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Tracking the next pandemic: Avian Flu Talk

"H5N1 could be more widespread in humans"

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    Posted: February 13 2006 at 12:07am
Report: Avian flu may not show symptoms

(excerpt) Science Digest

NEW YORK, Jan. 19 (UPI) --" World Health Organization scientists are
concerned that a growing number of people are turning up who have
been exposed to avian flu but showed no symptoms.

The organization said four people who culled sick birds in Japan and two
attendants caring for infected tigers in Thailand were found to have
antibodies to the virus but showed no symptoms.

That leads to concern the H5N1 virus could be more widespread among
humans than scientists are aware, The Wall Street Journal reported
Thursday.

Hundreds of undetected cases would mean "there's that much more
opportunity for this virus to learn to be transmissible," said Scott Dowell,
head of global disease detection for the Centers for Disease Control and
Prevention in Atlanta. "With every case, we worry about the possibility of
the virus acquiring the ability to transmit from human to human."


http://www.sciencedaily.com/upi/?
feed=TopNews&article=UPI-1-20060119-09340500-bc-us-birdflu.x ml
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dualis Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 2:49am
On a good note, perhaps this means that a pandemic could be a lot less severe than we are worried about when it gains H2H effiency
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Post Options Post Options   Thanks (0) Thanks(0)   Quote elbows Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 12:33pm
Given how much they sometimes struggle to get positive reslts out of people who are real sick or dead, Ive long suspected that there are many mild cases that just arent being looked at.

Some experts wonder about the relatively low numbers of commercial poultry workers in Asia who have shown any signs of nasty H5N1, leading to ideas that maybe loads of them have had some sort of H5N1 exposure over many years.

Even when the pandemic happens, and even if there is a nsaty deathrate, there will be lots of people who get it who will only have normal flu symptoms, or no symptoms at all. Just as they found asymptomatic ducks, there will be asymptomatic humans.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 12:45pm

Maybe there's some real hope

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Tired Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 12:58pm
This also means that the mortality rate probably isnt as high as it would appear to be.  Im taking it as potentially good news!

Better to be safe than sorry....
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Post Options Post Options   Thanks (0) Thanks(0)   Quote elbows Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 1:02pm
I dunno if it gives me much more hope, its all relative really. I mean a lot of people have been dying of normal influenza whilst we've been preparing for a pandemic, just not enough (or the sorts of age groups) for it to really make a noticable impact, unless of course its someone you know/love who has died.

I think the 'worst case scenarios' done by most governments and WHO have not used a high enough deathrate, but even in a total worstcase nightmare, nobody is expecting that a quarter or a half of the population will die (though that doesnt make it absolutely impossible, anythings possible I suppose).

I mean looking at 1918, what was the deathrate, something like 1%? Its bad, and this one could be worse, but its the fear and the sickness that causes at least as much of the problems during the actual pandemic.

Its hard to overstate how much the age-range of the victims will make to how the pandemic turns out, int he short and long terms, economically and emotionally.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 1:53pm

Originally posted by elbows elbows wrote:



I mean looking at 1918, what was the deathrate, something like 1%? Its bad, and this one could be worse, but its the fear and the sickness that causes at least as much of the problems during the actual pandemic.

The 1918 US death toll was approx 2.25%.  The World death rate was approx 6%.  Infection rates are said to have been as high as 50%.

I have worked up a spreadsheet comparing the 1918 infection rate/mortality rates vs world and US population at that time and applied the same figures to todays' world and US population.  The number of fatalities using 1918 figures against todays population is very large. 

I also included a range of infectious rates from 15 to 35% vs todays US population with a variable mortality rate - the numbers, again, are very large.  Shockingly large, especially if you move to 50% infection and 50% mortality: 1 in 5 people or appoximately 1.25 BILLION people. 

This reflects the numbers that health officials were quietly talking about  a year ago, before this all really hit the fan in September.

Lastly, just for fun, I plugged in the "Official" CDC expectations of 15 - 35% infection rate with a death toll of 87,000 - 207,000.  That makes the mortality rate from between .08% to .46%.   OR an infection rate of only 1% with between 3% and 7% mortality. 

I can upload the XL file if there is a way to do so, if anybody would like to play the "plug in the numbers" game for themselves.  It's very basic and not at all scientific, compared to the actual calculations that specialists use, but it helps put things in perspective.

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote WildBill Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 2:40pm
I'm not an expert... so i am wondering if this could be due to the fact that H5N1 is still an avian flu... therefore some people might get infected just enough to kick off a mild imune response... but since the virus is not replicating efficiently enough in the're body then they are not getting sick... If so then this would be not really very important at this time... And would not be the case if H5N1 developes greater human cell binding capabilities... Any experts out there to answer this???
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CupcakeMom Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 6:35pm

Thank you, Bannor.  The CDC is publicly, grossly underestimating the potential infection rates and mortality rates based on numbers from the 1918 flu.  It frustrates me when I see these qouted all the time, like their numbers mean something.   Anyone who can do math can figure out that the CDC numbers don't add up....Geez!  You'd think journalists would question it a bit more

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Post Options Post Options   Thanks (0) Thanks(0)   Quote DarlMan Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 6:59pm

I am not sure how to take this news.

In 1918 we know that there were three waves of the spanish flu.  The first was relatively mild, before becoming the killer that we know of.

We will not know what this virus is going to look like until it starts the H2H spread. 

All we know for sure is that the virus is going to have to change to become a pandemic, will that change be for the good or for the bad of humanity is not known.

History shows again and again
How nature points out the folly of men
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: February 13 2006 at 9:14pm
Originally posted by DarlMan DarlMan wrote:

All we know for sure is that the virus is going to have to change to become a pandemic, will that change be for the good or for the bad of humanity is not known.

 

Unfortunately, I'm not sure we've seen anything this deadly or widespread in recent recorded history.  It seems to be just as deadly to any other wildlife that it has jumped to, human beings being no exception.  Nothing in the last few years has convinced me that this organism is getting more benign: the opposite.

I think it is much more reasonable that, when it becomes capable of H2H that it will be deadly - for two reasons: I think it is less reasonable to expect basically two mutations: one for h2h and one that makes it less virulent and secondly: as I understand it, it is not so much the infectious activity of H5N1 in human as much as it is the immune reaction to the H5 (and I presume, N1) markers. 

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: February 14 2006 at 7:25pm

In regard to "waves of flu" Flu's do come in waves. What is unfortunate is that if a given wave infects 30% of the population, the next wave (usually within the same year) can infect a different 30%.

In regard to the 1918 pandemic, this article mentions a symptom of H5N1 that hasn't been widely reported, psychiatric disturbances. This excerpt is from the Brain Research Bulletin of January 2006:

"....Recent incidences of direct passage of highly pathogenic avian influenza A virus strains of the H5N1 and H7N7 subtypes from birds to man have become a major public concern. Although presence of virus in the human brain has not yet been reported in deceased patients, these avian influenza subtypes have the propensity to invade the brain along cranial nerves to target brainstem and diencephalic nuclei following intranasal instillation in mice and ferrets. The associations between influenza and psychiatric disturbances in past epidemics are here commented upon, and the potentials of influenza to cause nervous system dysfunction in experimental infections with a mouse-neuroadapted WSN/33 strain of the virus are reviewed. This virus strain is closely related to the Spanish flu virus, which is characterized as a uniquely high-virulence strain of the H1N1 subtype. The Spanish flu virus has recently been reconstructed in the laboratory and it passed once, most likely, directly from birds to humans to cause the severe 1918-1919 pandemic."

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