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Swine flu virus linked to more lung damage: lab study

Girl and doctor with swine flu die in Britain
A six-year-old girl and a doctor have died after contracting swine flu, taking the number of deaths in Britain linked to the virus to 17, health officials said Monday. Chloe Buckley, from London, and a doctor from Bedfordshire in eastern England, Michael Day, were named as the latest victims of the virus. Their exact cause of death was not immediately known, the National Health Service (NHS) said. A post-mortem will be carried out to determine if the girl had any underlying health conditions. Dr Simon Tanner, NHS London's regional director of public health, said she had caught the virus in Britain. He described her death as "sad" and added: "It will probably not be the last that we have in this pandemic." Dr Day died on Saturday in hospital. A subsequent swab test revealed he had swine flu although it has not yet been established if this was the cause of his death. His family members, staff and any patients who have been in recent contact with him are being assessed to determine if they have swine flu symptoms. If so, they will be offered Tamiflu anti-viral drugs as a precautionary measure. The first British patient with swine flu but no underlying health problems died on Friday. The family has requested that no further details about the patient, from Essex in eastern England, are released. Nearly 10,000 Britons have been confirmed with swine flu but hundreds of thousands more are thought to have the virus, although in most cases the symptoms are mild. Health authorities have said a swine flu vaccine will also be available from next month and will eventually be available to everyone in Britain. The World Health Organisation said Monday that all countries will need access to vaccines against swine flu as the pandemic is "unstoppable."

Cathay passenger, cargo figures slide due to swine flu
Cathay Pacific suffered a 18.1 percent year-on-year drop passenger numbers in June, the company said Monday, as the swine flu outbreak has severely dampened appetite for travelling. Combined passenger figures for the Hong Kong carrier and its affiliate Dragonair fell to 1.74 million last month, compared with June last year, the airline said in a statement. For the year to date, the number of passengers carried has fallen 4.2 percent. The drop in cargo traffic last month was the sharpest this year, the statement said. The two airlines carried a total of 124,000 tonnes of cargo and mail in June, down 10 percent from the same month last year. Tonnage has fallen 15.4 percent for the year to date. Tom Owen, Cathay's general manager for revenue management, said the figures in June were depressed by the ongoing economic downturn and the reluctance of passengers to fly because of the swine flu outbreak. "The H1N1 situation had a particularly severe impact in our largest market, Hong Kong, and within the region, especially on Japanese routes," he said in the statement. "Aggressive competition for Economy Class passengers in all markets continued to provide very few opportunities for sustainable yield improvement," he added. More than 1,200 cases of swine flu were reported in Hong Kong, while Japan's tally of cases topped 2,000 last week. But no death has been reported in either.
by Staff Writers
Paris (AFP) July 13, 2009
The A(H1N1) "swine flu" virus causes more lung damage than ordinary seasonal flu strains but still responds to antiviral drugs, according to a study on lab animals released on Monday.

Virologists led by Yoshihiro Kawaoka of the University of Wisconsin at Madison tested H1N1, taken from patients in the United States, as well as several seasonal flu viruses on mice, ferrets, macaque monkeys and specially-bred miniature pigs.

They found that H1N1 caused more severe lung lesions among mice, ferrets and macaques than the seasonal flu viruses.

But it did not cause any symptoms among the mini-pigs, which could explain why there has been no evidence that pigs in Mexico fell sick with the disease before the outbreak began among humans.

The team also found that, in experiments in lab dishes, the virus was highly sensitive to two approved and two experimental antiviral drugs, including Tamiflu, now being hurriedly stockpiled around the world.

This confirms the drugs' role as a "first line of defence" in the flu pandemic declared by the UN's World Health Organisation (WHO), they said.

The letter, published online by the British science journal Nature, said the swine flu virus appears to be related to a strain that unleashed the 1918 pandemic that killed tens of millions of people.

The evidence for this comes from blood samples from people born before 1920. Their blood had specific antibodies -- the immune system's frontline defence -- that recognised the new virus and responded to it.

Individuals born after 1920 did not appear to have antibodies capable of recognizing the new virus.

A similarity with the 1918 virus does not mean the viruses are equal in virulence, though.

Indeed, the present strain of swine flu virus is considered mild when compared with the pandemic viruses that erupted lethally several times in the last century.

According to scientists from the Massachusetts Institute of Technology (MIT) and the US Centers for Disease Control (CDC), the answer lies in the virus's poor ability to bind to a docking point on cells in the respiratory tract.

To do it more efficiently, it would have to undergo mutation in a key surface protein, they said in a paper published in the US journal Science on July 2.

A total of 94,512 cases of swine flu have been reported, including 429 deaths, according to the WHO's website on Monday, citing figures as of July 6.

Seasonal flu viruses are viruses that undergo only minor mutation and to which humans have a partial immunity. This explains why routine vaccines have to be tweaked every year, at the onset of the flu season, to provide a shield against a shifting adversary.

Pandemic viruses, though, are viruses against which there is no immunity, except among individuals who were exposed to a close cousin of the pathogen in the past.

The worry about the present strain of H1N1 is that it could pick up genes from other flu strains that would enable it to be both highly virulent and contagious.

These warnings are spelt out in the new study.

"Sustained person-to-person transmission might result in the emergence of more pathogenic variants, as observed in the 1918 pandemic virus," it says.

Another concern is that H1N1 could acquire mutations enabling it be resistant to Tamiflu.

"Collectively, our findings are a reminder that (strains of swine flu) have not yet garnered a place in history, but may still do so."

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Swine flu pandemic now 'unstoppable': WHO official
Geneva (AFP) July 13, 2009
The swine flu pandemic has grown "unstoppable" and all nations will need access to vaccines, a WHO official said Monday, as seven new deaths were reported and a study raised fresh concerns. Britain, Thailand and the Philippines all reported deaths on Monday, while Saudi Arabia shut an international school after 20 students were diagnosed with the A(H1N1) virus. As the death toll ... read more







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