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Posts Tagged ‘AIDS

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Deep in a remote region, we are following two hunters looking for bush meat — forest animals they can kill to feed their families. They’ve spent hours in the forest already, but all the traps they’ve set are empty. They will have to push deeper into the forest and they may be hunting for days.

Last year, rising food prices touched off riots around the world, killing dozens of people. Unable to afford basic supplies, communities in Central Africa are increasingly turning to the forests for food. In doing so, hunters expose themselves to hidden dangers – microscopic pathogens living in the blood of forest animals.

Most of the viruses are harmless, but some are potentially deadly when passed to humans. Scientists point out there’s nothing new about these viruses. What is new is the frequency of people’s contact with them and how easily they can now be spread around the world.

World-renowned epidemiologist Dr. Nathan Wolfe is following the hunters.

“Individuals have been infected with these viruses forever,” Wolfe said. “What’s changed, though, is in the past you had smaller human populations; viruses would infect them and go extinct. Viruses actually need population density as fuel.”

The most prolific and deadly zoonotic is HIV, the virus that causes AIDS. In 1999, scientists at the University of Alabama at Birmingham traced the origins of HIV back to a subspecies of chimpanzee. Scientists think that the virus might have jumped to humans when the blood of an infected chimpanzee came in contact with the blood of a bush meat hunter during the killing or butchering of the animal.

It took decades, but that simple, seemingly insignificant transmission set off a global epidemic, or pandemic, that so far has killed or infected tens of millions of people. Scientists think HIV probably crossed into humans as far back as the early 1900s, but it wasn’t until air travel became common that the virus spread, and AIDS became a global epidemic in the 1980s.

“We’re now so profoundly interconnected that it will be the case things will enter into the human population and will spread globally,” said Wolfe.

The centerpiece of Wolfe’s work is trying to stop the next pandemic before it starts. He’s using a recent $11 million grant from Google and the Skoll Foundation to continue something called the Global Viral Forecasting Initiative or GVFI. It’s a kind of early-warning system to track the transmission of viruses in virus hot spots around the world.Wolfe has teams in the Democratic Republic of Congo, China, Malaysia, Madagascar and Laos.

Wolfe likens his work to the way an intelligence service tracks threats made by potential terrorists. His teams cross-reference the different viruses jumping over into humans – what he calls the viral chatter. By doing so, they can identify previously unknown viruses and perhaps stop them before they spread.

One zoonotic virus that Wolfe and his team are paying particularly close attention to is called monkeypox. It’s a virus that intermittently flares up in Central African countries; last year it killed more than 20 people in the Democratic Republic of the Congo.

The name monkeypox is a misnomer — scientists don’t think it comes from primates and think it’s more likely it comes from forest rodents. The virus manifests itself much like chickenpox, with sores that cover the body. Fatigue and body aches are common symptoms. But because doctors can’t be sure of its origins, treating — much less curing it — is difficult. Most of the patients are given general antibiotics and the virus is allowed to run its course.

It’s unlikely the current viral strain of monkeypox could become a pandemic, because it loses strength as it passes from person to person. But it spread to the United States in 2003 when some African rodents were imported as pets. Wolfe is most intrigued by monkeypox because its origins are unknown. In fact, monkeypox is one of the many viruses we know very little about.

“By documenting them, we’re potentially getting to a place where we can prevent pandemics instead of waiting for something like AIDS to happen and spread globally. To actually catch it earlier could potentially save millions of lives,” said Wolfe.

These men and an increasing number of people like them must hunt the forests simply to feed their families. But for the rest of us, with population and food pressures increasing and deadly zoonotic viruses lurking in the forest, what the hunters are doing now has the potential to impact us all.

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Anti-doping authority Don Catlin and cancer detection expert Lance Liotta say they’re progressing toward a urine test for human growth hormone that could close a major drug-testing loophole.

The man described as the “guru of sports doping” and an East Coast cancer detection expert said they’re on the way to establishing a urine test for human growth hormone that could close a drug-testing loophole experts described Monday as a “widespread” problem in sports.

Don Catlin, a Los Angeles-based worldwide doping expert who oversaw blood testing for HGH at the Beijing Olympics, and Dr. Lance Liotta, a former pathology lab chief at the National Cancer Institute’s Center for Cancer Research, have launched a study to build upon Liotta’s ability to identify isolated markers of HGH in urine.

“This is a groundbreaking step that’ll change the game a bit,” Catlin said Monday at a first-ever Growth Hormone Summit staged at the Beverly Hills Hotel.Although baseball’s union has maintained resistance to submitting players to HGH blood tests, the breakthrough has excited anti-doping and baseball officials.

Catlin’s anti-doping research is entering the third year of work on a three-year, $450,000 grant by Major League Baseball to establish whether an HGH urine test is possible.Baseball officials who weren’t allowed to discuss the situation publicly told The Times the Catlin-Liotta partnership now is poised to be “at the front of the line” when the Partnership for Clean Competition — consisting of MLB, NFL and the U.S. Olympic Committee — begins to distribute funds from a pool of $10 million later this year.

Liotta, a professor at George Mason University, said he has arranged a study of students there that will analyze their natural HGH levels in blood and urine. The study will seek to establish a baseline standard that can be compared for instances when an abundance of synthetic HGH, prescribed mostly for AIDS patients and individuals with dwarfism, is found in the system.

Cautioning that such research is conducted “in fits and starts,” UCLA professor Gary Green, the summit director who serves as MLB’s consultant on performance-enhancing drugs, said a realistic timeline for HGH urine testing would be the 2012 Summer Games in London.The clock will tick amid abuses, summit attendees warned.

“Growth hormone promotes muscle mass and reduces fat mass . . . and is widely used by athletes,” Dr. Richard I.G. Holt of England’s University of Southampton said.World Anti-Doping Agency senior manager Osquel Barroso said that in light of the current situation, when synthetic HGH leaves the system in 36 hours or less, WADA will advise its worldwide Olympic partners to conduct increased out-of-competition testing.

Summit expert Dr. Thomas Perls, a Boston University associate professor of medicine who has worked with the Drug Enforcement Agency and Department of Justice, said the use of HGH for anti-aging purposes and athletic enhancement by a reported 200,000 in this country has emerged as “a big public health threat.” He described the public distribution of HGH as “a mafia-like drug-trafficking ring,” and said it’s “setting [users] up for cardiovascular disasters.”

But Gene Orza, the baseball union’s chief operating officer, repeated that players aren’t prepared to join the Olympians who submitted to blood tests.

“No one should have complete faith in a test that has not produced a positive result in 8,500 tests,” Orza said at the summit. “If there is a scientifically valid test for HGH, the players will get together and decide how they want to respond. My suspicion is they will adopt it. But they won’t be pushed into accepting something as scientifically valid before it is.”

Catlin admitted that although International Olympic Committee President Jacques Rogge said last week that he expected more positive doping results to emerge in re-testing of samples provided by Beijing athletes, he does not expect an HGH positive to occur.Green had earlier reinforced to attendees that a positive drug test isn’t confirmed until it clears arbitration.

Southland attorney Howard Jacobs, who defended cyclist Floyd Landis in his doping case after Landis was stripped of his 2006 Tour de France title, said the summit raised “a lot of questions” that he would likely explore if he ever represents an HGH-positive client. “They haven’t validated any positive athlete samples,” Jacobs said. “You have to wonder how many studies they’ve conducted, plus there’s collection and transport issues.”


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