Various viruses

As the conference wraps up, I just want to be sure to point you to some other areas where AIDS is being covered on ScienceBlogs. Every week, our Seed overlords pose a question to us (originally titled, "Ask a ScienceBlogger.") This week's question is: To what extent do you worry about AIDS, either with respect to yourself, your children, or the world at large?... You can find the collection of responses here. In more basic science, Sandra of Discovering Biology in a Digital World is starting a series on using HIV to prove some points about evolution. Looks like a great start to the series;…
I mentioned yesterday that one way to help prevent new HIV infections is to treat people who are infected with herpes, another sexually-transmittted virus that infects as much as 20% of the population in the United States. That may seem odd; how does treating one viral infection prevent infection with a second virus? Studies have shown that, generally, HIV isn't one of the more highly infectious viruses out there. For example, the hepatitis B and C viruses are transmitted via many of the same routes as HIV (such as sexual activity shared needles), but vary in their infectivity. If, for…
If one thing has been hammered home this week (and, indeed, over the past 25 years) regarding HIV/AIDS, it's that prevention is key. Treatments, while improving, are still a distant second place to preventing primary infection as far as the fight against AIDS goes, and a large portion of the world's HIV-infected population still has no access to these treatments. Prevention, therefore, is critical. And while the condom has become the symbol for HIV prevention, strategies go far beyond that tool. Over at WebMD, they have a nice summary of many of the key points from this week's…
This week's issue of the New England Journal of Medicine contains two articles on AIDS that are available free of charge. The first article, Changing the Paradigm for HIV Testing -- The End of Exceptionalism, goes over content I blogged about here, discussing moving toward a more universal testing paradigm. The article focuses on issues specifically in the United States, but certainly many of the points have broad applicability. The second article, AIDS in 2006 -- Moving toward One World, One Hope? is a broad overview of the lessons learned and problems still faced regarding HIV therapy…
Ran across this interesting article in New Scientist on natural resistance to HIV. Researchers are launching a project to discover how certain people, dubbed "elite controllers", are successfully able to fend off the HIV virus without using drugs. More and more cases of such people - also known as "elite suppressors" - are coming to light. Unlike the sex workers in Kenya identified a decade ago as being HIV-negative despite their constant exposure to the virus, elite controllers are infected, and do develop antibodies to the virus, but at a very, very low level. More over at AIDS at 25.
In the United States, approximately a third of those who are HIV-positive don't even realize it. Worldwide, that number can be much higher. Because of this, and because those who don't know their HIV status can play a large role in continuing to spread the virus, in recent years, there has been an increased push for more universal HIV testing, in order to decrease this percentage unaware of their HIV status, and theoretically, reduce spread of the virus. But is this a good idea, and how exactly would and should it be accomplished? This was the topic of discussion at a session titled…
I've blogged previously about the massive effect vaccines against the human papilloma virus (HPV) could have. HPV is a common sexually-transmitted virus. Though most strains are harmless, a few have the potential to cause cervical cancer. Therefore, the HPV vaccine will be the first one ever specifically intended to prevent a type of cancer. This vaccine has recently been approved by the FDA, and is set to roll out shortly. This is already expected to be a rather contentious issue as the vaccine is rolled out in the U.S. and elsewhere, as one target group for vaccination is adolescents…
To use my earlier post on stigma as a jumping-off point, there was a session today titled Religion and New Leadership: the Challenge to Deliver (video available at the link). Speakers included religious leaders from a variety of religious and cultural backgrounds, discussing the role they play in working to control the AIDS epidemic. It was noted that churches haven't completely come to the reality that people living with HIV/aids aren't just a "they;" but that they're also members of their churches, mosques, synagogues, etc. It was emphasized that this sense of people living with HIV…
The control and eventual eradication of the smallpox virus from the wild is one of the most heralded success stories in all of public health. Indeed, smallpox has played a central role in the history of vaccination. Even prior to Edward Jenner's use of the related cowpox virus to protect against smallpox disease, it was known that inoculation with materials from an infectious smallpox pustule or scab (dubbed "variolation") could protect an individual from death due to smallpox, generally resulting instead in a mild form of the illness. Jenner's observation that milkmaids seemed to be…
If I could have been at this week's conference for one session, it would have been this morning's symposium on AIDS denial and responsible journalism. Hannah has already mentioned it and given her impressions and thoughts. The session itself was moderated by HIV researcher Daniel Kuritzkes and journalist Laurie Garrett, currently a Senior Fellow on Global Health at the Council on Foreign Relations. Talks were also given by HIV researcher John Moore, South Africa-based science journalist Tamar Khan, Toronto Star science reporter Kim Honey, and Nathan Geffen of the Treatment Action Campaign…
As y'all may or may not be aware, the XVI International AIDS Conference begins this weekend in Toronto. For those of you who read Seed magazine, you've seen that the current issue focuses on "AIDS at 25," and they also have an online summary here. As a matter of fact, myself, a Seed journalist, and a freelance science writer will be blogging the conference at a temporary blog this coming week; myself remotely from Iowa, and the others live from Toronto. So while AIDS will be at the forefront of this blog for a few days, I also have some posts on tap about other issues in infectious disease…
So it would seem. West Nile is spreading beyond birds, horses and humans. A squirrel has tested positive for the virus and hundreds more are showing the same symptoms People are finding squirrels in their yards or parks that look like they've been injured because they aren't able to walk. In some cases they're disoriented, running around in circles or shaking. Now it's believed they're suffering from West Nile. (More below...) West Nile virus (WNV) is another arbovirus; that is, a virus that's transmitted by an arthropod (in this case, the mosquito). Typically, the virus cycles between birds…
I wrote several posts on mumps outbreak here in Iowa this past spring. However, we aren't the only I-state to have dealt recently with an outbreak of vaccine-preventable disease. An editorial in yesterday's New York Times highlights the dangers of withholding vaccincations. (Continued below...) In the spring of 2005, an outbreak of measles occurred in Indiana. The unvaccinated index case had been traveling in Romania on a missionary trip, where she picked up the virus. Measles is one of the most infectious viruses we know of, and when she returned home, she ended up spreading the virus…
The name "dengue" means "breakbone fever" due to the extreme bone pain it causes. The virus is a member of the flavivirus family, which includes the virus that causes yellow fever. Both viruses are arboviruses--viruses that are transmitted by arthropods. In the case of dengue and YF, the arthropod in question is the mosquito; specifically, the Aedes aegypti, an urban mosquito that lives in close contact with humans. Dengue infections cause an enormous amount of morbidity and mortality in areas where the virus is endemic. It's estimated to infect 50-100 million people each year. Though…
(The title should, of course, be hummed to the tune of "Strokin'...") I'm out playing with cows again this afternoon. In the meantime, a few good posts from elsewhere: Ed talks about the excuses Dembski's given for why research into intelligent design isn't being done. Revere notes a cull of 50,000 dogs in China due to rabies. He notes: We've gotten pretty used to the idea that if H5N1 appears in birds it is legitimate to slaughter birds wholesale within a certain distance of the infected flock. In the west, birds are kept as caged pets by some people but not huge numbers. In Indonesia…
I mentioned just last month the dearth of research into what really makes an influenza virus easily transmissible from host to host, noting: If we had a better handle on the factors that caused an avian strain of influenza virus to be more efficiently transmitted among humans, then we could better focus our resources and know when to really sound the alarm--unlike now, when we're flying blind in many ways. A new paper in PNAS has started to do just that, and the research findings have prompted such headlines as Bird Flu Pandemic may not develop (via Effect Measure). Revere has already…
Regular readers may recall me previously discussing Rebecca Culshaw (for reference, threads can be found here and here). She's a PhD mathematician who wrote two articles discussing her departure from her prior research, which focused on mathematical models of HIV infection. I pointed out in one comment that her training is in math, and not biology, and that from her articles, she showed a very poor understanding of not only basic biological techniques (such as the polymerase chain reaction) but infectious disease epidemiology in general. Other HIV deniers responded that, because she did…
Good timing. Just Friday we were discussing limits on biological knowledge, particularly in regard to bioterrorism and the potential for information to fall into the wrong hands (or be used for the "wrong" purposes). Today, msnbc.com has an article discussing this exact issue: Eckard Wimmer knows of a shortcut terrorists could someday use to get their hands on the lethal viruses that cause Ebola and smallpox. He knows it exceptionally well, because he discovered it himself. In 2002, the German-born molecular geneticist startled the scientific world by creating the first live, fully…
More fascinating topics I didn't get around to: Orac disses a report linking Ipods to autism. Really. He also has the low-down on snake oil salesman Kevin Trudeau's unbelievable new book. You think having a few people on a blog deny the germ theory is bad; it's even worse when an author who'll sell millions of books does so. Carl Zimmer has an excellent post discussing circuits and evolution, and even touching on network theory. Joseph wonders about the gender gap in academic medicine. The Bad Astronomer asks, is the government trying to kill us? Dr. Charles gives the details on a…
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…