Got the Flu!

Viroligists have learned to watch for corpses when a virus jumps from one species to another.
 
When a three-year-old boy died of influenza in Hong Kong last May, scientists tracking the shifty flu virus took notice. Had an old killer returned to the march?

chickenSince most new strains of flu originate in China, the boy's doctors were accustomed to sending throat cultures to major infectious disease laboratories. Working through the weekend, the Centers for Disease Control and Prevention (CDC) in Atlanta returned disturbing news: The disease had been caused by a strain of bird flu. It was the first case of human influenza attributed to a purely avian flu (although the strain had already killed millions of chickens).

Virologists have learned to watch for corpses when a virus "jumps" from one species to another. That's because viruses often coexist with "host" species (like the unknown bird whose virus infected the Hong Kong boy). But they can be deadly if they infect another species -- the unlucky boy -- which lacks the right antibodies. (The Why Files covered inter-species infections.)

Global flu epidemics (called pandemics) have started with another form of species jumping, when a virus containing genes from a non-human species -- say a pig or a bird -- gets loose in the human population.

I'm aching and shivering. Should I be worrying?
Still, doesn't influenza (the flu) just cause aches, coughs and that "I wanna kill myself" feeling? Sometimes. But the 1918 flu epidemic didn't give its victims time to do anything drastic -- it killed 20 million outright. In the United States, that flu killed about 500,000 people, more than the national death toll from all wars in the bloody 20th century.


bullet In 1957-58, another new strain -- the "Asian" flu -- killed 70,000 Americans.


bullet In 1968-69, the "Hong Kong" flu killed 34,000 Americans.


Animal influenza viruses like this one can be passed on to humans.
© 1994, Veterinary Sciences Division, Department of Veterinary Science, The Queen's University of Belfast, Northern Ireland.
  So flu can be a big deal, and given the virus' ability to change forms and evade the immune system, experts consider another deadly outbreak a certainty. Now let's get back to the question:

Is flu on the warpath once again?
Probably not yet, says Nancy Arden, a CDC epidemiologist who's followed the Hong Kong incident. Scientists have not found the bird virus in more than 4,000 throat samples taken from Chinese respiratory-disease patients since the outbreak. "It appears not to have been spreading among humans," she says. But she notes that "this is the first time that a purely avian strain of influenza has been found to cause the flu in humans, and that's why there was such an intensive investigation."

The reassuring throat cultures were all taken from patients who had flu symptoms. animal influenzaNow investigators are looking for anyone who might have recovered after getting the bird flu.

Viruses can't cause pandemics unless they have two qualities, Arden notes. First, they must be able to infect humans, as this virus apparently has. Second, they must be able to spread easily among the human population. For unknown reasons, the bird virus lacked this vital talent.

So the "epidemic" had just one victim?
Yes. And it's also true that the boy didn't die of flu alone. He also had Reye syndrome, a sometimes-fatal ailment caused when young people with fevers take aspirin.

The global strategy to quickly identify new influenza strains worked this time, and the effort to rapidly search for more cases was promptly started. But despite the low death toll, the case reminds us of the virility of viruses, and points up the folly of relaxing our guard against infectious disease.

The flu scare is not the only virus that's caught our attention recently. Earlier this year, there was a deadly outbreak of Ebola virus in Africa. Dengue fever continues moving northward in the Americas. And the slow-acting AIDS virus (here's our coverage) is not exactly under control, either.

(The bibliography has more on the 1918 epidemic in "The Dead Zone," and on the death in Hong Kong in "The Flu Pandemic.")

Taking these facts into consideration, The Why Files has got itself into a viral frame of mind. What are viruses?

And how is this virus different from most other viruses?


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The Why Files Staff includes: Terry Devitt, editor; Darrell Schulte, webmaster; Dave Tenenbaum, feature writer; Susan Trebach, team leader.