain mixtures of each parents' genes. This makes it very easy for influenza A to quickly evolve into new combinations of genes. This is called antigenic shift; a newly created virus strain with mixed genetic material that’s different from it’s parents. This phenomenon is different from antigenic drift which occurs slowly and without change in the gene associations. The new combinations are such a unique strain of virus that the immune system has to start all over to make new antibodies to combat it.

Influenza A can infect mammals other than humans including birds (avian flu). It's very unusual for a virus to have such a wide host range, but influenza A somehow manages this trick. It probably has to do with the fact that the virus gains entry to a host cell by using receptors common to many species. That means a strain of influenza A may infect one species for decades and then suddenly jump to a new species. This sudden jump, due to antigenic shift, can produce a very serious epidemic. For example, several years ago many seals washed up on the east coast of the US dying from a strain of influenza A that, until then, had only been found in birds. Horse and swine influenza A have turned up in humans. Influenza A is the nightmare of science fiction - a virus that normally causes only a slight illness, undergoes genetic recombination with other species and comes back as a very deadly virus.

We know that influenza A has been conducting random, unlicensed recombinant genetics "experiments" for centuries and will continue to do so regardless of what any of us try to do about it. We watch and wait. Avian influenza A virus has a very high mortality rate (about 75%) and that’s why the present scenario is so scary. If avian influenza A were to recombine with human influenza A within a host cell, it may give the virus the ability to pass from one human to another quite rapidly. This would cause a worldwide pandemic. We may be getting dangerously close to this reality as there were two documented cases of human to human transmission last year in Asia. Another significant change we’ve seen in bird to human transmission is the large amount of viral particles in respiratory secretions of birds where in the past the virus was only found in bird feces.

And when it comes to vaccines, there are obstacles to the rapid development of a vaccine for a pandemic outbreak. Flu vaccines are normally grown in chicken eggs, but this will not be useful because avian influenza A is deadly to the chicken embryo. The only other option will be to use ‘reverse genetics’, which involves merging selected genetic material from the natural virus with a laboratory virus, with the resulting virus stimulating an immune response, but no disease when injected into humans. This of course, is easier said than done.

I happen to respect viruses a great deal - they are amazing creatures. I ask myself frequently how a one-celled organism dependent on others for survival can be so smart – they always seem to be one step ahead of us.

My advice if an avian flu pandemic happens - stock up on supplies and stay home.


http://www.democraticunderground.com/discuss/duboard.php?az=show_topic&forum=228&topic_id=5742

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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 05:42 PM
Response to Original message
1. kick - no one wants to read this?
;)
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TechBear_Seattle Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 05:46 PM
Response to Original message
2. Thank you for posting this
Lots of good information that doesn't need a science background to digest. And just to add a bit... the thinking among epidemiologists around the world, since the 1980s if not earlier, is that a major "killer flu pandemic" is not a question of "if", but "when."

Right now, avian flu is the leading candidate for that when. A few years ago, it was SARS. Hopefully, something else will be the leading candidate in a few years, as that will mean the pandemic hasn't happened yet.
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 05:50 PM
Response to Reply #2
3. You're welcome
and yes, it's not if, but when. :hi:
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trekbiker Donating Member (724 posts) Send PM | Profile | Ignore Tue Oct-04-05 05:56 PM
Response to Original message
4. kick.... very good description of the bird virus
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robertpaulsen Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 06:06 PM
Response to Original message
5. Sounds like a set-up after today's speech.
A set-up that will make the anthrax scare look like a holiday.

Definitely recommending this one. Thanks sparosnare!
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 06:30 PM
Response to Reply #5
6. Yeah, I think Bushco is salivating
they can do much to stir up fear - it's a form of terrorism, really.
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TechBear_Seattle Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 08:37 PM
Response to Reply #6
25. "Salivating"? You could say that.
Fearless Leader has already announced his intention to put the military in the role of enforcer of pandemic quarantine:

http://www.democraticunderground.com/discuss/duboard.php?az=show_mesg&forum=132&topic_id=2134707&mesg_id=2134707

Martial law and suspension of the Bill of Rights "for the duration of the crisis", anyone?
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alittlelark Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:05 PM
Response to Original message
7. Very succinct and easy to understand.
WHEN the next epidemic breaks out - and I hope it is in the very distant future - My kids and I will not leave the house. We have enough earthquake supplies for a few months - we could live off of them.

If hubby insists on leaving the house for work, he can live in the gazebo and the MIL quarters. Fortunately I think he is bright enough to close the company.
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:08 PM
Response to Reply #7
8. Good plan.
I was listening to Ed Shultz today discussing a pandemic. He talked about leaving if it happens - getting out of the city, wherever. Talked about traffic jams and people going nuts and what a mess it would be.

Remember though, the best thing to do is quarantine yourself and stay inside. :thumbsup:
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bonito Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:20 PM
Response to Original message
9.  Thank you for this post
Do you know if ionic silver has been tested on this virus by anyone? and in general are you familiar with it. thanks.
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alittlelark Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:38 PM
Response to Reply #9
14. Do you mean colloidal silver?
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bonito Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:46 PM
Response to Reply #14
18. Yes
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alittlelark Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:49 PM
Response to Reply #18
20. I don't know if it has been tested w/ it
But I make my own at home.
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 08:14 PM
Response to Reply #9
22. I know of no clinical trials/scientific data with ionic silver
I admit I am not very familiar with it - can you tell me if you think it would be effective against this virus and why?
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crispini Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:22 PM
Response to Original message
10. Very good! Thank you!
I particularly enjoyed sharonking21's graphic of the pig in the original thread. :rofl:
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wildflower Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:28 PM
Response to Original message
11. Thank you, sparosnare. May I ask a question re: mortality?
You said "Avian influenza A virus has a very high mortality rate (about 75%)"; this is in birds, right? Or is that in humans also?

Thank you for the very clear and informative post.

wildflower
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 08:12 PM
Response to Reply #11
21. It's in humans who contract from birds -
Edited on Tue Oct-04-05 08:12 PM by sparosnare
but in human to human transmission, we'd expect it to weaken somewhat due to mix with human influenza. :hi:
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wildflower Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 10:20 PM
Response to Reply #21
30. Okay, I see. Thank you.
:hi: back at you!

and :kick:

wildflower
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Alamom Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:30 PM
Response to Original message
12. Thanks. n/t
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babsbunny Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:38 PM
Response to Original message
13. Stock up on what kind of supplies?
This world is so screwed up, but I guess I understand That things can get much worse. Supplies like water, batteries, chicken soup?
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existentialist Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:40 PM
Response to Reply #13
16. Yes.
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alittlelark Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:47 PM
Response to Reply #13
19. I have a 2 month earthquake supply
Edited on Tue Oct-04-05 07:48 PM by alittlelark
which w/ a few additions is good in this case as well
Go to
http://www.oes.ca.gov/Operational/OESHome.nsf/978596171691962788256b350061870e/A6BE1FB7591A508D88256CD70058FBAB?OpenDocument

and click on 'emergency supplies checklist' - it is comprehensive, and good in almost all situations.
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existentialist Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:39 PM
Response to Original message
15. Staying home is the most effective
anti biological attack strategy. I remember reading a Scientific American article about how a city could most effectively defend itself against a biological attack.

There were many things that could be done, assuming that vaccines existed, and other favorable factors existed, but the most effective strategy to deal with a biological attack was if every one would simply stay home.

And influenza in particular spreads like wild fire in mass gatherings. That's a large part of why the 1918 epidemic was so deadly.
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tanyev Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-05-05 09:04 AM
Response to Reply #15
38. Thank God for Netflix!
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dogday Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 07:43 PM
Response to Original message
17. Great Article, thanks for posting
gives you a better understanding of it.
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Athame Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 08:19 PM
Response to Original message
23. Gotta kick this one for the evening on the left coast
Thanks, again, sparosnare! :kick:
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 08:22 PM
Response to Reply #23
24. You're very welcome.
My goal was to give nonmedical folks an easy understanding of influenza A - I'm so glad it was helpful. :hi:
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Art_from_Ark Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 09:31 PM
Response to Original message
26. Strange sentence
"Influenza A can infect mammals other than humans including birds (avian flu)"

Birds are not mammals
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 09:32 PM
Response to Original message
27. One last kick for nighttime.
:kick:
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Mnemosyne Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 09:32 PM
Response to Original message
28. Thank you for re-posting this sparosnare. You
explained the viral mutations about the best anyone ever has to me. Am I understanding correctly that the fact that the virus is being excreted through respiratory secretions rather than just the fecal is a bad sign because of the inhalation of the virus into the air? Am I even close?
Have you ever talked to pandemic_1918 here before? He doesn't post often.
Thank you!
V
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 10:13 PM
Response to Reply #28
29. Your assumption is correct - much easier to catch
and, it may be making it's own mutative changes (separate from combining with human influenza). :hi:
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Mnemosyne Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 10:58 PM
Response to Reply #29
31. Can that effect how quickly it will mutate?
Edited on Tue Oct-04-05 10:58 PM by vickiss
Or are there any conditions that can speed up the rate of mutation? I hope I'm asking good questions, I want to learn. I feel this is so important.
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 10:59 PM
Response to Reply #28
32. There is absolutely NO fecal-oral transmission of flu virus. It is spread
exclusively via respiratory secretions, IIRC. It is a respiratory virus. If you touch your face/nose you can get the virus on your hands, and normally transmission via fomites (objects) is more likely than via respiratory aerosol unless somebody coughs/sneezes directly into your face. This is why handwashing is SO important in comtrolling normal flu. But a face mask worn by the person with the flu will help to decrease aerosol transmission.
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Mnemosyne Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 11:08 PM
Response to Reply #32
33. Any kind of masks do? Paint?
Have you heard any reports on the tularemia kestral? I was in DC. Do you think it was a scare plant?
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 11:25 PM
Response to Reply #33
34. Any old face mask, like the "dust masks" or maybe what you call a
paint mask will do to block the spray of "snot droplets" when worn by a sneezing/coughing person. In Japan they traditionally wear the blue surgical masks with the ties during flu season. It makes for a strange look when in public, but if you have a bug it is common courtesy to wear one there, to minimize spread.

I am still waiting to hear of any confirmed tularemia. I am beginning to think it was a deliberate scare by *.
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Mnemosyne Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Oct-04-05 11:31 PM
Response to Reply #34
35. * is such an ass. Won't he just go away? :) n/t
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Avalux Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-05-05 06:56 AM
Response to Reply #32
36. You are speaking of human influenza A -
avian influenza A is found in bird fecal matter as well as respiratory secretions:

"Can the avian influenza be spread to humans from infected birds?

In rare instances, people can contract avian influenza. The exact mode of transmission from birds to people is not known, but most human cases of avian flu have been traced to direct contact with live infected birds or their droppings."

http://www.ottawahospital.on.ca/spotlight/avianflu/index-e.asp
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-05-05 10:03 AM
Response to Reply #36
40. I was referring to how it propagates in people and thought you were also
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bj2110 Donating Member (802 posts) Send PM | Profile | Ignore Wed Oct-05-05 07:02 AM
Response to Original message
37. Very informative. Thanks.
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Festivito Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-05-05 09:19 AM
Response to Original message
39. Mort rate 66%, any ideas on infection rate?
Or, for the 1918, vaguely recall overall deaths around 10% with no recall of mortality or infection rates.

P.S. My mom survived 1918 with Dr. Wilson holding her hand all night.
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stickdog Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-05-05 05:06 PM
Response to Original message
41. Thanks for a little evenhanded sanity among the chicken littles
and cynical naysayers.
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