Literature DB >> 18159544

Avian influenza: Myth or mass murder?

Carol Louie1.   

Abstract

The purpose of the present article was to determine whether avian influenza (AI) is capable of causing a pandemic. Using research from a variety of medical journals, books and texts, the present paper evaluates the probability of the AI virus becoming sufficiently virulent to pose a global threat.Previous influenza A pandemics from the past century are reviewed, focusing on the mortality rate and the qualities of the virus that distinguish it from other viruses. Each of the influenza A viruses reviewed were classified as pandemic because they met three key criteria: first, the viruses were highly pathogenic within the human population; second, the viruses were easily transmissible from person to person; and finally, the viruses were novel, such that a large proportion of the population was susceptible to infection. Information about the H5N1 subtype of AI has also been critically assessed. Evidence suggests that this AI subtype is both novel and highly pathogenic. The mortality rate from epidemics in Thailand in 2004 was as high as 66%. Clearly, this virus is aggressive. It causes a high death rate, proving that humans have a low immunity to the disease.To date, there has been little evidence to suggest that AI can spread among humans. There have been cases where the virus has transferred from birds to humans, in settings such as farms or open markets with live animal vending. If AI were to undergo a genetic reassortment that allowed itself to transmit easily from person to person, then a serious pandemic could ensue, resulting in high morbidity and mortality. Experts at the World Health Organization and the United States Centers for Disease Control and Prevention agree that AI has the potential to undergo an antigenic shift, thus triggering the next pandemic.

Entities:  

Keywords:  Avian influenza; Human transmission; Pandemic; Pathogenicity

Year:  2005        PMID: 18159544      PMCID: PMC2095018          DOI: 10.1155/2005/957360

Source DB:  PubMed          Journal:  Can J Infect Dis Med Microbiol        ISSN: 1712-9532            Impact factor:   2.471


  7 in total

1.  Truths and consequences: writing the history of disease. [Review of: Gerald N. Grob. The Deadly truth: A history of disease in America. Cambridge, Mass, Harvard University Press, 2002].

Authors:  Kathleen W Jones
Journal:  Rev Am Hist       Date:  2004-03

2.  Influenza - Expect the unexpected.

Authors:  John M Conly; B Lynn Johnston
Journal:  Can J Infect Dis       Date:  2004-01

3.  Clinical features and rapid viral diagnosis of human disease associated with avian influenza A H5N1 virus.

Authors:  K Y Yuen; P K Chan; M Peiris; D N Tsang; T L Que; K F Shortridge; P T Cheung; W K To; E T Ho; R Sung; A F Cheng
Journal:  Lancet       Date:  1998-02-14       Impact factor: 79.321

Review 4.  The next influenza pandemic: lessons from Hong Kong, 1997.

Authors:  R Snacken; A P Kendal; L R Haaheim; J M Wood
Journal:  Emerg Infect Dis       Date:  1999 Mar-Apr       Impact factor: 6.883

5.  Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome.

Authors:  Ron A M Fouchier; Peter M Schneeberger; Frans W Rozendaal; Jan M Broekman; Stiena A G Kemink; Vincent Munster; Thijs Kuiken; Guus F Rimmelzwaan; Martin Schutten; Gerard J J Van Doornum; Guus Koch; Arnold Bosman; Marion Koopmans; Albert D M E Osterhaus
Journal:  Proc Natl Acad Sci U S A       Date:  2004-01-26       Impact factor: 11.205

6.  Transmission of H7N7 avian influenza A virus to human beings during a large outbreak in commercial poultry farms in the Netherlands.

Authors:  Marion Koopmans; Berry Wilbrink; Marina Conyn; Gerard Natrop; Hans van der Nat; Harry Vennema; Adam Meijer; Jim van Steenbergen; Ron Fouchier; Albert Osterhaus; Arnold Bosman
Journal:  Lancet       Date:  2004-02-21       Impact factor: 79.321

Review 7.  Avian influenza: a new pandemic threat?

Authors:  Andrej Trampuz; Rajesh M Prabhu; Thomas F Smith; Larry M Baddour
Journal:  Mayo Clin Proc       Date:  2004-04       Impact factor: 7.616

  7 in total

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