infectious disease

Chuck Darwin posed a very good question here that I'm spinning off into a new discussion. The work Taubenberger and others are doing on the evolution of influenza a century ago is fascinating and could very well be pertinent to prediciting future influenza virus genetic drift/shift, host-virus interactions, etc. However, I ask myself if the benefits of this work for future public health, as well as for general scientific interest, is worth the risks when it comes to biosecurity. With reverse genetics methods introduced a few years ago, any influenza virus can be generated through relatively…
Somehow I missed this story in the June issue of Science: ...Jeffery Taubenberger of the Armed Forces Institute of Pathology (AFIP) in Washington, D.C., said that RNA found in tissue samples from pneumonia patients who died in 1915 shows that the virus's hemagglutinin--an all-important coat protein--is a subtype called H3. If confirmed, "that's tremendously exciting," says molecular biologist Ian Wilson of the Scripps Research Institute in San Diego, California. Knowing the virus's entire genetic makeup--which Taubenberger believes is possible--would shed fresh light on where the 1918 killer…
Every couple of months, it seems, comes a new media story on Morgellons disease, a "mysterious ailment" in which Most individuals with this disease report disturbing crawling, stinging, and biting sensations, as well as non-healing skin lesions, which are associated with highly unusual structures. These structures can be described as fiber-like or filamentous, and are the most striking feature of this disease. In addition, patients report the presence of seed-like granules and black speck-like material associated with their skin. Sounds like something that's right up my alley of interest, but…
I've mentioned previously the potential role that mild or asymptomatic infections with influenza may play in transmission and evolution of the virus. Right now, most of our reports of H5N1 have been due to serious infections that caused a patient to seek medical care. These cases are the tip of the iceberg in a normal influenza outbreak, when most of us don't have physician-diagnosed influenza. Instead, we recognize the signs and symptoms, and stay at home to ride it out. Is this happening in Indonesia, Thailand, and elsewhere? For every person who shows symptoms of H5N1 infection, are…
Evolutionary biologists sometimes think we microbiology people have it easy. "No one doubts the germ theory!," they claim. Au contraire, mes amis: Do some research Tara. Then you will be ready to start from scratch again, forget the germ theory nonsense and become a real scientist. And I bet this insult will sound familiar to many used to dealing with the anti-science brigades: Evidence is all around and you have as much evidence as I do. The sole difference between you and me is that you are still blindfolded by a century of dogmatic thinking and are not able to see the evidence. You…
I wrote here that pili--long, filamentous surface molecules involved in adhesion and bacterial "sex"--had recently been discovered in gram positive organisms; pecifically, in group A and B streptococci (Streptococcus pyogenes and Streptococcus agalactiae, respectively), using a genomics approach. Though this publication is quite recent, this is a fast-moving area of research, as evidenced by two new papers which extend this earlier research into pili in the group B streptococcus (GBS). A new study published in Molecular Microbiology further analyzes the role of pili in GBS. This is a…
I've mentioned previously the role, or potential role, that bats play in disease transmission. They have long been suspected, and recently identified, as hosts for the Ebola virus. (Whether they're the main reservoir species and what--if any--role they play in transmission of the virus to humans remains to be determined). They've also been implicated in the emergence of SARS and Nipah virus, and of course, have long been associated with the maintenance of rabies virus. A new paper reviews the role of bats in the maintenance and emergence of novel viruses. Bats represent a huge portion…
Following this post about an outbreak of E. coli O157 at a daycare, I received a few emails asking thoughtful questions about food safety. One in particular asked about what food manufacturers are doing to keep their products safe, and what public health officials are doing to educate the public about how to properly handle and cook food. For the latter, I replied that we're doing what we can, but that it's difficult to reach people and get them to listen to advice on a topic where many people already feel they have enough education (I mean, food preparation and cooking isn't exactly…
I've mentioned previously the "hygiene hypothesis", but don't think I've ever really discussed it. SEED writer Emily Anthes has a new article on the topic at the homepage.
An interesting Commentary on the problem of releasing the flu sequences has been posted on the blog Anthropologique by its proprietor, J. F. Brinkworth. I disagree with it, but he makes some pertinent points. Brinkworth believes WHO is not at fault for failure to release the Indonesian sequences and he provides some information of which I, and probably most others, are not aware: Indonesia has very, very stringent nucleic sequence I.P. laws. All genetic material recovered there is their property. Their Convention of Biological Dviersity Law No.5 (1994) and Cultural Practices Law No. 12 (1992…
Here in the U.S., we've not found any high pathogenicity H5N1 influenza viruses, be it in our wild waterfowl, our domestic poultry, or our human population. But a recent story shows how quickly (and quietly) it could enter our country: Officials investigate poultry from Troy warehouse Michigan agriculture officials said Wednesday they have found no evidence of contaminated food in their investigation of frozen poultry that originated from China, where bird flu has been reported in some areas. Some of the poultry found in a Troy warehouse has been seized and destroyed in the past few weeks…
I mentioned in this post on Ebola that I thought the authors were doing a bit too much extrapolation regarding their statement that the evolution of sociality in hominids has been constrained by pathogens such as Ebola. I didn't elaborate on that topic because it's a bit too far afield from my areas of expertise, but John Hawks has much more on the topic of pathogens and fitness in primate groups.
It was difficult for me to imagine that anyone could possibly be upset about the announcement that billionaire Warren Buffet had decided to team up with Bill Gates and donate billions of dollars to improve global health. Silly, naive little me; nothing should surprise me anymore, but this is really beyond the pale. Via Moment of Science, I found someone who does, indeed, gripe about the donation: none other than (cue menacing music) Focus on the Family: "It's very scary," D'Agostino told CitizenLink. "The Bill and Melinda Gates Foundation has very close ties and gives a lot of money to…
The good Dr. Flea has taken some flack previously for comments he's made regarding the treatment of ear infections (or rather, the non-treatment of such). As he notes, most ear infections resolve without antibiotics. Despite this, ear infections are the most common illness for which children visit a pediatrician, receive antibiotics, and undergo surgery in the U.S., at a huge economic cost. A new paper in the Journal of the American Medical Association suggests at least some of that cost is wasted, because the bacteria are present in the form of antibiotic-resistant biofilms. A biofilm…
Longtime readers know of my fascination with Ebola. Much of it is fueled not by the fact that it's a major killer of humanity, because it's not: in 30 years, it's been responsible for a bit less than 2,000 human infections, and ~1,200 deaths. Bats have long been suspected to be a reservoir of the virus, and recent studies have confirmed that they can carry the virus. With at least one strain of Ebola (Ebola Reston), we know that our primate cousins are more severely affected than we are. This strain has been found to infect captured primates brought into the United States from the…
Ames, Iowa may not exactly be thought of as a major tourist destination, or sporting venue. Last week, however, it was both, as the host of the first ever Special Olympics USA National Games, with Ames serving as an "olympic village." Most of it went off rather smoothly, but it also became newsworthy for another reason: Illness identified at Special Olympics Several people affiliated with Special Olympics teams who fell ill this week have tested positive for norovirus, a common cause of what is known as the stomach flu, state health officials announced Saturday. Overall, 52 people…
Holy cow, it's Saturday again already. Since this was a short week, I didn't have as much time for posts or for story-gathering, but there are still a few goodies I missed: I was planning on highlighting this new research that showed, once again, no link between vaccination and development of autism. But then I decided not to re-invent the wheel, as Orac already covered it extensively. Similarly, Mike highlights a story drawing attention to the under-diagnosis of influenza in children, and its ramifications on the health of the rest of the population. Malaria continues to be a scourge…
Those of you who have followed creationism/intelligent design literature over the years have probably felt as if you're living in an alternate universe sometimes. In that literature, many times it seems as if "up" means "down" and "highly supported by the evidence" means "a theory in crisis." You may not have been following the comments to this thread on AIDS (and lord, I can't blame you), but if you have been, you've seen a similar phenomenon, where it's suggested that mutations found in RNA viruses are just due to sloppy lab work, essentially blowing off an entire field of research.…
So, today apparently is "blog about diarrhea" day. Hope no one's eating lunch. (One of the upsides of being a microbiologist is that we can talk about blood and gore and bodily fluids while we eat and no one gets grossed out. Or, perhaps, that's a downside. Anyway, I digress...) Two still hospitalized, four treated after E. coli outbreak at daycare Six confirmed cases of a serious E. coli infection and four additional "suspected" cases are being looked into by the [Tennessee] Department of Health, according to Debbie Hoy of the agency's Cookeville office this Tuesday. All of the infected…
Some towns have all the luck. Brainerd, Minnesota, population ~13,000, was previously famous as the home of Paul Bunyan, and the setting of the Coen brothers' film, Fargo. Little did I know it had another claim to fame: its very own brand of mysterious diarrhea. All about it after the jump. Brainerd was the site of the first outbreak of this eponymous diarrhea back in 1983. It is described as an idiopathic syndrome--meaning that we don't have a clue what causes it. The diarrhea is acute in onset, explosive and watery, can last for months, and doesn't respond to antibiotic treatment…